ReviewInsights into imaging2022
Tackling the increasing contamination of the water supply by iodinated contrast media.
Review in Insights into imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
64 citing papers in PubMed, 3 syntheses or guidelines pooled it, 128 citations in OpenAlex.
- The environmental impact of energy consumption and carbon emissions in radiology departments: a systematic review.European radiology experimental · 2024Pooled it
- Applications of deep learning to reduce the need for iodinated contrast media for CT imaging: a systematic review.International journal of computer assisted radiology and surgery · 2023Pooled it
- Shortage of iodinated contrast media: Status and possible chances - A systematic review.European journal of radiology · 2023Pooled it
- A randomised controlled trial comparing three clinical administration strategies in spectral detector CT pulmonary angiography with low contrast medium dose.European radiology · 2025Trial
- Low tube voltage and deep-learning reconstruction for reducing radiation and contrast medium doses in thin-slice abdominal CT: a prospective clinical trial.European radiology · 2024Trial
- Ultra-low contrast agent dosage in photon-counting CT angiography of the thoracoabdominal aorta.European journal of radiology open · 2026Article
- Telemedicine-guided management of iodinated contrast media-associated anaphylaxis: A case report.Radiology case reports · 2026Article
- Greening computed tomography: a position paper on environmentally responsible imaging practice from the computed tomography subspecialty section of the Italian society of radiology.La Radiologia medica · 2026Article
- The environmental impact of diagnostic imaging: opportunities for pediatric radiologists.Pediatric radiology · 2026Review
- Reduction of iodinated contrast waste, cost, and greenhouse gas emissions using imaging bulk packaging in a pediatric hospital.Pediatric radiology · 2026Article
- Call to Action: A Sustainable Interventional Radiology Service.Cardiovascular and interventional radiology · 2026Review
- The invisible footprint: why planetary health is a pediatric radiologist's obligation.Pediatric radiology · 2026Article
- Deep learning-based generation of synthetic multiphasic MRI in hepatocellular carcinoma and cirrhosis.JHEP reports : innovation in hepatology · 2026Article
- Sustainability of contrast-enhanced breast imaging: a review of current evidence.Insights into imaging · 2026Review
- Comparing multi-use syringeless and conventional single-use dual-syringe injectors in contrast-enhanced CT: efficiency, cost, and technologist satisfaction.European radiology · 2026Article
- Sustainable radiology in practice: insights into radiographers' knowledge and attitudes toward environmental health.BMC medical education · 2026Article
- Overuse of imaging for pulmonary embolism in emergency departments: a systematic review and meta-analysis.International journal of emergency medicine · 2026Review
- Reducing contrast media dosage for pulmonary embolism CTPA in PCD-CT: a comparative study of EID-CT and PCD-CT in the era of individualized protocolling.European radiology · 2026Article
- Effect of distributing urine-collection bags on contrast-material load in wastewater.European radiology · 2026Observational
- Sustainability and Climate Change Awareness, Attitudes, and Perceptions in Radiology: A Cross-Sectional Study in Kuwait.Health science reports · 2026Article
4 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Contrast media are essential for diagnostic and interventional procedures. Iodinated contrast media are the most commonly used agents, with CT requiring the largest overall quantities. Data show that these iodinated contrast media are found in sewage water, surface water and drinking water in many regions in the world. Because standard drinking water purification techniques only provide poor to moderate removal of iodinated contrast media, these substances pose a problem for drinking water preparation that has not yet been solved. There is a growing body of evidence supporting the negative environmental effects of iodinated contrast media via their breakdown products. The environmental impact of iodinated contrast media can be mitigated by measures focusing on the application of contrast media or the excretion of contrast media. Measures with respect to contrast application include reducing the utilization of contrast media, reducing the waste of contrast media and collecting residues of contrast media at the point of application. The amount of contrast media excreted into the sewage water can be decreased by introducing urine bags and/or special urine collection and waste-water processing techniques in the hospital. To tackle the problem of contrast media in the water system in its entirety, it is necessary for all parties involved to cooperate, from the producer of contrast medium to the consumer of drinking water. This paper aims to make health professionals aware of the opportunity to take the lead now in more conscious decisions regarding use of contrast media and gives an overview of the different perspectives for action.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.