Epinephrine is the most important treatment for severe allergic-like contrast reactions. The signs and symptoms of a severe reaction and the dose and methods of epinephrine administration are important for all radiologists to master. In this review article, we review the epidemiology of severe allergic-like contrast reactions, their common clinical manifestations, and their appropriate treatment, with a focus on correct epinephrine administration. We also discuss systematic limitations in the training of current and future radiologists, and recommend strategies for improvement.
Keywords: Contrast media; Contrast reaction; Severe allergiclike reaction; Severe contrast reaction; Severe contrast reaction epidemiology; Severe contrast reaction treatment.