Why Is Guidelines For Use Of Ca Logo Considered Underrated?

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There has been a abundant access in the use of computed tomography (CT) and alluring resonance imaging (MRI) in abundance and lactation. Among some physicians and patients, however, there are misperceptions apropos risks, safety, and adapted use of these modalities in pregnancy. We accept developed a set of evidence-based guidelines for the use of CT, MRI, and adverse media during abundance for called break including doubtable astute appendicitis, pulmonary embolism, renal colic, trauma, and cephalopelvic disproportion. Ultrasonography is the antecedent modality of best for doubtable appendicitis, but if the ultrasound assay is negative, MRI or CT can be obtained. Computed tomography should be the antecedent analytic imaging modality for doubtable pulmonary embolism. Ultrasonography should be the antecedent abstraction of best for doubtable renal colic. Ultrasonography can be the antecedent imaging appraisal for trauma, but CT should be performed if austere abrasion is suspected. Pelvimetry now is acclimated rarely for doubtable cephalopelvic disproportion, but back required, low-dose CT pelvimetry can be performed with basal risk. Although iodinated adverse seems safe to use in pregnancy, intravenous gadolinium is contraindicated and should be acclimated alone back actually essential. It seems to be safe to abide breast-feeding anon afterwards accepting iodinated adverse or gadolinium. Although teratogenesis is not a above affair afterwards acknowledgment to prenatal analytic radiation, carcinogenesis is a abeyant risk. Back acclimated appropriately, CT and MRI can be admired accoutrement in imaging abundant and lactating women; risks and allowances consistently should be advised and discussed with patients.

Computed tomography, alluring resonance imaging, and adverse media can be acclimated in abundance and lactation afterwards adapted application of the abeyant risks and benefits.

From the 1Department of Radiology and the 2Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, School of Medicine, San Francisco, California.

Corresponding author: Dr. Fergus Coakley, Chief, Abdominal Imaging, University of California, San Francisco, Box 0628, M-372, 505 Parnassus Avenue, San Francisco, CA 94143-0628; e-mail: [email protected]

Financial Disclosure The authors accept no abeyant conflicts of absorption to disclose.

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