The contrast media manual

ACR Manual on Contrast Media

Contrast media extravasation: manual versus power injector.

OBJECTIVE To compare the incidence and complications of extravasation of low-osmolar nonionic contrast media, injected manually and by the automatic power injector (API). SUBJECTS AND METHODS Three thousand five hundred and sixty patients underwent contrast-enhanced abdominal and thoracic computerized tomography scan in the Department of Clinical Radiology, Al-Amiri Hospital, Kuwait, between ...

Contrast Media: Are There Differences in Nephrotoxicity among Contrast Media?

Iodinated contrast agents are usually classified based upon their osmolality--high, low, and isosmolar. Iodinated contrast agents are also nephrotoxic in some but not all patients resulting in loss of glomerular filtration rate. Over the past 30 years, nephrotoxicity has been linked to osmolality although the precise mechanism underlying such a link has been elusive. Improvements in our underst...

Organ dose in kidney imaging with contrast media

Introduction:Intravenous urography (IVU) test includes high number of images and extended imaging size. These make IVU as a diagnostic method with high absorbed doses by sensitive organs such as intestine and gonads in pelvic-abdominal area. In this study absorbed doses of pelvic-abdomen sensitive organs such as Adrenal, Bladder, Colon and Gonads in IVU test. <stron...

Extravasation of Contrast Media

Extravasated iodinated contrast media are toxic to the surrounding tissues, particularly to the skin, producing an acute local inflammatory response that sometimes peaks in 24 to 48 hours. The acute tissue injury resulting from extravasation of iodinated contrast media is possibly related primarily to the hyperosmolality of the extravasated fluid. Despite this, the vast majority of patients in ...