U.K. releases statement on iodinated contrast in CT

2021 08 09 18 08 1120 Rcr Logo 400

The U.K. Royal College of Radiologists and the Royal College of Emergency Medicine have issued a joint position statement about the use of intravenous iodinated contrast agents in CT scans for patients undergoing emergency imaging.

The statement specifically addresses concerns relating to contrast-induced acute kidney injury (CI-AKI). The societies advise that the risk of CI-AKI is likely to be offset by delays in diagnosis or the requirement for pre-hydration before an emergency CT scan is performed if intravenous iodinated contrast agents are not administered.

The two group's main recommendations are as follows:

  • Emergency patients of any age should be imaged without delay if an iodinated intravenous contrast CT exam is ordered.
  • Measurement of renal function is not a prerequisite to scanning, even for patients with preexisting renal disease, diabetes mellitus, or medication such as metformin.
  • Intravenous fluid administration should not be considered a prerequisite to scanning.

For more details, go to the RCR website.

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