Magnetic Resonance Imaging (MRI) Safety in Pregnant (A Literature Review)
Abstract
Radiation is a beam of energy that comes from particles or photons. Based on the ability to ionize matter, radiation can be grouped into non-ionizing radiation and ionizing radiation. Ionizing radiation is radiation that can ionize the matter through which it passes. Ionizing radiation has proven useful in medicine. However, exposure to potential ionizing radiation can cause negative effects for health and heredity (genetic). Ionizing radiation also cannot be observed directly so a nuclear detector is needed as a radiation monitoring device. Medical imaging commonly used in pregnancy is Ultrasonography (USG) and Magnetic Resonance Imaging (MRI). MRI is one of the modalities in medical imaging that utilizes a magnetic field. The use of MRI during pregnancy is on the rise, because it has the ability to produce clear images of cross-sectional anatomy without ionizing radiation. Until now there has been no research that shows the dangers of using MRI for pregnancy. So that through this literature study it is hoped that the reader will be able to understand the available evidence regarding the safety of MRI during pregnancy. This literature study was carried out by the authors by collecting information or studies from previous researchers regarding the safety of using MRI in pregnancy and its effects on the fetus. In addition, the author also attaches some evidence stating that the use of MRI can be said to be safe for pregnancy, because it does not use ionizing radiation so there are minimal side effects.
Keywords
Full Text:
PDFReferences
Alorainy, I.A., Albadr, F.B., and Abujamea, A.H., 2006. Attitude towards MRI safety during pregnancy. Annals of Saudi Medicine, 26 (4), 306–309.
Bahado-Singh, R.O. and Goncalves, L.F., 2013. Techniques, terminology, and indications for MRI in pregnancy. Seminars in Perinatology, 37 (5), 334–339.
Bouyssi-Kobar, M., du Plessis, A.J., Robertson, R.L., and Limperopoulos, C., 2015. Fetal magnetic resonance imaging: exposure times and functional outcomes at preschool age. Pediatric Radiology, 45 (12), 1823–1830.
Bradley, W.G. and Stark, D.D., eds., 1988. Magnetic resonance imaging / [compiled by] David D. Stark, William G. Bradley. St. Louis: C.V. Mosby Co.
Bulas, D. and Egloff, A., 2013. Benefits and risks of MRI in pregnancy. Seminars in Perinatology, 37 (5), 301–304.
Chapman, T., Alazraki, A.L., and Eklund, M.J., 2018. A survey of pediatric diagnostic radiologists in North America: current practices in fetal magnetic resonance imaging. Pediatric Radiology, 48 (13), 1924–1935.
Chartier, A.L., Bouvier, M.J., McPherson, D.R., Stepenosky, J.E., Taysom, D.A., and Marks, R.M., 2019a. The safety of maternal and fetal MRI at 3 T. American Journal of Roentgenology, 213 (5), 1170–1173.
Chartier, A.L., Bouvier, M.J., McPherson, D.R., Stepenosky, J.E., Taysom, D.A., and Marks, R.M., 2019b. The Safety of Maternal and Fetal MRI at 3 T. American Journal of Roentgenology, 213 (5), 1170–1173.
Gatta, G., Di Grezia, G., Cuccurullo, V., Sardu, C., Iovino, F., Comune, R., Ruggiero, A., Chirico, M., La Forgia, D., Fanizzi, A., Massafra, R., Belfiore, M.P., Falco, G., Reginelli, A., Brunese, L., Grassi, R., Cappabianca, S., and Viola, L., 2022. MRI in Pregnancy and Precision Medicine: A Review from Literature. Journal of Personalized Medicine, 12 (1).
Geethanath, S. and Vaughan, J.T., 2019. Accessible magnetic resonance imaging: A review. Journal of Magnetic Resonance Imaging, 49 (7), e65–e77.
Hansen, W., Moshiri, M., Paladin, A., Lamba, R., Katz, D.S., and Bhargava, P., 2017. Evolving Practice Patterns in Imaging Pregnant Patients With Acute Abdominal and Pelvic Conditions. Current Problems in Diagnostic Radiology, 46 (1), 10–16.
Hellwig, J.P., 2016. Safety of MRI During Pregnancy. Nursing for Women’s Health, 20 (6), 541.
Houtchens, M., Bove, R., Healy, B., Houtchens, S., Kaplan, T.B., Mahlanza, T., Chitnis, T., and Bakshi, R., 2020. MRI activity in MS and completed pregnancy: Data from a tertiary academic center. Neurology(R) neuroimmunology & neuroinflammation, 7 (6), 1–11.
Jabehdar Maralani, P., Kapadia, A., Liu, G., Moretti, F., Ghandehari, H., Clarke, S.E., Wiebe, S., Garel, J., Ertl-Wagner, B., Hurrell, C., and Schieda, N., 2022. Canadian Association of Radiologists Recommendations for the Safe Use of MRI During Pregnancy. Canadian Association of Radiologists Journal, 73 (1), 56–67.
