Naslov
Safety of radiographic imaging in pregnancy

Autori
Popić Ramač, Jelena ; Garaj Vrhovac, Verica ; Vidjak, Vinko ; Brnić, Zoran ; Radošević Babić, Barbara

Izvornik
Acta Clinica Croatica (0353-9466) 55 (2016); 247-253

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Pregnancy – radiography ; Pregnancy – radiation effects ; Fetus – radiation effects ; Radiation injuries ; Abortion, induced

Sažetak
There are many false assumptions, both in the general population and among physicians, regarding the influence of radiation on pregnant patients and the fetus during diagnostic procedures, in spite of scientifc facts based on studies. Tese false assumptions are mostly based on the idea that every diagnostic procedure using ionizing radiation is a cause for serious concern and that artifcial abortion as a possible solution might be considered. We analyzed data from counseling of pregnant patients exposed to ionizing radiation during diagnostic procedures in the Merkur University Hospital during a 4-year period. In this period, 26 patients presented for counseling after exposure to diagnostic ionizing radiation during pregnancy. Results showed most of these patients to have been exposed to radiation between the 2nd and 3rd week of gestation (36%), between the 4th and 5th week 32%, before the 2nd week 24%, and after the 6th week of gestation less than 8%. To provide reasonable estimate of fetal doses, Report No. 174 from the National Council on Radiation Protection and Measurements (NCRP) was used. Data from the Report include estimate of the fetal dose from direct and indirect exposures. Te mean doses were up to 0.01 cGy in 46.2%, 0.01-0.15 cGy in 19.2%, 0.2-1 cGy in 26.9% and 1 cGy or more in 7.7% of patients. None of the counseled patients had medical indication for abortion, even though in a small percentage of patients abortion was a personal subjective decision. Considering that there are no Croatian guidelines for counseling patients exposed to ionizing radiation during pregnancy, it is recommended to use the International Commission on Radiological Protection guidelines in the management of pregnant patients exposed to ionizing radiation.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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