Evidence map›Paper›PMID 26253982›Full record

ArticleInsights into imaging2015

Revisiting the risks of MRI with Gadolinium based contrast agents-review of literature and guidelines.

Aurang Z Khawaja, Deirdre B Cassidy, Julien Al Shakarchi, Damian G McGrogan, Nicholas G Inston, Robert G Jones

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Insights into imaging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06776419 (the Role of cArdiac Inflammation, endoThelial Dysfunction, and FIbrosis in fabrY Disease), which is not on this map. Cited by 67 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 2 pooled it
9.2field-weighted citation impact, top 1% of its field
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.

NCT06776419 recruitingnot on this mapstarted 2025, after this paper: background citation

the Role of cArdiac Inflammation, endoThelial Dysfunction, and FIbrosis in fabrY Disease

TypeobservationalSponsorCaroline Michaela KistorpRan2025 to 2031Enrolled54ConditionsFabry Disease, Cardiovascular DiseasesArmsCardiac Magnetic Ressonance Imaging, 82Rubidium-positron emission tomography and computer-tomography
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 2 syntheses or guidelines pooled it, 178 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Can abbreviated MRI replace standard protocols in IPMN surveillance? A retrospective comparative study.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. AI for image quality and patient safety in CT and MRI.European radiology experimental · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Synthesizing MR Image Contrast Enhancement Using 3D High-Resolution ConvNets.IEEE transactions on bio-medical engineering · 2023
    Article

7 more citing papers are in PubMed but not listed here.

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

6 authors at 2 institutions in 1 country.

Aurang Z KhawajaDepartment of Renal Transplant Surgery & Vascular Access, Queen Elizabeth Hospital, University Hospitals Birmingham, Mindelsohn Way, Birmingham, B15 2GW, West Midlands, UK. aurangzaib.khawaja@nhs.net.
Deirdre B CassidyDivision of Diabetes and Cardiovascular Medicine, University of Dundee, Dundee, DD19SY, UK.
Julien Al ShakarchiDepartment of Renal Transplant Surgery & Vascular Access, Queen Elizabeth Hospital, University Hospitals Birmingham, Mindelsohn Way, Birmingham, B15 2GW, West Midlands, UK.
Damian G McGroganDepartment of Renal Transplant Surgery & Vascular Access, Queen Elizabeth Hospital, University Hospitals Birmingham, Mindelsohn Way, Birmingham, B15 2GW, West Midlands, UK.
Nicholas G InstonDepartment of Renal Transplant Surgery & Vascular Access, Queen Elizabeth Hospital, University Hospitals Birmingham, Mindelsohn Way, Birmingham, B15 2GW, West Midlands, UK.
Robert G JonesDepartment of Radiology, Queen Elizabeth Hospital, University Hospitals Birmingham, Mindelsohn Way, Birmingham, B15 2GW, West Midlands, UK.
Queen Elizabeth Hospital Birmingham · GBUniversity of Dundee · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledGadolinium based contrast agents (GBCA) have been linked to the occurrence of nephrogenic systemic fibrosis (NSF) in renal impaired patients. The exact interaction between the various different available formulations and occurrence of NSF is not completely understood, but has been postulated. This association has triggered public health advisory bodies to issue guidelines and best practice recommendations on its use. As a result, the reported incidence of NSF, as well as the published use of GBCA-enhanced magnetic resonance imaging in renal impairment, has seen a decline. Understanding of the events that led to these recommendations can increase clinical awareness and the implications of their usage. We present a review of published literature and a brief overview of practice recommendations, guidelines and manuals on contrast safety to aide everyday imaging practice. TEACHING POINTS: • Low risk gadolinium based contrast agents should be the choice in renal insufficiency. • Higher doses have been linked to NSF development. Doses should be as low as possible. • Clear documentation of date, dose and type of formulation used should be noted. • Post-scan dialysis should be arranged as soon as possible and feasible. • Pre- existing inflammatory state is a risk factor; liver insufficiency is not a contraindication.

Indexed as

Contrast mediaGadolinium/adverse effectsMagnetic resonance imagingNephrogenic fibrosing dermopathyRenal insufficiency

Identifiers

PMID26253982
PMCPMC4569598
OpenAlexW1806101983

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.