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.

Details

Title
How young radiologists use contrast media and manage adverse reactions: an international survey
Author
Albano, Domenico 1   VIAFID ORCID Logo  ; Mallardi, Carmen 2 ; Afat, Saif 3 ; Agnollitto, Paulo Moraes 4 ; Caruso, Damiano 5 ; Cannella, Roberto 6 ; Carriero, Serena 7 ; Chupetlovska, Kalina 8 ; Clauser, Paola 9 ; D’Angelo, Tommaso 10 ; De Santis, Domenico 5 ; Dioguardi Burgio, Marco 11 ; Dumic-Cule, Ivo 12 ; Fanni, Salvatore Claudio 13 ; Fusco, Stefano 14 ; Gatti, Marco 15 ; Gitto, Salvatore 16 ; Jankovic, Sonja 17 ; Karagechev, Tsvetomir 18 ; Klontzas, Michail E. 19 ; Koltsakis, Emmanouil 20 ; Leithner, Doris 21 ; Matišić, Vid 22 ; Muscogiuri, Giuseppe 23 ; Penkova, Ralitsa 24 ; Polici, Michela 25 ; Serpi, Francesca 14 ; Sofia, Carmelo 26 ; Snoj, Ziga 27 ; Akinci D’Antonoli, Tugba 28 ; Vernuccio, Federica 6 ; Vieira, João 29 ; Vieira, Ana Catarina 30 ; Wielema, Mirjam 31 ; Zerunian, Marta 5 ; Messina, Carmelo 16 

