Seminars in Ultrasound, CT and MRI
Volume 31, Issue 1 , Pages 3-7 , February 2010

Abdominal Computed Tomography During Pregnancy: A Review of Indications and Fetal Radiation Exposure Issues

  • Mahesh K. Shetty, MD, DMRD, FRCR

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Mahesh K. Shetty, MD, DMRD, FRCR, Department of Radiology, The Woman's Hospital of Texas, 7600 Fannin St, Houston, TX 77054

References 

  1. Rathnapalan S, Bona N, Chandra K, et al. Physicians perception of teratogenic risk associated with radiography and CT during early pregnancy. AJR. 2004;182:1107–1109
  2. Lazarus E, Mayo-Smith WW, Mainier MB, et al. CT in the evaluation of nontraumatic abdominal pain in pregnant women. Radiology. 2007;244:784–790
  3. Jaffe TA, Miller CM, Merkel EM. Practice patterns in imaging of the pregnant patient with abdominal pain: A survey of academic centers. AJR Am J Roentgenol. 2007;189:1128–1134
  4. Leite NP, Pereira JM, Cunha R, et al. Evaluation of appendicitis and its complications: Imaging techniques and key diagnostic findings. AJR Am J Roentgenol. 2005;185:406–417
  5. Loughlin KR. Urologic radiology during pregnancy. Urol Clin North Am. 2007;34:23–26
  6. Stoller ML, Floth A, Hricale H, et al. Magnetic resonance imaging of renal calculi: An in vitro study. J Lithotr Stone Dis. 1991;3:162–164
  7. ACR Practice guideline for imaging pregnant or potentially pregnant adolescents and women with ionizing radiation. In: ACR practice guideline for continuing medical education (Practice Guidelines and Medical Standards). Reston, Va: American College of Radiology; 2008;p. 23–37
  8. Brent RL. Utilization of developmental basic science principles in the evaluation of reproductive risks from pre- and post conception environmental radiation exposures. Teratology. 1999;59:182–204
  9. Schull WJ, Otake M. Cognitive function and prenatal exposure to ionizing radiation. Teratology. 1999;59:222–226
  10. Boice JD, Miller RW. Childhood and adult cancer after intrauterine exposure to ionizing radiation. Teratology. 1999;59:227–233
  11. Brent RL, Mettler FA. Pregnancy policy. AJR Am J Roentgenol. 2004;182:819–822
  12. Lee CH, Goo JN, Lee HJ, et al. Radiation dose modulation techniques in the multidetector CT era: From basics to practice. Radiographics. 2008;28:1451–1459
  13. Frush DP, Applegate K. Computed tomography and radiation: Understanding the issues. J Am Coll Radiol. 2004;1:113–119
  14. 1990 Recommendations of the International Commission on Radiological Protection. Ann ICRP. 1991;21:1–201
  15. Angel E, Wellnitz C, Goodsit MM, et al. Radiation dose to the fetus for pregnant patients undergoing multidetector CT imaging: Monte Carlo simulations estimating fetal dose for a range of gestational age and patient size. Radiology. 2008;249:220–227
  16. Udayasankar UK, Li U, Baumgarten DA, et al. Acute abdominal pain: Value of ultra-low-dose multi-detector row CT as a substitute for abdominal radiographs. Emerg Radiol. 2009;16:61–70
  17. El-Khoury GY, Madsen MT, Blake ME, et al. A new pregnancy policy for a new era. AJR Am J Roentgenol. 2003;181:335–340

PII: S0887-2171(09)00081-X

doi: 10.1053/j.sult.2009.09.001

Seminars in Ultrasound, CT and MRI
Volume 31, Issue 1 , Pages 3-7 , February 2010

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