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Article #213: X-Rays - What You Don't See & Feel Can Hurt You

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There is little doubt that x-ray How's that for a confusing mess?
technology (x-rays, CT scans, The point is that even the experts aren't
fluoroscopy) in medicine has done much sure of the degree of damage. But they
good and is an invaluable diagnostic all are sure of the damage. We should
tool. Although I seriously question its take the hint.
usefulness as a therapeutic tool (e.g. Unfortunately technicians and
cancer radiation therapy), that will not radiologists do not always critically
be the focus of this article. control x-ray dosing. They are concerned
X-rays are high-energy nuclear emissions with diagnostic images that are easy to
that have the ability to pass right read, not so much with what the x-rays
through tissue and leave an image on a are doing as they are not so gently
film, called a radiograph (the film perambulating through your tissues. Since
itself is not an "x-ray"). Less emission adverse effects are not immediate and
gets through denser tissue like bone, and would be impossible to tie to the
more goes through soft tissue to darken techniques used, caution can be pretty
the film. This results in the contrast, much thrown to the wind. People do not
the picture of our insides, seen on the always behave in your best interests if
films - light areas are dense tissues, there are no consequences to them for
darker areas are less dense. their actions. I am not saying this
That little lesson in radiology aside, always occurs and that medical personnel
it's what the x-ray does as it passes are not concerned for your safety, just
through the body that should be of alerting you to the fact the door is wide
concern to all. The high-energy x-ray open for sloppy work.
particles can wreak havoc on their It is estimated that dose reduction, beam
journey through tissue. When they hit collimation (control), rare-earth screens
electrons they confer upon them high and filtration, carbon fiber materials,
levels of unnatural energy. Like a bull more extensive lead shielding, decrease
in a china shop, these electrons can in contrast resolution and use of a
cause mutations including deletions and pulsed system in digital radiography and
translocations of DNA material. The an array of constraining techniques in
wreckage is often beyond the capability fluoroscopy could reduce exposure by
of DNA repair mechanisms. The resulting several fold.
instability of the chromosome is a That's what they can do. What you can do
precursor to cancer. Cancer is, in is not submit to x-rays unless absolutely
effect, the inability of a cell to any necessary. Don't run to the emergency
longer know its place and behave within room every time you stub your toe or feel
its normal constraints. The control an ache. Don't do everything physicians
mechanism for cell behavior is the say without question. Find dentists who
genetic material with which x-rays and will only take x-rays when it can be
their misbehaving electron progeny play proven to you it is absolutely necessary.
havoc. Offer to sign liability waivers if they
This sounds like free-radical activity, want. Tell them you have already had too
but is different in that it is far more many x-rays and you know the dangers are
energetic and potentially damaging. The cumulative.
body has mechanisms in place to scavenge The bottom line is that the vast majority
and quench free radicals, but x-ray of x-rays are unnecessary and physicians
energy is several orders in magnitude know it. Any experienced practitioner can
beyond those neutralizing capabilities. usually tell you what's wrong (usually
X-ray mutational damage can kill a cell nothing that will not cure itself with a
or alter it. If the cell is altered, that little time) before they even see you,
change stays with it since the genetic and with a little history taking and
material will replicate the error. If palpation (touchy-feely) they can get
more damage to the genetic material even closer. But they are hesitant
occurs, the results are additive. (understandably) to give you their
Remember that. Radiation damage is experienced wisdom because they are
cumulative. It never goes away, it is worried about their liability (rightly
just added to until the cell dies or the so), not your chromosomal damage which
genetic aberration results in cancer and will not show up for years and would by
resultant organism death. then be impossible to relate to their
There is NO safe level of radiation. It x-rays.
is a risk versus benefit game as is all So you must take control over your own
of medicine. body. You make the decision about x-rays,
There are those within the medical and any other medical intervention for
community who argue (with substantial that matter, by getting informed.
supporting data) that the 300 million or Weigh the risk versus the benefit. And
so x-rays taken each year add up to a remember, any medical intervention is a
very significant factor in cancer risk.
mortality and even atherosclerosis. The References:
latter is a result of mutational damage Gofman, JW, Radiation from Medical
in the endothelium (coronary blood vessel Procedures in the Pathogenesis of Cancer
wall) to create a mini tumor nidus from and Ischemic Heart Disease: Dose-Response
which an atherosclerotic plaque emerges. Studies with Physicians per 100,000
Since x-rays always cause damage, and the Population,
damage is related to the number and Committee for Nuclear Responsibility, San
strength of exposures, the obvious Francisco, CA, 1999.
solution is to have fewer x-rays and Gofman JW, "What Are the Main Critiques
lower dose x-rays. But don't get real of the 1999 Study by Gofman, after Three
comfortable with that either. Recent Years of Peer-Review?" Committee for
research has shown that repair of low Nuclear Responsibility, San Francisco,
dose radiation damage to genetic material CA, 2002.
may be ignored or delayed by cellular Gofman JW, "FDA Proposes New X-Ray
repair mechanisms. High doses that kill Regulations: Immense Health Benefits
cells, preventing them from unbridled Possible -- Unless Naysayers Prevail.
reproduction (cancer), might be better X-Ray-Induced Diseases, Hormesis, and
than the low doses. But high doses create Medical Ethics,"
low dose scatter and more widespread Testimony submitted to the FDA, March 31,
potential damage. 2003.






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