This is the third edition of a very successful book that originally emerged from the work of a committee set up by the European Society of Urogenital Radiology in 1994 to consider the safety of contrast media used for diagnostic imaging. The new edition not only fully updates the previous edition, but also includes new chapters on complex topics such as pediatric issues and practical aspects of off-label contrast media use. Comprehensive consideration is given to the many different safety issues relating to iodine-based contrast media, gadolinium-based contrast media, microbubbles for ultrasound, and barium sulfate. The text includes chapters on both acute and delayed non-renal adverse reactions and on renal adverse reactions. All of the questions frequently raised in radiological practice are addressed. This book, presented in a handy, easy-to-use format, provides an invaluable, unique, and unparalleled source of information.

General Issues: Classification and Terminology

Requests for Imaging using contrast agents: What information must be provided
Off-label use of medicines: legal aspects
Off-label use of contrast media: practical aspects
Pharmacovigilance: When to report adverse reactions to contrast media
What is required to get the authorities to approve a new contrast medium?
A critical review of meta-analysis of adverse events after contrast media
Iodine- and Gadolinium-Based Contrast Media: General Adverse Reactions: Acute adverse reactions to contrast media: Mechanisms and prevention
Iodine-based contrast medium temperature and adverse reactions
Management of acute adverse reactions to contrast media
Renal Adverse reactions: Chronic kidney disease, serum creatinine and estimated glomerular filtration rate (eGFR)
Contrast medium-induced nephropathy
Dialysis and contrast media
Other adverse effects: Pregnancy and lactation: intravascular use of contrast media
Pheochromocytoma and contrast media
Contrast media and interactions with other drugs and clinical tests
Contrast media extravasation injury
Iodine-based contrast media: Late adverse reactions to iodine-based contrast media
Effects of iodine-based contrast media on blood and endothelium
Effects of iodine-based contrast media on thyroid function
Pulmonary effects of iodine-based contrast media
MRcontrast media: Gadolinium chelates and stability
Diagnostic efficacy of gadolinium-based contrast media
Radiography with gadolinium-based contrast media
Acute adverse reactions to gadolinium-based contrast media
Nephrogenic systemic fibrosis and gadolinium- based contrast media
Organ specific gadolinium-based contrast media
Ultrasonographic Contrast media
Barium Preparations: Barium preparations: safety issues
Pediatric use of Contrast Media: Contrast media use in pediatrics: Safety issues
Appendix: ESUR Guidelines on Contrast Media Version 8.1
Official publications from the Contrast Media Safety Committee of the European Society of Urogenital Radiology.