Nair Anirudh Venugopalan, Ramanathan Subramaniyan, Venugopalan Prasanna
Department of Clinical Imaging, Al-Wakra Hospital, Hamad Medical Corporation, Doha, Qatar.
Department of Radiology, Weill Cornell Medicine, Doha, Qatar.
Acta Radiol Open. 2022 Mar 7;11(2):20584601221077394. doi: 10.1177/20584601221077394. eCollection 2022 Feb.
Evaluation of COVID-19 related complication is challenging in pregnancy, due to concerns about ionizing radiation risk to mother and the fetus. Although there are instances when diagnostic imaging is clinically warranted for COVID-19 evaluation despite the minimal risks of radiation exposure, often there are concerns raised by the patients and sometimes by the attending physicians. This article reviews the current recommendations on indications of chest imaging in pregnant patients with COVID-19, the dose optimization strategies, and the risks related to imaging exposure during pregnancy. In clinical practice, these imaging strategies are key in addressing the complex obstetrical complications associated with COVID-19 pneumonia.
由于担心电离辐射对母亲和胎儿的风险，评估与 COVID-19 相关的并发症在孕期具有挑战性。尽管在某些情况下，尽管辐射暴露风险极小，但出于临床需要对 COVID-19 进行诊断性成像，患者甚至有时主治医生仍会对此表示担忧。本文综述了关于 COVID-19 感染孕妇胸部成像指征、剂量优化策略以及孕期成像暴露相关风险的当前建议。在临床实践中，这些成像策略对于处理与 COVID-19 肺炎相关的复杂产科并发症至关重要。
