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Enhancement after IV gadolinium contrast medium administration is variable [66].
An important consequence of this finding is that contrast medium administration is needless in these cases.
One of the major new things in the guideline is the fact that the route of contrast medium administration is discriminative in assessing the risk.
If contrast medium administration is performed as a dynamic examination, the contrast medium enhancement curve can be reviewed and assessed for its enhancement pattern, further increasing the sensitivity and specificity of the examination [16].
Another major new item in the guideline is the fact that intravenous administration of 3 ml/kg/h sodium bicarbonate 1.4%%, starting 1 h before and continuing at a dose of 1 ml/kg/h for 3 h after the contrast medium administration is an adequate alternative in elective examinations, and the preferred schedule in emergency situations.
Enhancement after contrast medium administration is often relatively poor.
Similar(49)
T1-weighted sequences (VIBE) with intravenous contrast medium administration are performed to assess whether enhancing areas (with more perfusion) are present in the small bowel.
If an examination has failed because the patient has moved or contrast medium administration was omitted, it is not enough to state this in the report.
In studies with similar clinical indications in which contrast medium administration was not critical, the dose effect of splitting long image ranges into two separate helical acquisitions was variable.
No clinically significant effect of repeated contrast medium administration was determined in this limited study.
In cancer suspected cases the additional multiphase exam after i.v. contrast medium administration was done.
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