This book discusses the various types of radiation (both ionizing and non-ionizing) used in diagnostic radiology and their effects on the conceptus (a term used to describe all prenatal tissues from conception to birth). The purpose is to educate physicians in the area of exposure of pregnant patients to diagnostic radiation and to assist in their medical management. The book has wide audience appeal. Although it spends time discussing fundamentals of radiation and its production in a clinical setting and the effects of this radiation on the conceptus for physicians, it also serves as a valuable resource for radiologists who may act in a consulting role to referring physicians in matters of treating pregnant patients. It features appendixes for medical physicists who may be called upon to provide a quantitative dose calculation in the cases of diagnostic x-ray and nuclear medicine. The book could also serves as a teaching tool for medical students and residents. The unique features are the case reports and the appendixes for calculating x-ray and radionuclide conceptus dose. The case reports are actual medical situations and the workup in each case. This could be of benefit to physicians, although the authors indicate some case studies are dated and "do not necessarily represent the contemporary status quo." The dose appendixes are convenient for medical physicists since both x-ray and radionuclide data are contained in one volume. However, the radionuclide section is very limited. The revised edition uses the same format as before, but the authors have updated and expanded some sections, such as the bioeffects due to MRI. The appendix on CT dose has also been expanded. Thenumber of case studies has been expanded from three to 23. I highly recommend this book. It is a compact and concise reference for physicians and is written on a level for physicians in virtually all areas of medicine where diagnostic radiology and pregnant patients might be involved.
The editors address the anxiety-provoking, but not uncommon, scenario
of a woman learning that she is pregnant after diagnostic or
therapeutic radiologic exposure, or alternately, requiring X-rays,
magnetic resonance, radioisotopes, or ultrasound after she becomes
pregnant. Considerations span: the mechanisms for injury by
diagnostic radiations, the units and measures of radiation, the
amount of radiation absorbed by the conceptus, prenatal risk
assessment, clinical management, and case reports (of diseases and
traumatic injuries) exemplifying decision recommendations and
counseling. Appendixes guide conceptus dose calculations for X-ray
exams and radionuclide studies, and list half-lives of 23
radionuclides used in nuclear medicine (5,730 years for Carbon-14).
Annotation c. by Book News, Inc., Portland, Or.