PMID- 9204351 OWN - NLM STAT- MEDLINE DCOM- 19970728 LR - 20200330 IS - 0938-7994 (Print) IS - 0938-7994 (Linking) VI - 7 Suppl 4 DP - 1997 TI - Iopentol (Imagopaque 300) compared with iopromide (Ultravist 300) in abdominal CT. A multi-centre monitoring trial assessing adverse events and diagnostic information--results from 518 patients in Spain. PG - S115-9 AB - OBJECTIVES: Iopentol (Nycomed Imaging AS, Oslo, Norway) and iopromide (Schering AG, Berlin, Germany) are low-osmolar, non-ionic, iodinated contrast media (CM) used in abdominal CT examinations. The intravenous safety profile and radiological efficacy of iopentol and iopromide were studied in 518 patients. Specifically, frequency of adverse events (AEs), subjective change in quality of diagnostic information, and quantitative enhancement characteristics were compared. MATERIALS AND METHODS: A prospective, double-blind, randomized, multicentre, parallel-group study was conducted at 8 hospitals. Patients received 100 ml of either iopentol 300 mg I/ml or iopromide 300 mg I/ml. RESULTS: The incidence of patients with AEs was statistically significantly lower in the iopentol group compared to the iopromide group (2.3% vs. 8.9%, p < 0.001). Discomfort was frequent in both groups (44.8% vs. 49.4%, p = 0.33), sensation of heat and warmth being most common. Overall, diagnostic information was similar in both groups. Both CM gave high percentages of examinations rated as optimal (87.1% vs. 90.5%, p = 0.34) and in which diagnostic confidence was increased (87.5% vs. 91.1%, p = 0.22). No significant differences between the two CM were found concerning quantitative enhancement characteristics. CONCLUSIONS: In this study iopentol was significantly safer than iopromide for contrast enhanced CT examination of the abdomen. Radiological efficacy was similar with both CM. FAU - Encina, J L AU - Encina JL AD - Medical Department, Nycomed Spain, Madrid, Spain. FAU - Marti-Bonmati, L AU - Marti-Bonmati L FAU - Ronchera-Oms, C L AU - Ronchera-Oms CL FAU - Rodriguez, V AU - Rodriguez V LA - eng PT - Clinical Trial PT - Clinical Trial, Phase IV PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PL - Germany TA - Eur Radiol JT - European radiology JID - 9114774 RN - 0 (Contrast Media) RN - 0 (Triiodobenzoic Acids) RN - 4419T9MX03 (Iohexol) RN - 712BAC33MZ (iopromide) RN - 7D6XWX076T (iopentol) SB - IM MH - Contrast Media/*adverse effects MH - Double-Blind Method MH - Female MH - Humans MH - Iohexol/adverse effects/*analogs & derivatives MH - Male MH - Middle Aged MH - Prospective Studies MH - Safety MH - Spain MH - *Tomography, X-Ray Computed MH - Triiodobenzoic Acids/*adverse effects EDAT- 1997/01/01 00:00 MHDA- 1997/01/01 00:01 CRDT- 1997/01/01 00:00 PHST- 1997/01/01 00:00 [pubmed] PHST- 1997/01/01 00:01 [medline] PHST- 1997/01/01 00:00 [entrez] AID - 10.1007/pl00006875 [doi] PST - ppublish SO - Eur Radiol. 1997;7 Suppl 4:S115-9. doi: 10.1007/pl00006875.