Contrast media for fluoroscopic examinations of the GI and GU tracts: current challenges and recommendations.

Journal Article (Journal Article;Review)

One of the significant challenges facing radiologists who perform and interpret studies of the gastrointestinal and genitourinary systems have been periodic interruptions in the availability of barium and iodinated contrast media specially formulated for gastrointestinal (GI) and genitourinary (GU) studies. These interruptions are due to the US Food and Drug Administration's recent requirement for more stringent documentation of the safety and efficacy of contrast media and the consolidation among contrast manufacturers. Therefore, radiologists may be required to recommend an alternative means of evaluation, such as computed tomography, magnetic resonance, or endoscopy, or they may need to substitute a different formulation of a contrast agent not specifically developed for GI or GU use, for example the utilization of an agent designed and marketed for vascular use. This article reviews the current status of fluoroscopic contrast media, and provides suggestions and recommendations for the optimal and alternative use of contrast media formulations.

Full Text

Duke Authors

Cited Authors

  • Federle, MP; Jaffe, TA; Davis, PL; Al-Hawary, MM; Levine, MS

Published Date

  • January 2017

Published In

Volume / Issue

  • 42 / 1

Start / End Page

  • 90 - 100

PubMed ID

  • 27503380

Electronic International Standard Serial Number (EISSN)

  • 2366-0058

Digital Object Identifier (DOI)

  • 10.1007/s00261-016-0861-1


  • eng

Conference Location

  • United States