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[Kidney function in contrast media-enhanced imaging].

M Jahn1, S Becker1, A Kribben2

  • 1Klinik für Nephrologie, Universitätsklinikum Essen, Universität Duisburg Essen, Hufelandstr. 55, 45147, Essen, Deutschland.

Der Radiologe
|April 25, 2019
PubMed
Summary
This summary is machine-generated.

The risk of contrast media-induced acute kidney injury (CI-AKI) may be overestimated, and its diagnostic benefits often outweigh potential risks. However, avoiding unnecessary contrast media administration remains the best prevention for CI-AKI.

Keywords:
Computed tomographyContrast-induced acute kidney injuryContrast-induced nephropathyMagnetic resonance imagingNephrogrenic fibrosing dermopathy

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Area of Science:

  • Nephrology
  • Radiology
  • Medical Imaging

Background:

  • Adverse reactions to contrast media present challenges in clinical decision-making for nephrologists and radiologists.
  • Contrast media-enhanced imaging necessitates careful consideration of potential kidney-related complications.

Purpose of the Study:

  • To evaluate the clinical presentations of contrast media-induced acute kidney injury (CI-AKI) and nephrogenic systemic fibrosis (NSF).
  • To assess the relationship between these conditions and overall kidney function.

Main Methods:

  • Literature search of PubMed and Medline using keywords: "kidney function" and "contrast media".
  • Inclusion of personal clinical experiences to supplement literature findings.

Main Results:

  • No new cases of nephrogenic systemic fibrosis (NSF) have been reported recently, attributed to preventive measures and restricted gadolinium-based contrast agent use.
  • Ongoing re-evaluation suggests the clinical relevance of CI-AKI may have been overstated.

Conclusions:

  • The perceived risk of CI-AKI has likely been overestimated and should not preclude the diagnostic advantages of contrast media-enhanced imaging.
  • The most effective strategy for preventing CI-AKI is to avoid the unnecessary use of contrast media.