The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.
Guidelines for Computed Tomography and Magnetic Resonance Imaging Use During Pregnancy and Lactation
Abstract
There has been a substantial increase in the use of computed tomography (CT) and magnetic resonance imaging (MRI) in pregnancy and lactation. Among some physicians and patients, however, there are misperceptions regarding risks, safety, and appropriate use of these modalities in pregnancy. We have developed a set of evidence-based guidelines for the use of CT, MRI, and contrast media during pregnancy for selected indications including suspected acute appendicitis, pulmonary embolism, renal colic, trauma, and cephalopelvic disproportion. Ultrasonography is the initial modality of choice for suspected appendicitis, but if the ultrasound examination is negative, MRI or CT can be obtained. Computed tomography should be the initial diagnostic imaging modality for suspected pulmonary embolism. Ultrasonography should be the initial study of choice for suspected renal colic. Ultrasonography can be the initial imaging evaluation for trauma, but CT should be performed if serious injury is suspected. Pelvimetry now is used rarely for suspected cephalopelvic disproportion, but when required, low-dose CT pelvimetry can be performed with minimal risk. Although iodinated contrast seems safe to use in pregnancy, intravenous gadolinium is contraindicated and should be used only when absolutely essential. It seems to be safe to continue breast-feeding immediately after receiving iodinated contrast or gadolinium. Although teratogenesis is not a major concern after exposure to prenatal diagnostic radiation, carcinogenesis is a potential risk. When used appropriately, CT and MRI can be valuable tools in imaging pregnant and lactating women; risks and benefits always should be considered and discussed with patients.
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Hannah, M. E., Hannah, W. J., Hewson, S. A., Hodnett, E. D., Saigal, S., & Willan, A. R. (2000) · The Lancet · doi:10.1016/s0140-6736(00)02840-3 · Cited by 1,556
ACR Guidance Document for Safe MR Practices: 2007
Kanal, E., Barkovich, A. J., Bell, C., Borgstede, J. P., Bradley, W. G., Froelich, J. W., Gilk, T., Gimbel, J. R., Gosbee, J., Kuhni-Kaminski, E., et al. (2007) · American Journal of Roentgenology · doi:10.2214/ajr.06.1616 · Cited by 787
The use of iodinated and gadolinium contrast media during pregnancy and lactation
Webb, J. A. W., Thomsen, H. S., Morcos, S. K., & Members of Contrast Media Safety Committee of European Society of Urogenital Radiology (ESUR) (2005) · European Radiology · doi:10.1007/s00330-004-2583-y · Cited by 590
Radiation Exposure and Pregnancy: When Should We Be Concerned?
McCollough, C. H., Schueler, B. A., Atwell, T. D., Braun, N. N., Regner, D. M., Brown, D. L., & LeRoy, A. J. (2007) · RadioGraphics · doi:10.1148/rg.274065149 · Cited by 570
MALIGNANT DISEASE IN CHILDHOOD AND DIAGNOSTIC IRRADIATION IN UTERO
Stewart, A., Webb, J., Giles, D., & Hewitt, D. (1956) · The Lancet · doi:10.1016/s0140-6736(56)91923-7 · Cited by 564
GHERMAN, R. (1999) · Obstetrics & Gynecology · doi:10.1016/s0029-7844(99)00426-3 · Cited by 343
Pulmonary Embolism in Pregnant Patients: Fetal Radiation Dose with Helical CT
Winer-Muram, H. T., Boone, J. M., Brown, H. L., Jennings, S. G., Mabie, W. C., & Lombardo, G. T. (2002) · Radiology · doi:10.1148/radiol.2242011581 · Cited by 329
Drug Therapy for Breast-Feeding Women
Ito, S. (2000) · New England Journal of Medicine · doi:10.1056/nejm200007133430208 · Cited by 320
MR Imaging Evaluation of Acute Appendicitis in Pregnancy
Pedrosa, I., Levine, D., Eyvazzadeh, A. D., Siewert, B., Ngo, L. H., & Rofsky, N. M. (2006) · Radiology · doi:10.1148/radiol.2383050146 · Cited by 310
A three-year follow-up of children imaged in utero with echo-planar magnetic resonance
Baker, P. N., Johnson, I. R., Harvey, P. R., Gowland, P. A., & Mansfield, P. (1994) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(13)70275-8 · Cited by 302
Cited by
Association Between MRI Exposure During Pregnancy and Fetal and Childhood Outcomes
Ray, J. G., Vermeulen, M. J., Bharatha, A., Montanera, W. J., & Park, A. L. (2016) · JAMA · doi:10.1001/jama.2016.12126 · Cited by 845
ACR Guidance Document for Safe MR Practices: 2007
Kanal, E., Barkovich, A. J., Bell, C., Borgstede, J. P., Bradley, W. G., Froelich, J. W., Gilk, T., Gimbel, J. R., Gosbee, J., Kuhni-Kaminski, E., et al. (2007) · American Journal of Roentgenology · doi:10.2214/ajr.06.1616 · Cited by 787
Wattjes, M. P., Ciccarelli, O., Reich, D. S., Banwell, B., de Stefano, N., Enzinger, C., Fazekas, F., Filippi, M., Frederiksen, J., Gasperini, C., et al. (2021) · The Lancet Neurology · doi:10.1016/s1474-4422(21)00095-8 · Cited by 674
The Transfer of Drugs and Therapeutics Into Human Breast Milk: An Update on Selected Topics
Sachs, H. C., COMMITTEE ON DRUGS, Frattarelli, D. A. C., Galinkin, J. L., Green, T. P., Johnson, T., Neville, K., Paul, I. M., & Van den Anker, J. (2013) · Pediatrics · doi:10.1542/peds.2013-1985 · Cited by 555
Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy
Pearl, J., Price, R., Richardson, W., & Fanelli, R. (2011) · Surgical Endoscopy · doi:10.1007/s00464-011-1927-3 · Cited by 281
Metadata
- Authors
- Chen, M. M., Coakley, F. V., Kaimal, A., & Laros, R. K.
- Venue
- Obstetrics & Gynecology
- Published
- 2008-08
- Volume
- 112
- Issue
- 2
- Pages
- 333-340
- ISSN
- 0029-7844 (ISSN-L)
- OpenAlex
- W2328443986
- Cited by
- 468
- References
- 29
- FWCI
- 23.42
- Type
- journal article
- Language
- en
- Open access
- closed
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- Chen, M. M., Coakley, F. V., Kaimal, A., & Laros, R. K. (2008). Guidelines for Computed Tomography and Magnetic Resonance Imaging Use During Pregnancy and Lactation. Obstetrics & Gynecology. https://doi.org/10.1097/aog.0b013e318180a505
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
