Increasing Use of CT Scanning on Pregnant Women Tracked by Study

"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 (Providence, RI, USA) and a radiologist at Rhode Island Hospital (Providence, RI, USA). "This population may be vulnerable to the adverse effects of radiation."

Dr. Lazarus and colleagues conducted a retrospective review of nuclear medicine, computed tomography (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% per year, but the number of CT exams increased by 25.3% 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%) 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.

The researchers evaluated 5,270 examinations on 3,285 patients. During the 10 years of the study, the number of patients imaged per year increased from 237 to 449, and the number of exams per year increased from 331 to 732. This represented an 89% increase in patients and a 121% increase in examinations over the course of the study. During the same 10 years, the number of deliveries only increased 7% from 8,661 to 9,264. Imaging utilization rates (exams per 1,000 deliveries) increased 107%.

Use of plain-film X-rays increased an average of 6.8% per year, and the number of nuclear medicine examinations rose by approximately 11.6% annually. Fluoroscopy utilization increased by 10.6% per year, and CT examinations increased by 25.3% per year.

A milliGray (mGy) is a unit of measure of absorbed radiation. The average estimated fetal radiation exposure per exam for CT was 4.3 mGy, compared to 2.91 mGy for fluoroscopy, 0.40 mGy for nuclear medicine, and 0.43 mGy for X-rays.

Dr. Lazarus hopes that increased use of electronic medical records will help physicians and patients keep track of the number and types of imaging tests performed on pregnant women and give appropriate consideration to alternative imaging tests--such as magnetic resonance imaging (MRI) and ultrasound--that do not expose the patient or fetus to ionizing radiation.

The study was published in March 2009 the online edition of the journal Radiology.

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Warren Alpert School of Medicine at Brown University