Guidelines for Diagnostic Imaging During Pregnancy and Lactation
Guidelines for Diagnostic Imaging During Pregnancy and Lactation
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DOI：
10.1097/aog.0000000000002237
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发表时间：
2017-10-01
影响因子：
7.2
通讯作者：
Wharton, Kurt R.
中科院分区：
文献类型：
--
作者：
Copel, Joshua;El-Sayed, Yasser;Wharton, Kurt R.
影像学研究是急慢性疾病诊断评价的重要辅助手段。然而，对这些方式对孕妇和哺乳期妇女及其婴儿的安全性的混淆往往导致不必要地避免有用的诊断测试或不必要地中断母乳喂养。超声检查和磁共振成像与风险无关，是妊娠患者的首选成像技术，但应谨慎使用，并仅在预期使用可回答相关临床问题或为患者提供其他医疗益处时使用。除了少数例外，通过x线摄影、计算机断层扫描或核医学成像技术的辐射暴露剂量远低于与胎儿危害相关的暴露剂量。如果这些技术是必要的，除了超声检查或磁共振成像或更容易获得的诊断问题，他们不应该对怀孕的病人隐瞒。服用钆后不应中断母乳喂养。
Imaging studies are important adjuncts in the diagnostic evaluation of acute and chronic conditions. However, confusion about the safety of these modalities for pregnant and lactating women and their infants often results in unnecessary avoidance of useful diagnostic tests or the unnecessary interruption of breastfeeding. Ultrasonography and magnetic resonance imaging are not associated with risk and are the imaging techniques of choice for the pregnant patient, but they should be used prudently and only when use is expected to answer a relevant clinical question or otherwise provide medical benefit to the patient. With few exceptions, radiation exposure through radiography, computed tomography scan, or nuclear medicine imaging techniques is at a dose much lower than the exposure associated with fetal harm. If these techniques are necessary in addition to ultrasonography or magnetic resonance imaging or are more readily available for the diagnosis in question, they should not be withheld from a pregnant patient. Breastfeeding should not be interrupted after gadolinium administration.