Is a one percent occurrence of high-dose patients significant?

• Published in: European journal of radiology 2024-03, Vol.172, p.111340-111340, Article 111340
• Main Authors: Mataac, Maria, Rehani, Madan M.
• Format: Article
• Language: English
• Subjects: CT risk versus risks in surgeries; Cumulative dose; Effective dose and risk; High patient doses; Radiation versus other risks; Risk comparison; Risk in CT vs injury in airplane; Significance of 1% in risk metric
• ISSN: 0720-048X; 1872-7727
• DOI: 10.1016/j.ejrad.2024.111340

Risk-free society is utopian. We come across risks in everyday life, and we use probabilities to get a feel of how risky a situation is. Risk probability numbers of around 1% are comforting, but an intercomparison of numbers among various low risks in popular situations can be enlightening. In this article, we compare risks of complications or death in several surgeries and risks in commercial air travel with risks for patients getting cumulative effective dose (CED) of 100 mSv or more, as the latter is a hot and controversial topic currently. The analysis shows that many common surgeries are a few tens or hundreds of times less risky than the risk from a 100 mSv dose, even though the former often frightens us more. Despite there being a much higher chance of developing cancer from radiation than being involved in a commercial plane accident, there is much less emphasis on patient radiation safety than aviation safety. Further, a look at the system of control on prescription drugs indicates that there is much to learn for policy planning. This analysis may help the International Commission on Radiological Protection (ICRP) in their review of recommendations.