Contrast media shortage mitigation strategies
See resources

Manual on Contrast Media

RecommendThanks for recommending this page!

The page you recommended will be added to the "what others are reading" feed on "My ACR".

 BookmarkThanks for bookmarking this page!

The page you bookmarked will be added to the "my reading list" feed on "My ACR".

The premier resource for using contrast media in imaging has been updated. Included in the Manual on Contrast Media:

Updated chapters:

ACR Contrast Reaction Mobile App »

Manual on Contrast Media

Download Your Copy of the Contrast Manual Today »

PLEASE NOTE: If you have difficulties viewing a PDF file in Chrome, you may install a PDF viewer extension  by Adobe to correct those issues.

Alternately, you may right-click the link and select "save target as" or "save link as" to download the file to your local drive. You will then be able to open the file from your local drive.

Contrast Manual Chapters

Preface Version History
Introduction Patient Selection and Preparation Strategies
Fasting Prior to Intravascular Contrast Media Administration Injection of Contrast Media
Extravasation of Contrast Media
 Allergic-Like and Physiologic Reactions to Intravascular Iodinated Contrast Media
Contrast Media Warming Contrast-Associated Acute Kidney Injury and Contrast Induced Acute Kidney injury In Adults
Metformin

Contrast Media in Children – 2024 Update
Gastrointestinal (GI) Contrast Media in Adults: Indications and Guidelines – 2024 Update
 ACR–ASNR Position Statement on the Use of Gadolinium Contrast Agents

Nephrogenic Systemic Fibrosis
Ultrasound Contrast Media Treatment of Contrast Reactions
Administration of Contrast Media to Pregnant or Potentially Pregnant Patients Administration of Contrast Media to Patients Who are Breast-Feeding – 2024 Evidenced Based Update

Contrast Media Tables

Table1: Categories of Acute Reactions Table 2: Treatment of Acute Reactions to Contrast Media in Children 
Table 3: Management of Acute Reactions to Contrast Media in Adults Table 4: Equipment for Contrast Reaction Kits in Radiology
APPENDIX A: Contrast Media Specifications  

Contrast Reaction Cards

Contrast Reaction Card (Adult)

Download the Adult Contrast Reaction Card »
 

Contrast Reaction Card (Pediatric)

Download the Pediatric Contrast Reaction Card »

Related Resources

ACR-Backed FDA Action to Monitor Young At-Risk Children Who Receive Iodinated Contrast Media
ACR-NKF Consensus Statement: Use of Intravenous Iodinated Contrast Media in Patients with Kidney Disease
ACR-NKF Consensus Statement: Use of Intravenous Gadolinium-based Contrast Media in Patients with Kidney Disease
ACR Committee on Drugs and Contrast Media Brief Statement on Nomenclature for Symptoms Associated with Gadolinium-Based Contrast Agent Exposure (SAGE)
Gadolinium Deposition: What We Know and Don't Know, A Research Roadmap
Statement from Drugs and Contrast Media Committee on Supervision of Contrast Material Administration
Gadolinium Pregnancy Screening Statement – 2022