{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:25:15Z","timestamp":1790961915755,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Ground level falls are common in the geriatric population, often culminating in Emergency Department attendance and a CT \u2018pan scan\u2019. These scans are routinely performed with intravenous iodinated contrast media (ICM). The types of injuries identified in this cohort can often be adequately characterised without ICM. Safety issues exist with ICM use, with contrast\u2010induced acute kidney injury (CI\u2010AKI) particularly relevant to the geriatric population. This study assessed the diagnostic utility and safety of ICM administration in this cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective case control study of geriatric patients undergoing CT pan scan over a 6\u2010month period was performed. Patients were included if they had suffered a ground level fall. The radiology report for each patient was reviewed to assess injury types. The creatinine of each patient who received ICM was assessed to determine the presence of CI\u2010AKI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 549 patients were included in the final analysis. Two hundred four patients suffered at least one traumatic injury. The majority of injuries were musculoskeletal and spinal, with solid organ and vascular injuries only occurring in a small minority. Injuries were more frequently reported on non\u2010contrast studies. 15.4% of patients suffered a CI\u2010AKI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Given the types of injuries identified in geriatric patients following low\u2010energy blunt trauma, and when considering CI\u2010AKI and other costs, routine use of ICM on CT pan scans in this population is not necessary. Reserving ICM studies only for patients deemed clinically high risk or with radiologically concerning findings on an initial non\u2010contrast CT is a reasonable compromise.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1754-9485.70078","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T09:29:35Z","timestamp":1772962175000},"page":"266-271","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Assessing the Utility and Safety of Intravenous Iodinated Contrast Media in\n                    <scp>CT<\/scp>\n                    \u2018Pan Scan\u2019 Studies in Geriatric Patients Following Low\u2010Energy Blunt Trauma"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3134-0887","authenticated-orcid":false,"given":"Christopher","family":"Witkowski","sequence":"first","affiliation":[{"name":"Department of Radiology Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesh","family":"Varma","sequence":"additional","affiliation":[{"name":"Department of Radiology Alfred Hospital  Melbourne Victoria Australia"},{"name":"Department of Surgery, School of Translational Medicine Monash University  Clayton Victoria Australia"},{"name":"National Trauma Research Institute, Alfred Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1859-5850","authenticated-orcid":false,"given":"Warren","family":"Clements","sequence":"additional","affiliation":[{"name":"Department of Radiology Alfred Hospital  Melbourne Victoria Australia"},{"name":"Department of Surgery, School of Translational Medicine Monash University  Clayton Victoria Australia"},{"name":"National Trauma Research Institute, Alfred Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.14.13107"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2023.05.059"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1754\u20109485.13030"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1754\u20109485.13559"},{"key":"e_1_2_12_6_1","unstructured":"The Royal Australian and New Zealand College of Radiologists \u201cIodinated Contrast Media Guideline\u201d(2018) Sydney: RANZCR p. 38."},{"key":"e_1_2_12_7_1","unstructured":"American College of Radiology \u201cACR Manual on Contrast Media\u201d(2024) Reston: ACR p. 120."},{"key":"e_1_2_12_8_1","unstructured":"European Society of Urogenital Radiology \u201cESUR Guidelines on Contrast Agents\u201d(2018) Vienna: ESUR p. 46."},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.156.4.1825900"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/08465371251327143"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2013.07.015"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2022.104503"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313481808400954"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2018.11.041"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.5847\/wjem.j.1920\u20108642.2023.040"},{"issue":"1","key":"e_1_2_12_16_1","first-page":"1","article-title":"KDIGO Clinical Practice Guideline for Acute Kidney Injury","volume":"2","author":"Kidney Disease Improving Global Outcomes","year":"2012","journal-title":"Kidney International. 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