Imaging of Pregnant and Lactating Patients: Part 1, Evidence-Based Review and Recommendations

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...

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Published inAmerican journal of roentgenology (1976) Vol. 198; no. 4; pp. 778 - 784
Main Authors Wang, Page I., Chong, Suzanne T., Kielar, Ania Z., Kelly, Aine M., Knoepp, Ursula D., Mazza, Michael B., Goodsitt, Mitchell M.
Format Journal Article
LanguageEnglish
Published United States 01.04.2012
Subjects
Online AccessGet full text
ISSN0361-803X
1546-3141
1546-3141
DOI10.2214/AJR.11.7405

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Abstract 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. 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.
AbstractList 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. 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.
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.OBJECTIVEThe 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.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.CONCLUSIONMaternal 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.
Author Kielar, Ania Z.
Goodsitt, Mitchell M.
Chong, Suzanne T.
Knoepp, Ursula D.
Kelly, Aine M.
Mazza, Michael B.
Wang, Page I.
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  surname: Mazza
  fullname: Mazza, Michael B.
– sequence: 7
  givenname: Mitchell M.
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  fullname: Goodsitt, Mitchell M.
BackLink https://www.ncbi.nlm.nih.gov/pubmed/22451541$$D View this record in MEDLINE/PubMed
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Snippet The objectives of this article are to discuss the current evidence-based recommendations regarding radiation dose concerns, the use of iodinated and...
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SubjectTerms Abnormalities, Radiation-Induced - epidemiology
Contrast Media - adverse effects
Diagnostic Imaging - adverse effects
Evidence-Based Medicine
Female
Fetus - drug effects
Fetus - 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
Title Imaging of Pregnant and Lactating Patients: Part 1, Evidence-Based Review and Recommendations
URI https://www.ncbi.nlm.nih.gov/pubmed/22451541
https://www.proquest.com/docview/953209877
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