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Re: Radiation From Nuclear Stress Test Compared With Chest X-Rays And Annual Background Radiation At

Reply from: D. Spencer Hines
Date: 07 May 2008, 22:32
Re: Radiation From Nuclear Stress Test Compared With Chest X-Rays And Annual Background Radiation At

O.K.

So this is the bottom line and the cat's meow when it comes to telling
patients what they REALLY need to know about Nuclear Stress Tests and
Radiation.

DSH

Lux et Veritas et Libertas
-------------------------------------------------

Radiation From Nuclear Stress Test Compared With Chest X-Rays And Annual
Background Radiation at Sea Level

Thallium Scan = 3 mCi -- 17.76 mSv or 1776 mrem Tl-201 Thallous
Chloride (with contaminants)

Sestamibi Scan = Cardiolite, Stress -- 30 mCi -- 8.769 mSv or 876.9 mrem
Tc-99m Sestamibi

Chest X-Ray PA -- .04 mSv or 4 mrem

Chest X-Ray PA + Lat -- .24 mSv or 24 mrem

Annual Background Radiation at Sea Level = 3 mSv or 300 mrem

< * w w w .ieo . it /Radar/RADARDoseRiskCalc.html>
----------------------------------------------------------------------------

< * en.wikipedia.org/wiki/Cardiac_stress_test>

Another set of figures:

Stress tests using radiological agents confer low long-term risk of cancer,
but patients undergoing such examinations often receive little or inaccurate
information about these risks. A sestamibi scan is approximately 12 mSv. A
thallium scan is approximately 25 mSv.

(For comparison, the annual background radiation per annum a person receives
is approximately 3 mSv.) A thallium scan corresponds the dose of 250 chest
x rays, or an extra cancer risk of about 1 in 16000 exposed patients (A. de
González). The lifetime risk of fatal cancer development is 4%/Sv or
0.004%/mSv or about 0.1% for a thallium scan. Therefore, frequent usage of
these tests has to balance the benefits against the risks of radiation.

1 mSv [millisievert] = 100 mrem [millirems]

< * w w w .ieo . it /Radar/RADARDoseRiskCalc.html>

< * w w w .hc-sc.gc.ca/ewh-semt/occup-travail/radiation/dosim/res-centre/conversion/index_e.html>

< * w w w .radiation-scott.org/radsource/2-0.htm>



Reply from: Imabug
Date: 08 May 2008, 05:14
Re: Radiation From Nuclear Stress Test Compared With Chest X-Rays And Annual Background Radiation At

On May 7, 4:32 pm, "D. Spencer Hines" <pant...@excelsior . com > wrote:
> O.K.
>
> So this is the bottom line and the cat's meow when it comes to telling
> patients what they REALLY need to know about Nuclear Stress Tests and
> Radiation.
>
> DSH

I'd say the numbers look like they're pretty reasonable for your
average patient. Doses for larger patients will be lower (by as much
as a factor of 2 depending on size).

I've never been a fan of using chest x-rays as a benchmark for
comparing radiation doses though.

my experience has been that patients and physicians don't really care
about the numbers. They're mostly interested in the last bit about
cancer risk.

Eugene

Reply from: D. Spencer Hines
Date: 08 May 2008, 06:36
Re: Radiation From Nuclear Stress Test Compared With Chest X-Rays And Annual Background Radiation At

"Imabug" <eugenemah@gmail . com > wrote in message
news:b38911ce-54f4-4561-8db0-cf59926a676d@t54g2000hsg.googlegroups . com ...

> On May 7, 4:32 pm, "D. Spencer Hines" <pant...@excelsior . com > wrote:

>> O.K.
>>
>> So this is the bottom line and the cat's meow when it comes to telling
>> patients what they REALLY need to know about Nuclear Stress Tests and
>> Radiation.
>>
>> DSH
>
> I'd say the numbers look like they're pretty reasonable for your
> average patient. Doses for larger patients will be lower (by as much
> as a factor of 2 depending on size).

Very interesting.

Why will the doses be lower for larger patients? That seems
counterintuitive.

> I've never been a fan of using chest x-rays as a benchmark for
> comparing radiation doses though.

How come? It's something a patient has some familiarity with.

> my experience has been that patients and physicians don't really care
> about the numbers. They're mostly interested in the last bit about
> cancer risk.
>
> Eugene

True. For MOST patients. But those who are more technically inclined may
want some hard data of this sort with numbers.

