当代计算机断层扫描 (CT) 影像在怀孕期间怀疑尿病的当代使用
Nicholas S Dean1, Amy E Krambeck2
1Department of Urology, Northwestern University, 676 N. St. Clair, Suite 2300, Chicago, IL, 60611, United States. Nicholas.dean@northwestern.edu.
Current urology reports
|June 14, 2023
概括
低剂量CT (LDCT) 建议孕妇怀疑患有尿病的患者使用,但由于感知到的风险,其使用率较低. 更明确的指导方针可以改善怀孕期间结石的诊断和治疗.
科学领域:
- 医疗成像医学成像
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 产科和妇科 产科和妇科
背景情况:
- 怀孕期间的尿病会带来诊断方面的挑战.
- 当前的指导方针建议在必要时谨慎使用低剂量CT (LDCT).
- 在怀孕期间CT成像的管理途径和建议中存在明显的不一致性.
研究的目的:
- 检查LDCT在诊断怀孕期间怀疑尿病的作用.
- 对怀孕患者CT使用的当前泌尿病学建议进行审查.
- 探索阻碍怀孕期间怀疑尿病的LDCT利用的障碍.
主要方法:
- 审查国家泌尿器科指南.
- 分析美国妇产科医生学院的建议.
- 在孕妇人群中探索使用LDCT的障碍.
主要成果:
- 在怀孕期间怀疑尿病时,建议谨慎使用LDCT.
- 总体而言,对于这种适应症的CT利用率仍然很低.
- 障碍包括对诉讼的恐惧和辐射伤害误解.
- 对于这种情况的成像技术的进步是有限的.
结论:
- 需要在怀孕期间为LDCT提供更明确的诊断路径建议.
- 标准化指导方针可以减少怀孕期间结的诊断和干预延迟.
- 解决与LDCT相关的感知风险对于适当的利用至关重要.
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