I'm concerned that radiation during a mammogram may increase my risk of thyroid cancer. Should I request a thyroid guard?

Answer From Sandhya Pruthi, M.D.

Probably not, as there is little chance that the exposure from the radiation from breast X-ray (mammogram) will cause thyroid cancer. In addition, a thyroid guard could interfere with the accuracy of your mammogram.

A thyroid guard or thyroid shield is a lead collar that wraps around your neck to block the radiation that's generated in making X-ray images.

During an X-ray, the majority of radiation needed to create the images goes exactly where it's aimed. In the case of a mammogram, most radiation exposure occurs in your breast. But the rest of your body is exposed to small amounts of what's called scatter radiation. Scatter radiation during a mammogram is a fraction of the natural radiation (known as background radiation) you'd receive in one day.

One study estimated that during a mammogram, which involves two X-rays per breast, a woman's thyroid is exposed to the equivalent of 30 minutes of natural radiation. Even over many years of annual mammograms, this amount of additional radiation is considered tiny.

Still, don't let a fear of thyroid cancer keep you from having a mammogram. If you choose to use a thyroid guard, many facilities have them available. Call ahead to make sure one is available at your facility.

Discuss the benefits and risks of thyroid guards with your radiologist or breast-imaging specialist. Thyroid guards can sometimes interfere with getting good images of the breast tissue, which could make the mammogram images incomplete. Thyroid guards can also distort the appearance of the mammogram. In these cases, you may be called back to have additional mammogram images.

April 02, 2019 See more Expert Answers

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  29. Invasive lobular carcinoma
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  32. Male breast cancer
  33. Mammary duct ectasia
  34. Mammogram
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  37. Mastitis
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  40. Paulas story A team approach to battling breast cancer
  41. Pink Sisters
  42. Recurrent breast cancer
  43. Relationships and metastatic breast cancer
  44. Routine cancer screening during coronavirus (COVID-19) pandemic
  45. The Long Race Beating Cancer
  46. Treatment options for metastatic breast cancer
  47. Mammogram for breast cancer — What to expect
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  49. What is metastatic breast cancer?
  50. Working with your doctor when you have metastatic breast cancer: Interview with a Mayo Clinic expert.