Interactive Tool to Teach Management of Contrast Media Reactions


The symptoms of contrast reaction fluctuate from mild to severe (anaphylactic) reactions. In addition, the symptoms of contrast reaction are classified to allergic like and physiologic reactions. Recognizing these symptoms and their severity is the cornerstone of the proper clinical management. Learning the symptoms and management of contrast reactions through video-based course that simulate the real environment of imaging exam room could be more efficient than conventional lectures.

About this course

Introduction:

The symptoms of contrast reaction fluctuate from mild to severe (anaphylactic) reactions. In addition, the symptoms of contrast reaction are classified to allergic like and physiologic reactions. Recognizing these symptoms and their severity is the cornerstone of the proper clinical management. Learning the symptoms and management of contrast reactions through video-based course that simulate the real environment of imaging exam room could be more efficient than conventional lectures.  After review of video interactive cases participants will be familiar to:

  1. Recognize contrast reaction symptoms severity
  2. Understand the different reactions pathway (allergic vs physiologic)
  3. Treat contrast reactions.

Interactive software (RadIQ) will be used to allow the participants practice through many clinical scenarios of contrast reactions based on American College of Radiology manual. Multiple choice questions evaluate the knowledge and gaps as well. Clinical scenarios include:

  1. Mild allergic-like symptoms: Hives, Itching, sneezing
  2. Moderate allergic- like symptoms: Bronchospasm
  3. Severe allergic –like reactions: laryngeal edema
  4. Anaphylaxis: Hypotension, tachycardia
  5. Physiologic reaction: Hypotension with  bradycardia

Course Directors
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Alexi Otrakji, MD

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Iris M Otani, MD

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Swati Goyal

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Hillary Kelly MD

Dr. Kelly is currently faculty at Harvard Medical School and staff radiologist in the Division of Neuroradiology at the MGH Department of Radiology.  She has published numerous articles in neuroradiology and has extensive teaching experience in radiology training for medical students, residents, and fellows.

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Garry Choy, MD, MS
Director of Informatics

Dr. Choy is the Director of Informatics for the MGH Cardiovascular Imaging Core Lab . He also is the co-founder of the MGH Imaging Global Health Programs and International Radiology Exchange at the Massachusetts General Hospital. Dr. Choy received his MD from the Albert Einstein College of Medicine, Yeshiva University and BS from Columbia University. In addition, Dr. Choy also attended Stanford University and earned a Masters in Management Science & Operations Research. Dr. Choy completed his radiology residency and fellowship at the Massachusetts General Hospital. He is a clinical radiologist with expertise in cardiothoracic, abdominal, and emergency imaging. He brings significant information technology expertise to MGH Imaging Online Educational Initiative with prior experience in development of web-based learning tools, online collaboration platforms, and telemedicine platforms. He also currently leads development and efforts of the MGH Radiology Department’s second opinion service. His academic and research interests are in the areas of medical informatics, teleradiology, healthcare delivery systems, and global health. Dr. Choy has over 20 peer-reviewed publications to date.

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Sanjay Saini, MD

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Gloria Salazar, MD


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