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. 2017 Oct-Dec;27(4):517–520. doi: 10.4103/ijri.IJRI_157_17

Figure 1.

Figure 1

Sample format for a patient information sheet with signature for consent. Use of simple language and lay terms as much as possible (e.g. “dye” instead of “contrast,” or “leakage” instead of “extravasation”) as also having the sheet in local language would be ideal. Always clarify that a radiologist is available in case of any doubts. Please note that any positive history/check mark should always lead to a conversation between the patient and the care providers