Kristina Elizabeth Hoque MD, PhD, Presenter: Nothing to Disclose

Daphne Kim Walker MD, Abstract Co-Author: Nothing to Disclose

This exhibit explores the basic principles of MRI safety for both pregnant healthcare workers and pregnant patients. A review of past and present literature pertaining to effects of MRI on the developing fetus will be explored. Past and present guidelines for MRI and gadolinium contrast agents will be detailed.

I. Review of basic MRI principles and the potential biological effects of nonionizing radiation II. Review of the unique concerns of pregnant healthcare workers and nonionizing radiation a. Discussion of MRI zones and recommendations III. Review of MRI as a tool to evaluate the pregnant patient a. Discussion of the decision making process, informed consent and Image Gently principles b. Discussion of ACR appropriateness criteria c. Discussion of Gadolinium based contrast IV. Review of potential biological effects of MRI on developing fetus a. Detailed critical review of prior scientific studies of the effects of MRI on developing fetus b. Explanations of deleterious effects of MRI on fetal development and the underlying pathophysiology V. Review of MRI and the postpartum patient a. Physiology of contrast and lactation b. Review of current guidelines for contrast administration and the lactating patient VI. Multiple choice quiz, answers and explanations reviewing critical educational objectives  

http://abstract.rsna.org/uploads/2014/14016673/14016673_gkpx.pdf

Hoque, K, Walker, D, Review of Safety of MRI in Pregnancy.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14016673.html