Evidence map›Paper›PMID 40071223›Full record

ReviewGlobal challenges (Hoboken, NJ)2025

Gadolinium-Based Contrast Agents (GBCAs) for MRI: A Benefit-Risk Balance Analysis from a Chemical, Biomedical, and Environmental Point of View.

Angelo Scarciglia, Chiara Papi, Chiara Romiti, Andrea Leone, Enza Di Gregorio, Giuseppe Ferrauto

Abstract readReview
In one paragraph

Review in Global challenges (Hoboken, NJ), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Gadolinium-Based Contrast Agents and the Theater of Safety.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Hybrid FeInternational journal of molecular sciences · 2026
    Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Exosome tracking by magnetic resonance imaging.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Review
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.

Angelo ScarcigliaDepartment of Molecular Biotechnologies and Health Sciences University of Torino Via Nizza 52 Torino 10126 Italy.ORCID https://orcid.org/0009-0001-0598-4243
Chiara PapiDepartment of Molecular Biotechnologies and Health Sciences University of Torino Via Nizza 52 Torino 10126 Italy.ORCID https://orcid.org/0009-0005-9992-9032
Chiara RomitiDepartment of Molecular Biotechnologies and Health Sciences University of Torino Via Nizza 52 Torino 10126 Italy.ORCID https://orcid.org/0000-0002-0349-8751
Andrea LeoneDepartment of Molecular Biotechnologies and Health Sciences University of Torino Via Nizza 52 Torino 10126 Italy.
Enza Di GregorioDepartment of Molecular Biotechnologies and Health Sciences University of Torino Via Nizza 52 Torino 10126 Italy.ORCID https://orcid.org/0000-0002-1950-3957
Giuseppe FerrautoDepartment of Molecular Biotechnologies and Health Sciences University of Torino Via Nizza 52 Torino 10126 Italy.ORCID https://orcid.org/0000-0003-4937-6140

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gadolinium-based contrast agents (GBCAs) have revolutionized medical imaging, enhancing the accuracy and diagnostic value of magnetic resonance imaging (MRI). The increasing use of GBCAs has raised concerns about the release of gadolinium (Gd)(III) into the environment and potential risks for human health. Initially, multiple administrations of GBCAs were associated only with nephrogenic system fibrosis disease in individuals with impaired kidney function. Even if the Gd(III) retention in tissues has not yet been correlated with any specific disease, caution is required for the extensive use of GBCAs. The concerns related to the employment of GBCAs, due to the possible deposition and retention, should be extended also to healthy individuals without renal impairments. To ensure the well-being of patients, there is a need to develop even more stable and better-performing GBCAs, new MRI approaches requiring lower doses of GBCAs and, finally, innovative methods for recovering Gd(III) from both patients' urines and the environment. This can have strong advantages for human health and for environmental sustainability, also considering Gd(III) scarcity, being a rare earth element, and the shared guideline to reduce, as much as possible, the use of rare metals.

Indexed as

contrast agentsGd‐based contrast agentsGd(III)magnetic resonance imagingpollution

Identifiers

PMID40071223
PMCPMC11891575

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.