Safety Aspects of Perinatal Ultrasound

Author:

Sande Ragnar12ORCID,Jenderka Klaus-Vitold3,Moran Carmel M.4,Marques Susana5,Jimenez Diaz J. F.67,ter Haar Gail8,Marsal Karel9,Lees Christoph10,Abramowicz Jacques S.1112,Salvesen Kjell Åsmund1314,Miloro Piero15,Dall’Asta Andrea16ORCID,Brezinka Christoph17,Kollmann Christian18

Affiliation:

1. Department of Obstetrics and Gynecology, Stavanger University Hospital, Stavanger, Norway

2. Department of Clinical Science, University of Bergen, Norway

3. FB INW, Hochschule Merseburg, Germany

4. Centre for Cardiovascular Science, Edinburgh University, Edinburgh, United Kingdom of Great Britain and Northern Ireland

5. Department of Gastroenterology and Digestive Endoscopy, Champalimaud Foundation, Lisboa, Portugal

6. Sport Sciences Faculty, Castilla La Mancha University Education Faculty of Toledo, Spain

7. Sport Medicine Department, UCAM, Murcia, Spain

8. Physics, Institute of Cancer Research, Sutton, United Kingdom of Great Britain and Northern Ireland

9. Department of Obstetrics and Gynecology, Lund University, Lund, Sweden

10. Center for Fetal Care, Queen Charlotte's and Chelsea Hospital, London, United Kingdom of Great Britain and Northern Ireland

11. Department of Obstetrics and Gynecology, University of Chicago Medical Center, CHICAGO, United States

12. Safety Committee, World Federation for Ultrasound in Medicine and Biology, Chicago, United States

13. Department of Obstetrics and Gynecology, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway

14. Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway

15. Ultrasound and Underwater Acoustics, National Physical Laboratory, Teddington, United Kingdom of Great Britain and Northern Ireland

16. Department of Medicine and Surgery, Obstetrics and Gynecology Unit, Universita degli Studi di Parma, Italy

17. Department of Obstetrics and Gynecology, Medical University Innsbruck Department of Gynecology, Innsbruck, Austria

18. Center for Medical Physics & Biomedical Engineering, Medical University Vienna, Austria

Abstract

AbstractUltrasound safety is of particular importance in fetal and neonatal scanning. Fetal tissues are vulnerable and often still developing, the scanning depth may be low, and potential biological effects have been insufficiently investigated. On the other hand, the clinical benefit may be considerable. The perinatal period is probably less vulnerable than the first and second trimesters of pregnancy, and ultrasound is often a safer alternative to other diagnostic imaging modalities. Here we present step-by-step procedures for obtaining clinically relevant images while maintaining ultrasound safety. We briefly discuss the current status of the field of ultrasound safety, with special attention to the safety of novel modalities, safety considerations when ultrasound is employed for research and education, and ultrasound of particularly vulnerable tissues, such as the neonatal lung. This CME is prepared by ECMUS, the safety committee of EFSUMB, with contributions from OB/GYN clinicians with a special interest in ultrasound safety.

Publisher

Georg Thieme Verlag KG

Subject

Radiology, Nuclear Medicine and imaging

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