Imaging Contrast

Contrast agents are injected into patients to help enhance images to make it easier for radiologists distinguish specific areas of the body from surrounding tissues. The most commonly used agents are iodinated contrast dye for computed tomography (CT), interventional cath lab angiography,  RF fluoroscopy, and in surgical OR procedures. MRI scans typically use gadolinium-based contrast agents. Ultrasound and echocardiography (cardiac ultrasound) imaging use contrast agents composed of microscopic bubbles to enhance images that otherwise would be suboptimal.

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contrast enhanced mammography

Scoring system outperforms BI-RADS assessments of contrast-enhanced mammography exams

For specificity—a metric that has been somewhat unpredictable in breast MRI and CEM—the scoring system performed significantly better than BI-RADS.

Omnipaque and Visipaque still listed among the FDA's drug shortages

According to the FDA’s most recent update, some presentations will remain out of stock or backordered until January 2023. 

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Contrast shortage prompts experts to contemplate future supply issues

A new article published by the Radiological Society of North America shares valuable commentary from experts in the field regarding how the medical industry can prepare for supply shortages in the future. 

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ACR updates contrast guidelines, permitting non-physician providers to supervise administration

The Aug. 29 statement indicates that non-radiologist physicians, advanced practice providers and registered nurses can oversee intravenous CT and MRI contrast administration at accredited imaging centers.

radiology reporting EHR health record CDS AUC

EHR-based solutions to the iodinated contrast shortage reduce usage by 12%

This week in AJR, experts from a large, multisite health system detailed their efforts to preserve contrast supplies by implementing electronic health record (EHR) order entry-based interventions.

Have we been 'overdependent' on iodinated contrast? New paper calls into question prior practices before the shortage

"Ultimately, long-term studies are vital to parse out whether the absence of iodinated contrast media greatly affected patient outcomes or if we have been overdependent on ICM unnecessarily.” 

FDA temporarily approves importation of a second foreign-labeled iodinated contrast media

Bracco Diagnostics, Inc has been given the go ahead by the U.S. Food and Drug Administration to temporarily import Iomeron (iomeprol injection) into the U.S. market amid the ongoing iodinated contrast media shortage. 

Iodine contrast being loaded into a contrast injector in preparation for a cardiac CT scan at Duly Health and Care in Lisle, Illinois. The contrast shortage is causing some healthcare organizations to postpone exams and procedures and ration contrast supplies. Photo by Dave Fornell

Substituting iodinated contrast media in patients with a history of ICM reactions reduces risk by 61%

“For patients with a prior ICM-induced hypersensitivity reaction, healthcare providers must balance the benefit of ICM reuse against the risk of a repeat reaction,” authors of a new meta-analysis published in Radiology said.

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