Ultrasound is not unsound, but safety is an issue

Salvesen, Kjell Å.; Lees, C.

doi:10.1002/uog.6381

Cited by 20 publications

(17 citation statements)

References 15 publications

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“…Ultrasound (US) has been the mainstay of in vivo placental evaluation for over thirty years, primarily given its safety profile, ease of accessibility and relative cost (32, 33). US features of the placenta and cord have been well described; while the placenta may be visualized as early 10 weeks gestation, it is most consistently visualized after 15 weeks (34).…”

Section: The Role Of Ultrasound In Placental Evaluationmentioning

confidence: 99%

Advanced MR imaging of the placenta: Exploring the in utero placenta–brain connection

Andescavage

Plessis

Limperopoulos

2015

Seminars in Perinatology

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The placenta is a vital organ necessary for the healthy neurodevelopment of the fetus. Despite the known associations between placental dysfunction and neurologic impairment, there is a paucity of tools available to reliably assess in vivo placental health and function. Existing clinical tools for placental assessment remain insensitive in predicting and assessing placental well-being. Advanced MRI techniques hold significant promise for the dynamic, non-invasive, real-time assessment of placental health and identification of early placental-based disorders. In this review, we summarize the available clinical tools for placental assessment including ultrasound, Doppler, and conventional MRI. We then explore the emerging role of advanced placental MR imaging techniques for supporting the developing fetus, appraise the strengths and limitations of quantitative MRI in identifying early markers of placental dysfunction for improved pregnancy monitoring and fetal outcomes.

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Section: The Role Of Ultrasound In Placental Evaluationmentioning

confidence: 99%

Advanced MR imaging of the placenta: Exploring the in utero placenta–brain connection

Andescavage

Plessis

Limperopoulos

2015

Seminars in Perinatology

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“…There is very little epidemiological data on the use of color flow or pulsed wave Doppler. If adverse effects of ultrasound during pregnancy are dose-dependent, one must acknowledge that the available epidemiological data are limited 21 .…”

Section: Do Ultrasound Operators Know the Meaning Of Output Display Imentioning

confidence: 99%

ISUOG statement on the safe use of Doppler in the 11 to 13 +6‐week fetal ultrasound examination

Salvesen¹,

Lees²,

Abramowicz³

et al. 2011

Ultrasound in Obstet & Gyne

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“…In the era of 3D and 4D, it is easy for the lay public and even routine providers [19] of ultrasound to view ultrasound in the same category as television and probably consider safety cautions as scare mongering that are not worthy of serious consideration. [20] Conclusion Diagnostic ultrasound has increased the level of our interaction with the growing fetus. Obvious toxic effects have not been proven in human fetuses but have been documented in various non human models.…”

Section: Beyond Alaramentioning

confidence: 99%

On the safety of diagnostic ultrasound in pregnancy: Have we handled the available data correctly?

Bello

Ekele

2012

Ann Afr Med

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Robust evidence of the bioeffects of ultrasound is available from animal studies but human studies are less convincing. Nevertheless, it is disturbing that the only response to safety issues is a twenty-year old principle known as ALARA (As Low As Reasonably Applicable). Using experience from obstetrics and toxicology, and drawing information mainly from two recent systematic reviews and meta-analysis that extensively covered the subject of ultrasound safety, this review captures the current knowledge of ultrasound bioeffects and suggests that it may be time for an international, multidisciplinary meeting on ultrasound safety to decide how to provide the evidence (available data) to patients and sonographers in a succinct manner.

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Ultrasound is not unsound, but safety is an issue

Cited by 20 publications

References 15 publications

Advanced MR imaging of the placenta: Exploring the in utero placenta–brain connection

Advanced MR imaging of the placenta: Exploring the in utero placenta–brain connection

ISUOG statement on the safe use of Doppler in the 11 to 13 +6‐week fetal ultrasound examination

On the safety of diagnostic ultrasound in pregnancy: Have we handled the available data correctly?

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