The Value of Oral Contrast from the patient’s point of view

Oral Contrast

The authors raise this question from a patient-centered approach: “What would patients choose if given the option to drink or not drink oral contrast material, and why? Some patients might prefer a risk-averse approach and prioritize diagnostic accuracy, whereas other patients might prefer a comfort-based approach and prioritize examination comfort. Asking patients how they value these trade-offs can inform an optimal imaging strategy.”

Modern oral contrast (diluted Omnipaque) is tasteless and odorless. Most patients think they are drinking water. But, it significantly increases diagnostic accuracy, particularly in cases involving GI questions.

These authors concluded, “If oral contrast material has any diagnostic benefit, most outpatients (89%) would rather drink it than accept any risk for missing an important finding.”

Communicating with Patients

There is no question that a radiologist who consults directly adds substantial value for both referring physicians and patients. As we make exams more appropriate, we should probably plan on spending more time as consultants and meet the patients, as this article explains.

Jenny Favinger with patient at SKC Oct 2015

Radiologist at free clinic

Pictured above: UW Medicine Radiology Chief Resident Jennifer Favinger and Resident Derek Khorsand consulting with patients at the Seattle/King County Clinic

Images courtesy of UW GME