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Medical Scans Explained



                                               size and the scale of the plastic pollution  A Look Inside the Body         CT scans also use X-ray
                                               crisis in 2019, Kroger must do far more to
                                               reduce its plastic footprint.”         Have you ever had to get an X-ray,  beams. But the beams rotate around
                                                                                    MRI, or other medical scan? Do you   your entire body to create a 3D picture.
                                                 Greenpeace didn’t have much nice to                                     These images contain more
        Dear EarthTalk: How are American       say about third place finisher Albertsons,  know what these tests involve? Or what  information than a regular X-ray. The
      supermarket chains doing in regard to    either, and is incensed that the company  they can do?                    scan can be done in less than a minute.
      cutting back on single-use plastics?     participates in Hefty’s EnergyBag      Medical scans help doctors diagnose  That makes it especially useful in
              — B. Weston, Jacksonville, FL    Program whereby non-recyclable plastics  everything from head trauma to foot
                                               are incinerated or turned back into fossil  pain. There are many different types of  places like the emergency department.
        Not very well, if you ask Greenpeace. The  fuels. “Plastic incineration in any form  imaging technologies. Each works  There, doctors need to know
      activist group compares 20 U.S. grocery  threatens human health and the climate,”                                  immediately if a patient has a life-
      chains by their commitments and actions to  says Greenpeace. “Albertsons must  differently.                        threatening condition.
      reduce single-use plastics in its recently  immediately stop participating in this  Some types of imaging tests use  Because CT scans use more X-ray
      released “Shopping for Plastic 2019” report.  program.”                       radiation. Others use sound waves, radio  beams than a normal X-ray, they often
      Each and every chain—even those you                                           waves, or magnets. Learning about how  deliver a higher dose of radiation. But
      would think are leading the charge on      Whole Foods’ 11th place finish on the  medical scans work can help you feel
      reducing plastic—gets a failing score.   list begs the question of how the chain  more comfortable if you or a loved one  medical specialists have ways to
                                               known for its green and healthy food  needs one. It can also help you to know  calculate the smallest radiation dose
        Illinois-based ALDI, with 1,900 stores in 36  selection could be so bad on plastics.                             needed, explains Dr. Cynthia
      states, ranks highest on Greenpeace’s list,  Greenpeace says the chain has largely  what to ask about before getting an  McCollough, a CT imaging researcher
      thanks to its efforts to set a specific plastic  focused on recycling initiatives and using  imaging test.         at the Mayo Clinic.
      reduction target and establish a more    more light weight plastics but needs to                                     “We tailor the dose to the patient’s
      comprehensive plastic reduction plan than  “up its game to reduce and ultimately  The first revolution in seeing   size, and we tailor it to the reason for
                                                                                    into the body came with X-           the exam,” McCollough says. For
                                                                                    rays. They have been used in the clinic  example, a CT scan of the chest needs
                                                                                    for more than 120 years.             less radiation than a CT scan of the
                                                                                      “X-rays are still used every day   stomach area.
                                                                                    because they can do a lot,” says Dr. Kris  McCollough’s lab, with four other
                                                                                    Kandarpa, an imaging expert at NIH.  NIH-funded teams, is working on ways
                                                                                    They’re useful for looking at bones and  to reduce the amount of radiation these
                                                                                    finding problems in certain types of  scans deliver even more. Her team has
                                                                                    tissues, like pneumonia in the lungs.  used hundreds of CT scans to find the
                                                                                      X-ray imaging works by passing an  lowest radiation dose that’s needed for
                                                                                    energy beam through a part of your   a radiologist to make the right
                                                                                    body. Your bones or other body parts  diagnosis.
                                                                                    will block some of the X-ray beams     “We’ve found that when you take the
                                                                                    from passing through. That makes their  dose way down, the images are less
                                                                                    shapes appear on the detectors used to  pretty, but they often still get doctors
                                                                                    capture the beams. The detector turns  the right answer,” McCollough
                                                                                    the X-rays into a digital image for  explains.
                                                                                    a radiologist to look at.              While lower doses of radiation
                                                                                      X-ray beams use radiation. Radiation  would likely further lower risk,
                                                                                    is energy that’s released as invisible  McCollough says that the standard
      any of its competitors. That said, ALDI sells  end its reliance on single-use plastics.”  particles or waves. Being exposed to
      mostly its own in-house versions of products  Whole Foods’ past groundbreaking  very large amounts of radiation can  doses are already quite low. That’s
      so the company has more control over its  efforts in plastics reduction—it was the  damage cells and tissues. It may also  important for people to know, because
      entire supply chain than conventional    first large nationwide U.S. retailer to ban                               “some patients who really need a CT
      grocery retailers that draw from thousands  single-use checkout bags as well as plastic  increase your risk of developing cancer.  scan are afraid to get it,” she says.
      of different producers. But beyond the   straws and then microbeads—aren’t lost  But modern X-ray tests use a very   Fear can sometimes keep someone
      product line and its packaging, ALDI has also  on Greenpeace. But given the scale of the  small dose of radiation. People are  from getting a scan that could help
      been more transparent on its plastic practices  plastic pollution crisis, Greenpeace says  naturally exposed to radiation from  improve their health, or even save
      and Greenpeace gives bonus points for the  Whole Foods “needs to do much more.”  many sources, such as the sky, rocks, and
      company’s commitment to implement reuse                                       soil.                                their life. “Current CT doses are in a
      and refill systems across the entire chain.  While Greenpeace is working hard to                                   range where it’s not possible to even
                                               pressure these corporations to go above  “A chest X-ray gives you similar  prove a risk exists. They’re that low,”
        That’s about as nice as Greenpeace gets in  and beyond minimal efforts to reduce  amounts of radiation as you’d get in a  she says.
      the report. While second-place finisher  single-use plastics, it’s up to individual  plane flight across the Atlantic Ocean,”
      Kroger Co. gets kudos for being the only  consumers to really drive the point home  Kandarpa explains.                            Continued on Page 11
      U.S. retailer of its size to phase out single-  by bringing their own reusable shopping
      use plastic checkout bags (by 2025) and for  bags to the grocery store, staying away
      setting plastics recycling goals for its own  from products swaddled in unnecessary                EarthTalk Continued
      branded products, Greenpeace chastises the  amounts of throwaway plastic, and   RESOURCES: Greenpeace’s “Shopping    EarthTalk® is produced by Roddy
      grocery behemoth with more than 2,400    complaining to store managers about all  For Plastic 2019,” greenpeace.org/usa/  Scheer & Doug Moss for the 501(c)3
      stores in 31 states for not already taking  the plastic wrap everywhere.      shopping-for-plastic-2019; “Say NO To  nonprofit EarthTalk. To donate, visit
      much bolder steps to scale way back on                                        Dow’s Dirty EnergyBag,” no-burn.org/  www.earthtalk.org. Send questions to:
      single-use plastic: “These goals might have  EARTHTALK CONTINUED:             dirtyenergybag.                      question@earthtalk.org.
      been totally rad in the 1990s, but given its

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