Open AccessFetal radiation exposure: Is monitoring really needed?
Author(s) -
Milena Di Leo,
Paolo Giorgio Arcidiacono
Publication year - 2013
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v5.i8.366
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , radiation exposure , dosimeter , medical physics , clinical practice , radiology , obstetrics , nuclear medicine , surgery , dosimetry , pancreatitis , family medicine
The effect of fetal radiation during endoscopic retrograde cholangiopancreatography (ERCP) on pregnant women is a very interesting topic. Smith et al recently estimated the fetal radiation exposure in pregnant women undergoing ERCPs using thermoluminescent dosimeters (TLDs). The authors concluded that TLDs are unnecessary during ERCP with modified techniques. We believe that an extreme caution is needed in clinical practice before drawing such conclusions when they are not strongly supported by enough experimental evidence. Therefore, we recommend that fetal radiation exposure be monitored in clinical practice by using dosimeters, bearing in mind that all relevant techniques to control and minimize the exposure must be applied.