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Tackling the increasing contamination of the water supply by iodinated contrast media

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 r...

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Autores principales: Dekker, Helena M., Stroomberg, Gerard J., Prokop, Mathias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8873335/
https://www.ncbi.nlm.nih.gov/pubmed/35201493
http://dx.doi.org/10.1186/s13244-022-01175-x
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author Dekker, Helena M.
Stroomberg, Gerard J.
Prokop, Mathias
author_facet Dekker, Helena M.
Stroomberg, Gerard J.
Prokop, Mathias
author_sort Dekker, Helena M.
collection PubMed
description 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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spelling pubmed-88733352022-03-02 Tackling the increasing contamination of the water supply by iodinated contrast media Dekker, Helena M. Stroomberg, Gerard J. Prokop, Mathias Insights Imaging Educational Review 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. Springer International Publishing 2022-02-24 /pmc/articles/PMC8873335/ /pubmed/35201493 http://dx.doi.org/10.1186/s13244-022-01175-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Educational Review
Dekker, Helena M.
Stroomberg, Gerard J.
Prokop, Mathias
Tackling the increasing contamination of the water supply by iodinated contrast media
title Tackling the increasing contamination of the water supply by iodinated contrast media
title_full Tackling the increasing contamination of the water supply by iodinated contrast media
title_fullStr Tackling the increasing contamination of the water supply by iodinated contrast media
title_full_unstemmed Tackling the increasing contamination of the water supply by iodinated contrast media
title_short Tackling the increasing contamination of the water supply by iodinated contrast media
title_sort tackling the increasing contamination of the water supply by iodinated contrast media
topic Educational Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8873335/
https://www.ncbi.nlm.nih.gov/pubmed/35201493
http://dx.doi.org/10.1186/s13244-022-01175-x
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