Iodinated contrast media and their effect on thyroid function – Routines and practices among diagnostic imaging departments in Norway
Abstract Introduction In order to minimise adverse effects or patient injuries related to the effect of iodinated contrast media (ICM) on the thyroid, international guidelines and research recommend developing routines for identification and management of patients at risk of developing a thyroid dys...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-06-01
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| Series: | Journal of Medical Radiation Sciences |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/jmrs.390 |
| _version_ | 1818297463032774656 |
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| author | Albertina Rusandu Bjørnar Heggdal Sjøvold Edvin Hofstad Randi Johansen Reidunsdatter |
| author_facet | Albertina Rusandu Bjørnar Heggdal Sjøvold Edvin Hofstad Randi Johansen Reidunsdatter |
| author_sort | Albertina Rusandu |
| collection | DOAJ |
| description | Abstract Introduction In order to minimise adverse effects or patient injuries related to the effect of iodinated contrast media (ICM) on the thyroid, international guidelines and research recommend developing routines for identification and management of patients at risk of developing a thyroid dysfunction. This study aimed to investigate thyroid‐related ICM administration practices among diagnostic imaging departments in Norway. Methods The cross‐sectional survey included 24 hospitals and 75 respondents with a 69% response rate. The survey covered practices for assessment and management of at‐risk patients and the participants’ perceived rationale for the routines. Results The use of written checklists as recommended by international guidelines was quite modest (15%) and the respondents preferred various methods to identify risk and contraindications. Only 20% reported checking for any scheduled thyroid‐scintigraphy and/or radioactive‐iodine therapy. 42% indicated that they did not have thyroid‐related ICM routines, and the main perceived reason was lack of knowledge on the topic. Radiographers and radiologists expressed uncertainty about each other’s roles and routines. Conclusion This study revealed the need of optimisation of routines regarding ICM administration to patients at risk for thyroid dysfunction. |
| first_indexed | 2024-12-13T04:19:50Z |
| format | Article |
| id | doaj.art-39f29cceab3e4f7a8c58af7eb877386c |
| institution | Directory Open Access Journal |
| issn | 2051-3895 2051-3909 |
| language | English |
| last_indexed | 2024-12-13T04:19:50Z |
| publishDate | 2020-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Medical Radiation Sciences |
| spelling | doaj.art-39f29cceab3e4f7a8c58af7eb877386c2022-12-21T23:59:47ZengWileyJournal of Medical Radiation Sciences2051-38952051-39092020-06-0167211111810.1002/jmrs.390Iodinated contrast media and their effect on thyroid function – Routines and practices among diagnostic imaging departments in NorwayAlbertina Rusandu0Bjørnar Heggdal Sjøvold1Edvin Hofstad2Randi Johansen Reidunsdatter3Department of Circulation and Medical Imaging Norwegian University of Science and Technology (NTNU) Trondheim NorwayDepartment of Circulation and Medical Imaging Norwegian University of Science and Technology (NTNU) Trondheim NorwayDepartment of Circulation and Medical Imaging Norwegian University of Science and Technology (NTNU) Trondheim NorwayDepartment of Circulation and Medical Imaging Norwegian University of Science and Technology (NTNU) Trondheim NorwayAbstract Introduction In order to minimise adverse effects or patient injuries related to the effect of iodinated contrast media (ICM) on the thyroid, international guidelines and research recommend developing routines for identification and management of patients at risk of developing a thyroid dysfunction. This study aimed to investigate thyroid‐related ICM administration practices among diagnostic imaging departments in Norway. Methods The cross‐sectional survey included 24 hospitals and 75 respondents with a 69% response rate. The survey covered practices for assessment and management of at‐risk patients and the participants’ perceived rationale for the routines. Results The use of written checklists as recommended by international guidelines was quite modest (15%) and the respondents preferred various methods to identify risk and contraindications. Only 20% reported checking for any scheduled thyroid‐scintigraphy and/or radioactive‐iodine therapy. 42% indicated that they did not have thyroid‐related ICM routines, and the main perceived reason was lack of knowledge on the topic. Radiographers and radiologists expressed uncertainty about each other’s roles and routines. Conclusion This study revealed the need of optimisation of routines regarding ICM administration to patients at risk for thyroid dysfunction.https://doi.org/10.1002/jmrs.390Computerised tomographycontraindicationscontrast mediaquality assurance |
| spellingShingle | Albertina Rusandu Bjørnar Heggdal Sjøvold Edvin Hofstad Randi Johansen Reidunsdatter Iodinated contrast media and their effect on thyroid function – Routines and practices among diagnostic imaging departments in Norway Journal of Medical Radiation Sciences Computerised tomography contraindications contrast media quality assurance |
| title | Iodinated contrast media and their effect on thyroid function – Routines and practices among diagnostic imaging departments in Norway |
| title_full | Iodinated contrast media and their effect on thyroid function – Routines and practices among diagnostic imaging departments in Norway |
| title_fullStr | Iodinated contrast media and their effect on thyroid function – Routines and practices among diagnostic imaging departments in Norway |
| title_full_unstemmed | Iodinated contrast media and their effect on thyroid function – Routines and practices among diagnostic imaging departments in Norway |
| title_short | Iodinated contrast media and their effect on thyroid function – Routines and practices among diagnostic imaging departments in Norway |
| title_sort | iodinated contrast media and their effect on thyroid function routines and practices among diagnostic imaging departments in norway |
| topic | Computerised tomography contraindications contrast media quality assurance |
| url | https://doi.org/10.1002/jmrs.390 |
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