Indications for the use of low-osmolar contrast agents.

The recent introduction of low-osmolar contrast agents for use in radiology procedures presents a dilemma for health care managers concerned about cost and quality. The new agents are reported to be safer and are better tolerated by patients, but they are very costly. Earlier this year, a survey was sent to hospital-based members of the American College of Physician Executives to determine what policy existed for the use of these agents. As a result of the survey, we have a better picture of the indications for low-osmolar contrast agents being used in clinical practice throughout the United States.