SIRM-SIN-AIOM: appropriateness criteria for evaluation and prevention of renal damage in the patient undergoing contrast medium examinations—consensus statements from Italian College of Radiology (SIRM), Italian College of Nephrology (SIN) and Italian Association of Medical Oncology (AIOM)

The increasing number of examinations and interventional radiological procedures that require the administration of contrast medium (CM) in patients at risk for advanced age and/or comorbidities highlights the problem of CM-induced renal toxicity. A multidisciplinary group consisting of specialists...

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Published in:Radiologia medica 2022-05, Vol.127 (5), p.534-542
Main Authors: Orlacchio, Antonio, Guastoni, Carlo, Beretta, Giordano Domenico, Cosmai, Laura, Galluzzo, Michele, Gori, Stefania, Grassedonio, Emanuele, Incorvaia, Lorena, Marcantoni, Carmelita, Netti, Giuseppe Stefano, Passamonti, Matteo, Porta, Camillo, Procopio, Giuseppe, Rizzo, Mimma, Roma, Silvia, Romanini, Laura, Stacul, Fulvio, Casinelli, Alice
Format: Article
Language:English
Subjects:
Arteries
Body weight
Cancer
Computed tomography
Creatinine
Damage prevention
Diagnostic Radiology
Dialysis
Dilution
Evaluation
Gadolinium
Hydration
Imaging
Interventional Radiology
Magnetic resonance imaging
Medicine
Medicine & Public Health
Neuroradiology
Patients
Position Paper
Pulmonary circulation
Radiology
Renal function
Risk analysis
Risk assessment
Sodium
Sodium bicarbonate
Toxicity
Ultrasound
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Summary:The increasing number of examinations and interventional radiological procedures that require the administration of contrast medium (CM) in patients at risk for advanced age and/or comorbidities highlights the problem of CM-induced renal toxicity. A multidisciplinary group consisting of specialists of different disciplines—radiologists, nephrologists and oncologists, members of the respective Italian Scientific Societies—agreed to draw up this position paper, to assist clinicians increasingly facing the challenges posed by CM-related renal dysfunction in their daily clinical practice. The major risk factor for acute renal failure following CM administration (post-CM AKI) is the preexistence of renal failure, particularly when associated with diabetes, heart failure or cancer. In accordance with the recent guidelines ESUR, the present document reaffirms the importance of renal risk assessment through the evaluation of the renal function (eGFR) measured on serum creatinine and defines the renal risk cutoff when the eGFR is 
ISSN:1826-6983
0033-8362
1826-6983
DOI:10.1007/s11547-022-01483-8