Journals / Molecular Imaging and Radionuclide Therapy / 2012 / Cilt: 21 - Sayı: 1

Hamile bir hastanın nükleer görüntülemesi: Hamilelik sırasında nükleer tıp tetkikleri yapılabilir mi?

Nuclear imaging of a pregnant patient: Should we perform nuclear medicine procedures during pregnancy?

Pages
1–5
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

However, when used appropriately, the benefits of nuclear imaging procedures usually outweigh the minimal risks associated with small amount of radiation even in pregnant patients.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Although it is extremely rare, nuclear imaging of a pregnant woman presents a unique challenge to the nuclear medicine physician because of the high concern for radiation risk to the embryo or the fetus.
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Key Findings & Data:This challenge has been exacerbated due to recent heightened public concern of medical procedures involving radiation.
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Conclusion & Impact:However, when used appropriately, the benefits of nuclear imaging procedures usually outweigh the minimal risks associated with small amount of radiation even in pregnant patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Although it is extremely rare, nuclear imaging of a pregnant woman presents a unique challenge to the nuclear medicine physician because of the high concern for radiation risk to the embryo or the fetus. This challenge has been exacerbated due to recent heightened public concern of medical procedures involving radiation. This awareness also has been emphasized to the referring physicians to the extent that the risks of most nuclear medicine scans are overstressed relative to the benefit. Radionuclide procedures are reluctantly ordered by clinicians in pregnant patients, because of the malpractice fear or because of uncertainty regarding fetal radiation dose. However, when used appropriately, the benefits of nuclear imaging procedures usually outweigh the minimal risks associated with small amount of radiation even in pregnant patients.

Özet

Oldukça nadir yapıldığı halde, hamile bir hastanın nükleer görüntülemesi embryo ya da fetusa radyasyon riski endişesi ile nükleer tıp doktoru için özgün bir sorun teşkil eder. Bu sorun halkın radyasyon içeren tetkiklere karşı duyarlılığının artması ile daha da belirgin hale gelmiştir. Bu farkındalık klinisyenlere de yansımıştır ve bir çok nükleer tıp tetkikinin riskleri, klinisyenler tarafından faydalarından çok daha fazla vurgulanmaktadır. Nükleer tıp tetkikleri radyasyon dozundaki belirsizlik ve malpraktis korkusu nedeni ile hamile hastalar için tereddüt içinde istenmektedir. Ancak, gereğine uygun olarak yapıldığında hamilelik sırasında bile nükleer tıp tetkiklerinin faydaları, genellikle düşük radyasyon dozuna bağlı minimal risklerden daha fazladır.

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Cite This Article

BURAL, G. G., LAYMON, M. C., MOUNTZ, M. J. (2012). Hamile bir hastanın nükleer görüntülemesi: Hamilelik sırasında nükleer tıp tetkikleri yapılabilir mi?. Molecular Imaging and Radionuclide Therapy, Cilt: 21 - Sayı: 1, 1–5. https://ajindex.com/articles/295225

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References (15)

  1. Committee on the Biological Effects of Ionizing Radiations. Genetic Effects of Radiation in Health Effects of Exposure to Low Levels of Ionizing Radiation (BEIR V). Washington National Academy Press, 1990;65-134
  2. International Commission on Radiological Protection, editors. Annals of the ICRP Publication 90: Biological Effects After Prenatal Irradiation (Embryo and Fetus) 33 (1-2). Tarrytown, New York: Pergamon, Elsevier Science, Inc, 2003
  3. National Council on Radiation Protection and Measurements. NCRP Report No. 128: Radionuclide Exposure of the Embryo/Fetus. Bethesda, Maryland: NCRP; 1998
  4. Schull WJ. Effects of Atomic Radiation, A Half-Century of Studies from Hiroshima and Nagasaki. New York: Wiley-Liss & Sons, Inc.; 1995
  5. United Nations Scientific Committee on the Effects of Atomic Radiation, Sources and Effects of Ionizing Radiation, United Nations Scientific Committee on the Effects of Atomic Radiation 2000 Report to the General Assembly with Scientific Annexes. New York: United Nations Publications; 2000
  6. Russell JR, Stabin MG, Sparks RB, Watson E. Radiation absorbed dose to the embryo/fetus from radiopharmaceuticals. Health Phys 1997;73:756-769
  7. Wagner LK, Lester RG, Saldana LR. Exposure of the pregnant patient to diagnostic radiations: a guide to medical management. Madison, Wis: Medical Physics Publishing, 1997
  8. International Commission on Radiological Protection Pregnancy and medical radiation. Ann ICRP 2000; 30: 1-43 pp
  9. ACOG Committee on Obstetric Practice. Guidelines for diagnostic imaging during pregnancy. ACOG Committee opinion no. 299, September 2004 (replaces no. 158, September 1995). Obstet Gynecol 2004;104:647-651
  10. Takalkar AM, Khandelwal A, Lokitz S, Lilien DL, Stabin MG. 18F- FDG PET in Pregnancy and Fetal Radiation Dose Estimates. J Nucl Med 2011;52:1035-1040
  11. Bagga S. A Corpus Luteal Cyst Masquerading as a Lymph Node Mass on PET/CT Scan in a Pregnant Woman With an Anterior Mediastinal Lymphomatous Mass. Clin Nucl Med 2007;32:649-651
  12. Marcus CS, Mason GR, Kuperus Mena I. Pulmonary Imaging in Pregnancy: Maternal Risk and Fetal Dosimetry. Clin Nucl Med 1985;10:1-4
  13. Ponto JA. Fetal Dosimetry from Pulmonary Imaging in Pregnancy. Revised Estimates. Clin Nucl Med 1986;11:108-109
  14. Baker J, Ali A, Groch MW, Fordham E, Economou SG. Bone Scanning in Pregnant Patients with Breast Carcinoma. Clin Nucl Med 1987;12:519-524
  15. Palestro CJ, Malat J, Collica CJ, Richman AH. Incidental diagnosis of preg