U.K. releases statement on iodinated contrast in CT

By AuntMinnieEurope.com staff writers

June 7, 2023 -- 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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