Nouh Mohamed R, El-Shazly Mohamed A
Department of Radiology and Clinical Imaging, Faculty of Medicine, Alexandria University, Alexandria 21563, Egypt.
Department of Radiology and Clinical Imaging, Faculty of Medicine, Al-Azhar University, Cairo 11651, Egypt.
World J Radiol. 2017 Sep 28;9(9):339-349. doi: 10.4329/wjr.v9.i9.339.
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.
在过去十年中，随着医学成像在现代医疗实践中的应用不断扩展和持续增加，放射科医生以及其他处理放射造影剂和磁共振造影剂（CM）的医护人员必须充分了解其潜在的过敏反应，识别易发生过敏反应的高危人群，并实现早期识别。参与CM管理和处理的放射科医生和其他医务人员必须准备好实施迅速、实用且有效的管理计划，以应对可能出现的这些情况。预防潜在的造影剂诱导的急性和迟发性肾损伤的策略必须常规执行。在造影剂给药期间，关注孕妇、哺乳期妇女、儿童、糖尿病患者以及其他脆弱人群对于患者安全至关重要。放射科医生应在告知患者在必要时使用CM进行成像检查的必要性方面发挥关键作用，并向他们保证其安全性。此外，他们必须了解与使用CM相关的医疗法律问题。这些将有助于在不同层面的放射学实践中提高患者安全性以及营造安全的日常工作环境。
