Evidence map›Paper›PMID 40726038›Full record

ReviewClinical and translational allergy2025

Hypersensitivity Reactions to Gadolinium-Based Contrast Agents: Update From an Allergist's Point of View.

Francesca Losa, Giovanni Paoletti, Giulia Costanzo, Fabio Lodi Rizzini, Marina Mauro, Donatella Preziosi, Federica Rivolta, Andrea Sangalli, Andrea Toniato, Serena Traversi and 5 more

Abstract readReview
In one paragraph

Review in Clinical and translational allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Francesca LosaSC Allergologia, Reumatologia e Immunologia Clinica, Mantova, Itlay.
Giovanni PaolettiDepartment of Biomedical Science, Humanitas University, Milan, Italy.ORCID https://orcid.org/0000-0003-3953-9225
Giulia CostanzoDepartment of Public Health and Medical Science University of Cagliari, Cagliari, Italy.
Fabio Lodi RizziniDSCS (Dip. SCienze Cliniche e Sperimentali) - Scuola di Specializzazione in Allergologia e Immunologia Clinica, Brescia, Italy.
Marina MauroAllergy Unit, Division of Pulmonology, S. Anna Hospital, Como, Italy.
Donatella PreziosiAllergy Unit, Division of Pulmonology, S. Anna Hospital, Como, Italy.
Federica RivoltaDepartment of Internal Medicine, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
Andrea SangalliAllergy and Clinical Immunology Residency, University of Milan, Milan, Italy.ORCID https://orcid.org/0000-0001-8762-9212
Andrea ToniatoHumanitas Gavazzeni e Castelli (BG), Ambulatorio di Allergologia, Bergamo, Italy.ORCID https://orcid.org/0000-0002-7275-7964
Serena TraversiDSCS (Dip. SCienze Cliniche e Sperimentali) - Scuola di Specializzazione in Allergologia e Immunologia Clinica, Brescia, Italy.
Alessandro VrennaDSCS (Dip. SCienze Cliniche e Sperimentali) - Scuola di Specializzazione in Allergologia e Immunologia Clinica, Brescia, Italy.
Mario Di GioacchinoCenter for Advanced Studies and Technology, G. D'Annunzio University, Chieti, Italy.
Giorgio Walter CanonicaDepartment of Biomedical Science, Humanitas University, Milan, Italy.
Enrico HefflerDepartment of Biomedical Science, Humanitas University, Milan, Italy.ORCID https://orcid.org/0000-0002-0492-5663
Maria Teresa CostantinoSC Allergologia, Reumatologia e Immunologia Clinica, Mantova, Itlay.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increasing use of Magnetic Resonance Imaging (MRI) has led to a rise in the administration of gadolinium-based contrast agents (GBCAs), accompanied by a growing number of reported adverse events (AEs).

objectiveThis review aims to provide an updated overview of hypersensitivity reactions (HSRs) to GBCAs, focusing on diagnostic and management strategies from an allergological perspective.

methodsWe reviewed recent literature concerning the classification, clinical presentation, and pathophysiological mechanisms of HSRs to GBCAs. Particular attention was given to current recommendations for diagnosis, risk stratification, and prevention. DISCUSSION: Adverse events to GBCAs are categorized into Type A reactions, which are dose-dependent and predictable, and Type B reactions, which are dose-independent hypersensitivity reactions. The latter may be allergic or non-allergic, presenting diagnostic and therapeutic challenges.

conclusionsHSRs to GBCAs, though relatively rare, require careful evaluation and tailored management. An allergological work-up, including skin testing and graded challenges when appropriate, plays a critical role in the safe re-exposure of patients with prior reactions.

Indexed as

cross‐reactivity (CR)drug provocation tests (DPT)gadolinium‐based contrast agents (GBCAs)hypersensitivity reactions (HSRs)premedicationskin test (ST)

Identifiers

PMID40726038
PMCPMC12304087

What OpenQuestion holds

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Registered trials

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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.