Clinical perspective on diagnostic X-ray examinations of pregnant patients - What to take into account.

Vock, Peter (2017). Clinical perspective on diagnostic X-ray examinations of pregnant patients - What to take into account. Physica medica, 43, pp. 165-171. Elsevier 10.1016/j.ejmp.2017.05.004

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Imaging during pregnancy has increased in frequency. Radiation protection is extremely important although tissue reactions of the conceptus, requiring a threshold dose of around 100mGy, are unlikely in the diagnostic use of X-rays and stochastic effects of cancerogenesis have a rather low risk (around 10-4/mGy for childhood cancer due to in utero exposure). This article will review the risk depending on dose and phase of pregnancy and the exposure by frequent examinations; it will then concentrate on the duties of an imaging department: screening for pregnancy, examination justification, planning and optimization, patient information, counseling, involving the patient in the decisions, and managing the situation of pregnant staff members. Typical flowcharts of investigating frequent clinical questions will finally be presented and critically discussed.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology

UniBE Contributor:

Vock, Peter

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1724-191X

Publisher:

Elsevier

Language:

English

Submitter:

Nicole Rösch

Date Deposited:

27 Feb 2018 14:10

Last Modified:

27 Feb 2018 14:10

Publisher DOI:

10.1016/j.ejmp.2017.05.004

PubMed ID:

28599991

Uncontrolled Keywords:

Benefit Childhood cancer Diagnostic imaging Malformation Patient communication Pregnancy Risk X-rays

BORIS DOI:

10.7892/boris.107830

URI:

https://boris.unibe.ch/id/eprint/107830

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