Evidence map›Paper›PMID 37724972›Full record

ArticleRadiology2023

Contrast Agent Administration as a Source of Liability: A Legal Database Analysis.

Amin Khan, Suryansh Bajaj, Mihir Khunte, Seyedmehdi Payabvash, Max Wintermark, Dheeraj Gandhi, Jonathan Mezrich, Ajay Malhotra

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Amin KhanFrom the Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar St, Box 208042, Tompkins East 2, New Haven, CT 06520-8042 (A.K., S.B., M.K., S.P., J.M., A.M.); Department of Neuroradiology, MD Anderson Cancer Center, Houston, Tex (M.W.); and Departments of Interventional Neuroradiology, Radiology, Nuclear Medicine, Neurology, and Neurosurgery, University of Maryland School of Medicine, Baltimore, Md (D.G.).ORCID 0000-0001-9521-2265
Suryansh BajajFrom the Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar St, Box 208042, Tompkins East 2, New Haven, CT 06520-8042 (A.K., S.B., M.K., S.P., J.M., A.M.); Department of Neuroradiology, MD Anderson Cancer Center, Houston, Tex (M.W.); and Departments of Interventional Neuroradiology, Radiology, Nuclear Medicine, Neurology, and Neurosurgery, University of Maryland School of Medicine, Baltimore, Md (D.G.).ORCID 0000-0002-1642-4620
Mihir KhunteFrom the Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar St, Box 208042, Tompkins East 2, New Haven, CT 06520-8042 (A.K., S.B., M.K., S.P., J.M., A.M.); Department of Neuroradiology, MD Anderson Cancer Center, Houston, Tex (M.W.); and Departments of Interventional Neuroradiology, Radiology, Nuclear Medicine, Neurology, and Neurosurgery, University of Maryland School of Medicine, Baltimore, Md (D.G.).ORCID 0000-0003-2995-3203
Seyedmehdi PayabvashFrom the Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar St, Box 208042, Tompkins East 2, New Haven, CT 06520-8042 (A.K., S.B., M.K., S.P., J.M., A.M.); Department of Neuroradiology, MD Anderson Cancer Center, Houston, Tex (M.W.); and Departments of Interventional Neuroradiology, Radiology, Nuclear Medicine, Neurology, and Neurosurgery, University of Maryland School of Medicine, Baltimore, Md (D.G.).ORCID 0000-0003-4628-0370
Max WintermarkFrom the Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar St, Box 208042, Tompkins East 2, New Haven, CT 06520-8042 (A.K., S.B., M.K., S.P., J.M., A.M.); Department of Neuroradiology, MD Anderson Cancer Center, Houston, Tex (M.W.); and Departments of Interventional Neuroradiology, Radiology, Nuclear Medicine, Neurology, and Neurosurgery, University of Maryland School of Medicine, Baltimore, Md (D.G.).ORCID 0000-0002-6726-3951
Dheeraj GandhiFrom the Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar St, Box 208042, Tompkins East 2, New Haven, CT 06520-8042 (A.K., S.B., M.K., S.P., J.M., A.M.); Department of Neuroradiology, MD Anderson Cancer Center, Houston, Tex (M.W.); and Departments of Interventional Neuroradiology, Radiology, Nuclear Medicine, Neurology, and Neurosurgery, University of Maryland School of Medicine, Baltimore, Md (D.G.).ORCID 0000-0001-6741-5970
Jonathan MezrichFrom the Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar St, Box 208042, Tompkins East 2, New Haven, CT 06520-8042 (A.K., S.B., M.K., S.P., J.M., A.M.); Department of Neuroradiology, MD Anderson Cancer Center, Houston, Tex (M.W.); and Departments of Interventional Neuroradiology, Radiology, Nuclear Medicine, Neurology, and Neurosurgery, University of Maryland School of Medicine, Baltimore, Md (D.G.).ORCID 0000-0002-0210-188X
Ajay MalhotraFrom the Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar St, Box 208042, Tompkins East 2, New Haven, CT 06520-8042 (A.K., S.B., M.K., S.P., J.M., A.M.); Department of Neuroradiology, MD Anderson Cancer Center, Houston, Tex (M.W.); and Departments of Interventional Neuroradiology, Radiology, Nuclear Medicine, Neurology, and Neurosurgery, University of Maryland School of Medicine, Baltimore, Md (D.G.).ORCID 0000-0001-9223-6640
University of Maryland, Baltimore · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Background Radiology ranks high in terms of specialties implicated in medical malpractice claims. While most radiologists understand the risks of liability for missed findings or lapses of communication, liability for the use of contrast agents in imaging procedures may be underappreciated. Purpose To review the clinical context and outcomes of lawsuits alleging medical malpractice for contrast-related imaging procedures. Materials and Methods Two large U.S. legal databases were queried using the terms "Contrast" and "Radiology OR Radiologist" from database inception to October 31, 2022, to identify cases with published decisions or settlements related to medical malpractice in patients who underwent contrast-related imaging procedures. The search results were screened to include only those cases involving the practice area of health care law where there was at least one claim of medical negligence against a health care institution or provider. Data on the medical complications alleged by patients after contrast agent administration and on the trial were extracted and reported using descriptive statistics. Results A total of 151 published case summaries were included in the analysis. Anaphylactic reaction following contrast agent administration was the most common medical complication observed (30% [45 of 151 cases]), of which failure to diagnose developing anaphylaxis or failure to treat the anaphylactic reaction made up the majority of allegations (93% [42 of 45]). Inappropriate management of contrast media extravasation (27% [41 of 151]) and alleged contrast agent-induced acute kidney injury (13% [19 of 151]) were the next most frequent causes of lawsuits. Of the 11 cases of alleged kidney injury that went to trial, all resulted in a judgment in favor of the defense. Conclusion This study highlights the key reasons for medical malpractice lawsuits associated with use of contrast media and outcomes from these lawsuits. © RSNA, 2023

Indexed as

AnaphylaxisRadiologyCommunicationContrast MediaDatabases, FactualHumansContrast Media

Identifiers

PMID37724972
PMCPMC10546284
OpenAlexW4386865159

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.