The scans are marketed as a way to catch cancer before symptoms begin, but
the radiation from the scans themselves could cause cancer, the researchers
said.
CT or computed tomography scans involve X-rays, but computer software and
multiple angles produce a higher-quality image than the traditional flat X-ray.
The scans are not the same as magnetic resonance imaging or MRI scans, which
do not expose the body to radiation.
Writing in the September issue of the journal Radiology, radiation oncologist
David Brenner and colleagues at Columbia University in New York said whole-body
CT scans pack a considerable radiation wallop.
"The radiation dose from a full-body CT scan is comparable to the doses
received by some of the atomic-bomb survivors from Hiroshima and Nagasaki, where
there is clear evidence of increased cancer risk," Brenner said in a statement.
They studied survivors who got low doses of radiation from the bombs, not
those who got the highest doses.
The dose from a single full-body CT is only slightly lower than the mean dose
experienced by some atomic bomb survivors, they said, and is nearly 100 times
that of a typical screening mammogram.
A 45-year-old person who gets one full-body CT screening would have an
estimated lifetime cancer death risk of approximately 0.08 percent, which would
produce cancer in one in 1,200 people, they estimated.
However, a 45-year-old who has annual full-body CT scans for 30 years would
accrue an estimated lifetime cancer mortality risk of about 1.9 percent or
almost one in 50.
The risk may be worth it for someone who knows he or she has a high
probability of cancer, such as those with inherited genetic mutations or a
family history of the disease, Brenner said.
Cancer is the second leading cause of death in the United States after heart
disease and is expected to kill 550,000 people this year.