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Vol 54, No 5 (2020)
Review Article
Submitted: 2020-06-20
Accepted: 2020-07-28
Published online: 2020-09-21
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Role of gadolinium-based contrast agents in neurological disorders

Weronika Golec1, Aleksandra Jakimów-Kostrzewa2, Bartosz Mruk3, Sergiusz Jóźwiak1
DOI: 10.5603/PJNNS.a2020.0070
·
Pubmed: 32955099
·
Neurol Neurochir Pol 2020;54(5):399-409.
Affiliations
  1. Department of Child Neurology, Medical University of Warsaw, Żwirki i Wigury 63A, 02-091 Warsaw, Poland
  2. Department of Radiology, Medical University of Warsaw,, Żwirki i Wigury 63A, 02-091 Warsaw, Poland
  3. Department of Radiology, Centre of Postgraduate Medical Education, Marymoncka 99/103, 01-813 Warsaw, Poland

open access

Vol 54, No 5 (2020)
Review articles
Submitted: 2020-06-20
Accepted: 2020-07-28
Published online: 2020-09-21

Abstract

Gadolinium-based contrast agents (GBCAs) are widely used in magnetic resonance imaging (MRI) to help with the diagnostic and monitoring processes of many diseases, including neurological disorders. Initially, it was assumed that GBCAs carry minimal risk, are safe and well tolerated. But recent reports of GBCA-associated deposition in many body tissues have raised concerns about the broader health impacts of gadolinium exposure. The aim of this review was to summarise knowledge regarding gadolinium deposition, primarily in the brain structures, and of potential GBCA-associated toxicity. Moreover, we discuss the current recommendations on the use of GBCAs, as well as alternative contrast agents and imaging techniques.

Abstract

Gadolinium-based contrast agents (GBCAs) are widely used in magnetic resonance imaging (MRI) to help with the diagnostic and monitoring processes of many diseases, including neurological disorders. Initially, it was assumed that GBCAs carry minimal risk, are safe and well tolerated. But recent reports of GBCA-associated deposition in many body tissues have raised concerns about the broader health impacts of gadolinium exposure. The aim of this review was to summarise knowledge regarding gadolinium deposition, primarily in the brain structures, and of potential GBCA-associated toxicity. Moreover, we discuss the current recommendations on the use of GBCAs, as well as alternative contrast agents and imaging techniques.

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Keywords

gadolinium-based contrast agents, gadolinium deposition, alternative contrast agents, alternative imaging techniques

About this article
Title

Role of gadolinium-based contrast agents in neurological disorders

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 54, No 5 (2020)

Article type

Review Article

Pages

399-409

Published online

2020-09-21

Page views

3391

Article views/downloads

2184

DOI

10.5603/PJNNS.a2020.0070

Pubmed

32955099

Bibliographic record

Neurol Neurochir Pol 2020;54(5):399-409.

Keywords

gadolinium-based contrast agents
gadolinium deposition
alternative contrast agents
alternative imaging techniques

Authors

Weronika Golec
Aleksandra Jakimów-Kostrzewa
Bartosz Mruk
Sergiusz Jóźwiak

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