Low Risk for Nephrogenic Systemic Fibrosis in Nondialysis Patients Who Have Chronic Kidney Disease and Are Investigated with Gadolinium-Enhanced Magnetic Resonance Imaging

Chrysochou, Constantina; Power, Albert; Shurrab, Ala’a E.; Husain, Sayed; Moser, Steven; Lay, James; Salama, Alan D.; Kalra, Philip A.

doi:10.2215/cjn.06580909

Cited by 66 publications

(53 citation statements)

References 22 publications

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“…With the more stable salts of Gadolinium (MultiHance), no cases of NSF have been reported in 784 ESRD patients at our institution (29,30). A larger study from the United Kingdom showed no cases of NSF in 2053 patients with CKD (608 patients had CKD stages 4 and 5) who received Gadolinium (31).…”

Section: Renal Complicationsmentioning

confidence: 77%

Renal Relevant Radiology

Rahbari-Oskoui¹,

Mittal²,

Mittal³

et al. 2014

Clinical Journal of the American Society of Nephrology

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SummaryAutosomal-dominant polycystic kidney disease is a systemic disorder and the most common hereditary renal disease, which is characterized by cyst growth, progressive renal enlargement, and development of renal failure. The cystic nature of autosomal dominant polycystic kidney disease and its renal and extrarenal complications (kidney stones, cyst hemorrhage, intracerebral aneurysm, liver cysts, cardiac valve abnormalities, etc.) give radiologic imaging studies a central role in the management of these patients. This article reviews the indications, comparative use, and limitation of various imaging modalities (ultrasonography, magnetic resonance imaging, computerized tomography scan, Positron emission tomography scan, and renal scintigraphy) for the diagnosis and management of complications in autosomal dominant polycystic kidney disease. Finally, this work provides evidence for the value of total kidney volume to predict disease progression in autosomal dominant polycystic kidney disease.

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Section: Renal Complicationsmentioning

confidence: 77%

Renal Relevant Radiology

Rahbari-Oskoui¹,

Mittal²,

Mittal³

et al. 2014

Clinical Journal of the American Society of Nephrology

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“…In general, gadoliniumenhanced MRI is used as a standard for diagnostic imaging 1) . Since gadolinium enhancement in this case was relatively contraindicated due to the unstable renal function (s -Cre, 1.1 -1.4 mg/dL ; eGFR, 29 -36 mL/min/1.73 m²), use of MRI and Ga scintigraphy allowed successful diagnosis 36) . In this case, swelling in the falx cerebri was not detected on MRI at the time of sinusitis (Fig.…”

Section: Discussionmentioning

confidence: 93%

Hypertrophic Cranial Pachymeningitis in Mpo-Anca-Related Vasculitis: A Case Report and Literature Review

Watanabe

Tani

Kimura

et al. 2013

FJMS

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: A 75 -year -old woman presented with rapidly progressive glomerulonephritis with positive results for anti -myeloperoxidase anti -neutrophil cytoplasmic antibody (MPO -ANCA). Corticosteroid therapy was successfully introduced. However, 7 months later, magnetic resonance imaging revealed marked swelling in the falx cerebri and high density regions were apparent on gallium scintigraphy, leading to diagnosis of hypertrophic cranial pachymeningitis (HCP). Symptoms improved with intensified corticosteroid therapy, but radiological examination 9 months later revealed right nasal sinus inflammation accompanied by osteolytic change. Granulomatosis with polyangiitis (Wegener's) was finally diagnosed. HCP is an important complication in MPO -ANCArelated vasculitis, and needs to be considered during the clinical course.

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“…The risk of nephrogenic systemic fibrosis, however, is low, even in patients with chronic kidney disease. 24,25 Even so, it is recommended that in patients with moderate-to-end stage kidney disease, imaging methods other than MR angiography with a gadoliniumbased contrast agent should be selected whenever possible. 24 Answers to question 7 (32 responded).…”

Section: Methodsmentioning

confidence: 99%

Controversies in Diagnosis of Pulmonary Embolism

Stein

Sostman

Dalen

et al. 2010

Clin Appl Thromb Hemost

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The approach to the diagnosis of acute pulmonary embolism (PE) is under constant revision with advances in technology, noninvasive approaches, and increasing awareness of the risks of ionizing radiation. Optimal approaches in some categories of patients are controversial. Data are insufficient for evidence-based recommendations. Therefore, this survey of investigators in the field was undertaken. Even among experts there were marked differences of opinion regarding the approach to the diagnosis of acute PE. Although CT pulmonary angiography was usually the imaging test of choice, the respondents were keenly aware of the dangers of ionizing radiation. In view of advances in scintigraphic diagnosis since the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED) trial, ventilation/perfusion (V/Q) lung scans or perfusion scans alone and single photon emission computed tomography (SPECT) V/Q lung scans are often recommended. The choice depends on the patient's age, gender, and complexity of the findings on the plain chest radiograph.

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Low Risk for Nephrogenic Systemic Fibrosis in Nondialysis Patients Who Have Chronic Kidney Disease and Are Investigated with Gadolinium-Enhanced Magnetic Resonance Imaging

Cited by 66 publications

References 22 publications

Renal Relevant Radiology

Renal Relevant Radiology

Hypertrophic Cranial Pachymeningitis in Mpo-Anca-Related Vasculitis: A Case Report and Literature Review

Controversies in Diagnosis of Pulmonary Embolism

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