MRI Contrast Reaction Management: Documentation & Protocol Guide Released

ContrastConnect's new documentation and protocol guide for MRI contrast reaction management incorporates 2025 ACR-AAAAI consensus recommendations that shift away from routine premedication for mild reactions and prioritize accurate EHR documentation of specific inciting agents.

-- ContrastConnect has released a Documentation & Protocol Guide addressing the management of hypersensitivity reactions to MRI contrast media, reflecting a significant shift in clinical practice.

More information is available at https://www.contrast-connect.com/blog-post/mri-contrast-reaction-management-documentation-protocol-explained

The new guide incorporates updated consensus recommendations from the American College of Radiology and the American Academy of Allergy, Asthma & Immunology, particularly emphasizing a departure from routine premedication for mild immediate reactions and prioritizing accurate electronic health record documentation of inciting agents. This evidence-based approach responds to evolving clinical data, including a 2025 consensus statement jointly issued by the American College of Radiology (ACR) and the American Academy of Allergy, Asthma & Immunology (AAAAI) that challenges prior premedication protocols and highlights the importance of identifying specific contrast agents to optimize future imaging decisions.

Clinical datasets from the ACR and the European Society of Urogenital Radiology (ESUR) indicate that the most severe acute reactions to iodinated contrast occur within 30 minutes of injection and require rapid recognition and standardized treatment protocols. Delays in administering epinephrine during anaphylaxis increase morbidity risks, yet inconsistent documentation has historically led to unnecessary premedication or delayed management. ContrastConnect's guide addresses these safety factors by outlining standardized workflows so that radiologists and specialized staff can intervene with precision.

Thorough documentation of the specific agent and symptom profile is now a critical expert recommendation. Rather than using generic labels like "contrast allergy," the guide outlines how to record precise details in the EHR to inform future imaging and reduce unnecessary prophylaxis. This practice aligns with the foundational recommendations of the ACR consensus statement, which positions accurate data as the key to minimizing repeat reactions.

The guide introduces a stratified premedication strategy based on reaction severity. Mild reactions no longer warrant routine premedication, while moderate reactions call for shared decision-making. For severe reactions, premedication is recommended only when alternative imaging is unfeasible. Furthermore, directly switching contrast agents—when the inciting agent is known—has proven more effective at reducing breakthrough reactions than premedication alone.

Anaphylaxis recognition and epinephrine-first management remain the foundation of any effective safety protocol. All imaging centers must be prepared with trained clinical staff and appropriate emergency supplies. The guide integrates these preparedness standards with documentation best practices, offering imaging networks a unified framework for managing adverse events while maintaining operational throughput.

"Our team supervises over 55,000 contrast exams monthly and manages 5-10 contrast reactions daily, bringing unmatched clinical experience," said a spokesperson for ContrastConnect. "Facilities partnering with us benefit from audit-ready documentation and the ability to extend coverage without adding on-site radiologists."

By standardizing reaction management and reducing care variation, this guide helps imaging groups implement evidence-based protocols across multiple facilities. Specialized teams are encouraged to integrate these recommendations into institutional workflows to enhance patient safety and procedural consistency.

For more details, visit https://www.contrast-connect.com/

Contact Info:
Name: Dor Shoshan
Email: Send Email
Organization: ContrastConnect
Address: Las vegas, Las Vegas, NV 89109, United States
Website: https://www.contrast-connect.com/

Source: PressCable

Release ID: 89183496

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