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, Koltsakis Emmanouil, Leithner Doris, Matišić Vid, Muscogiuri Giuseppe, Penkova Ralitsa, Polici Michela, Serpi Francesca, Sofia Carmelo, Snoj Ziga, Akinci D'Antonoli Tugba, Vernuccio Federica, Vieira João, Vieira Ana Catarina, Wielema Mirjam, Zerunian Marta, Messina Carmelo
IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Dipartimento Di Scienze Biomediche, Chirurgiche Ed Odontoiatriche, Università Degli Studi Di Milano, Milan, Italy.
Insights Imaging. 2024 Mar 26;15(1):92. doi: 10.1186/s13244-024-01658-z.
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).
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.
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.
Training in CM use and management ADR should be implemented in the training of radiology residents.
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.
• 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.
收集关于年轻放射科医生在使用造影剂（CM）及药物不良反应（ADR）管理方面的知识和自我认知的真实世界数据。
向40岁以下的住院医师和获得委员会认证的放射科医生发放了一份调查问卷（共29个问题），以调查年轻放射学界在CM和ADR方面的当前国际情况。进行了描述性统计分析。
来自48个国家的454名受访者（平均年龄：31.7±4岁，范围25 - 39岁）中，271名（59.7%）是放射科住院医师，183名（40.3%）是获得委员会认证的放射科医生。大多数人（349名，76.5%）认为他们在CM使用方面得到了充分的信息。然而，在住院期间，只有141名（31.1%）接受了关于CM使用的特定培训，82名（18.1%）接受了关于ADR管理的培训。尽管266名（58.6%）知道处理ADR的安全规程，但69.6%（316名）对自己管理CM引起的ADR的能力缺乏信心，95.8%（435名）表示希望增强对CM使用和处理CM引起的ADR的理解。近300名受访者（297名；65.4%）了解超声造影的益处，但249名（54.8%）参与者未进行此项检查。在CT实质检查和CT血管造影检查中，分别有318名（70.0%）和160名（35.2%）根据患者的瘦体重选择CM注射策略，79名（17.4%）和116名（25.6%）选择预定的固定剂量，26名（5.7%）和122名（26.9%）根据碘输送率，31名（6.8%）和第56名（12.3%）根据扫描时间。
放射科住院医师培训应实施CM使用和ADR管理方面的培训。
我们强调需要改进年轻放射科医生在造影剂方面的教育；住院医师培训项目和科学学会应更多关注造影剂使用培训和药物不良反应管理。
• 本调查研究了年轻放射科医生在造影剂使用和不良反应管理方面的培训情况。• 大多数年轻放射科医生称未接受专门培训。• 在造影剂适应症/禁忌症和注射策略方面观察到回答存在极大异质性。
