Practice Management Strategies for Imaging Facilities Facing an Acute Iodinated Contrast Media Shortage

AJR Am J Roentgenol. 2022 Oct;219(4):666-670. doi: 10.2214/AJR.22.27969. Epub 2022 May 13.


An unanticipated but severe shortage in iodinated contrast media (ICM) is currently affecting imaging practices across the globe and is expected to persist through at least the end of June 2022. This supply shock may lead health care systems to experience an acute imaging crisis, given that many affected facilities have contrast agent supplies that are anticipated to last only a week or two under normal operating conditions. To maximize the opportunity to continue to provide optimal care for patients with emergent or life-threatening imaging indications and thereby minimize the overall impact on patient care, practice leaders will need to quickly assess their contrast material inventories, prioritize examination indications, and reduce their expected short-term usage of ICM. This Clinical Perspective reviews ICM conservation techniques that the Yale School of Medicine has deployed or is considering deploying, depending on the severity and length of the supply shortage.

Keywords: CECT; contrast media; management.

MeSH terms

  • Contrast Media / adverse effects
  • Delivery of Health Care
  • Diagnostic Imaging
  • Humans
  • Iodine Compounds*
  • Practice Management*


  • Contrast Media
  • Iodine Compounds