Radiation Management for Interventions Using Fluoroscopic or Computed Tomographic Guidance during Pregnancy: A Joint Guideline of the Society of Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe with Endorsement by the Canadian Interventional Radiology Association

Dauer, Lawrence T.; Thornton, Raymond H.; Miller, Donald L.; Damilakis, John; Dixon, Robert G.; Marx, M. Victoria; Schueler, Beth A.; Vañó, Eliseo; Venkatesan, Aradhana M.; Bartal, Gabriel; Tsetis, Dimitrios; Cardella, John F.

doi:10.1016/j.jvir.2011.09.007

Cited by 96 publications

(65 citation statements)

References 88 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We reviewed patient dosimetry data after the first 16 patients with the aim of refining our technique in an attempt to further reduce FAD [25]. Table 2 summarises our dose reducing techniques.…”

Section: Discussionmentioning

confidence: 99%

Foetal Radiation Dose During Prophylactic Occlusion Balloon Placement for Morbidly Adherent Placenta

Semeraro

Susac

Morasca

et al. 2015

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Foetal Radiation Dose During Prophylactic Occlusion Balloon Placement for Morbidly Adherent Placenta

Semeraro

Susac

Morasca

et al. 2015

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

show abstract

“…However, it is very difficult and inaccurate to quantify the fetal exposure to radiation, because of the dynamic characteristics of the test, the intermittent use of radiation, the different X-ray tube positions, device calibration, and fetal position. Due to this variability, it is not possible to determinate the exact amount of exposure, which is estimated by anatomical mathematical models and in experimental animals (Table 2) 4 .…”

Section: Introductionmentioning

confidence: 99%

Risk of Ionizing Radiation in Women of Childbearing Age undergoing Radiofrequency Ablation

Lima

Gomes

Gensas

et al. 2013

Arquivos Brasileiros De Cardiologia

View full text Add to dashboard Cite

BackgroundThe International Commission of Radiology recommends a pregnancy screening test to all female patients of childbearing age who will undergo a radiological study. Radiation is known to be teratogenic and its effect is cumulative. The teratogenic potential starts at doses close to those used during these procedures. The prevalence of positive pregnancy tests in patients undergoing electrophysiological studies and/or catheter ablation in our midst is unknown. ObjectiveTo evaluate the prevalence of positive pregnancy tests in female patients referred for electrophysiological study and/or radiofrequency ablation. MethodsCross-sectional study analyzing 2,966 patients undergoing electrophysiological study and/or catheter ablation, from June 1997 to February 2013, in the Institute of Cardiology of Rio Grande do Sul. A total of 1490 procedures were performed in women, of whom 769 were of childbearing age. All patients were screened with a pregnancy test on the day before the procedure. ResultsThree patients tested positive, and were therefore unable to undergo the procedure. The prevalence observed was 3.9 cases per 1,000 women of childbearing age. ConclusionBecause of their safety and low cost, pregnancy screening tests are indicated for all women of childbearing age undergoing radiological studies, since the degree of ionizing radiation needed for these procedures is very close to the threshold for teratogenicity, especially in the first trimester, when the signs of pregnancy are not evident.

show abstract

“…Guidelines to minimize risk to the patient and conceptus have been developed for patients, including pregnant women, who may need medical radiography [9–11]. In addition, several guidelines have been developed for occupational radiation protection of pregnant women [1, 5, 12–16].…”

Section: Introductionmentioning

confidence: 99%

Radiological protection for pregnant women at a large academic medical Cancer Center

et al. 2017

Self Cite

View full text Add to dashboard Cite

Purpose Most radiation protection programs, regulations and guidance apply specific restrictions to the occupational exposure of pregnant workers. The aim of this study was to compile data from the declared pregnant woman (DPW) radiation protection program over more than 5 years at a large, high-volume, comprehensive oncology academic/medical institution and to evaluate for effectiveness against existing regulations and guidance. Methods A retrospective review was performed of the data collected as part of the DPW radiation protection program from January 2010 through May 2016, including the number of declared pregnancies, worker category, personal and fetal dosimetry monitoring measurements, workplace modifications, as well as the monthly and total recorded badge results during the entire pregnancy. Results 245 pregnancies were declared. The mean monthly fetal radiation dosimetry result was 0.009 mSv with a median of 0.005 mSv and a maximum of 0.39 mSv. The mean total dose over the entire pregnancy was estimated to be 0.08 mSv with a median of 0.05 mSv and a maximum of 0.89 mSv. Only 8 (3.2%) of the 245 declared pregnancies required that workplace modifications be implemented for the worker. Conclusions The implementation of a declared pregnancy and fetal assessment program, careful planning, an understanding of the risks, and minimization of radiation dose by employing appropriate radiation safety measures as needed, can allow medical staff to perform procedures and normal activities without incurring significant risks to the conceptus, or significant interruptions of job activities for most medical workers.

show abstract

Cited by 96 publications

References 88 publications

Foetal Radiation Dose During Prophylactic Occlusion Balloon Placement for Morbidly Adherent Placenta

Foetal Radiation Dose During Prophylactic Occlusion Balloon Placement for Morbidly Adherent Placenta

Risk of Ionizing Radiation in Women of Childbearing Age undergoing Radiofrequency Ablation

Radiological protection for pregnant women at a large academic medical Cancer Center

Contact Info

Product

Resources

About