Chest imaging in pregnant patients with COVID-19: Recommendations, justification, and optimization
- PMID: 35284094
- PMCID: PMC8905047
- DOI: 10.1177/20584601221077394
Chest imaging in pregnant patients with COVID-19: Recommendations, justification, and optimization
Abstract
Evaluation of COVID-19 related complication is challenging in pregnancy, due to concerns about ionizing radiation risk to mother and the fetus. Although there are instances when diagnostic imaging is clinically warranted for COVID-19 evaluation despite the minimal risks of radiation exposure, often there are concerns raised by the patients and sometimes by the attending physicians. This article reviews the current recommendations on indications of chest imaging in pregnant patients with COVID-19, the dose optimization strategies, and the risks related to imaging exposure during pregnancy. In clinical practice, these imaging strategies are key in addressing the complex obstetrical complications associated with COVID-19 pneumonia.
Keywords: COVID-19; chest radiograph; computed tomography; optimization; pregnancy.
© The Author(s) 2022.
Conflict of interest statement
Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Figures
Similar articles
-
Guidelines for the Management of a Pregnant Trauma Patient.J Obstet Gynaecol Can. 2015 Jun;37(6):553-74. doi: 10.1016/s1701-2163(15)30232-2. J Obstet Gynaecol Can. 2015. PMID: 26334607 English, French.
-
Dose Reduction Strategies for Pregnant Women in Emergency Settings.J Clin Med. 2023 Feb 25;12(5):1847. doi: 10.3390/jcm12051847. J Clin Med. 2023. PMID: 36902633 Free PMC article. Review.
-
Imaging Pregnant and Lactating Patients.Radiographics. 2015 Oct;35(6):1751-65. doi: 10.1148/rg.2015150031. Radiographics. 2015. PMID: 26466183 Review.
-
Imaging strategies in the pregnant cancer patient.Semin Oncol. 2000 Dec;27(6):623-32. Semin Oncol. 2000. PMID: 11130469 Review.
-
Clinical and radiologic characteristics of symptomatic pregnant women with COVID-19 pneumonia.J Turk Ger Gynecol Assoc. 2021 Aug 31;22(3):196-205. doi: 10.4274/jtgga.galenos.2021.2020.0215. Epub 2021 Feb 26. J Turk Ger Gynecol Assoc. 2021. PMID: 33631874 Free PMC article.
Cited by
-
Effects of ionizing radiation exposure during pregnancy.Abdom Radiol (NY). 2023 May;48(5):1564-1578. doi: 10.1007/s00261-023-03861-w. Epub 2023 Mar 18. Abdom Radiol (NY). 2023. PMID: 36933026 Free PMC article.
-
Functional consequences of SARS-CoV-2 infection in pregnant women, fetoplacental unit, and neonate.Biochim Biophys Acta Mol Basis Dis. 2023 Jan 1;1869(1):166582. doi: 10.1016/j.bbadis.2022.166582. Epub 2022 Oct 20. Biochim Biophys Acta Mol Basis Dis. 2023. PMID: 36273675 Free PMC article. Review.
-
Medical Imaging in Pregnancy: Safety, Appropriate Utilization, and Alternative Modalities for Imaging Pregnant Patients.Cureus. 2024 Feb 17;16(2):e54346. doi: 10.7759/cureus.54346. eCollection 2024 Feb. Cureus. 2024. PMID: 38500900 Free PMC article. Review.
-
Spectrum of opportunistic fungal lung co-infections in COVID-19: What the radiologist needs to know.Radiologia (Engl Ed). 2022 Nov-Dec;64(6):533-541. doi: 10.1016/j.rxeng.2022.06.004. Epub 2022 Oct 27. Radiologia (Engl Ed). 2022. PMID: 36402539 Free PMC article.
-
Utility of chest radiograph severity scoring in emergency department for predicting outcomes in COVID-19: A study of 1275 patients.Clin Imaging. 2023 Mar;95:65-70. doi: 10.1016/j.clinimag.2022.12.002. Epub 2022 Dec 28. Clin Imaging. 2023. PMID: 36623355 Free PMC article.
References
-
- Wieseler KM, Bhargava P, Kanal KM, et al. Imaging in pregnant patients: examination appropriateness. Radiographics 2010; 30: 1215–1229. - PubMed
Publication types
LinkOut - more resources
Full Text Sources