The use of radiological procedures in emergency radiology, such as Multislice Computerized Tomography and Interventional Radiology is increasing; and this is raising the level of attention and often anxiety about the relationship between radiations and pregnancy. The aim of the study was to evaluate dose levels linked to teratogenic and oncological effects for emergency radiology and to review the latest scientific publications.

The retrospective clinical study, from 2012 to 2017, included 31 pregnant women (from the 2nd to the 38th week of gestational age), who underwent urgent radiological services. The performances taken into consideration were of traditional radiology, Computed tomography (CT) and interventional radiology. Dose evaluations were performed using softwares as PCXMC for traditional radiology, ImPACT for Dosimetry tomography, and CODE2 for interventional radiology. In 68% of cases, radiological procedures were performed when the patient was not yet aware of her pregnancy, with an average gestational age...

The most recent scientific research tells us that for doses lower than 0.100 Sv at the embryo / fetus there is no evidence of teratogenic effects; in line with what we observed, in scientific publication and in the dose assessments carried in our population of study, no diagnostic procedure currently in use exceeds 0.05 Sv. Concerning the risk of occurrence of leukemia or other malignant neoplasms in the embryos / fetuses who underwent irradiation, the most recent studies assertthat for a dose of 0.001 Sv...

Dose-Optimization Strategies are organized in our hospital in staff between technicians, Medical Physicists and Radiologies according Euratom directives and Italian laws.

[1] Acog Committee on Obstetric Practice . ACOG Committee Opinion. Number 299, September 2004 (replaces No. 158, September 1995). Guidelines for diagnostic imaging during pregnancy. Obstet Gynecol. 2004;104(3):647_51. [2] Mafalda Sofia Barros Gomes “ABOUT THE FETAL RISKS FROM DIAGNOSTIC USE OF RADIATION DURING PREGNANCY: A SYSTEMATIC REVIEW AND PROPOSAL OF A CLINICAL PROTOCOL.”