.Consensus on whole-process pharmaceutical care for gadolinium-based contrast agents[J].ZHONGGUO YAOFANG,2023,34(17):2049-2056. DOI: 10.6039/j.issn.1001-0408.2023.17.01.
Consensus on whole-process pharmaceutical care for gadolinium-based contrast agents
In order to promote the rational clinical use of gadolinium-based contrast agents (GBCA) and to provide a reference for physicians to prescribe such contrast agents and for pharmacists to review prescriptions, the consensus working group launched the preparation project of “
Consensus on whole-process pharmaceutical care for GBCA
” according to domestic and foreign guidelines and consensus. The Zhujiang Hospital of Southern Medical University took the lead and cooperated with clinical experts and pharmaceutical experts from several domestic medical institutions to discuss and summarize the basic pharmacological effect of GBCA, types, pharmacokinetics, pharmacodynamics, indications, contraindications, precautions, usage and dosage, adverse drug reactions, and finally forms the consensus. The main contents of this consensus include an overview of various types of GBCA, rational clinical use of drugs, security management and whole-process pharmaceutical care process, etc., for reference by physicians and pharmacists in medical institutions at all levels.
关键词
钆对比剂合理用药药物不良反应药学服务全流程共识
Keywords
rational drug useadverse drug reactionspharmaceutical carewhole-processconsensus
references
ACR Committee on Drugs and Contrast Media. ACR manual on contrast media[M]. 2021 edition. Washington:American College of Radiology,2021:75-78.
李坤成. 磁共振成像对比剂的临床应用[M]. 北京:人民卫生出版社,2016:1-10.
DO Q N,LENKINSKI R E,TIRCSO G,et al. How the chemical properties of GBCAs influence their safety profiles in vivo[J]. Molecules,2021,27(1):58.
COSTELLOE C M,AMINI B,MADEWELL J E. WITHDRAWN:risks and benefits of gadolinium-based contrast enhanced MRI[J]. Semin Ultrasound CT MR,2020,41(2):260-274.
HUANG X X,JIANG R H,XU X Q,et al. Ischemic stroke increased gadolinium deposition in the brain and aggravated astrocyte injury after gadolinium-based contrast agent administration:linear versus macrocyclic agents[J]. J Magn Reson Imaging,2021,53(4):1282-1292.
FATIMA A,AHMAD M W,AL SAIDI A K A,et al. Recent advances in gadolinium based contrast agents for bioimaging applications[J]. Nanomaterials,2021,11(9):2449.
SHEN Y Q,GOERNER F L,SNYDER C,et al. T1 relaxi- vities of gadolinium-based magnetic resonance contrast agents in human whole blood at 1.5,3,and 7 T[J]. Invest Radiol,2015,50(5):330-338.
ROHRER M,BAUER H,MINTOROVITCH J,et al. Comparison of magnetic properties of MRI contrast media solutions at different magnetic field strengths[J]. Invest Radiol,2005,40(11):715-724.
段二月,马建功,程鹏. 钆类造影剂的研究进展[J]. 大学化学,2016,31(7):1-13.
Radiology European Society of Urogenital. ESUR guidelines on contrast agents[M]. Vienna:ESUR Guidelines on Contrast Agents,2018:6-35.
RONG D L,HE B J,TANG W J,et al. Comparison of gadobenate-enhanced MRI and gadoxetate-enhanced MRI for hepatocellular carcinoma detection using LI-RADS version 2018:a prospective intraindividual randomized study[J]. AJR Am J Roentgenol,2022,218(4):687-698.
SOULEZ G,BLOOMGARDEN D C,ROFSKY N M, et al. Prospective cohort study of nephrogenic systemic fibrosis in patients with stage 3-5 chronic kidney disease undergoing MRI with injected gadobenate dimeglumine or gadoteridol[J]. AJR Am J Roentgenol,2015,205(3):469-478.
WOOLEN S A,SHANKAR P R,GAGNIER J J,et al. Risk of nephrogenic systemic fibrosis in patients with stage 4 or 5 chronic kidney disease receiving a group Ⅱ gadolinium-based contrast agent:a systematic review and meta-analysis[J]. JAMA Intern Med,2020,180(2):223-230.
