Health Sciences University, Gulhane Medicine Faculty, Research and Education Hospital, Department of Radiology, Ankara, Turkey.
Nazarbayev University, Chemical and Materials Engineering, Astana, Kazakhstan.
PLoS One. 2019 Apr 4;14(4):e0214910. doi: 10.1371/journal.pone.0214910. eCollection 2019.
Gadolinium based contrast agents (GBCAs) were found to play a role in nephrogenic systemic fibrosis in patients with and without renal impairment. Therefore, preserving the structural stability of GBCAs to reduce their propensity to liberate Gd3+ is of utmost importance. This study evaluates the effect of gadolinium concentration of GBCAs on solution temperature under magnetic fields. It is hypothesized that presence of gadolinium will lead to temperature changes of its solutions under magnetic field, and this change will depend on concentration. In this study, GBCAs were diluted to concentrations of 0.6, 1.2, 1.8, 2.4 mMol/L. A 10mL preparation in pure water, simulated body fluid (SBF), and plasma was scanned at 3T following a soft tissue neck protocol, and their temperatures were measured. Findings revealed that concentration of GBCA had significant effect on temperature change in all dilution media. Type of commercially available GBCA had an effect only in SFB and plasma. Evaluation of correlation between conditional stability constant (Kcond) and temperature difference (ΔT) revealed that in water and SBF there exists a positive correlation between Kcond and temperature variation. Collectively, GBCAs can cause local temperature variations when administered into patients, and can affect dissociation of gadolinium from its chelates, which should be investigated in a further study.
镧系元素基造影剂(GBCAs)已被发现可在有或无肾功能损害的患者中发挥作用,导致肾源性系统纤维化。因此,保持 GBCAs 的结构稳定性以降低其释放 Gd3+的倾向至关重要。本研究评估了 GBCAs 浓度对磁场下溶液温度的影响。研究假设镧系元素的存在会导致其溶液在磁场下发生温度变化,并且这种变化取决于浓度。在这项研究中,将 GBCAs 稀释至 0.6、1.2、1.8 和 2.4 mMol/L 的浓度。在 3T 下,按照软组织颈部协议对纯水、模拟体液(SBF)和血浆中的 10mL 制剂进行扫描,并测量其温度。结果表明,GBCA 的浓度对所有稀释介质中的温度变化均有显著影响。不同的 GBCA 商品类型仅对 SBF 和血浆有影响。对条件稳定常数(Kcond)和温差(ΔT)之间的相关性进行评估后发现,在水和 SBF 中,Kcond 和温度变化之间存在正相关关系。总之,GBCAs 注入患者体内时会引起局部温度变化,并可能影响其与螯合物中镧系元素的解离,这需要在进一步的研究中进行调查。