Evolving Practice Patterns in Imaging Pregnant Patients With Acute Abdominal and Pelvic Conditions

Wendy Hansen, Mariam Moshiri, Angelisa Paladin, Ramit Lamba, Douglas S. Katz, Puneet Bhargava

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

The purpose of our study was to determine the current practice patterns of U.S. radiologists in imaging pregnant or potentially pregnant patients with acute abdominal and pelvic conditions. After obtaining an Institutional Review Board waiver, all members of the Association of University Radiologists, the Association of Program Directors in Radiology, and the Society of Radiologists in Ultrasound were invited via e-mail to take a 23-question online survey on radiology practices and clinical scenarios about acute abdominal and pelvic imaging of pregnant patients. Comparisons were made with previously published surveys. A total of 225 responses were received. Areas of high consensus included pregnancy assessment (97%) and obtaining informed consent (87%) before imaging, having a written policy on imaging pregnant patients (79%), modification of computed tomography (CT) protocols (74%), avoiding gadolinium contrast in magnetic resonance imaging (MRI) (74%), using ultrasound for initial imaging in some scenarios, and using CT in trauma cases after inconclusive ultrasound. Areas of emerging consensus compared to 2007 included the use of serum or urine testing to confirm pregnancy status (59.4%; previously 14%) and the use of MRI in suspected appendicitis after an inconclusive ultrasound (73% in first trimester and 67% in third trimester; previously 46% and 29%, respectively). Areas without clear consensus included policy development, additional modifications to MRI protocols, choice of imaging modality, radiation dose, and the use of contrast agents in some scenarios. In conclusion, high or increasing consensus exists in some areas of imaging pregnant patients with acute abdominal and pelvic conditions, but has yet to emerge in other areas.

Original languageEnglish (US)
JournalCurrent Problems in Diagnostic Radiology
DOIs
StateAccepted/In press - 2016

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Magnetic Resonance Imaging
Radiology
Tomography
Pregnancy
Policy Making
Research Ethics Committees
Gadolinium
Third Pregnancy Trimester
Postal Service
Appendicitis
First Pregnancy Trimester
Informed Consent
Contrast Media
Ultrasonography
Urine
Radiation
Wounds and Injuries
Serum
Radiologists
Surveys and Questionnaires

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Evolving Practice Patterns in Imaging Pregnant Patients With Acute Abdominal and Pelvic Conditions. / Hansen, Wendy; Moshiri, Mariam; Paladin, Angelisa; Lamba, Ramit; Katz, Douglas S.; Bhargava, Puneet.

In: Current Problems in Diagnostic Radiology, 2016.

Research output: Contribution to journalArticle

Hansen, Wendy ; Moshiri, Mariam ; Paladin, Angelisa ; Lamba, Ramit ; Katz, Douglas S. ; Bhargava, Puneet. / Evolving Practice Patterns in Imaging Pregnant Patients With Acute Abdominal and Pelvic Conditions. In: Current Problems in Diagnostic Radiology. 2016.
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