Post Contrast-Acute Kidney Injury in CT Imaging: A Knowledge, Perception and Practice Assessment among Radiographers...

Introduction. Contrast-induced nephropathy (CIN), often referred to as post-contrast acute kidney injury (PC-AKI), remains a significant issue in diagnostic imaging procedures that utilize iodinated contrast agents. This study aims to examine the knowledge, perceptions, and practices of radiologists and radiographers regarding PC-AKI. Methods. A survey was conducted among South Indian radiologists and radiographers in November and December of 2024. Following widespread outreach, 80 radiologists and 224 radiographers completed the survey. A 30-item multiple-choice survey was used to gather data utilizing Google Forms. Results. Most radiologists (93.8%) and radiographers (63.8%) correctly identified a 25% or 0.5 mg/dL increase in serum creatinine (SCr) within 48-72 hours as a diagnostic criterion for PC-AKI. However, 12.5% of radiographers incorrectly identified increases in HbA1c and (11.6%) temporary reductions in renal function as markers of PC-AKI. Radiologists (97.5%) and radiographers (79%) recognized eGFR and SCr as renal function indicators. 76.8% of radiographers and 91.3% of radiologists considered diabetes, heart failure, and chronic kidney disease as the greatest risk factors. 68.8% of radiologists preferred immediate CT for emergency polytrauma patients, whereas 23.7% preferred waiting for renal function findings. Discussion. This research highlights the important roles of radiologists and radiographers in managing and preventing PC-AKI. There are significant knowledge gaps, particularly in emergency situations and when dealing with pregnant or paediatric patients. Radiographers, in particular, demonstrate a lack of understanding regarding PC-AKI prevention, indicating a need for specialized training.