Rocha Ana Paula Campos, Carmo Rafael Lourenço, Melo Rodolfo Ferreira Queiroz, Vilela Daniel Nogueira, Leles-Filho Orlando Silqueira, Costa-Silva Luciana
Instituto Hermes Pardini, Belo Horizonte, MG, Brazil.
Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil.
Radiol Bras. 2020 May-Jun;53(3):185-194. doi: 10.1590/0100-3984.2019.0059.
In recent decades, there has been a significant increase in the number of imaging examinations performed on pregnant patients. That increase has occurred across the various modalities, including ultrasound, computed tomography, and magnetic resonance imaging. However, little is known about the risks that these examinations generate for the mother and fetus, related to the use of ionizing radiation or the use of contrast media. When pregnant patients are submitted to imaging studies, the principles of protection established by the International Commission on Radiological Protection should always be respected, to avoid injury to the pregnant woman and the fetus. The potential deleterious effects on the fetus must be weighed against the damage caused by not performing an examination that is clearly indicated, given that a delayed or missed diagnosis can be even more harmful to the health of the mother and of the fetus itself. The purpose of this review article is to address concerns regarding the safety of imaging methods used during pregnancy, as well as to identify typical clinical situations that require decisions to be made about the indication and optimal planning of imaging examinations.
近几十年来,对孕妇进行的影像学检查数量显著增加。这种增加出现在各种检查方式中,包括超声、计算机断层扫描和磁共振成像。然而,对于这些检查因使用电离辐射或造影剂而给母亲和胎儿带来的风险,人们知之甚少。当孕妇接受影像学检查时,应始终遵循国际放射防护委员会制定的防护原则,以避免对孕妇和胎儿造成伤害。鉴于延迟诊断或漏诊可能对母亲和胎儿自身的健康造成更大危害,必须权衡对胎儿潜在的有害影响与不进行明确必要检查所造成的损害。这篇综述文章的目的是解决有关孕期使用的影像学方法安全性的问题,并确定需要就影像学检查的指征和最佳方案做出决策的典型临床情况。