The current shortage of iodinated contrast in the United States due to the COVID-19 related production shutdown in China is causing severe disruptions in patient care. A new Harvey L. Neiman Health Policy Institute study outlines the most frequently used computed tomography (CT) services performed on Medicare beneficiaries as focus areas for mitigation strategies for the greatest overall impact.

The computed tomography angiography (CTA) consists of injecting contrast into the venous circulation of the patient, followed by a series of x-ray images (lower two images). The radiologist then reconstructs three dimensionally the main arteries of the brain using the computer with special software. This is a computer generated image, it is not as sharp as a regular photograph, but it is the sharpest image that can be delivered to date. In this case this CTA shows an anterior communicating artery aneurysm. Getty Images


June 1, 2022 — The current shortage of iodinated contrast in the United States due to the COVID-19 related production shutdown in China is causing severe disruptions in patient care. A new Harvey L. Neiman Health Policy Institute study outlines the most frequently used computed tomography (CT) services performed on Medicare beneficiaries as focus areas for mitigation strategies for the greatest overall impact.

The Journal of American College of Radiology (JACR) study looked at 9.6 million CTs involving iodinated contrast in the Medicare Physician/Supplier Procedure Summary file which represents 100% of Medicare Part B claims in 2019 – the latest pre-pandemic year of data available. The study found that utilization of contrast enhanced CT was highest in the outpatient hospital and emergency department settings. By body region, utilization was highest for the abdomen/pelvis, particularly in outpatient hospitals and emergency departments, followed next by chest CT. For CT angiography, the highest relative utilization relative to standard CT was of the brain followed by head/neck, and in the emergency department and hospital inpatient settings.

According to lead author, Richard Duszak, Jr., MD, Professor and Vice Chair for Health Policy and Practice in the Department of Radiology and Imaging Sciences at Emory University School of Medicine and Neiman HPI Affiliate Senior Research Fellow, “the highlighted site of service and body region differences may help guide the creation of the most impactful teams via multi-disciplinary collaboration to balance mitigation with clinical service needs.”

Computed tomography (CT) with contrast is increasingly relied upon for the diagnosis and follow up of a variety of conditions. “The results of this study can help guide current intense efforts nationally and institutionally to identify strategies to minimize or avoid iodinated contrast use by using alternative imaging modalities, contrast agents, or protocols that reduce or minimize waste resulting from individual doses,” says Dr. Duszak. “Such strategies will be most efficient and impactful when focused on the most frequently used services.”

For more information: https://www.neimanhpi.org/

Related Content of MRI Gadolinium Concerns

New Report Provides Strategies for Managing Contrast Shortage

AJR Publishes Best Practices for Iodinated Contrast Media Shortage

Voluntary Dismissal of Chuck Norris Gadolinium Case Involving Bracco

VIDEO: How Serious is MRI Gadolinium Retention in the Brain and Body? An interview with Max Wintermark, M.D.

VIDEO “Big Concerns Remain for MRI Gadolinium Contrast Safety at RSNA 2017,” An interview with Emanuel Kanal, M.D.

Radiology Has Failed to Properly Assess or Track MRI Gadolinium Contrast Safety

Recent Developments in Contrast Media

FDA Committee Votes to Expand Warning Labels on Gadolinium-Based Contrast Agents

European Medicines Agency Issues Update on Gadolinium Contrast Agents

Related Content

News | Radiology Business

July 1, 2022 — Richard Fabian has been promoted to the role of Chief Executive Officer (CEO) of Fujifilm Sonosite, Inc ...

Time July 01, 2022
arrow
News | Magnetic Resonance Imaging (MRI)

June 30, 2022 — When a patient with head and neck cancer has surgery to remove it, they often need reconstructive ...

Time June 30, 2022
arrow
News | Radiology Business

June 29, 2022 — Siemens Healthineers and The Ohio State University Wexner Medical Center announced a new alliance, aimed ...

Time June 29, 2022
arrow
News | Coronavirus (COVID-19)

June 27, 2022 — Three articles and an accompanying editorial provide information on the effects of Long COVID in the ...

Time June 28, 2022
arrow
News | Cardiac Imaging

June 24, 2022 — The Radiological Society of North America (RSNA) reports that Coronary Artery Calcium (CAC) scoring with ...

Time June 24, 2022
arrow
News | Lung Imaging

June 24, 2022 — Xoran Technologies announced they have begun work on Phase 2 of their mobile lung grant with the goal to ...

Time June 24, 2022
arrow
News | Digital Radiography (DR)

June 22, 2022 — Canadian manufacturer KA Imaging unveiled a new brand identity for its patented dual-energy technology ...

Time June 22, 2022
arrow
News | Radiology Imaging

June 21, 2022 — After less than two years of data collection and processing, the Radiological Society of North America ...

Time June 21, 2022
arrow
News | SIR

June 20, 2022 — SIR Foundation launched a program to enhance the scientific rigor of research into interventional ...

Time June 20, 2022
arrow
News | Computed Tomography (CT)

June 16, 2022 — Xoran Technologies has recently received a patent for a modular computed tomography (CT) system assembly ...

Time June 16, 2022
arrow
Subscribe Now