By H.S. Thomsen

In 1994 the eu Society of Urogenital Radiology (ESUR) arrange a committee to think about the protection of the distinction media utilized in radiology departments. for the reason that then, the committee has wondered participants, reviewed the literature, proposed instructions, and mentioned those proposals with contributors on the annual symposia on urogenital radiology. This publication represents the result of this difficult paintings. It includes the entire agreed guidance, up-to-date whilst worthwhile, and thereby comprehensively covers the numerous varied questions of safety with regards to the various distinction media: barium distinction media, iodinated distinction media, MR distinction media (both gadolinium-based extracellular and organ-specific) and ultrasound distinction media. The prevention and remedy of either acute and not on time non-renal adversarial reactions in addition to the renal antagonistic reactions are coated intimately. The inclusion of all of the ESUR instructions inside one publication will supply a useful, detailed and remarkable resource.

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Eur Radiol 6 [Suppl 3]:S8–S10 Oi H, Yamazaki H, Matsushita M (1997) Delayed vs. immediate adverse reactions to ionic and non-ionic low-osmolality contrast media. Radiat Med 15:23–27 Oldham RK, Brogley J, Braud E (1990) Contrast medium ”recalls” interleukin-2 toxicity. J Clin Oncol 8:942–943 Panto PN, Davies P (1986) Delayed reactions to urographic contrast media. Br J Radiol 59:41–44 Pedersen SH, Svaland MG, Reiss A-L, Andrew E (1998) Late allergy-like reactions following vascular administration of radiography contrast media.

Postgrad Radiol 13:137-147 Chamberlain DA, Turner P, Sneddon JM (1967) Effects of atropine on heart-rate in healthy man. Lancet 2:12-15 Choyke PL, Miller DL, Leder MT et al (1992) Delayed reactions to contrast media after interleukin-2 immunotherapy. Radiology 183:111-114 Cohan RH, Leder RA, Ellis JH (1996) Treatment of adverse reactions to radiographic contrast media in adults. Radiol Clin North Am 34:1055-1060 Emergency Cardiac Care Committee and Subcommittess (1992) American Heart Association.

1997b). However, if these signs are present, renal function should be assessed and the administration of further doses of contrast media should be avoided if the results are abnormal. 3 Incidence Contrast medium induced nephropathy is rare in people with normal renal function with an incidence varying from 0%–2% (Morcos et al. 1999; McCullough et al. 1997; Rudnick et al. 1995). In acute myocardial infarction, contrast medium induced nephropathy occurred after primary angioplasty in 13% of patients who had normal S-creatinine levels before the angioplasty (Marenzi et al.

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