Gadolinium Deposition in the Brain: Current Updates

Gadolinium-based contrast agents (GBCAs) are commonly used for enhancement in MR imaging and have long been considered safe when administered at recommended doses. However, since the report that nephrogenic systemic fibrosis is linked to the use of GBCAs in subjects with severe renal diseases, accum...

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Published inKorean journal of radiology Vol. 20; no. 1; pp. 134 - 147
Main Authors Choi, Jin Woo, Moon, Won-Jin
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Society of Radiology 01.01.2019
대한영상의학회
Subjects
Brain - diagnostic imaging
Calcification
Contrast agents
Contrast Media - adverse effects
Contrast Media - analysis
Contrast Media - pharmacology
Gadolinium - analysis
Gadolinium - pharmacology
Gadolinium DTPA - adverse effects
Gadolinium DTPA - analysis
Gadolinium DTPA - pharmacology
Humans
Kidneys
Ligands
Magnetic Resonance Imaging - methods
Technology, Experiment, and Physics
방사선과학
United States > US
Ministry of Food and Drug Safety in Korea
Brain deposition
Deposition mechanism
Gadoilnium
Chelating ligand
Thermodynamic stability
Pharmacovigilance and Risk Assessment Committee
Online AccessGet full text
ISSN1229-6929
2005-8330
2005-8330
DOI10.3348/kjr.2018.0356

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Abstract Gadolinium-based contrast agents (GBCAs) are commonly used for enhancement in MR imaging and have long been considered safe when administered at recommended doses. However, since the report that nephrogenic systemic fibrosis is linked to the use of GBCAs in subjects with severe renal diseases, accumulating evidence has suggested that GBCAs are not cleared entirely from our bodies; some GBCAs are deposited in our tissues, including the brain. GBCA deposition in the brain is mostly linked to the specific chelate structure of the GBCA: linear GBCAs were responsible for brain deposition in almost all reported studies. This review aimed to summarize the current knowledge about GBCA brain deposition and discuss its clinical implications.
AbstractList Gadolinium-based contrast agents (GBCAs) are commonly used for enhancement in MR imaging and have long been considered safe when administered at recommended doses. However, since the report that nephrogenic systemic fibrosis is linked to the use of GBCAs in subjects with severe renal diseases, accumulating evidence has suggested that GBCAs are not cleared entirely from our bodies; some GBCAs are deposited in our tissues, including the brain. GBCA deposition in the brain is mostly linked to the specific chelate structure of the GBCA: linear GBCAs were responsible for brain deposition in almost all reported studies. This review aimed to summarize the current knowledge about GBCA brain deposition and discuss its clinical implications.
Gadolinium-based contrast agents (GBCAs) are commonly used for enhancement in MR imaging and have long been considered safe when administered at recommended doses. However, since the report that nephrogenic systemic fibrosis is linked to the use of GBCAs in subjects with severe renal diseases, accumulating evidence has suggested that GBCAs are not cleared entirely from our bodies; some GBCAs are deposited in our tissues, including the brain. GBCA deposition in the brain is mostly linked to the specific chelate structure of the GBCA: linear GBCAs were responsible for brain deposition in almost all reported studies. This review aimed to summarize the current knowledge about GBCA brain deposition and discuss its clinical implications.Gadolinium-based contrast agents (GBCAs) are commonly used for enhancement in MR imaging and have long been considered safe when administered at recommended doses. However, since the report that nephrogenic systemic fibrosis is linked to the use of GBCAs in subjects with severe renal diseases, accumulating evidence has suggested that GBCAs are not cleared entirely from our bodies; some GBCAs are deposited in our tissues, including the brain. GBCA deposition in the brain is mostly linked to the specific chelate structure of the GBCA: linear GBCAs were responsible for brain deposition in almost all reported studies. This review aimed to summarize the current knowledge about GBCA brain deposition and discuss its clinical implications.
Gadolinium-based contrast agents (GBCAs) are commonly used for enhancement in MR imaging and have long been considered safe when administered at recommended doses. However, since the report that nephrogenic systemic fibrosis is linked to the use of GBCAs in subjects with severe renal diseases, accumulating evidence has suggested that GBCAs are not cleared entirely from our bodies; some GBCAs are deposited in our tissues, including the brain. GBCA deposition in the brain is mostly linked to the specific chelate structure of the GBCA: linear GBCAs were responsible for brain deposition in almost all reported studies. This review aimed to summarize the current knowledge about GBCA brain deposition and discuss its clinical implications. KCI Citation Count: 13
Author Choi, Jin Woo
Moon, Won-Jin
AuthorAffiliation Department of Radiology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
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  orcidid: 0000-0002-8925-7376
  surname: Moon
  fullname: Moon, Won-Jin
  organization: Department of Radiology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
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Issue 1
Keywords Ministry of Food and Drug Safety in Korea
Brain deposition
Deposition mechanism
Gadoilnium
Chelating ligand
Thermodynamic stability
Pharmacovigilance and Risk Assessment Committee
Language English
License This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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  day: 01
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PublicationTitle Korean journal of radiology
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Snippet Gadolinium-based contrast agents (GBCAs) are commonly used for enhancement in MR imaging and have long been considered safe when administered at recommended...
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SubjectTerms Brain - diagnostic imaging
Calcification
Contrast agents
Contrast Media - adverse effects
Contrast Media - analysis
Contrast Media - pharmacology
Gadolinium - analysis
Gadolinium - pharmacology
Gadolinium DTPA - adverse effects
Gadolinium DTPA - analysis
Gadolinium DTPA - pharmacology
Humans
Kidneys
Ligands
Magnetic Resonance Imaging - methods
Technology, Experiment, and Physics
방사선과학
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Title Gadolinium Deposition in the Brain: Current Updates
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