VIDEO: Mitigating the contrast media shortage impact on CT imaging
Interview with Brian Ghoshhajra, MD, MBA, division chief, cardiovascular imaging, Massachusetts General Hospital and associate professor of radiology, Harvard Medical School, and a board member of the Society of Cardiovascular Computed Tomography (SCCT). He explains the impact of the iodine contrast shortage on computed tomography (CT) overall and both noninvasive cardiac CT and interventional cardiology.
His center has not yet had to defer procedures or imaging, but they are in a contrast conservation mode to use less contrast and use alternative imaging modalities when possible, such as MRI, nuclear imaging or ultrasound. Another conservation strategy has been to eliminate any contrast being used in clinical studies where the CT imaging is not critical to patient care. He said the Mass General contingency plan calls for rationing if the level of contrast becomes more critical.
Mass General has pooled all its contrast into a central location and its allocation is set by a meeting of all the stakeholders in the hospital. This includes not only radiologists, but interventional radiology, interventional cardiology, vascular surgery and other users of contrast to guide procedures.
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