Screening of kidney function before contrast-enhanced CT

Ugeskrift for Læger 2026 Open access

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Authors: Solveig Kärk Abildtrup Larsen, Maja Sundahl Wilkinson, Krista Dybtved Kjærgaard, Morten Kamp Ditlev, Stine Bisgaard Greve, Michael Brun Andersen, Susanne Axelsen, Ole Graumann
DOI: 10.61409/v09250743
Cited by: 1
References: 11

Abstract

Iodine-based contrast agents are routinely used for contrast-enhanced CT. However, CT contrast has been associated with acute kidney injury (CA-AKI) and thus international guidelines recommend prior screening of kidney function using eGFR. However, eGFR screening is resource-consuming, and current evidence suggests that the risk of CA-AKI is very low. This review examines the evidence, recommendations, and current practices of eGFR screening in Danish radiology departments. Following a Choosing Wisely-strategy, we recommend minimising eGFR screening before contrast-enhanced CT scans.

Fields of Study & Subjects

Acute Kidney Injury Research Radiation Dose and Imaging Kidney Stones and Urolithiasis Treatments

Publication details

Journal / source
Ugeskrift for Læger
Publisher
Danish Medical Association
Volume
188
Issue
9
Pages
1–5
Publication date
23 February 2026
Language
DA