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[Obstetric pelvimetry using digital radiography (CT topogram)].

K Reisner, O Fettig, K H Bartscher

    Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
    |May 1, 1985
    PubMed
    Summary
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    Digital radiography significantly reduces radiation exposure for fetuses and ovaries during pelvic examinations compared to conventional methods. This advanced technique offers a safe and accurate alternative when radiographic examination is medically necessary.

    Area of Science:

    • Radiological imaging
    • Obstetrics and Gynecology
    • Medical Physics

    Context:

    • Radiographic examinations, including pelvimetry, remain essential for specific indications in pregnant and non-pregnant individuals.
    • Conventional pelvimetry poses risks due to ionizing radiation exposure to the fetus and ovaries.

    Purpose:

    • To evaluate the efficacy and safety of digital radiography, specifically lateral topograms on CT, as an alternative to conventional pelvimetry.
    • To assess the radiation dose reduction and diagnostic accuracy of digital radiography for pelvic measurements.

    Summary:

    • Digital radiography, utilizing a lateral topogram on CT, reduces fetal and ovarian radiation dose by 10-100 times compared to conventional pelvimetry.
    • The technique is accurate, simple, rapid, and well-tolerated by patients, including pregnant women.

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  • A single additional CT cut is recommended for determining the transverse pelvic diameter.

    • Impact:

    • Provides a safer imaging option for pregnant women requiring pelvic assessment, minimizing radiation risks.
    • Enhances patient comfort and compliance during necessary radiographic examinations.
    • Establishes digital radiography as an acceptable and effective method for strictly indicated pelvimetry.