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Home NEWS Science News Chemistry

AJR publishes best practices for Iodinated Contrast Media shortage

Bioengineer by Bioengineer
May 12, 2022
in Chemistry
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Leesburg, VA, May 13, 2022—According to ARRS’ American Journal of Roentgenology (AJR), to ensure that patients with emergent or life-threatening imaging indications can continue receiving care, radiology practice leaders need to quickly assess their contrast inventories, prioritize examination findings, and reduce overall iodinated contrast media (ICM) usage.

Decision tree for manual review of currently scheduled contrast-enhanced CT examinations in the event that iodinated contrast supply is critically low

Credit: American Roentgen Ray Society (ARRS), American Journal of Roentgenology (AJR)

Leesburg, VA, May 13, 2022—According to ARRS’ American Journal of Roentgenology (AJR), to ensure that patients with emergent or life-threatening imaging indications can continue receiving care, radiology practice leaders need to quickly assess their contrast inventories, prioritize examination findings, and reduce overall iodinated contrast media (ICM) usage.

“Establishing awareness of the ICM shortage throughout the hospital system is an important first step,” wrote coauthors Joseph Cavallo, MD, MBA, and Jay Pahade, MD, from the department of radiology and biomedical imaging at Yale’s School of Medicine.

Alerting frequent referrers for CECT (ED, oncology, surgery) and concomitant users of ICM (cardiology, vascular surgery, GI, radiation oncology, urology) can align preservation strategies throughout the institution.

Additionally, common indications for CECT can be stratified, according to necessity, with three primary strategies for reducing ICM usage:

  1. direct ICM dose reduction;
  2. alternative diagnostic imaging modalities or CT contrast agents;
  3. deferment of imaging.

Drs. Cavallo and Pahade also provide examples of dose reduction that have been implemented at their institution—noting that the feasibility of any dose reduction depends on the specific equipment and imaging protocols at individual facilities.

“Unfortunately,” the two AJR authors added, “departments may need to resort to deferment of CECT examinations.” Ideally, rescheduling should be limited to certain low-risk examinations (i.e., annual staging examinations in patients without clinical evidence of recurrence), as well as follow-up examinations of incidental findings not posing an immediate threat to the patient.

However, in the most critical of shortages, manual review of all pending CECT examinations may be necessary.

The unanticipated, albeit severe shortage in ICM currently affecting practices around the world is expected to continue into late June of this year.


North America’s first radiological society, the American Roentgen Ray Society (ARRS) remains dedicated to the advancement of medicine through the profession of medical imaging and its allied sciences. An international forum for progress in radiology since the discovery of the x-ray, ARRS maintains its mission of improving health through a community committed to advancing knowledge and skills with the world’s longest continuously published radiology journal—American Journal of Roentgenology—the ARRS Annual Meeting, InPractice magazine, topical symposia, myriad multimedia educational materials, as well as awarding scholarships via The Roentgen Fund®.

MEDIA CONTACT:

Logan K. Young, PIO

44211 Slatestone Court

Leesburg, VA 20176

703-858-4332

[email protected]



Journal

American Journal of Roentgenology

DOI

10.2214/AJR.22.27969

Method of Research

Imaging analysis

Subject of Research

People

Article Title

Practice Management Strategies for Imaging Facilities Facing an Acute Iodinated Contrast Media Shortage

Article Publication Date

13-May-2022

COI Statement

Joseph Cavallo: No relevant personal disclosures.
Jay Pahade: Consultant for GE Healthcare and Clario.

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