Contrast reaction training in US radiology residencies: a COARDRI study


      • Contrast reaction management training is increasingly incorporating simulation training and online content.
      • 89.4% of the radiology residency programs who responded provide didactic lectures.
      • 37.8% of radiology residency programs who responded provided hands-on simulation training.
      • Only 2.1% of the programs who responded to the survey provide pediatric contrast allergy simulation training.
      • 57.7% of programs indicated willingness to share their contrast reaction curriculum.
      • To address patient safety needs, it is imperative that a national curriculum be developed.



      To perform a survey-based assessment of current contrast reaction training in US diagnostic radiology residency programs.


      An electronic survey was distributed to radiology residency program directors from 9/2015–11/2015.


      25.7% of programs responded. 95.7% of those who responded provide contrast reaction management training. 89.4% provide didactic lectures (occurring yearly in 71.4%). 37.8% provide hands-on simulation training (occurring yearly in 82.3%; attended by both faculty and trainees in 52.9%).


      Wide variability in contrast reaction education in US diagnostic radiology residency programs reveals an opportunity to develop and implement a national curriculum.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Cochran S.T.
        • Bomyea K.
        • Sayre J.
        Trends in adverse events after IV administration of contrast media.
        AJR Am J Roentgenol. 2001; 176: 1285-1388
        • Mortele K.J.
        • Olivia M.R.
        • Ondategui S.
        • Ros P.
        • Silverman S.G.
        Universal use of nonionic iodinated contrast medium for CT: evaluation of safety in a large urban teaching hospital.
        AJR Am J Roentgenol. 2005; 185: 31-34
        • Wang C.L.
        • Cohan R.H.
        • Ellis J.H.
        • Caoili E.M.
        • Wang G.
        • Francis I.R.
        Frequency, outcome and appropriateness of treatment of nonionic iodinated contrast media reactions.
        AJR Am J Roentgenol. 2008; 191: 409-415
        • Katayama H.
        • Yamaguchi K.
        • Kozuka T.
        • Takashima T.
        • Seez P.
        • Matsuura K.
        Adverse reactions to ionic and nonionic contrast media. A report from the Japanese Committee on the Safety of Contrast Media.
        Radiology. 1990; 175: 621-628
        • Petscavage J.M.
        • Paladin A.M.
        • Wang C.L.
        • Schopp J.G.
        • Richardson M.L.
        • Bush W.H.
        Current status of residency-training of allergic-like adverse events to contrast media.
        Acad Radiol. 2012; 19: 252-255
        • Chinnugounder S.
        • Hippe D.S.
        • Maximin S.
        • O'Malley R.B.
        • Wang C.L.
        Perceived barriers to the use of high-fidelity hands-on simulation training for contrast reaction management: why programs are not using it.
        Curr Probl Diagn Radiol. 2015; 44: 474-478
        • Pfeifer K.
        • Staib L.
        • Arango J.
        • Kirsch J.
        • Arici M.
        • Kappus L.
        • et al.
        High-fidelity contrast reaction simulation training: performance comparison of faculty, fellows and residents.
        JACR. 2016; 13: 81-87
        • Lightfoot C.B.
        • Abraham R.J.
        • Mammen T.
        • Abdolell M.
        • Kapur S.
        • Abraham R.J.
        Survey of radiologists' knowledge regarding the management of severe contrast material-induced allergic reactions.
        Radiology. 2009; 251: 691-696
        • Wang C.L.
        • Davenport M.S.
        • Chinnugounder S.
        • Schopp J.G.
        • Kani K.
        • Zaidi S.
        • et al.
        Errors of epinephrine administration during severe allergic-like contrast reactions: lessons learned from a bi-institutional study using high-fidelity simulation testing.
        Abdom Imag. 2014; 39: 1127-1133
        • Bartlett M.J.
        • Bynevelt M.
        Acute contrast reaction management by radiologists: a local audit study.
        Australas Radiol. 2003; 47: 363-367
        • Day K.
        • Janicek A.
        • Hall E.T.
        • Jokerst C.
        Taking contrast contrast seriously.
        JACR. 2015; 12: 425-426
        • Deitte L.A.
        • Gordon L.L.
        • Zimmerman R.D.
        • Stern E.J.
        • McLoud T.C.
        • Diaz-Marchan P.J.
        • et al.
        Entrustable professional activities: ten things radiologists do.
        Acad Radiol. 2016; 23: 374-381
        • Deitte L.
        The new residency curriculum: professionalism, patient safety and more.
        JACR. 2013; 10: 613-617
        • Swensson J.
        • McMahan L.
        • Rase B.
        • Tahir B.
        Curricula for teaching MRI safety, and MRI and CT contrast safety to residents: how effective are live lectures and online modules?.
        JACR. 2015; 12: 1093-1096
        • Trout A.T.
        • Cochran R.H.
        • Ellis J.H.
        • Khalatbari S.
        Teaching management of contrast reactions: does it work and how often do we need to refresh?.
        Acad Radiol. 2012; 19: 498-504
        • Nulty D.D.
        The adequacy of response rates to online and paper surveys: what can be done?.
        Assess Eval High Educ. 2008; 33: 301-314