Clinical radiology · 2026
Imaging acute abdominal presentations in pregnancy - a British society of urogenital radiology and British society of gastrointestinal and abdominal radiology survey of UK radiology practice.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wiles R, Cuthbert F, Balasubramaniam R, Pakpoor J, Withey S
Аннотация
AIM: Acute abdominal presentations in pregnancy (AAPP) are common and require rapid diagnostic decisions. Imaging plays a critical role, but concerns regarding fetal safety complicate decision-making. While international guidelines exist, no UK-specific guidance is currently available. To inform forthcoming UK guidance from BSUR, BSGAR, and RCR, a national survey was conducted to describe current imaging access, pathways and reporting practices.
MATERIALS AND METHODS: An electronic survey was distributed to BSUR and BSGAR members between May and August 2025. Questions addressed modality availability, imaging pathways, practicalities of imaging (including consent and CT and MRI techniques) and reporting arrangements. Responses were anonymous.
RESULTS: A total of 91 responses were received from 63 UK institutions. Access to ultrasound and MRI was highest during weekday "in-hours", declining at other times. CT access remained consistently high (>95% at all times). Formal imaging pathways for AAPP were limited, with the majority of institutions lacking dedicated protocols. Consent and patient information practices were highly variable. Use of contrast in MR/CT imaging varied, and supervision, dose protocols, and reporting responsibilities differed across institutions and time of day. Confidence in discussing imaging risks was moderate to high, yet up to 96% of respondents indicated that formal guidance would be valuable.
CONCLUSION: This national survey highlights variation in the imaging of AAPP across the UK, including access to imaging, pathways, and reporting. These findings underscore the need for clear guidance to support evidence-based imaging. Forthcoming joint BSUR, BSGAR, and RCR guidelines aim to address these gaps, promoting consistent, high-quality care for pregnant patients presenting with suspected acute abdominal pathology.
MATERIALS AND METHODS: An electronic survey was distributed to BSUR and BSGAR members between May and August 2025. Questions addressed modality availability, imaging pathways, practicalities of imaging (including consent and CT and MRI techniques) and reporting arrangements. Responses were anonymous.
RESULTS: A total of 91 responses were received from 63 UK institutions. Access to ultrasound and MRI was highest during weekday "in-hours", declining at other times. CT access remained consistently high (>95% at all times). Formal imaging pathways for AAPP were limited, with the majority of institutions lacking dedicated protocols. Consent and patient information practices were highly variable. Use of contrast in MR/CT imaging varied, and supervision, dose protocols, and reporting responsibilities differed across institutions and time of day. Confidence in discussing imaging risks was moderate to high, yet up to 96% of respondents indicated that formal guidance would be valuable.
CONCLUSION: This national survey highlights variation in the imaging of AAPP across the UK, including access to imaging, pathways, and reporting. These findings underscore the need for clear guidance to support evidence-based imaging. Forthcoming joint BSUR, BSGAR, and RCR guidelines aim to address these gaps, promoting consistent, high-quality care for pregnant patients presenting with suspected acute abdominal pathology.