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Download IV contrast for MRI in patients with kidney disease Algorithm (108 KB)

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Publication Date



These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly, these guidelines should guide care with the understanding that departures from them may be required at times.

Objective of the Care Process Model

To provide care standards for the patient who is at risk for or diagnosed with kidney impairment and the use of intravenous (IV) contrast for a magnetic resonance imaging (MRI) scan, magnetic resonance angiography (MRA), magnetic resonance venography (MRV) or a computed tomography (CT) scan. The Contrast MRI and CT in Kidney Disease Care Process Model is intended to align CMH provider practices with new consensus recommendations from the American College of Radiology and the National Kidney Foundation regarding the pretreatment and treatment of patients with kidney impairmentwho have indication(s) to receive IV contrast with diagnostic imaging techniques.




Finalized Dec 2022

Care Process Models (CPMs) promote evidence based, safe, and high-value care for patients with common or high-risk clinical conditions when national or international guidelines are not available or applicable. CPMs are informed by methodical review of scientific literature and the consensus of a multidisciplinary committee of subject matter experts and key stakeholders at Children’s Mercy Kansas City. Processes within CPMs may be specific to Children’s Mercy Kansas City and should be evaluated before applying to a different setting.

IV Contrast for MRI and CT in Patients with Kidney Disease

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