Table 3.
Imaging modality | Sensitivity | Specificity | Fetal dose of ionizing radiation (mGY) | Advantages | Limitations | References |
---|---|---|---|---|---|---|
| ||||||
Plain X-ray | 30–88 | 43–87 | Rapid | Limited indications | 45, 46, 76, 81 | |
1. Chest X-ray | 0.002 | Inexpensive | Low sensitivity for | |||
2. Abdominal X-ray | 1–3 | Most useful for intestinal obstruction in pregnancy | bowel strangulation | |||
Ultrasound | 67%–100% | 83%–96% | 0 | Availability Portability No ionizing radiation | Operator- dependent visualization impaired by gravid uterus | 21, 77 |
CT scan | 91% | 90% | Availability | Ionizing radiation | 78, 79 | |
1. CT abdomen | 4 | Rapid | Expensive | |||
2. CT abdomen with pelvis | 25 | |||||
MRI | 100% | 98% | 0 | No ionizing radiation | Limited availability Slower than CT Expensive | 80 |
Note:
Ionizing radiation dose is expressed as mGy.
Abbreviations: CT, computed tomography; MRI, magnetic resonance imaging.