Buls N, Covens P, Nieboer K, Van Schuerbeek P, Devacht P, Eloot L, de Mey J
Dienst Radiologie and Dienst Fysische controle, UZ Brussel, Brussels, Belgium.
JBR-BTR. 2009 Nov-Dec;92(6):271-9.
The participation of pregnant women in radiology can be an emotional experience. The word "radiation" understandably invokes fear and uncertainty. Irradiation of a foetus should be avoided whenever possible. However, radiological examinations of pregnant women are often justified and unintended exposures do occur. Also pregnant radiology staff may remain working in the department. Lack of knowledge about the effects of both ionising (X-rays) and non-ionising (MRI) radiation is responsible for anxiety of patients and workers. If foetal exposures occur, they must be quantitatively evaluated and the risk put into perspective. This paper is intended to inform radiology managers, radiologists, technologists and referring clinicians in their management with pregnant patients and co-workers. The paper describes conceptus doses for both patient and worker that are associated with radiology practice, reviews the risks and effects of in utero irradiation, and discusses current national policies, international guidelines and practical aspects.
孕妇接受放射检查可能是一段充满情感的经历。“辐射”这个词引发恐惧和不确定性是可以理解的。应尽可能避免对胎儿进行辐射。然而，对孕妇进行放射学检查往往是合理的，而且确实会发生意外照射。此外，怀孕的放射科工作人员可能仍在科室工作。患者和工作人员对电离（X射线）和非电离（MRI）辐射影响的知识缺乏导致了焦虑。如果发生胎儿照射，必须对其进行定量评估并正确看待风险。本文旨在为放射科管理人员、放射科医生、技术人员以及转诊临床医生在管理孕妇患者和同事方面提供信息。本文描述了与放射学实践相关的患者和工作人员的胚胎剂量，回顾了子宫内照射的风险和影响，并讨论了当前的国家政策、国际指南和实际情况。
