Safe Use of Contrast Media in Radiology (Clinical Guidelines)

In recent years, the frequency of contrast-enhanced radiological studies has increased significantly, and the issues of their selection and rational use do not lose their relevance. These methodological recommendations represent a complete up-to-date guide for using contrast agents (CA) in radiology...

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Main Authors: V. E. Sinitsyn, I. E. Tyurin, N. L. Shimanovskiy, G. G. Karmazanovskiy, V. G. Bychenko, N. A. Rubtsova, D. A. Filatova
Format: Article
Language:English
Published: Luchevaya Diagnostika, LLC 2024-05-01
Series:Вестник рентгенологии и радиологии
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Online Access:https://www.russianradiology.ru/jour/article/view/845
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author V. E. Sinitsyn
I. E. Tyurin
N. L. Shimanovskiy
G. G. Karmazanovskiy
V. G. Bychenko
N. A. Rubtsova
D. A. Filatova
author_facet V. E. Sinitsyn
I. E. Tyurin
N. L. Shimanovskiy
G. G. Karmazanovskiy
V. G. Bychenko
N. A. Rubtsova
D. A. Filatova
author_sort V. E. Sinitsyn
collection DOAJ
description In recent years, the frequency of contrast-enhanced radiological studies has increased significantly, and the issues of their selection and rational use do not lose their relevance. These methodological recommendations represent a complete up-to-date guide for using contrast agents (CA) in radiology. Types of currently used CA in computed tomography, magnetic resonance imaging, and ultrasound examinations are described. Safety rules for injection of each CA type are systematized, the principles of dosing and possible side effects are explained. In addition, it is important to highlight the issues of interactions between CA and other drugs that patient might take, in particular, the possible deterioration of renal function when using CA in diabetes mellitus patients taking metformin. It should be noted that these recommendations have undergone significant changes in recent years. Also questionnaire templates for patients prior to the contrast-enhanced study are given in the supplements. The methodological guidelines are based on current publications of international experts on CA use in radiology as well as on the data of two major guidelines: American College of Radiologists (ACR) Guidelines (2023) and European Society of Urogenital Radiology (ESUR) Safety Recommendations (2018, version 10). Thus, the information presented is validated, which provides grounds for its application in real clinical practice. The guidelines will be actualized as new scientific evidence becomes available, but to date they appear to be the most relevant.
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spelling doaj-art-db7a1f62a497467c807e786e373f3a7f2025-07-28T07:00:58ZengLuchevaya Diagnostika, LLCВестник рентгенологии и радиологии0042-46762619-04782024-05-01104636338410.20862/0042-4676-2023-104-6-363-384455Safe Use of Contrast Media in Radiology (Clinical Guidelines)V. E. Sinitsyn0I. E. Tyurin1N. L. Shimanovskiy2G. G. Karmazanovskiy3V. G. Bychenko4N. A. Rubtsova5D. A. Filatova6Lomonosov Moscow State UniversityRussian Medical Academy of Continuing Professional EducationPirogov Russian National Research Medical UniversityPirogov Russian National Research Medical University; Vishnevsky National Medical Research Center of SurgeryKulakov National Medical Research Center of Obstetrics, Gynecology and PerinatologyHerzen Moscow Scientific Research Oncological Institute – branch of National Medical Research Center for RadiologyLomonosov Moscow State UniversityIn recent years, the frequency of contrast-enhanced radiological studies has increased significantly, and the issues of their selection and rational use do not lose their relevance. These methodological recommendations represent a complete up-to-date guide for using contrast agents (CA) in radiology. Types of currently used CA in computed tomography, magnetic resonance imaging, and ultrasound examinations are described. Safety rules for injection of each CA type are systematized, the principles of dosing and possible side effects are explained. In addition, it is important to highlight the issues of interactions between CA and other drugs that patient might take, in particular, the possible deterioration of renal function when using CA in diabetes mellitus patients taking metformin. It should be noted that these recommendations have undergone significant changes in recent years. Also questionnaire templates for patients prior to the contrast-enhanced study are given in the supplements. The methodological guidelines are based on current publications of international experts on CA use in radiology as well as on the data of two major guidelines: American College of Radiologists (ACR) Guidelines (2023) and European Society of Urogenital Radiology (ESUR) Safety Recommendations (2018, version 10). Thus, the information presented is validated, which provides grounds for its application in real clinical practice. The guidelines will be actualized as new scientific evidence becomes available, but to date they appear to be the most relevant.https://www.russianradiology.ru/jour/article/view/845сontrast agentcomputed tomographymagnetic resonance imagingultrasoundclinical guidelinesdrugpost-contrast acute kidney injury
spellingShingle V. E. Sinitsyn
I. E. Tyurin
N. L. Shimanovskiy
G. G. Karmazanovskiy
V. G. Bychenko
N. A. Rubtsova
D. A. Filatova
Safe Use of Contrast Media in Radiology (Clinical Guidelines)
Вестник рентгенологии и радиологии
сontrast agent
computed tomography
magnetic resonance imaging
ultrasound
clinical guidelines
drug
post-contrast acute kidney injury
title Safe Use of Contrast Media in Radiology (Clinical Guidelines)
title_full Safe Use of Contrast Media in Radiology (Clinical Guidelines)
title_fullStr Safe Use of Contrast Media in Radiology (Clinical Guidelines)
title_full_unstemmed Safe Use of Contrast Media in Radiology (Clinical Guidelines)
title_short Safe Use of Contrast Media in Radiology (Clinical Guidelines)
title_sort safe use of contrast media in radiology clinical guidelines
topic сontrast agent
computed tomography
magnetic resonance imaging
ultrasound
clinical guidelines
drug
post-contrast acute kidney injury
url https://www.russianradiology.ru/jour/article/view/845
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AT ietyurin safeuseofcontrastmediainradiologyclinicalguidelines
AT nlshimanovskiy safeuseofcontrastmediainradiologyclinicalguidelines
AT ggkarmazanovskiy safeuseofcontrastmediainradiologyclinicalguidelines
AT vgbychenko safeuseofcontrastmediainradiologyclinicalguidelines
AT narubtsova safeuseofcontrastmediainradiologyclinicalguidelines
AT dafilatova safeuseofcontrastmediainradiologyclinicalguidelines