ATTARI H,CAO Y,ELMHOLDT T R,et al. A systematic review of 639 patients with biopsy-confirmed nephrogenic systemic fibrosis[J]. Radiology,2019,292(2):376-386.
STAREKOVA J,BRUCE R J,SADOWSKI E A,et al. No cases of nephrogenic systemic fibrosis after administration of gadoxetic acid[J]. Radiology,2020,297(3):556-562.
TSENG T Y,TSENG J H,HUANG B S,et al. Risk of nephrogenic systemic fibrosis in patients with impaired renal function undergoing fixed-dose gadoxetic acid-enhanced magnetic resonance imaging[J]. Abdom Radiol,2021,46(8):3995-4001.
ROBERT P,VIVES V,GRINDEL A L,et al. Contrast-to-dose relationship of gadopiclenol,an MRI macrocyclic gadolinium-based contrast agent,compared with gado- terate,gadobenate,and gadobutrol in a rat brain tumor model[J]. Radiology,2020,294(1):117-126.
ROBIC C,PORT M,ROUSSEAUX O,et al. Physicochemical and pharmacokinetic profiles of gadopiclenol:a new macrocyclic gadolinium chelate with high T1 relaxi- vity[J]. Invest Radiol,2019,54(8):475-484.
LOEVNER L A,KOLUMBAN B,HUTÓCZKI G,et al. Efficacy and safety of gadopiclenol for contrast-enhanced MRI of the central nervous system:the PICTURE rando- mized clinical trial[J]. Invest Radiol,2023,58(5):307-313.
BEHZADI A H,ZHAO Y Z,FAROOQ Z,et al. Imme- diate allergic reactions to gadolinium-based contrast agents:a systematic review and meta-analysis[J]. Radiology,2018,286(2):731.
MCDONALD R J,MCDONALD J S,KALLMES D F, et al. Intracranial gadolinium deposition after contrast-enhanced MR imaging[J]. Radiology,2015,275(3):772-782.
MURATA N,GONZALEZ-CUYAR L F,MURATA K, et al. Macrocyclic and other non-group 1 gadolinium contrast agents deposit low levels of gadolinium in brain and bone tissue:preliminary results from 9 patients with normal renal function[J]. Invest Radiol,2016,51(7):447-453.
KANDA T,FUKUSATO T,MATSUDA M,et al. Gadolinium-based contrast agent accumulates in the brain even in subjects without severe renal dysfunction:evaluation of autopsy brain specimens with inductively coupled plasma mass spectroscopy[J]. Radiology,2015,276(1):228-232.
MCDONALD R J,MCDONALD J S,DAI D Y,et al. Comparison of gadolinium concentrations within multiple rat organs after intravenous administration of linear versus macrocyclic gadolinium chelates[J]. Radiology,2017,285(2):536-545.
JOST G,FRENZEL T,BOYKEN J,et al. Long-term excretion of gadolinium-based contrast agents:linear versus macrocyclic agents in an experimental rat model[J]. Radiology,2019,290(2):340-348.
Consensus on whole-process pharmaceutical care for iodine contrast medium
Quality evaluation of Chinese and global guidelines/consensus for TDM of anti-TNF-α agents in patients with inflammatory bowel disease
Analysis and evaluation of the application of polymyxin B in inpatients based on clinical guidelines and consensuses
Survey analysis of influential factors of medication compliance and adverse drug reactions of home-based patients with severe mental disorders in Jinshan district of Shanghai
Related Author
Clinical Professional Committee on Rational Drug Use of China Medical Education Association
Expert Committee on Drug Evaluation and Clinical Research of Guangdong Pharmaceutical Association
China Medical Education Association Rational Drug Use Professional Committee
Wang Yong
Yu Shanshan
ZHU Jianguo
JIN Tanghui
ZHU Mengxin
Related Institution
Dept. of Pharmacy, the First Affiliated Hospital of Soochow University
Dept. of Gastroenterology, the First Affiliated Hospital of Soochow University
Dept. of Pharmacy, Tianjin Medical University General Hospital
Dept. of Pharmacy, Jinshan Branch of Shanghai Sixth People’s Hospital
Shanghai Jinshan District Zhujing Community Health Service Center