Quality and Safety in Medical Imaging During Pregnancy and Lactation – Part 2 Description Imaging the pregnant patient is challenging as it involves both the parent and the fetus and, conse- quently, several medical, ethical, or legal considerations. Theoretically, all available imaging modalities may be used to evaluate the preg- nant patient; however, in practice, confusion regarding the safety of the fetus often results in unneces- sary avoidance of useful diagnos- tic tests, especially those involving ionizing radiation. This review is part 2 of a 2-part series and focuses on specific clinical scenarios (nonob- stetric and obstetric) in pregnant patients and the recommended imaging modalities to answer clinical questions while focusing on fetal and parental safety. Learning Objectives Upon completing this activity, the reader should be able to 1. Implement appropriate imaging modalities and updated evidence-based guidelines for medical imaging during pregnancy and lactation based on the clinical scenario to ensure parent and fetal safety. 2. Apply strategies to minimize radiation exposure when using low-dose CT or MRI in pregnant patients by integrating modern imaging techniques and protocols that prioritize parent and fetal safety. Target Audience • Radiologists • Related imaging professionals Authors Aurela Clark, MD; Xiaoqin Wang, MD; Riham El Khouli, MD, PhD, Margaret Szabunio, MD Affiliation: University of Kentucky College of Medicine, Lexington, KY. Commercial Support None Accreditation/Designation Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint provider- ship of the Institute for Advanced Medical Education (IAME) and Anderson Publishing. IAME is accredited by the ACCME to provide continuing medical education for physicians. IAME designates this activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Instructions 1. Review this article in its entirety. 2. Log in or create an account. 3. Complete the post-test and review the discussion and references. 4. Complete the evaluation. 5. Print your certificate. Estimated Time for Completion 1 hour Date of Release and Review September 1, 2024 Expiration Date August 31, 2025 Disclosures Planner: Erin Simon Schwartz, MD, discloses no relevant finan- cial relationships with any ineligible companies. Authors: The authors disclose no relationships with ineligible companies. IAME has assessed conflicts of interest with its faculty, authors, editors, and any individuals who were in a position to control the content of this CME activity. Any relevant financial relationships were mitigated with an independent peer review of this activity, and no conflicts or commercial bias were detected. IAME’s planners, content review- ers, and editorial staff disclose no relationships with ineligible entities. CME INFORMATION September / October 2024 Applied Radiology 1