Weisser G, Steil V, Neff K W, Büsing K A
Institut für Klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
Radiologe. 2012 Jan;52(1):81-90; quiz 91-2. doi: 10.1007/s00117-011-2262-3.
In a radiology department there are frequently asked questions associated with pregnant and breast feeding women. These are related to either pregnant patients or staff members or the questions are centered on the fetus as a patient. For pregnant patients the potential exposure to the mother and the fetus related to the imaging modality selected as well as the effects of the necessary contrast media must be taken into account. Even for methods without ionizing radiation possible limitations in the use for pregnant women must be discussed. Finally, this medical check defines the imaging modality and the necessary protocol and contrast media. The present article describes the legal requirements in Germany, the technical exposure and pharmacological risks for the pregnant woman and the fetus regarding imaging modalities with and without ionizing radiation. The forthcoming second article will address the risk analysis for examinations with ionizing radiation and will present recommendations for typical clinical imaging problems.
在放射科,经常会出现与孕妇和哺乳期妇女相关的问题。这些问题要么与孕妇患者有关,要么与工作人员有关,或者问题是以胎儿作为患者为核心。对于孕妇患者,必须考虑所选成像方式对母亲和胎儿的潜在辐射以及必要造影剂的影响。即使对于无电离辐射的方法,也必须讨论其在孕妇使用中的可能限制。最后,这项医学检查确定成像方式、必要的检查方案和造影剂。本文描述了德国的法律要求、孕妇和胎儿在使用有电离辐射和无电离辐射成像方式时的技术辐射及药理风险。即将发表的第二篇文章将探讨电离辐射检查的风险分析,并针对典型临床成像问题提出建议。