Evidence map›Paper›PMID 42859946›Full record

ArticleInsights into imaging2026

Sustainable iodine contrast media for a healthy future (SUSTAINED): a global survey of practice.

Andrew England, Yasser H Hadi, Helle Precht, Dávid Sipos, Nejc Mekiš, Patrizia Cornacchione, Anastasia Sarchosoglou, Tiina Nousiainen, Altino Cunha, Caroline Justich and 3 more

Abstract read
In one paragraph

Article in Insights into imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Andrew EnglandDiscipline of Medical Imaging and Radiation Therapy, School of Medicine and Health, University College Cork, Cork, Ireland. aengland@ucc.ie.ORCID http://orcid.org/0000-0001-6333-7776
Yasser H HadiDiscipline of Medical Imaging and Radiation Therapy, School of Medicine and Health, University College Cork, Cork, Ireland.ORCID http://orcid.org/0000-0001-8570-1161
Helle PrechtDiscipline of Medical Imaging and Radiation Therapy, School of Medicine and Health, University College Cork, Cork, Ireland.ORCID http://orcid.org/0000-0003-1525-5316
Dávid SiposDepartment of Medical Imaging, Faculty of Health Sciences, University of Pécs, Pécs, Hungary.ORCID http://orcid.org/0000-0001-9615-1740
Nejc MekišMedical Imaging and Radiotherapy Department, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia.ORCID http://orcid.org/0000-0002-9438-7415
Patrizia CornacchioneFondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0002-5573-6352
Anastasia SarchosoglouGeneral Oncological Hospital of Kifissia, Kifissia, Greece.ORCID http://orcid.org/0009-0000-6653-0926
Tiina NousiainenDepartment of Diagnostic Services, Hospital Nova, Wellbeing Services County of Central Finland, Jyväskylä, Finland.ORCID http://orcid.org/0009-0006-3669-8377
Altino CunhaEuropean Federation of Radiographer Societies (EFRS), Porto, Portugal.ORCID http://orcid.org/0000-0002-2975-4506
Caroline JustichBe Accepted GmbH, Vienna, Austria.
Cheryl CruwysDenseBreast-Info Inc, Deer Park, NY, USA.
Dominique CarriéCentre de Radiologie et d'Imagerie Medicale du parc, Toulouse, France.
Mark F McEnteeDiscipline of Medical Imaging and Radiation Therapy, School of Medicine and Health, University College Cork, Cork, Ireland.ORCID http://orcid.org/0000-0001-7045-2190

Funding

EIBIR 2024
6 · The paper itself

Abstract

objectivesTo investigate healthcare professionals' knowledge, attitudes, and practices (KAPs) of the environmental impact and sustainability of iodinated contrast media (ICM). MATERIALS AND

methodsA cross-sectional web-based survey was distributed to members of professional societies and advertised via social media between June and December 2024. The questionnaire covered themes including sustainability attitudes, reduction strategies, waste management, patient awareness, and institutional policies. Data were analysed using descriptive statistics, chi-square tests, and analysis of variance (ANOVA).

results231 respondents from 44 countries completed the survey, primarily diagnostic radiographers (59%) and radiologists (38%). Most respondents (60%) reported that their institutions had sustainable ICM policies, and there was a significant association between institutional size and alignment with sustainability goals

conclusionsThis survey highlights widespread professional awareness of ICM sustainability issues but reveals variability in institutional practices, limited patient awareness, and inconsistent waste management. Findings emphasise the importance of stronger institutional policies, targeted education, and international collaboration to promote sustainable ICM use. KEY POINTS: Question How do healthcare professionals perceive and implement sustainable practices in the use of iodinated contrast media (ICM) within clinical practice? Findings While many institutions endorse sustainability, notable gaps exist in waste management, patient and practitioner education, and consistency of reduction strategies. Critical relevance statement Strengthening institutional frameworks and professional and patient engagement can enhance sustainable ICM use, safeguard resources, and mitigate environmental impact.

Indexed as

Contrast agentEnvironmental impactManagement (waste)Safety (patient)

Identifiers

PMID42859946
PMCPMC13654907

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.