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Gadolinium-Based Contrast Agent Accumulation and Toxicity: an Update

dc.contributor.authorRamalho, J
dc.contributor.authorSemelka, RC
dc.contributor.authorRamalho, M
dc.contributor.authorNunes, RH
dc.contributor.authorAlobaidy, M
dc.contributor.authorCastillo, M
dc.date.accessioned2022-02-01T15:31:28Z
dc.date.available2022-02-01T15:31:28Z
dc.date.issued2016
dc.description.abstractIn current practice, gadolinium-based contrast agents have been considered safe when used at clinically recommended doses in patients without severe renal insufficiency. The causal relationship between gadolinium-based contrast agents and nephrogenic systemic fibrosis in patients with renal insufficiency resulted in new policies regarding the administration of these agents. After an effective screening of patients with renal disease by performing either unenhanced or reduced-dose-enhanced studies in these patients and by using the most stable contrast agents, nephrogenic systemic fibrosis has been largely eliminated since 2009. Evidence of in vivo gadolinium deposition in bone tissue in patients with normal renal function is well-established, but recent literature showing that gadolinium might also deposit in the brain in patients with intact blood-brain barriers caught many individuals in the imaging community by surprise. The purpose of this review was to summarize the literature on gadolinium-based contrast agents, tying together information on agent stability and animal and human studies, and to emphasize that low-stability agents are the ones most often associated with brain deposition.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAJNR Am J Neuroradiol. 2016 Jul;37(7):1192-8.pt_PT
dc.identifier.doi10.3174/ajnr.A4615.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3968
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherAmerican Society of Neuroradiologypt_PT
dc.subjectHSJ NRADpt_PT
dc.subjectCerebellar Nuclei / diagnostic imagingpt_PT
dc.subjectAnimalspt_PT
dc.subjectHumanspt_PT
dc.subjectContrast Media / adverse effects*pt_PT
dc.subjectContrast Media / pharmacokinetics*pt_PT
dc.subjectGadolinium / adverse effects*pt_PT
dc.subjectGadolinium / pharmacokinetics*pt_PT
dc.subjectMagnetic Resonance Imaging / adverse effectspt_PT
dc.subjectNephrogenic Fibrosing Dermopathy / chemically induced*pt_PT
dc.subjectNephrogenic Fibrosing Dermopathy / epidemiologypt_PT
dc.titleGadolinium-Based Contrast Agent Accumulation and Toxicity: an Updatept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1198pt_PT
oaire.citation.startPage1192pt_PT
oaire.citation.titleAmerican Journal of Neuroradiologypt_PT
oaire.citation.volume37pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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