Survey of gadolinium-based contrast agent utilization among the members of the Society for Pediatric Radiology: a Quality and Safety Committee report
| Autor: | Michael M. Moore, Thomas R. Goodman, Thomas L. Slovis, Thang D. Ngo, Laura T. Meyer, David W. Swenson, Kristopher Neal Lewis, Ramesh S. Iyer, Arta Luana Stanescu, Mary K. Drake, Christina L. Sammet, Einat Blumfield |
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| Rok vydání: | 2016 |
| Předmět: |
Pregnancy test
medicine.medical_specialty Internationality Contrast Media Gadolinium 030218 nuclear medicine & medical imaging Workflow Gadolinium-based Contrast Agent 03 medical and health sciences 0302 clinical medicine Committee report Surveys and Questionnaires medicine Humans Radiology Nuclear Medicine and imaging Medical physics Practice Patterns Physicians' Adverse effect Child Societies Medical Neuroradiology medicine.diagnostic_test business.industry Brain Magnetic resonance imaging Magnetic Resonance Imaging Appropriateness criteria Pediatric Radiology Pediatrics Perinatology and Child Health Emergency medicine business 030217 neurology & neurosurgery |
| Zdroj: | Pediatric radiology. 47(6) |
| ISSN: | 1432-1998 |
| Popis: | Gadolinium-based contrast agents (GBCAs) have been used for magnetic resonance (MR) imaging over the last three decades. Recent reports demonstrated gadolinium retention in patients’ brains following intravenous administration. Since gadolinium is a highly toxic heavy metal, there is a potential for adverse effects from prolonged retention or deposition, particularly in children. For this reason, the Society (SPR) for Pediatric Radiology Quality and Safety committee conducted a survey to evaluate the current status of GBCAs usage among pediatric radiologists. To assess the usage of GBCAs among SPR members. An online 15-question survey was distributed to SPR members. Survey questions pertained to the type of GBCAs used, protocoling workflow, requirement of renal function or pregnancy tests, and various clinical indications for contrast-enhanced MRI examinations. A total of 163 survey responses were compiled (11.1% of survey invitations), the majority of these from academic institutions in the United States. Ninety-four percent reported that MR studies are always or usually protocoled by pediatric radiologists. The most common GBCA utilized by survey respondents were Eovist (60.7%), Ablavar (45.4%), Gadovist (38.7%), Magnevist (34.4%) and Dotarem (32.5%). For several clinical indications, survey responses regarding GBCA administration were concordant with American College of Radiology (ACR) Appropriateness Criteria, including seizures, headache and osteomyelitis. For other indications, including growth hormone deficiency and suspected vascular ring, survey responses revealed potential overutilization of GBCAs when compared to ACR recommendations. Survey results demonstrate that GBCAs are administered judiciously in children, yet there is an opportunity to improve their utilization with the goal of reducing potential future adverse effects. |
| Databáze: | OpenAIRE |
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