DSH



Reply from: Pete
Date: 08 May 2008, 14:36
Re: Radiation From Nuclear Stress Test Compared With Chest X-Rays And Annual Background Radiation At

On May 8, 12:36 am, "D. Spencer Hines" <pant...@excelsior . com > wrote:
> "Imabug" <eugene...@gmail . com > wrote in message
>
> news:b38911ce-54f4-4561-8db0-cf59926a676d@t54g2000hsg.googlegroups . com ...
>
> > On May 7, 4:32 pm, "D. Spencer Hines" <pant...@excelsior . com > wrote:
> >> O.K.
>
> >> So this is the bottom line and the cat's meow when it comes to telling
> >> patients what they REALLY need to know about Nuclear Stress Tests and
> >> Radiation.
>
> >> DSH
>
> > I'd say the numbers look like they're pretty reasonable for your
> > average patient.  Doses for larger patients will be lower (by as much
> > as a factor of 2 depending on size).
>
> Very interesting.
>
> Why will the doses be lower for larger patients?  That seems
> counterintuitive.
>
> > I've never been a fan of using chest x-rays as a benchmark for
> > comparing radiation doses though.
>
> How come?  It's something a patient has some familiarity with.
>
> > my experience has been that patients and physicians don't really care
> > about the numbers.  They're mostly interested in the last bit about
> > cancer risk.
>
> > Eugene
>
> True.  For MOST patients.  But those who are more technically inclined=
may
> want some hard data of this sort with numbers.
>
> DSH

The thing is.. for each patient and for each dose it will be
different. The only way to tell would be to meter the test
individually. There is no way to judge or guess what a test will do
with any degree of accuracy. This is why you are having trouble
getting an answer. That leaves only the risk vs benefit argument. The
one to contact for sure is the radiation physicist.. not a
physician... this may help * w w w .rtstudents . com /Radiology Radiation P=
hysics.htm

Reply from: D. Spencer Hines
Date: 08 May 2008, 20:52
Re: Radiation From Nuclear Stress Test Compared With Chest X-Rays And Annual Background Radiation At

Thank you!

DSH

"Pete" <pete.burger@3dvolumetrics . net > wrote in message
news:834a04a6-a56f-4e0d-b735-6c173518c460@s50g2000hsb.googlegroups . com ...

On May 8, 12:36 am, "D. Spencer Hines" <pant...@excelsior . com > wrote:

> "Imabug" <eugene...@gmail . com > wrote in message
>
> news:b38911ce-54f4-4561-8db0-cf59926a676d@t54g2000hsg.googlegroups . com ...
>
> > On May 7, 4:32 pm, "D. Spencer Hines" <pant...@excelsior . com > wrote:
> >> O.K.
>
> >> So this is the bottom line and the cat's meow when it comes to telling
> >> patients what they REALLY need to know about Nuclear Stress Tests and
> >> Radiation.
>
> >> DSH
>
> > I'd say the numbers look like they're pretty reasonable for your
> > average patient. Doses for larger patients will be lower (by as much
> > as a factor of 2 depending on size).
>
> Very interesting.
>
> Why will the doses be lower for larger patients? That seems
> counterintuitive.
>
> > I've never been a fan of using chest x-rays as a benchmark for
> > comparing radiation doses though.
>
> How come? It's something a patient has some familiarity with.
>
> > my experience has been that patients and physicians don't really care
> > about the numbers. They're mostly interested in the last bit about
> > cancer risk.
>
> > Eugene
>
> True. For MOST patients. But those who are more technically inclined may
> want some hard data of this sort with numbers.
>
> DSH

The thing is.. for each patient and for each dose it will be
different. The only way to tell would be to meter the test
individually. There is no way to judge or guess what a test will do
with any degree of accuracy. This is why you are having trouble
getting an answer. That leaves only the risk vs benefit argument. The
one to contact for sure is the radiation physicist.. not a
physician... this may help
* w w w .rtstudents . com /Radiology_Radiation_Physics.htm



Reply from: Imabug
Date: 11 May 2008, 04:43
Re: Radiation From Nuclear Stress Test Compared With Chest X-Rays And Annual Background Radiation At

On May 8, 12:36 am, "D. Spencer Hines" <pant...@excelsior . com > wrote:
> "Imabug" <eugene...@gmail . com > wrote in message
>
> news:b38911ce-54f4-4561-8db0-cf59926a676d@t54g2000hsg.googlegroups . com ...
>

> > I'd say the numbers look like they're pretty reasonable for your
> > average patient. Doses for larger patients will be lower (by as much
> > as a factor of 2 depending on size).
>
> Very interesting.
>
> Why will the doses be lower for larger patients? That seems
> counterintuitive.
>
The units of dose are absorbed energy per unit mass. More mass
exposed -> less dose

Reply from: D. Spencer Hines
Date: 11 May 2008, 05:45
Re: Radiation From Nuclear Stress Test Compared With Chest X-Rays And Annual Background Radiation At

O.K.

Thanks.

DSH

"Imabug" <eugenemah@gmail . com > wrote in message
news:e6f972be-4846-4ad8-a98f-f0d8e86d605b@d1g2000hsg.googlegroups . com ...

> On May 8, 12:36 am, "D. Spencer Hines" <pant...@excelsior . com > wrote:
>> "Imabug" <eugene...@gmail . com > wrote in message
>>
>> news:b38911ce-54f4-4561-8db0-cf59926a676d@t54g2000hsg.googlegroups . com ...
>>
>
>> > I'd say the numbers look like they're pretty reasonable for your
>> > average patient. Doses for larger patients will be lower (by as much
>> > as a factor of 2 depending on size).
>>
>> Very interesting.
>>
>> Why will the doses be lower for larger patients? That seems
>> counterintuitive.
>>
> The units of dose are absorbed energy per unit mass. More mass
> exposed -> less dose






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