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A conservative approach used by some radiology facilities is to apply a 10-day rule only for examinations with the potential to deliver a high dose to the lower abdomen and pelvis, such as barium enemas and CT of the abdomen or pelvis. These facilities use a 28-day rule for all other examinations.
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23 Φεβ 2018 · 10-DAY RULE (contd.) • The 10-day rule is linked to the teratogenic effect of radiation. • The responsibility for pregnancy determination lies with the referring physician, radiographer or radiologist or technician.
What happens when the patient presents for examination for which 10 day rule normally applies? Establish and record the patients pregnancy status, LMP & explain reasons for
higher dose examinations on all potentially pregnant women to the first ten days of their menstrual cycle when conception is very unlikely to have occurred (the so-called ten-day rule)....
The “ten-day rule” is the standard procedure in all Clinics when deciding whether a female patient of childbearing age can be safely radiated: • A female patient who declares pregnancy will not be x-rayed at the Parker Clinics.
The Health Protection Agency provides practical advice regarding the 10-day rule for what are classified as high-dose examinations.3 These are investigations resulting in doses to the uterus of ‘some tens of milligray’.
The 10-day rule was established by the International Commission on Radiological Protection to minimize the potential for performing x-ray exams on pregnant women. The basis of the rule was to do abdominal and pelvic x-ray exams only during the 10 days following the onset of menstruation.
