CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2017; 27(04): 517-520
DOI: 10.4103/ijri.IJRI_157_17
Miscellaneous

Informed consent in diagnostic radiology practice: Where do we stand?

Akshay D Baheti
Department of Radiodiagnosis, Tata Memorial Center, Homi Bhabha National Institute, Parel, Mumbai, Maharashtra, India
,
Meenakshi H Thakur
Department of Radiodiagnosis, Tata Memorial Center, Homi Bhabha National Institute, Parel, Mumbai, Maharashtra, India
,
Bhavin Jankharia
Picture This, Jankharia Imaging Center, Mumbai, Maharashtra, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

We review the evolution of the concept of informed consent from a radiology standpoint, the current international guidelines on the need for obtaining consent in diagnostic radiology practice, and the current Indian scenario, focusing on both practical and medicolegal aspects. We discuss the concept of patient information sheet with signature, a potential way forward benefiting both patients and radiologists.



Publication History

Article published online:
27 July 2021

© 2017. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Satyanarayana Rao KH. Informed consent: An ethical obligation or legal compulsion? J Cutan Aesthet Surg 2008;1:33-5.
  • 2 Standards for patient consent particular to radiology. Second edition. The Royal College of Radiologists; 2015.
  • 3 Edozien LC. UK law on consent finally embraces the prudent patient standard. BMJ 2015;350:h2877.
  • 4 ACR Manual on Contrast Media. Version 10.2. ACR Committee on Drugs and Contrast Media; 2016.
  • 5 ACR–SIR–SPR practice parameter on informed consent for image-guided procedures, Revised 2016 (Resolution 17).
  • 6 Bettmann MA. Frequently asked questions: Iodinated contrast agents. Radiographics 2004;24(Suppl 1):S3-10.
  • 7 Singh SS, Jayaram N. Medico-legal issues in radiology: Indian context. J Med Soc 2015;29:129-34.
  • 8 Sohoni CA. Medical negligence: A difficult challenge for radiology. Indian J Radiol Imaging 2013;23:110-2.
  • 9 Berlin L. Informed consent for contrast media and gadolinium injections. Am J Roentgenol 2011;197:359.
  • 10 Semelka RC, Armao DM, Elias J, Jr., Picano E. The information imperative: Is it time for an informed consent process explaining the risks of medical radiation? Radiology 2012;262:15-8.
  • 11 Callahan MJ, Poznauskis L, Zurakowski D, Taylor GA. Nonionic iodinated intravenous contrast material-related reactions: Incidence in large urban children's hospital-retrospective analysis of data in 12,494 patients. Radiology 2009;250:674-81.
  • 12 Cochran ST, Bomyea K, Sayre JW. Trends in adverse events after IV administration of contrast media. AJR Am J Roentgenol 2001;176:1385-8.
  • 13 Wang CL, Cohan RH, Ellis JH, Caoili EM, Wang G, Francis IR. Frequency, outcome, and appropriateness of treatment of nonionic iodinated contrast media reactions. AJR Am J Roentgenol 2008;191:409-15.
  • 14 Katayama H, Yamaguchi K, Kozuka T, Takashima T, Seez P, Matsuura K. Adverse reactions to ionic and nonionic contrast media. A report from the Japanese Committee on the Safety of Contrast Media. Radiology 1990;175:621-8.
  • 15 Caro JJ, Trindade E, McGregor M. The risks of death and of severe nonfatal reactions with high- vs low-osmolality contrast media: A meta-analysis. AJR Am J Roentgenol 1991;156:825-32.
  • 16 Lasser EC, Lyon SG, Berry CC. Reports on contrast media reactions: Analysis of data from reports to the U.S. Food and Drug Administration. Radiology 1997;203:605-10.
  • 17 McDonald RJ, McDonald JS, Newhouse JH, Davenport MS. Controversies in Contrast Material-induced Acute Kidney Injury: Closing in on the Truth? Radiology 2015;277:627-32.
  • 18 Coyne CA, Xu R, Raich P, Plomer K, Dignan M, Wenzel LB, et al. Randomized, controlled trial of an easy-to-read informed consent statement for clinical trial participation: A study of the Eastern Cooperative Oncology Group. J Clin Oncol 2003;21:836-42.
  • 19 Davis TC, Holcombe RF, Berkel HJ, Pramanik S, Divers SG. Informed consent for clinical trials: A comparative study of standard versus simplified forms. J Natl Cancer Inst 1998;90:668-74.
  • 20 Pereira SP, Hussaini SH, Wilkinson ML. Informed consent for upper gastrointestinal endoscopy. Gut 1995;37:151-3.
  • 21 Hansberry DR, John A, John E, Agarwal N, Gonzales SF, Baker SR. A critical review of the readability of online patient education resources from RadiologyInfo. Org. AJR Am J Roentgenol 2014;202:566-75.
  • 22 Readability Test Tool. https://www.webpagefx.com/tools/read-able/. [Last accessed on 2017 Jun 30].
  • 23 Bhattacharya S. The facts about penicillin allergy: A review. J Adv Pharm Technol Res 2010;1:11-7.
  • 24 Deray G. Amphotericin B nephrotoxicity. J Antimicrob Chemother 2002;49(Suppl 1):37-41.
  • 25 Liposomal Amphoterecin B. Available from http://reference.medscape.com/drug/ambisome-amphotericin-b-liposomal-999576-4. [Last accessed on 2016 Oct 22].