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Revised 2023 (Resolution 31)

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ACR–SPR PRACTICE PARAMETER FOR IMAGING PREGNANT OR POTENTIALLY PREGNANT PATIENTS WITH IONIZING RADIATION

PREAMBLE

I. INTRODUCTION

II. RADIATION RISKS TO THE CONCEPTUS

III. SCREENING FOR PREGNANCY

III. SCREENING FOR PREGNANCY

A. Determining pregnancy status

III. SCREENING FOR PREGNANCY

B. Patient history

III. SCREENING FOR PREGNANCY

C. Pregnancy tests

III. SCREENING FOR PREGNANCY

D. Patients who are minors

III. SCREENING FOR PREGNANCY

E. Deciding to proceed with the examination

IV. IMAGING THE PREGNANT PATIENT

A. Patient Consent

IV. IMAGING THE PREGNANT PATIENT

B. Preplanning

V. COUNSELING THE PATIENT NOT KNOWN TO BE PREGNANT AT THE TIME OF EXPOSURE

V. COUNSELING THE PATIENT NOT KNOWN TO BE PREGNANT AT THE TIME OF EXPOSURE

A. Risk Assessment

V. COUNSELING THE PATIENT NOT KNOWN TO BE PREGNANT AT THE TIME OF EXPOSURE

B. Radiation exposure prior to conception

V. COUNSELING THE PATIENT NOT KNOWN TO BE PREGNANT AT THE TIME OF EXPOSURE

C. Radiation exposure to at less than 2 weeks postconception

V. COUNSELING THE PATIENT NOT KNOWN TO BE PREGNANT AT THE TIME OF EXPOSURE

D. Radiation exposure between 3 weeks and 15 weeks postconception

V. COUNSELING THE PATIENT NOT KNOWN TO BE PREGNANT AT THE TIME OF EXPOSURE

E. Radiation exposure at more than 15 weeks postconception

VI. DOCUMENTATION

VII. EQUIPMENT SPECIFICATIONS

VIII. QUALITY CONTROL AND IMPROVEMENT, SAFETY, INFECTION CONTROL, AND PATIENT EDUCATION

ACKNOWLEDGEMENTS

REFERENCES

APPENDIX A

APPENDIX B

APPENDIX C

APPENDIX D

APPENDIX E