Document Detail


Imaging of pregnant and lactating patients: part 1, evidence-based review and recommendations.
MedLine Citation:
PMID:  22451541     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objectives of this article are to discuss the current evidence-based recommendations regarding radiation dose concerns, the use of iodinated and gadolinium-based contrast agents, and the comparative advantages of multimodality imaging (ultrasound, CT, and MRI) during pregnancy and lactation. We also discuss the use of imaging to evaluate pregnant trauma patients.
CONCLUSION: Maternal and fetal radiation exposure and dose are affected by gestational age, anatomic site, modality, and technique. The use of iodinated and gadolinium-based contrast agents during pregnancy and lactation has not been well studied in human subjects. Imaging should be used to evaluate pregnant trauma patients only when the benefits outweigh the risks.
Authors:
Page I Wang; Suzanne T Chong; Ania Z Kielar; Aine M Kelly; Ursula D Knoepp; Michael B Mazza; Mitchell M Goodsitt
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  198     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-27     Completed Date:  2012-05-22     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  778-84     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, University of Michigan, Ann Arbor, USA.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Radiation-Induced / epidemiology
Contrast Media / adverse effects,  diagnostic use
Diagnostic Imaging* / adverse effects
Evidence-Based Medicine
Female
Fetus / drug effects*,  radiation effects*
Humans
Lactation*
Maternal-Fetal Exchange
Patient Safety*
Pregnancy
Pregnancy Complications / chemically induced
Prenatal Exposure Delayed Effects
Radiation Dosage*
Radiation Injuries / prevention & control
Risk Assessment
Chemical
Reg. No./Substance:
0/Contrast Media

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