USA- According to itnonline.com reports that studies warrant caution on gadolinium-based contrast. Online forums host groups of people who say that they have experienced health problems after being administered gadolinium-based contrast. The high-profile case filed by Chuck Norris and his wife has garnered a lot of attention for the issue of potential health risks connected retention of gadolinium.
The European Medicines Agency (EMA) recommends the restriction of certain types of gadolinium-based contrast agents and has suspended some brands ability to market their product. The use of macrocyclic gadolinium-based contrast agents is still supported.
While the EMA has acknowledged that the depositing of gadolinium in the brain after MRI exams occurs, it has not yet presented any clear evidence of harm. While macrocyclic gadolinium-based contrast can still be used, it should be used in the lowest amount possible to aid in the formation of MRI images, and not unless the images would otherwise not be sufficient.
The Food and Drug Administration (FDA) acknowledges that gadolinium-based contrast agents can be retained in patients’ brains and other parts of patients’ bodies. However, the FDA stated that there is no evidence that the retention is likely to cause health problems. Based on its findings, the FDA says that they do not believe that it is necessary to restrict the use of the contrast agent at this time. The studies indicated that macrocyclic gadolinium dyes were less likely to result in brain deposits, but found no risks associated with other types of contrasts.
Radiologists should be considering the potential risks and benefits for each patient as an individual. Patients also have the right to question whether the gadolinium contrast is necessary for them.
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