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주사용 요오드화 조영제 및 MRI용 가돌리늄 조영제 유해 반응에 대한 한국 임상진료지침: 개정된 임상적 합의 및 권고안(2022년 제3판)

  • Se Won Oh (Department of Radiology, The Catholic University of Korea, Eunpyeong St. Mary's Hospital) ;
  • So Young Park (Department of Internal Medicine, Chung-Ang University College of Medicine) ;
  • Hwan Seok Yong (Department of Radiology, Cardiothoracic Division, Korea University Guro Hospital) ;
  • Young Hun Choi (Department of Radiology, Seoul National University Hospital) ;
  • Min Jae Cha (Department of Radiology, Chung-Ang University College of Medicine) ;
  • Tae Bum Kim (Department of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Ji Hyang Lee (Department of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Sae Hoon Kim (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Jae Hyun Lee (Division of Allergy and Immunology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Gyu Young Hur (Department of Internal Medicine, Korea University College of Medicine) ;
  • Jae Yeon Hwang (Department of Radiology, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, College of Medicine, Pusan National University) ;
  • Sejoong Kim (Division of Nephrology, Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Hyo Sang Kim (Division of Nephrology, Department of Internal Medicine, Asan Medical Center, University of Ulsan) ;
  • Ji Young Ryu (Division of Nephrology, Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital) ;
  • Miyoung Choi (Division of Health Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency) ;
  • Chi-Hoon Choi (Department of Radiology, Chungbuk National University Hospital, College of Medicine and Medical Research Institute, Chungbuk National University)
  • 오세원 (가톨릭대학교 은평성모병원 영상의학과) ;
  • 박소영 (중앙대학교 의과대학 내과학교실) ;
  • 용환석 (고려대학교 구로병원 영상의학과) ;
  • 최영훈 (서울대학교병원 영상의학과) ;
  • 차민재 (중앙대학교 의과대학 영상의학과) ;
  • 김태범 (울산대학교 의과대학 서울아산병원 알레르기내과) ;
  • 이지향 (울산대학교 의과대학 서울아산병 신장내과) ;
  • 김세훈 (분당서울대학교병원 신장내과) ;
  • 이재현 (연세대학교 의과대학 내과학교실 알레르기 및 면역학교실) ;
  • 허규영 (고려대학교 의과대학 내과학교실) ;
  • 황재연 (부산대학교 의과대학 양산부산대학교병원 의생명과학기술융합연구소 영상의학과) ;
  • 김세중 (분당서울대학교병원 신장내과) ;
  • 김효상 (울산대학교 의과대학 서울아산병 신장내과) ;
  • 류지영 (한림대학교 동탄성심병원 신장내과) ;
  • 최미영 (한국보건의료연구원 보건의료근거연구본부) ;
  • 최치훈 (충북대학교병원 영상의학과, 충북대학교 의과대학 의과학연구소)
  • Received : 2022.03.09
  • Accepted : 2022.03.19
  • Published : 2022.03.01

Abstract

The Korean Society of Radiology and Medical Guidelines Committee amended the existing 2016 guidelines to publish the "Korean Clinical Practice Guidelines for Adverse Reactions to Iodide Contrast for Injection and Gadolinium Contrast for MRI: The Revised Clinical Consensus and Recommendations (2022 Third Edition)." Expert members recommended and approved by the Korean Society of Radiology, the Korean Academy of Asthma, Allergy and Clinical Immunology, and the Korean Nephrology Society participated together. According to the expert consensus or systematic literature review, the description of the autoinjector and connection line for the infection control while using contrast medium, the acute adverse reaction, and renal toxicity to iodized contrast medium were modified and added. We would like to introduce the revised contents.

대한영상의학회 진료지침위원회는 기존의 2016년 진료지침을 개정하여 '주사용 요오드화 조영제 및 MRI용 가돌리늄 조영제 유해 반응에 대한 한국 임상진료지침: 개정된 임상적 합의 및 권고안(2022년 제3판)'을 제작하였다. 대한영상의학회와 대한천식알레르기학회, 대한신장학회에세 추천 및 승인된 전문가 위원들이 함께 참여하였고, 전문가 합의 또는 체계적 문헌 고찰을 기반으로, 조영제를 사용 시 감염관리를 위한 자동주입기 및 연결선에 대한 기술과 요요드화 조영제에 대한 급성 유해반응 및 신장 유해반응에 대한 내용들을 수정 및 추가하였다. 이에 개정된 내용을 소개하고자 한다.

Keywords

Acknowledgement

The medical guideline committee included Korean Society of Radiology, the Korean Academy of Asthma, Allergy and clinical Immunology, and the Korean Nephrology Society. We thank Chng-Hee Cho for her contributions to data acquisition and support.

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