Evidence map›Paper›PMID 29977584›Full record

ArticleCanadian journal of kidney health and disease2018

Gadolinium-Based Contrast Agents in Kidney Disease: A Comprehensive Review and Clinical Practice Guideline Issued by the Canadian Association of Radiologists.

Nicola Schieda, Jason I Blaichman, Andreu F Costa, Rafael Glikstein, Casey Hurrell, Matthew James, Pejman Jabehdar Maralani, Wael Shabana, An Tang, Anne Tsampalieros and 2 more

Open access · goldAbstract read
In one paragraph

Article in Canadian journal of kidney health and disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
5.3field-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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 109 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  8. Blood-brain barrier breakdown in brain ischemia: Insights from MRI perfusion imaging.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
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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

12 authors at 7 institutions in 2 countries.

Nicola SchiedaDepartment of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ontario, Canada.
Jason I BlaichmanFaculty of Medicine, Department of Radiology, University of British Columbia, Vancouver, Canada.
Andreu F CostaDepartment of Diagnostic Radiology, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, Nova Scotia, Canada.
Rafael GliksteinBrain and Mind Research Institute, Ottawa Hospital Research Institute, University of Ottawa, Ontario, Canada.
Casey HurrellCanadian Association of Radiologists, Ottawa, Ontario, Canada.ORCID https://orcid.org/0000-0003-0453-2576
Matthew JamesCumming School of Medicine, University of Calgary, Alberta, Canada.
Pejman Jabehdar MaralaniDepartment of Medical Imaging, University of Toronto, Ontario, Canada.
Wael ShabanaDepartment of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ontario, Canada.
An TangDepartment of Radiology, Radio-oncology and Nuclear Medicine, University of Montreal, Québec, Canada.
Anne TsampalierosDivision of Nephrology, Children's Hospital of Eastern Ontario, Clinical Epidemiology Program and the University of Ottawa, Ontario, Canada.
Christian B van der PolDepartment of Radiology, Brigham and Women's Hospital, Harvard University, Boston, MA, USA.
Swapnil HiremathDivision of Nephrology, Department of Medicine and Kidney Research Centre, Ottawa Hospital Research Institute, University of Ottawa, Ontario, Canada.
University of Ottawa · CABrigham and Women's Hospital · USCentre Hospitalier de l’Université de Montréal · CADalhousie University · CAUniversity of British Columbia · CAUniversity of Calgary · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewUse of gadolinium-based contrast agents (GBCA) in renal impairment is controversial, with physician and patient apprehension in acute kidney injury (AKI), chronic kidney disease (CKD), and dialysis because of concerns regarding nephrogenic systemic fibrosis (NSF). The position that GBCA are absolutely contraindicated in AKI, category G4 and G5 CKD (estimated glomerular filtration rate [eGFR] < 30 mL/min/1.73 m SOURCES OF INFORMATION: Published literature (including clinical trials, retrospective cohort series, review articles, and case reports), online registries, and direct manufacturer databases were searched for reported cases of NSF by class and specific GBCA and exposed patient population.

methodsA comprehensive review was conducted identifying cases of NSF and their association to class of GBCA, specific GBCA used, patient, and dose (when this information was available). Based on the available literature, consensus guidelines were developed by an expert panel of radiologists and nephrologists. KEY

findingsIn patients with category G2 or G3 CKD (eGFR ≥ 30 and < 60 mL/min/1.73 m LIMITATIONS: Limited available literature (number of injections and use in renal impairment) regarding the use of gadoxetate disodium. Limited, but growing and generally high-quality, number of clinical trials evaluating GBCA administration in renal impairment. Limited data regarding the topic of Gadolinium deposition in the brain, particularly as it related to patients with renal impairment. IMPLICATIONS: In patients with AKI and category G4 and G5 CKD (eGFR < 30 mL/min/1.73 m

Indexed as

gadoliniumguidelinemagnetic resonance imagingnephrogenic systemic fibrosisNSF

Identifiers

PMID29977584
PMCPMC6024496
OpenAlexW2808380430

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.