Evidence map›Paper›PMID 25756684›Full record

Trial reportInvestigative radiology2015

Nephrogenic systemic fibrosis risk after liver magnetic resonance imaging with gadoxetate disodium in patients with moderate to severe renal impairment: results of a prospective, open-label, multicenter study.

Thomas Lauenstein, Francisco Ramirez-Garrido, Young Hoon Kim, Sung Eun Rha, Jens Ricke, Sith Phongkitkarun, Joachim Boettcher, Rajan T Gupta, Pornpim Korpraphong, Wiwatana Tanomkiat and 4 more

Abstract readClinical Trial, Phase IVMulticenter Study
In one paragraph

Trial report in Investigative radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  9. Superparamagnetic iron oxide-enhanced MRI-guided stereotactic ablative radiation therapy for liver metastasis.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Thomas LauensteinFrom the *Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany; †Departmento de Radiologia Hospital Universitario San Cecili Granada, Granada, Spain; ‡Department of Radiology and Research Institute of Radiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Bundang; §Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea; ∥Klinik für Radiologie und Nuklearmedizin Universitätsklinikum Magdeburg, Magdeburg, Germany; ¶Department of Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; #Institut für Diagnostische und Interventionelle Radiologie, SRH Wald-Klinikum Gera, Gera, Germany; **Department of Radiology, Duke University Medical Center, Durham, NC; ††Department of Radiology, Faculty of Medicine, Mahidol University Siriraj Hospital, Bangkok; ‡‡Department of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand; §§Department of Biomedical Imaging und Image-Guided Therapy, Medical University of Vienna, Austria; ∥∥Department of Radiology, Division of Magnetic Resonance Imaging, University of Michigan Health System, Ann Arbor, MI; ¶¶Bayer HealthCare Pharmaceuticals, Berlin, Germany; and ##Department of Gynecology, Obstetrics and Reproductive Medicine, University Medical School of Saarland, Homburg/Saar, Germany.
Francisco Ramirez-Garrido
Young Hoon Kim
Sung Eun Rha
Jens Ricke
Sith Phongkitkarun
Joachim Boettcher
Rajan T Gupta
Pornpim Korpraphong
Wiwatana Tanomkiat
Julia Furtner
Peter S Liu
Maren Henry
Jan Endrikat

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to assess the risk of gadoxetate disodium in liver imaging for the development of nephrogenic systemic fibrosis (NSF) in patients with moderate to severe renal impairment. MATERIALS AND

methodsWe performed a prospective, multicenter, nonrandomized, open-label phase 4 study in 35 centers from May 2009 to July 2013. The study population consisted of patients with moderate to severe renal impairment scheduled for liver imaging with gadoxetate disodium. All patients received a single intravenous bolus injection of 0.025-mmol/kg body weight of liver-specific gadoxetate disodium. The primary target variable was the number of patients who develop NSF within a 2-year follow-up period.

resultsA total of 357 patients were included, with 85 patients with severe and 193 patients with moderate renal impairment, which were the clinically most relevant groups. The mean time period from diagnosis of renal disease to liver magnetic resonance imaging (MRI) was 1.53 and 5.46 years in the moderate and severe renal impairment cohort, respectively. Overall, 101 patients (28%) underwent additional contrast-enhanced MRI with other gadolinium-based MRI contrast agents within 12 months before the start of the study or in the follow-up. No patient developed symptoms conclusive of NSF within the 2-year follow-up.

conclusionsGadoxetate disodium in patients with moderate to severe renal impairment did not raise any clinically significant safety concern. No NSF cases were observed.

Indexed as

Magnetic Resonance ImagingAdultAgedAged, 80 and overContrast MediaFemaleFollow-Up StudiesGadolinium DTPAHumansKidney DiseasesLiverMaleMiddle AgedNephrogenic Fibrosing DermopathyProspective StudiesRiskContrast MediaGadolinium DTPAgadolinium ethoxybenzyl DTPA

Identifiers

PMID25756684
PMCPMC4420151

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.