Evidence map›Paper›PMID 29063255›Full record

GuidelineEuropean radiology2018

Gadolinium retention after administration of contrast agents based on linear chelators and the recommendations of the European Medicines Agency.

Ilona A Dekkers, Rick Roos, Aart J van der Molen

Open access · bronzeAbstract readPractice Guideline
PubMed Publisher
In one paragraph

Guideline in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
5.1field-weighted citation impact, top 3% 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.

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

49 citing papers in PubMed, 106 citations in OpenAlex.

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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

3 authors at 1 institution in 1 country.

Ilona A DekkersDepartment of Radiology, Leiden University Medical Centre, C-2S, Albinusdreef 2, NL-2333, ZA, Leiden, The Netherlands. i.a.dekkers@lumc.nl.
Rick RoosDepartment of Radiology, Leiden University Medical Centre, C-2S, Albinusdreef 2, NL-2333, ZA, Leiden, The Netherlands.
Aart J van der MolenDepartment of Radiology, Leiden University Medical Centre, C-2S, Albinusdreef 2, NL-2333, ZA, Leiden, The Netherlands.
Leiden University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Pharmacovigilance Risk Assessment Committee (PRAC) of the European Medicines Agency (EMA) earlier this year recommended to suspend some marketing authorisations for Gadolinium Containing Contrast Agents (GCCAs) based on linear chelators due to the potential risk of gadolinium retention in the human body. These recommendations have recently been re-evaluated by EMA's Committee for Medicinal Products for Human Use (CHMP), and confirmed the final opinion of the European Medicines Agency. This editorial provides an overview of the available GCCAs and summarises the recent evidence of gadolinium retention. Moreover, a critical appraisal of the strengths and limitations of the scientific evidence currently available on gadolinium retention is given. KEY POINTS: • EMA recommended suspension of some EU marketing authorisations of four linear GCCAs. • Brain MRI findings indicating gadolinium retention have been confirmed by mass spectrometry. • Current scientific evidence for gadolinium retention has several methodological limitations. • No clear clinical evidence exists indicating that gadolinium retention causes neurotoxicity. • Long-term safety of GCCAs, however, remains unclear.

Indexed as

BrainContrast MediaGadoliniumImage EnhancementMagnetic Resonance ImagingChelating AgentsEuropeHumansPharmacovigilanceRisk AssessmentSocieties, MedicalChelating AgentsContrast MediaGadoliniumChemical safetyConsumer product safetyContrast mediaGadoliniumMagnetic resonance imaging

Identifiers

PMID29063255
OpenAlexW2766399733

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.