Jaffe, T.A., Miller, C.M., and Merkle, E.M., 2007. Practice Patterns in Imaging of the Pregnant Patient with Abdominal Pain: A Survey of Academic Centers. American Journal of Roentgenology, 189 (5), 1128–1134.
Jaimes, C., Delgado, J., Cunnane, M.B., Hedrick, H.L., Adzick, N.S., Gee, M.S., and Victoria, T., 2019. Does 3-T fetal MRI induce adverse acoustic effects in the neonate? A preliminary study comparing postnatal auditory test performance of fetuses scanned at 1.5 and 3 T. Pediatric Radiology, 49 (1), 37–45.
Jain, C., 2019. ACOG Committee Opinion No. 723: Guidelines for Diagnostic Imaging during Pregnancy and Lactation. Obstetrics and Gynecology, 133 (1), 186.
Kok, R.D., de Vries, M.M., Heerschap, A., and van den Berg, P.P., 2004. Absence of harmful effects of magnetic resonance exposure at 1.5 T in utero during the third trimester of pregnancy: a follow-up study. Magnetic Resonance Imaging, 22 (6), 851–854.
Kwan, M.L., Miglioretti, D.L., Marlow, E.C., Aiello Bowles, E.J., Weinmann, S., Cheng, S.Y., Deosaransingh, K.A., Chavan, P., Moy, L.M., Bolch, W.E., Duncan, J.R., Greenlee, R.T., Kushi, L.H., Pole, J.D., Rahm, A.K., Stout, N.K., Smith-Bindman, R., and Team, for the R.-I.C.S., 2019. Trends in Medical Imaging During Pregnancy in the United States and Ontario, Canada, 1996 to 2016. JAMA Network Open, 2 (7), e197249–e197249.
Lum, M. and Tsiouris, A.J., 2020. MRI safety considerations during pregnancy. Clinical Imaging, 62 (November 2019), 69–75.
McMahon, K.L., Cowin, G., and Galloway, G., 2011. Magnetic resonance imaging: The underlying principles. Journal of Orthopaedic and Sports Physical Therapy, 41 (11), 806–819.
Mervak, B.M., Altun, E., McGinty, K.A., Hyslop, W.B., Semelka, R.C., and Burke, L.M., 2019. MRI in pregnancy: Indications and practical considerations. Journal of Magnetic Resonance Imaging, 49 (3), 621–631.
OECD, 2018. Magnetic resonance imaging (MRI) exams.
Ray, J.G., Vermeulen, M.J., Bharatha, A., Montanera, W.J., and Park, A.L., 2016. Association Between MRI Exposure During Pregnancy and Fetal and Childhood Outcomes. JAMA, 316 (9), 952–961.
Reddy, U.M., Filly, R.A., and Copel, J.A., 2008. Prenatal Imaging. Obstetrics & Gynecology, 112 (1), 145–157.
Reeves, M.J., Brandreth, M., Whitby, E.H., Hart, A.R., Paley, M.N.J., Griffiths, P.D., and Stevens, J.C., 2010. Neonatal Cochlear Function: Measurement after Exposure to Acoustic Noise during in Utero MR Imaging. Radiology, 257 (3), 802–809.
Shamitoff, A., Lamba, R., Bennett, G.L., Catanzano, T., Moshiri, M., Katz, D.S., and Bhargava, P., 2015. Practice Patterns in Imaging of the Abdomen and Pelvis of the Pregnant Patient. Ultrasound Quarterly, 31 (1), 2–4.
Strizek, B., Jani, J.C., Mucyo, E., De Keyzer, F., Pauwels, I., Ziane, S., Mansbach, A.-L., Deltenre, P., Cos, T., and Cannie, M.M., 2015. Safety of MR Imaging at 1.5 T in Fetuses: A Retrospective Case-Control Study of Birth Weights and the Effects of Acoustic Noise. Radiology, 275 (2), 530–537.
De Wilde, J.P., Rivers, A.W., and Price, D.L., 2005. A review of the current use of magnetic resonance imaging in pregnancy and safety implications for the fetus. Progress in Biophysics and Molecular Biology, 87 (2-3 SPEC. ISS.), 335–353.
DOI: http://dx.doi.org/10.20527/flux.v19i3.14796
Article Metrics
Abstract view : 1215 timesPDF - 928 times
Refbacks
- There are currently no refbacks.
Copyright (c) 2023 Jurnal Fisika Flux: Jurnal Ilmiah Fisika FMIPA Universitas Lambung Mangkurat

This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Association with:
Indexed by:

Jurnal Fisika FLux: Jurnal Ilmiah FMIPA Universitas Lambung Mangkurat is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.










