So, really stupid question incoming, please forgive me; Throughout residency, when I was working with (or rotating on) radiology, I was given conflicting information on when to do contrast studies vs when they're unnecessary. Now, I can't help but want clarification on the differences between the studies and was curious if anyone wanted to chime in to help a simple family practitioner out. I've been told by different radiologists all of these things;
• "Contrast CT studies don't give me any more information than I need, so there's no point in ordering it unless you're asking me to look for something in specific"
• "You should get contrast CT studies whenever the patient is capable of tolerating it (with a few exceptions) because it's helpful to me as the reader."
• "MRI with contrast is only indicated if the patient has a history of trauma/surgery in the area you're looking at"
I've been trying to do some reading on this, but I'm curious if anyone out there has any good clarification on when contrast CT/MRI is necessary, especially in the outpatient (or ED) setting? Any helpful reading would be appreciated, too!
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