Management of pregnant or potentially pregnant patients undergoing diagnostic and interventional radiology procedures: Investigation of clinical routine practice.

Autor: Faj D; Faculty of Medicine, J. J. Strossmayer University of Osijek, J. Huttlera 4, Osijek, Croatia; Faculty of Dental Medicine and Health, J. J. Strossmayer University of Osijek, Crkvena 21, Osijek, Croatia., Bassinet C; Institute for Radiation Protection and Nuclear Safety, 31 avenue de la division Leclerc, Fontenay-aux-Roses, France., Brkić H; Faculty of Medicine, J. J. Strossmayer University of Osijek, J. Huttlera 4, Osijek, Croatia; Faculty of Dental Medicine and Health, J. J. Strossmayer University of Osijek, Crkvena 21, Osijek, Croatia. Electronic address: hbrkic@mefos.hr., De Monte F; Veneto Institute of Oncology IOV - IRCCS, Padua, Italy., Dreuil S; Institute for Radiation Protection and Nuclear Safety, 31 avenue de la division Leclerc, Fontenay-aux-Roses, France., Dupont L; University Hospital of Geneva, Geneva, Switzerland., Ferrari P; ENEA - Radiation Protection Institute, Italy., Gallagher A; University Hospital Limerick, Ireland., Gallo L; Veneto Institute of Oncology IOV - IRCCS, Padua, Italy., Huet C; Institute for Radiation Protection and Nuclear Safety, 31 avenue de la division Leclerc, Fontenay-aux-Roses, France., Knežević Ž; Ruđer Boškovć Institute, Bijenička 54, Zagreb, Croatia., Kralik I; Dubrava University Hospital, Avenija Gojka Suska 6, Zagreb, Croatia., Krstić D; University of Kragujevac, Faculty of Science, R. Domanovica 12, 34000 Kragujevac, Serbia., Maccia C; CAATS, Sèvres, France., Majer M; Ruđer Boškovć Institute, Bijenička 54, Zagreb, Croatia., Malchair F; ZEPHYRA, Liège, Belgium., O'Connor U; Medical Physics & Bioengineering Dept, St. James's Hospital, Dublin, Ireland., Pankowski P; Faculty of Physics and Applied Informatics, University of Lodz, Pomorska St. 149/153, 90-236 Lodz, Poland., Sans Merce M; University Hospital of Geneva, Geneva, Switzerland., Sage J; Institute for Radiation Protection and Nuclear Safety, 31 avenue de la division Leclerc, Fontenay-aux-Roses, France., Simantirakis G; Greek Atomic Energy Commission, P.O. Box 60092, 153 10, Agia Paraskevi, Athens, Greece.
Jazyk: angličtina
Zdroj: Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) [Phys Med] 2023 Nov; Vol. 115, pp. 103159. Date of Electronic Publication: 2023 Oct 16.
DOI: 10.1016/j.ejmp.2023.103159
Abstrakt: It is well known that foetuses are highly sensitive to ionising radiation and special attention to justification and optimisation of radiological procedures involving a pregnant patient is required. A task to review, validate and compare different approaches to managing the pregnant patient and to estimating the associated foetal doses arising from a diagnostic or interventional radiology (DIR) procedure was designed in the framework of EURADOS working group 12. As a first step, a survey of radiation protection practice including dosimetry considerations among EURADOS members was performed using online questionnaire. Then, to evaluate the possible differences in the estimated foetal doses, a comparison of assessed dose values was made for three cases of pregnant patients that underwent different CT procedures. More than 120 professionals from 108 institutions and 17 countries that are involved in managing pregnant patients undergoing DIR procedures answered the questionnaire. Most of the respondents use national or hospital guidelines on the management of pregnant patients undergoing DIR procedures. However, the guidelines differ considerably among respondents. Comparison of foetal dose assessments performed by dosimetry experts showed the variety of methods used as well as large variability of estimated foetal doses in all three cases. Although European and International commission on radiation protection guidelines already exist, they are more than 20 years old and, in some aspects, they are obsolete. This paper shows that there is a need to revise and update these guidelines.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Associazione Italiana di Fisica Medica e Sanitaria. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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