Researchers have found that over a 10-year period radiologic exams on pregnant women have more than doubled, according to a study published in the online edition of Radiology.
"Imaging utilization has not been previously studied in the pregnant population," said Elizabeth Lazarus, M.D., assistant professor of diagnostic imaging at the Warren Alpert School of Medicine at Brown University and a radiologist at Rhode Island Hospital in Providence, R.I. "This population may be vulnerable to the adverse effects of radiation."
Dr. Lazarus and colleagues conducted a retrospective review of nuclear medicine, CT, fluoroscopy and plain-film x-ray imaging examinations performed at Rhode Island Hospital and Women and Infants' Hospital from 1997 through 2006 to determine how often these imaging exams were performed on pregnant women and the estimated radiation dose to the fetus. Data were then compared to the number of infant deliveries per year for that same time period.
The researchers found that from 1997 to 2006, the total number of imaging studies performed on pregnant women at their institution increased by 10.1 percent per year, but the number of CT exams increased by 25.3 percent per year. CT delivers a higher amount of radiation than many other radiologic procedures.
CT exams are not routinely ordered for pregnant women, but may be necessary to detect suspected life-threatening conditions such as bleeding in the brain, blood clots in the lungs or appendicitis. Since CT exposes the developing fetus to radiation, concerns are often raised regarding overuse. The majority of CT examinations (approximately 75 percent) analyzed in the study were performed in areas of the mother's body separate from the uterus, so the fetus was not exposed to any direct radiation. Still, low levels of radiation have been shown to carry a small risk of harm to a developing fetus.
"Women should know that imaging is generally safe during pregnancy and is often used to detect potentially life-threatening problems," Dr. Lazarus said. "However, this study should raise awareness about imaging trends in pregnant patients and help us continue in our efforts to minimize radiation exposure," Dr. Lazarus said.