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Published in: European Radiology 9/2016

01-09-2016 | Contrast Media

Contrast-induced nephropathy in CT: incidence, risk factors and strategies for prevention

Authors: Shu Min Tao, Julian L. Wichmann, U. Joseph Schoepf, Stephen R. Fuller, Guang Ming Lu, Long Jiang Zhang

Published in: European Radiology | Issue 9/2016

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Abstract

In the past, a high percentage of hospital-acquired renal failure was attributed to contrast media. That position is now very controversial. Recently, doubts have been raised regarding the real relationship between acute kidney injury and intravenous contrast media administration. Similarly, statements about specific methods of preventing contrast-inducing nephropathy have been challenged. This review article addresses the controversies of incidence, causation, and prevention in an attempt to help the practicing radiologist adopt methods for their own department.

Key Points

The reported CIN incidence ranges from 2–12 % following contrast-enhanced CT.
Studies without a non-contrast CT control group may overestimate CIN incidence.
Development and application of a comprehensive CIN prevention strategy is recommended.
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Metadata
Title
Contrast-induced nephropathy in CT: incidence, risk factors and strategies for prevention
Authors
Shu Min Tao
Julian L. Wichmann
U. Joseph Schoepf
Stephen R. Fuller
Guang Ming Lu
Long Jiang Zhang
Publication date
01-09-2016
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 9/2016
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-015-4155-8

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