Ramalho Joana, Ramalho Miguel
Department of Neuroradiology, Centro Hospitalar de Lisboa Central, Rua José António Serrano, 1150-199 Lisboa, Portugal.
Department of Radiology, Hospital Garcia de Orta, Avenida Torrado da Silva, 2805-267 Almada, Portugal.
Magn Reson Imaging Clin N Am. 2017 Nov;25(4):765-778. doi: 10.1016/j.mric.2017.06.007. Epub 2017 Sep 8.
Clinicians, radiologists, and patients should be aware of the most up-to-date data on the risks of gadolinium-based contrast agent (GBCA) administration. In this review, we discuss in vivo gadolinium retention, particularly brain tissue retention, and potential toxic effects. GBCA pharmacokinetics and biodistribution are reviewed briefly. Based on the more recent published literature and society guidelines, general safety recommendations for clinical practice are provided.
临床医生、放射科医生和患者应了解有关使用钆基造影剂(GBCA)风险的最新数据。在本综述中,我们讨论了钆在体内的潴留情况,特别是脑组织中的潴留情况以及潜在的毒性作用。简要回顾了GBCA的药代动力学和生物分布。基于最新发表的文献和社会指南,提供了临床实践的一般安全建议。