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American College of Radiology summary of the International Commission on Radiological Protection suspected in-utero induced deterministic radiation effects

American College of Radiology summary of the International Commission on Radiological Protection suspected in-utero induced deterministic radiation effects
Menstrual or gestational age Conception age Radiation dose
<50 mGy (<5 rad) 50 to 100 mGy (5 to 10 rad) >100 mGy (>10 rad)
0 to 2 weeks (0 to 14 days) Before conception None None None
3rd to 4th week (15 to 28 days) 1st to 2nd week (1 to 14 days) None Probably none Possible spontaneous abortion
5th to 10th week (29 to 70 days) 3rd to 8th week (15 to 56 days) None Potential effects are scientifically uncertain and probably too subtle to be clinically detectable Possible malformations increasing in likelihood as dose increases
11th to 17th week (71 to 119 days) 9th to 15th week (57 to 105) None Potential effects are scientifically uncertain and probably too subtle to be clinically detectable Increased risk of deficits in intelligence quotient or mental retardation that increase in frequency and severity with increasing dose
18th to 27th week (120 to 189 days) 16th to 25th week (106 to 175 days) None None Intelligence quotient deficits not detectable at diagnostic doses
>27 weeks (>189 days) >25 weeks (>175 days) None None None applicable to diagnostic medicine
Reproduced with permission from: ACR-SPR Practice Parameter for Imaging Pregnant or Potentially Pregnant Adolescents and Women with Ionizing Radiation. American College of Radiology. ACR Appropriateness Criteria. Copyright © 2013 American College of Radiology. The complete version of the ACR Appropriateness Criteria® can be accessed on the ACR website at www.acr.org/ac.
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