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Article
Radiology, Nuclear Medicine & Medical Imaging
Shalini A. Amukotuwa et al.
Summary: This study aimed to evaluate the effect of interventions to reduce iodinated contrast medium (ICM) utilization in computed tomography (CT) scans. The interventions, including improved triage, diversion to alternative modalities, and reduced dosage, resulted in a significant decrease in ICM consumption and corresponding CT scan numbers.
JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY
(2023)
Article
Clinical Neurology
R. Bammer et al.
Summary: The shutdown of iohexol production facility in China due to the recent coronavirus disease 2019 outbreak has resulted in severe shortages of iodinated contrast material worldwide, impacting neuroimaging as well. In this article, we discuss the remedies we have implemented in our hospital network to reduce the use of iodinated contrast material in stroke imaging, its primary application in neuroimaging.
AMERICAN JOURNAL OF NEURORADIOLOGY
(2022)
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Michal Horny et al.
Summary: Given the impact of the global contrast media shortage on patient care, this study analyzed a large insurance dataset to identify the commonly used examinations, delivery settings, and clinical indications for contrast-enhanced CT. The findings can inform the development of national guidelines and institutional policies.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Joseph J. Cavallo et al.
Summary: An unexpected shortage of iodinated contrast media is affecting imaging practices globally and is expected to last until the end of June 2022. This may lead to an acute imaging crisis in healthcare systems, requiring leaders to assess inventory, prioritize examinations, and reduce short-term usage of contrast media.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2022)
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Scott B. Reeder et al.
JOURNAL OF MAGNETIC RESONANCE IMAGING
(2022)
Review
Radiology, Nuclear Medicine & Medical Imaging
Shalini A. Amukotuwa et al.
Summary: The global shortage of iodinated contrast medium (ICM) caused by the COVID-19 pandemic has affected public hospitals in Australia, some of which have less than a week's supply. Strategies are urgently needed to conserve ICM and plans are required to provide the best possible care to patients in case of depleted supplies.
JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Thomas M. Grist et al.
Summary: The recent shortage of iohexol has disrupted the pharmaceutical supply chain critical to radiologic imaging and affected the global availability of iodinated contrast media (ICM). This shortage has created a national crisis in radiology departments, hampering their ability to provide contrast-enhanced examinations for patients. This report aims to provide short-term strategies for dealing with the shortage and discuss long-term issues and potential solutions to supply chain problems impacting radiology departments.
Article
Radiology, Nuclear Medicine & Medical Imaging
Carolyn L. Wang et al.
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
(2022)
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Shalini A. Amukotuwa et al.
Summary: This study quantified the impact of conservation measures on iodinated contrast media utilization in a single health system during a global shortage. The results showed a significant decrease in daily utilization of contrast-enhanced CT, as well as the volume of ICM used per examination.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2022)
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Ruedi F. Thoeni
AMERICAN JOURNAL OF ROENTGENOLOGY
(2022)
Letter
Medicine, General & Internal
Matthew S. Davenport et al.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2022)
Editorial Material
Clinical Neurology
Daniel P. O. Kaiser et al.
Article
Anesthesiology
Lynn Kohan et al.
Summary: The medical field has been facing various drug shortages in recent years. The shortage of iodinated contrast medium has now impacted the field of interventional pain medicine. Pain physicians are required to adapt to these changes and maintain quality care. This position statement provides guidance on how to adapt to the shortage.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2022)
Review
Radiology, Nuclear Medicine & Medical Imaging
Liesl S. Eibschutz et al.
Summary: After the closure of GE Healthcare's Shanghai factory due to the COVID-19 outbreak, there has been a shortage of iodinated contrast media. Although GE Healthcare has reopened its factory and alternative sources of contrast agents are available, experts warn that levels may not return to normal until June 2022. This shortage highlights the importance of interprofessional communication, adaptation, and preparedness for future emergencies.
EMERGENCY RADIOLOGY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Katherine Kaproth-Joslin et al.
Summary: This review discusses modifications to contrast-enhanced CT angiography (CTA) techniques that reduce the volume of administered contrast media (CM) while maintaining diagnostic image quality. It highlights the importance of protecting the kidneys from further harm in renal impaired patients and also suggests these techniques can be applied in times of CM shortage for nonrenal impaired patients.
JOURNAL OF CLINICAL IMAGING SCIENCE
(2022)
Review
Radiology, Nuclear Medicine & Medical Imaging
Timothy Fiori et al.
Summary: Due to the global shortage of iodinated contrast media, health service providers need to review their policies and conserve inventory. Ultrasound and MRI techniques, as well as clinical evaluation and naso-endoscopy, can be alternative imaging options to minimize the use of contrast-enhanced CT.
JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY
(2022)
