Evidence map›Paper›PMID 34423308›Full record

ReviewKidney3602020

Gadolinium-Based Contrast Agent Use, Their Safety, and Practice Evolution.

Catherine Do, Joshua DeAguero, Adrian Brearley, Xochitl Trejo, Tamara Howard, G Patricia Escobar, Brent Wagner

Open access · diamondAbstract readReview
In one paragraph

Review in Kidney360, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
5.4field-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

59 citing papers in PubMed, 121 citations in OpenAlex.

  1. Gadolinium-Based Contrast Agents and the Theater of Safety.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
  2. Response to Dr. Do.Magnetic resonance imaging · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Gadolinium Intermediate Elimination and Persistent Symptoms After Magnetic Resonance Imaging Contrast Agent Exposure.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
    Article
  9. Review
  10. Simultaneous TMagnetic resonance in medicine · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Catherine DoKidney Institute of New Mexico, Albuquerque, New Mexico.ORCID 0000-0002-9688-1820
Joshua DeAgueroKidney Institute of New Mexico, Albuquerque, New Mexico.ORCID 0000-0001-6821-2067
Adrian BrearleyDepartment of Earth and Planetary Science, University of New Mexico, Albuquerque, New Mexico.ORCID 0000-0002-7364-8815
Xochitl TrejoSandia High School, Albuquerque, New Mexico.
Tamara HowardUniversity of New Mexico Health Sciences Center, Albuquerque, New Mexico.
G Patricia EscobarKidney Institute of New Mexico, Albuquerque, New Mexico.ORCID 0000-0002-4505-5297
Brent WagnerKidney Institute of New Mexico, Albuquerque, New Mexico.ORCID 0000-0002-7063-0142
University of New Mexico · US

Funding

Unfolded Protein Response and Autophagy in T Helper Cell Effector FunctionP20GM121176 · NIGMS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI Monica Rosas Lemus · 2017 to 2026
$24.9M
Chemokine Receptors in MRI Contrast-Induced Organ FibrosisR01DK102085 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI WAGNER, BRENT · 2014 to 2017
$1.2M
BLRD VA I01 BX001958NIDDK NIH HHS L30 DK065600NIDDK NIH HHS R01 DK102085NIGMS NIH HHS P20 GM121176
6 · The paper itself

Abstract

Gadolinium-based contrast agents (GBCAs) have provided much needed image enhancement in magnetic resonance imaging (MRI) important in the advancement of disease diagnosis and treatment. The paramagnetic properties of ionized gadolinium have facilitated these advancements, but ionized gadolinium carries toxicity risk. GBCAs were formulated with organic chelates designed to reduce these toxicity risks from unbound gadolinium ions. They were preferred over iodinated contrast used in computed tomography and considered safe for use. As their use expanded, the development of new diseases associated with their use (including nephrogenic systemic fibrosis) has drawn more attention and ultimately caution with their clinical administration in those with impaired renal function. Use of GBCAs in those with preserved renal function was considered to be safe. However, in this new era with emerging clinical and experimental evidence of brain gadolinium deposition in those with repeated exposure, these safety assumptions are once again brought into question. This review article aims to add new perspectives in thinking about the role of GBCA in current clinical use. The new information begs for further discussion and consideration of the risk-benefit ratio of use of GBCAs.

Indexed as

Contrast MediaNephrogenic Fibrosing DermopathyGadoliniumHumansImage EnhancementMagnetic Resonance ImagingContrast MediaGadolinium

Identifiers

PMID34423308
PMCPMC8378745
OpenAlexW3016785992

What OpenQuestion holds

Textmetadata
LicenceTDM
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.