Manual on Contrast Media

The premier resource for using contrast media in imaging has been updated. Included in the Manual on Contrast Media:

Updated chapters:

Manual on Contrast Media

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Contrast Manual Chapters

Preface	Version HIstory
Introduction	Patient Selection and Preparation Strategies
Fasting Prior to Intravascular Contrast Media Administration	Injection of Contrast Media
Extravasation of Contrast Media	Allergic-Like and Physiologic Reactions to Intravascular Iodinated Contrast Media
Contrast Media Warming	Contrast-Associated Acute Kidney Injury and Contrast Induced Acute Kidney injury In Adults
Metformin	Contrast Media in Children
Gastrointestinal (GI) Contrast Media in Adults: Indications and Guidelines	ACR–ASNR Position Statement on the Use of Gadolinium Contrast Agents
Adverse Reactions to Gadolinium-Based Contrast Media	Nephrogenic Systemic Fibrosis
Ultrasound Contrast Media	Treatment of Contrast Reactions
Administration of Contrast Media to Pregnant or Potentially Pregnant Patients	Administration of Contrast Media to Women Who are Breast Feeding

Contrast Media Tables

Table1: Categories of Acute Reactions	Table 2: Treatment of Acute Reactions to Contrast Media in Children
Table 3: Management of Acute Reactions to Contrast Media in Adults	Table 4: Equipment for Contrast Reaction Kits in Radiology
APPENDIX A: Contrast Media Specifications

Contrast Reaction Cards

Contrast Reaction Card (Adult)

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Contrast Reaction Card (Pediatric)

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Related Resources

ACR-Backed FDA Action to Monitor Young At-Risk Children Who Receive Iodinated Contrast Media

ACR-NKF Consensus Statement: Use of Intravenous Iodinated Contrast Media in Patients with Kidney Disease

ACR-NKF Consensus Statement: Use of Intravenous Gadolinium-based Contrast Media in Patients with Kidney Disease

ACR Committee on Drugs and Contrast Media Brief Statement on Nomenclature for Symptoms Associated with Gadolinium-Based Contrast Agent Exposure (SAGE)

Gadolinium Deposition: What We Know and Don't Know, A Research Roadmap

Statement from Drugs and Contrast Media Committee on Supervision of Contrast Material Administration

Gadolinium Pregnancy Screening Statement – 2022