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与妊娠期癌症相关的医学法律问题。

Medicolegal considerations associated with cancer during pregnancy.

机构信息

Department of Radiology, NYU Langone Hospital Long Island, Mineola, NY, 11501, USA.

Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, 37232, USA.

出版信息

Abdom Radiol (NY). 2023 May;48(5):1637-1644. doi: 10.1007/s00261-022-03776-y. Epub 2022 Dec 20.

Abstract

The management of pregnant patients with cancer is complex and requires a multidisciplinary team to effectively diagnose, stage, and manage the cancer while also being cognizant of the potential harm that diagnosis and treatment may have on the maternal and fetal well-being. Beyond the complex clinical management of these patients is additional medicolegal consideration. Radiologists play a crucial role in the management of these patients as their knowledge of diagnostic and interventional radiology techniques allows for appropriate and safe imaging for both the mother and fetus. In addition, radiologist are able to educate patient on the different imaging modalities and techniques, thus allowing patients to make informed decisions and maintain autonomy over there care. This article will review safety considerations associated with different imaging modalities, contrast agents, interventional radiology procedures and moderate sedation related to the imaging of pregnant patient with cancer with specific attention paid to the medicolegal aspects.

摘要

患有癌症的孕妇的管理是复杂的,需要一个多学科团队来有效地诊断、分期和管理癌症,同时还要意识到诊断和治疗可能对母婴健康造成的潜在危害。除了这些患者复杂的临床管理之外,还有额外的医学法律方面的考虑。放射科医生在这些患者的管理中发挥着至关重要的作用,因为他们对诊断和介入放射学技术的了解可以为母亲和胎儿提供适当和安全的影像学检查。此外,放射科医生能够向患者传授不同的影像学模式和技术,从而使患者能够做出明智的决策,并保持对自己护理的自主权。本文将回顾与癌症孕妇影像学检查相关的不同影像学模式、造影剂、介入放射学程序和中度镇静的安全性考虑因素,并特别关注医学法律方面。

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