Contrast allergies for neurological imaging: When to proceed.

IF 0.9 Q4 IMMUNOLOGY
AIMS Allergy and Immunology Pub Date : 2022-01-01 Epub Date: 2022-10-17 DOI:10.3934/allergy.2022016
Anna Fusco, Logan Pucci, Kevin Pierre, Adam Wolberg, Coulter Small, John Cerillo, Mohammad Reza Hosseini Siyanaki, Brandon Lucke-Wold
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引用次数: 0

Abstract

Contrast-enhanced neuroimaging is often necessary for the diagnosis and care of patients with diseases of the central nervous system. Although contrast is generally well tolerated and allergy to contrast is rare, allergic reactions can be severe and life threatening. Therefore, physicians should take care to prevent severe contrast allergy. In this review, we will discuss contrast allergy as well as potential strategies to reduce the risk of severe reactions in patients who require neuroimaging techniques with contrast. First, we discuss the clinical presentation and pathogenesis of contrast allergy and the risk factors associated with reactions. We then review methods to reduce the risk of future contrast reactions through improved patient education and documentation strategies, use of alternate imaging modalities or contrast media, premedication, and desensitization.

神经成像对比过敏:何时进行
对比增强神经成像对于中枢神经系统疾病的诊断和治疗通常是必要的。虽然造影剂通常耐受性良好,对造影剂过敏也很少见,但过敏反应可能很严重,甚至危及生命。因此,医生应注意防止严重的对比过敏。在这篇综述中,我们将讨论造影剂过敏以及降低需要造影剂神经成像技术的患者严重反应风险的潜在策略。首先,我们讨论对比过敏的临床表现和发病机制以及与反应相关的危险因素。然后,我们回顾了通过改进患者教育和记录策略、使用替代成像方式或造影剂、预用药和脱敏来降低未来造影剂反应风险的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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