1  IRCCS Istituto Ortopedico Galeazzi, Milan, Italy (GRID:grid.417776.4); Università Degli Studi Di Milano, Dipartimento Di Scienze Biomediche, Chirurgiche Ed Odontoiatriche, Milan, Italy (GRID:grid.4708.b) (ISNI:0000 0004 1757 2822) 
2  Università Degli Studi Di Milano, Scuola Di Specializzazione in Radiodiagnostica, Milan, Italy (GRID:grid.4708.b) (ISNI:0000 0004 1757 2822) 
3  Eberhard Karls University Tuebingen, Department of Diagnostic and Interventional Radiology, Tuebingen, Germany (GRID:grid.10392.39) (ISNI:0000 0001 2190 1447) 
4  University of São Paulo, Ribeirão Preto Medical School, Radiology Division of the Department of Medical Imaging, Hematology and Clinical Oncology, São Paulo, Brazil (GRID:grid.11899.38) (ISNI:0000 0004 1937 0722) 
5  Sant’Andrea University Hospital, Sapienza - University of Rome, Department of Medical Surgical Sciences and Translational Medicine, Rome, Italy (GRID:grid.7841.a) 
6  University of Palermo, Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), Palermo, Italy (GRID:grid.10776.37) (ISNI:0000 0004 1762 5517) 
7  Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Department of Radiology and Interventional Radiology, Milan, Italy (GRID:grid.414818.0) (ISNI:0000 0004 1757 8749) 
8  The Netherlands Cancer Institute, Department of Radiology, Amsterdam, The Netherlands (GRID:grid.430814.a) (ISNI:0000 0001 0674 1393) 
9  Medical University of Vienna, Department of Biomedical Imaging and Image-Guided Therapy, Division of General and Pediatric Radiology, Vienna, Austria (GRID:grid.22937.3d) (ISNI:0000 0000 9259 8492) 
10  University of Messina, Diagnostic and Inverventional Radiology Unit, Department of Biomedical Sciences and Morphological and Functional Imaging, Messina, Italy (GRID:grid.10438.3e) (ISNI:0000 0001 2178 8421); Erasmus MC, Department of Radiology and Nuclear Medicine, Rotterdam, The Netherlands (GRID:grid.5645.2) (ISNI:0000 0004 0459 992X) 
11  Hôpital Beaujon, AP-HP.Nord, Department of Radiology, Clichy, France (GRID:grid.411599.1) (ISNI:0000 0000 8595 4540); Université Paris Cité, INSERM, Paris, France (GRID:grid.411599.1) 
12  University Hospital Centre Zagreb, Department of Diagnostic and Interventional Radiology, Zagreb, Croatia (GRID:grid.412688.1) (ISNI:0000 0004 0397 9648); University North, Varazdin, Croatia (GRID:grid.502995.2) (ISNI:0000 0004 4651 2415) 
13  University of Pisa, Department of Translational Research, Academic Radiology, Pisa, Italy (GRID:grid.5395.a) (ISNI:0000 0004 1757 3729) 
14  Università Degli Studi Di Milano, Department of Biomedical Sciences for Health, Milan, Italy (GRID:grid.4708.b) (ISNI:0000 0004 1757 2822) 
15  University of Turin, Radiology Unit, Department of Surgical Sciences, Turin, Italy (GRID:grid.7605.4) (ISNI:0000 0001 2336 6580) 
16  IRCCS Istituto Ortopedico Galeazzi, Milan, Italy (GRID:grid.417776.4); Università Degli Studi Di Milano, Department of Biomedical Sciences for Health, Milan, Italy (GRID:grid.4708.b) (ISNI:0000 0004 1757 2822) 
17  University Clinical Center Nis, Center for Radiology, Nis, Republic of Serbia (GRID:grid.418653.d) (ISNI:0000 0004 0517 2741) 
18  Acibadem City Clinic Tokuda Hospital, Department of Radiology, Sofia, Bulgaria (GRID:grid.479663.9) 
19  University of Crete, Department of Radiology, School of Medicine, Heraklion, Crete, Greece (GRID:grid.8127.c) (ISNI:0000 0004 0576 3437); University Hospital of Heraklion, Department of Medical Imaging, Heraklion, Crete, Greece (GRID:grid.412481.a) (ISNI:0000 0004 0576 5678) 
20  Karolinska University Hospital of Stockholm, Department of Radiology, Stockholm, Sweden (GRID:grid.24381.3c) (ISNI:0000 0000 9241 5705) 
21  NYU Grossman School of Medicine, Department of Radiology, New York, USA (GRID:grid.137628.9) (ISNI:0000 0004 1936 8753) 
22  St. Catherine Specialty Hospital, Zagreb, Croatia (GRID:grid.518242.8) 
23  ASST Papa Giovanni XXIII, Department of Radiology, Bergamo, Italy (GRID:grid.460094.f) (ISNI:0000 0004 1757 8431) 
24  Acibadem City Clinic Tokuda Hospital, Radiology Department, Sofia, Bulgaria (GRID:grid.479663.9) 
25  Department of Medical Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology, “Sapienza” University of Rome, PhD School in Traslational Medicine and Oncology, Rome, Italy (GRID:grid.7841.a); Sant’Andrea University Hospital, Sapienza - University of Rome, Department of Medical Surgical Sciences and Translational Medicine, Rome, Italy (GRID:grid.7841.a) 
26  University of Messina, Diagnostic and Inverventional Radiology Unit, Department of Biomedical Sciences and Morphological and Functional Imaging, Messina, Italy (GRID:grid.10438.3e) (ISNI:0000 0001 2178 8421) 
27  University Medical Centre Ljubljana, Radiology Institute, Ljubljana, Slovenia (GRID:grid.29524.38) (ISNI:0000 0004 0571 7705) 
28  Cantonal Hospital Baselland, Institute of Radiology and Nuclear Medicine, Liestal, Switzerland (GRID:grid.440128.b) (ISNI:0000 0004 0457 2129) 
29  Hospital Divino Espírito Santo, Radiology, Ponta Delgada, Portugal (GRID:grid.443967.b) (ISNI:0000 0004 0632 2350) 
30  Hospital CUF Porto, Radiology Department, Porto, Portugal (GRID:grid.490116.b); University of Porto, Faculty of Medicine, Porto, Portugal (GRID:grid.5808.5) (ISNI:0000 0001 1503 7226) 
31  Canisius Wilhelmina Hospital, Department of Radiology, Nijmegen, The Netherlands (GRID:grid.413327.0) (ISNI:0000 0004 0444 9008) 
Pages
92
Publication year
2024
Publication date
Dec 2024
Publisher
Springer Nature B.V.
e-ISSN
18694101
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1186/s13244-024-01658-z
ProQuest document ID
2986714701
Copyright
© The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.