Patient Safety:
Airport Scanner Safety
Airport scanners
When it comes to airport scanner safety, there are four questions you should consider, including:
- What are airport scanners?
- Are there different kinds of scanners?
- How do scanners work?
- What are the risks of scanners?
After a bombing attempt that occurred on Christmas Day in 2009, airports around the United States and the world began installing different types of scanners to scan people passing through airport security.
Types of airport scanners
The two types of scanners typically used in airports include millimeter radio-wave and backscatter scanners.
Millimeter radio-wave scanners use millimeter radio waves similar to those generated by cellphones. This type of scanner does not use x-rays.
The second type, backscatter scanner, uses low intensity x-rays.
How does a millimeter radio-wave scanner work?
A millimeter radio-wave scanner stands out at airports because of its design that includes a booth where people stand with their arms raised. Inside the booth, the person is scanned with millimeter radio waves. Antennas then collect the reflected waves to generate images.
Because this type of scanner does not use x-rays, but instead uses millimeter radio waves similar to radio waves produced in a cell phone, there should not be concern about the effects of radiation from this scanner.
How does a backscatter scanner work?
Backscatter scanners also stand out in airports because of their design, which includes two large boxes for individuals to stand between with their arms raised. Inside the backscatter scanner is an x-ray source that produces low intensity x-rays. The scanner uses a low intensity narrow x-ray beam to scan people at high speed and in a raster pattern. The scan typically takes between two to five seconds.
The large detectors capture the backscatter x-rays to create images within a few seconds. This method is useful for detecting objects hidden under clothes or taped to the skin surface.
Transmission x-rays vs. backscatter x-rays
The following illustration shows the difference between a transmission x-ray versus a backscatter x-ray.

Backscatter scanner
A = Transmission x-ray as in medical imaging | I-X = Incident x-rays |
B = Backscatter x-ray as in airport full-body scanners | T-X = Transmitted x-rays |
D = Detectors | B-X = Backscatter x-rays |
In a transmission x-ray, which is used in medical imaging, x-rays from an x-ray source pass through the patient and the detector collects the transmitted x-rays on the opposite side to create an image such as a typical chest x-ray. For more detailed information see the Chest x-ray page (www.radiologyresource.org/en/info.cfm?pg=chestrad).
In a backscatter x-ray system, the x-ray intensity is very low and not strong enough to penetrate or transmit through the body, even though a few of the x-rays may be absorbed by the body. However, the majority of the x-rays bounces off or scatters onto the surface. This is the reason for the two large detectors that collect the backscatter or scatter x-rays to create an image.
Radiation exposure from backscatter systems
Many people express concern about the long-term effects of radiation from x-rays and risks from backscatter scans. Findings show that radiation exposure for an individual scan is relatively low. A typical dose is between 0.00005 to 0.0001 millisievert (mSv) or 0.005 to 0.01 millirem. This is in comparison to a typical chest x-ray, which is between 0.001 to 0.01 mSv or one to 10 millirem.
Therefore, a person would have to receive 1,000 to 2,000 backscatter scans to get a dose equivalent to a single chest x-ray. This explains the reason why the radiation from a backscatter scan is considered relatively low.
Backscatter scanner compared to natural background radiation
According to the National Council on Radiation Protection & Measurements (NCRP), everyone is exposed to background radiation. In the United States, individuals receive approximately 3 mSv per year or 0.01 mSv per day (1 millirem per day).
When compared to this value, 100 to 200 backscatter scans is equal to one day of natural background radiation. In addition, the radiation dose from a backscatter scan is equivalent to approximately:
- 10 to 20 minutes of natural background radiation
- Two to four minutes of radiation received from air travel
The following tables depict radiation dose from a backscatter system and the number of backscatter scans equivalent to doses from various sources of radiation.
1,000 microsieverts (µSv) = 1mSv
This page was reviewed on June 22, 2012