Carmen Mallardi: Scuola Di Specializzazione in Radiodiagnostica, Università Degli Studi Di Milano, Milan, Italy.
Saif Afat: Department of Diagnostic and Interventional Radiology, Eberhard Karls University Tuebingen, Tuebingen, Germany.
Paulo Moraes Agnollitto: Ribeirão Preto Medical School, Radiology Division of the Department of Medical Imaging, Hematology and Clinical Oncology, University of São Paulo, São Paulo, Ribeirão Preto, Brazil.
Damiano Caruso: Department of Medical Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza - University of Rome, Rome, Italy.
Roberto Cannella: Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, Palermo, Italy.
Serena Carriero: Department of Radiology and Interventional Radiology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Kalina Chupetlovska: Department of Radiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Paola Clauser: Department of Biomedical Imaging and Image-Guided Therapy, Division of General and Pediatric Radiology, Medical University of Vienna, Vienna, Austria.
Tommaso D'Angelo: Diagnostic and Inverventional Radiology Unit, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy.
Domenico De Santis: Department of Medical Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza - University of Rome, Rome, Italy.
Marco Dioguardi Burgio: Department of Radiology, Hôpital Beaujon, AP-HP.Nord, 100 Boulevard du Général Leclerc, 92110, Clichy, France.
Ivo Dumic-Cule: Department of Diagnostic and Interventional Radiology, University Hospital Centre Zagreb, Kispaticeva 12, 10000, Zagreb, Croatia.
Salvatore Claudio Fanni: Department of Translational Research, Academic Radiology, University of Pisa, Pisa, Italy.
Stefano Fusco: Department of Biomedical Sciences for Health, Università Degli Studi Di Milano, Milan, Italy.
Marco Gatti: Radiology Unit, Department of Surgical Sciences, University of Turin, Turin, Italy.
Sonja Jankovic: Center for Radiology, University Clinical Center Nis, Nis, Republic of Serbia.
Tsvetomir Karagechev: Department of Radiology, Acibadem City Clinic Tokuda Hospital, Sofia, Bulgaria.
Michail E Klontzas: Department of Radiology, School of Medicine, University of Crete, Heraklion, Crete, Greece.
Emmanouil Koltsakis: Department of Radiology, Karolinska University Hospital of Stockholm, Stockholm, Sweden.
Doris Leithner: Department of Radiology, NYU Grossman School of Medicine, New York, NY, USA.
Vid Matišić: St. Catherine Specialty Hospital, 10000, Zagreb, Croatia.
Giuseppe Muscogiuri: Department of Radiology, ASST Papa Giovanni XXIII, Bergamo, Italy.
Ralitsa Penkova: Radiology Department, Acibadem City Clinic Tokuda Hospital, 51B Nikola Y. Vaptsarov Blvd, Sofia, 1407, Bulgaria.
Michela Polici: Department of Medical Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza - University of Rome, Rome, Italy.
Francesca Serpi: Department of Biomedical Sciences for Health, Università Degli Studi Di Milano, Milan, Italy.
Carmelo Sofia: Diagnostic and Inverventional Radiology Unit, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy.
Ziga Snoj: Radiology Institute, University Medical Centre Ljubljana, Zaloška 7, Ljubljana, Slovenia.
Tugba Akinci D'Antonoli: Institute of Radiology and Nuclear Medicine, Cantonal Hospital Baselland, Liestal, Switzerland.
Federica Vernuccio: Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, Palermo, Italy.
João Vieira: Radiology, Hospital Divino Espírito Santo, Ponta Delgada, Portugal.
Ana Catarina Vieira: Radiology Department, Hospital CUF Porto, Porto, Portugal.
Mirjam Wielema: Department of Radiology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
Marta Zerunian: Department of Medical Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza - University of Rome, Rome, Italy.
OBJECTIVES: To collect real-world data about the knowledge and self-perception of young radiologists concerning the use of contrast media (CM) and the management of adverse drug reactions (ADR). METHODS: A survey (29 questions) was distributed to residents and board-certified radiologists younger than 40 years to investigate the current international situation in young radiology community regarding CM and ADRs. Descriptive statistics analysis was performed. RESULTS: Out of 454 respondents from 48 countries (mean age: 31.7 ± 4 years, range 25-39), 271 (59.7%) were radiology residents and 183 (40.3%) were board-certified radiologists. The majority (349, 76.5%) felt they were adequately informed regarding the use of CM. However, only 141 (31.1%) received specific training on the use of CM and 82 (18.1%) about management ADR during their residency. Although 266 (58.6%) knew safety protocols for handling ADR, 69.6% (316) lacked confidence in their ability to manage CM-induced ADRs and 95.8% (435) expressed a desire to enhance their understanding of CM use and handling of CM-induced ADRs. Nearly 300 respondents (297; 65.4%) were aware of the benefits of contrast-enhanced ultrasound, but 249 (54.8%) of participants did not perform it. The preferred CM injection strategy in CT parenchymal examination and CT angiography examination was based on patient's lean body weight in 318 (70.0%) and 160 (35.2%), a predeterminate fixed amount in 79 (17.4%) and 116 (25.6%), iodine delivery rate in 26 (5.7%) and 122 (26.9%), and scan time in 31 (6.8%) and 56 (12.3%), respectively. CONCLUSION: Training in CM use and management ADR should be implemented in the training of radiology residents. CRITICAL RELEVANCE STATEMENT: We highlight the need for improvement in the education of young radiologists regarding contrast media; more attention from residency programs and scientific societies should be focused on training about contrast media use and the management of adverse drug reactions. KEY POINTS: • This survey investigated training of young radiologists about use of contrast media and management adverse reactions. • Most young radiologists claimed they did not receive dedicated training. • An extreme heterogeneity of responses was observed about contrast media indications/contraindications and injection strategy.
