How young radiologists use contrast media and manage adverse reactions: an international survey.

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Title: How young radiologists use contrast media and manage adverse reactions: an international survey.
Authors: Albano, Domenico, Mallardi, Carmen, Afat, Saif, Agnollitto, Paulo Moraes, Caruso, Damiano, Cannella, Roberto, Carriero, Serena, Chupetlovska, Kalina, Clauser, Paola, D'Angelo, Tommaso, De Santis, Domenico, Dioguardi Burgio, Marco, Dumic-Cule, Ivo, Fanni, Salvatore Claudio, Fusco, Stefano, Gatti, Marco, Gitto, Salvatore, Jankovic, Sonja, Karagechev, Tsvetomir, Klontzas, Michail E.
Source: Insights into Imaging; 3/26/2024, Vol. 15 Issue 1, p1-11, 11p
Subject Terms: CONTRAST media, RADIOLOGISTS, DRUG side effects, CONTRAST-enhanced ultrasound, CONFIGURATION management
Abstract: Objectives: To collect real-world data about the knowledge and self-perception of young radiologists concerning the use of contrast media (CM) and the management of adverse drug reactions (ADR). Methods: A survey (29 questions) was distributed to residents and board-certified radiologists younger than 40 years to investigate the current international situation in young radiology community regarding CM and ADRs. Descriptive statistics analysis was performed. Results: Out of 454 respondents from 48 countries (mean age: 31.7 ± 4 years, range 25–39), 271 (59.7%) were radiology residents and 183 (40.3%) were board-certified radiologists. The majority (349, 76.5%) felt they were adequately informed regarding the use of CM. However, only 141 (31.1%) received specific training on the use of CM and 82 (18.1%) about management ADR during their residency. Although 266 (58.6%) knew safety protocols for handling ADR, 69.6% (316) lacked confidence in their ability to manage CM-induced ADRs and 95.8% (435) expressed a desire to enhance their understanding of CM use and handling of CM-induced ADRs. Nearly 300 respondents (297; 65.4%) were aware of the benefits of contrast-enhanced ultrasound, but 249 (54.8%) of participants did not perform it. The preferred CM injection strategy in CT parenchymal examination and CT angiography examination was based on patient's lean body weight in 318 (70.0%) and 160 (35.2%), a predeterminate fixed amount in 79 (17.4%) and 116 (25.6%), iodine delivery rate in 26 (5.7%) and 122 (26.9%), and scan time in 31 (6.8%) and 56 (12.3%), respectively. Conclusion: Training in CM use and management ADR should be implemented in the training of radiology residents. Critical relevance statement: We highlight the need for improvement in the education of young radiologists regarding contrast media; more attention from residency programs and scientific societies should be focused on training about contrast media use and the management of adverse drug reactions. Key points: • This survey investigated training of young radiologists about use of contrast media and management adverse reactions. • Most young radiologists claimed they did not receive dedicated training. • An extreme heterogeneity of responses was observed about contrast media indications/contraindications and injection strategy. [ABSTRACT FROM AUTHOR]
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Database: Complementary Index
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ISSN:18694101
DOI:10.1186/s13244-024-01658-z
Published in:Insights into Imaging
Language:English