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Imaging of the pelvis

Imaging of your pelvis at ESNEFT

If you are aged between 12 and 55 and are coming for an X-ray or scan where your pelvic area may be exposed to radiation, the radiographer will ask you to fill in a form.  This form is given to ALL patients in this group.

As radiographers, it is our professional duty and legal responsibility to ensure that we protect individuals from unnecessary exposures to radiation.  This is particularly relevant when considering any potential risk to pregnancy where there is a greater risk from the harmful effects of radiation.

Before your imaging appointment, the radiographer will use this form to ask you some important questions about any potential pregnancy because a fetus is at greater risk from the harmful effects of radiation. To perform the imaging test safely we need to know if you are or might be pregnant.

The form also ensures the doctors reviewing your images are aware of your sex registered at birth, as sometimes this is relevant to your diagnosis. It also ensures that the doctors reviewing your images are aware of natural physical variations you might have in your pelvic anatomy.

Please inform the radiographer if you are aware that you were born with an intersex variation, also known as variations in sex characteristics (VSC) or diverse sex development (DSD). We acknowledge that you might prefer to use a different term when informing the radiographer of this.

With your permission, a copy of the form will be stored electronically in your radiology notes. All your personal data is managed in line with data protection regulations. Please inform a radiographer if you do not consent, or consent to only part of this information being stored.

Please note, we might not be able to continue, or it could delay your examination, if we are unable to confirm your pregnancy status.

If you do not want to have your gender history recorded, please inform your radiographer. You can ask to speak to them in private if you wish.

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