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Gadolinium Deposition and the Patient’s View on the Problem

Gadolinium Deposition and the Patient’s View on the Problem LETTERS Gadolinium Deposition and the Patient’s View on the Problem arely, radiology journals publish patients’ perspectives con- � Patients with subjective symptoms should undergo a diagnos- Rcerning the gadolinium deposition. Therefore, the editorial tic procedure and should be closely monitored. To avoid over- by Mallio et al is unique, and I read it with great interest. In looking harmful conditions, it is recommended to check the addition to mentioned facts, the following points are of great patient’s symptoms. impact, too. Disclosures: Ingrid B. Böhm—UNRELATED: Travel/Accommodations/Meeting � The decision to inject gadolinium-based contrast agents (GBCAs) Expenses Unrelated to Activities Listed: Bayer AG Switzerland, Comments: German or not should be made, if possible, together with the patient. Well- Radiology Congress (Leipzig) 2019.* *Money paid to the institution. informed patients areableto choosethe most suitable imaging REFERENCES procedure. Moreover, patient-centered care leads to satisfaction. 1. Mallio CA, Quattrocchi CC, Rovira À, et al. Gadolinium deposition � To realize the first point, the patient should be well informed. safety: seeking the patient’s perspective. AJNR Am J Neuroradiol This means that the patient should be informed about the poten- 2020;41:944–46 CrossRef Medline tial risk of gadolinium deposition in the brain and within several 2. Nairz K, Böhm I, Barbieri S, et al. Enhancing patient value efficiently: other organs and, as mentioned by Mallio et al, “patients should medical history interviews create patient satisfaction and contribute be informed that there is no documented clinical risk related to to an improved quality of radiologic examinations. PLoS One 2018;13: gadolinium deposition....” Moreover, patients should be also e0203807 CrossRef Medline 3. Böhm IB, van der Molen AJ. Recommendations for standardized informed that delayed adverse events cannot be excluded. documentation of contrast medium-induced hypersensitivity. JAm � Symptoms self-reported by patients after exposure to GBCAs Coll Radiol 2020;17:1027–28 CrossRef Medline should be documented exactly. Currently, documentation of different adverse symptoms related to the application of con- 3 I.B. Böhm trast media is sparse or is missing. This is surprising because Department of Diagnostic, Interventional, and Pediatric Radiology, Inselspital an exact documentation facilitated the everyday routine, as University of Bern well as retrospective analyses. Bern, Switzerland http://dx.doi.org/10.3174/ajnr.A6826 AJNR Am J Neuroradiol 41:E97 Dec 2020 www.ajnr.org E97 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

Gadolinium Deposition and the Patient’s View on the Problem

American Journal of Neuroradiology , Volume 41 (12) – Dec 1, 2020

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Publisher
American Journal of Neuroradiology
Copyright
© 2020 by American Journal of Neuroradiology
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.A6826
Publisher site
See Article on Publisher Site

Abstract

LETTERS Gadolinium Deposition and the Patient’s View on the Problem arely, radiology journals publish patients’ perspectives con- � Patients with subjective symptoms should undergo a diagnos- Rcerning the gadolinium deposition. Therefore, the editorial tic procedure and should be closely monitored. To avoid over- by Mallio et al is unique, and I read it with great interest. In looking harmful conditions, it is recommended to check the addition to mentioned facts, the following points are of great patient’s symptoms. impact, too. Disclosures: Ingrid B. Böhm—UNRELATED: Travel/Accommodations/Meeting � The decision to inject gadolinium-based contrast agents (GBCAs) Expenses Unrelated to Activities Listed: Bayer AG Switzerland, Comments: German or not should be made, if possible, together with the patient. Well- Radiology Congress (Leipzig) 2019.* *Money paid to the institution. informed patients areableto choosethe most suitable imaging REFERENCES procedure. Moreover, patient-centered care leads to satisfaction. 1. Mallio CA, Quattrocchi CC, Rovira À, et al. Gadolinium deposition � To realize the first point, the patient should be well informed. safety: seeking the patient’s perspective. AJNR Am J Neuroradiol This means that the patient should be informed about the poten- 2020;41:944–46 CrossRef Medline tial risk of gadolinium deposition in the brain and within several 2. Nairz K, Böhm I, Barbieri S, et al. Enhancing patient value efficiently: other organs and, as mentioned by Mallio et al, “patients should medical history interviews create patient satisfaction and contribute be informed that there is no documented clinical risk related to to an improved quality of radiologic examinations. PLoS One 2018;13: gadolinium deposition....” Moreover, patients should be also e0203807 CrossRef Medline 3. Böhm IB, van der Molen AJ. Recommendations for standardized informed that delayed adverse events cannot be excluded. documentation of contrast medium-induced hypersensitivity. JAm � Symptoms self-reported by patients after exposure to GBCAs Coll Radiol 2020;17:1027–28 CrossRef Medline should be documented exactly. Currently, documentation of different adverse symptoms related to the application of con- 3 I.B. Böhm trast media is sparse or is missing. This is surprising because Department of Diagnostic, Interventional, and Pediatric Radiology, Inselspital an exact documentation facilitated the everyday routine, as University of Bern well as retrospective analyses. Bern, Switzerland http://dx.doi.org/10.3174/ajnr.A6826 AJNR Am J Neuroradiol 41:E97 Dec 2020 www.ajnr.org E97

Journal

American Journal of NeuroradiologyAmerican Journal of Neuroradiology

Published: Dec 1, 2020

References