Published online Sep 28, 2017. doi: 10.4329/wjr.v9.i9.339
Peer-review started: February 2, 2017
First decision: May 11, 2017
Revised: June 14, 2017
Accepted: June 19, 2017
Article in press: June 20, 2017
Published online: September 28, 2017
With extended and continued expansion of medical imaging utilization in modern medical practice over last decade, radiologists as well as other faculty staff dealing with radiographic and magnetic resonances contrast media (CM) have to be well oriented with their potential hypersensitivity reactions and recognize high-risk groups liable to develop it and enable early recognition. Radiologists and other medical staff involved in administration and dealing with CM have to be ready to implement prompt, practical and effective management plan to deal with these scenarios should they emerge. Strategies to prevent potential contrast-induced acute and delayed renal injuries have to be routinely exercised. Paying attention to the pregnant and nursing women, pediatrics, diabetics, as well as other fragile populations is of utmost importance for patient safety during contrast administrations. Radiologists should play a pivotal role in orienting patients about necessity to use CM for their imaging studies, in case it is needed, and assure them about its safety. Moreover, they have to be oriented with the medico-legal issues related to use of CM. These will pay as improved patient safety as well as safe daily working environmentat different levels of radiology practices.
Core tip: Radiologists have to be oriented with the potential hypersensitivity reactions of radiographic and magnetic resonances contrast media (CM) and able to recognize high-risk groups liable to develop such reactions. Effective management plans have to be ready to implement should these scenarios emerge. Strategies to prevent potential contrast-induced acute and delayed renal injuries have to be exercised. Caring for special considerations as well as other fragile populations is of utmost importance for patients’ safety. Moreover, radiologists should be oriented with the medico-legal issues related to use of CM. These will be conveyed as improved patients’ safety and safe radiology practices.