Oh my Gad! What you need to know about Gadolinium

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Rupal Jain
Resuscitationist interested in #MedEd and Emergency Radiology. Secret Superpower: x-ray vision, obvs. Other: Audiovisual learner enthusiastic about creating some audiovisual educational content

The Pre-brief

Not all MR Angio uses contrast…what?! This video explains it all.

The Debrief

  1. Pearl #1: Not all MR Angiography studies utilize contrast. 

  2. Pearl #2: Gadolinium-based contrast agents should be avoided in pregnancy. Due to risk of nephrogenic systemic fibrosis, should also be avoided in those with kidney disease.

  3. Pearl #3: Gadolinium may be deposited in multiple organs after contrast-enhanced MR study, however currently there is no evidence that this his harmful


  1.  Yang CW, Carr JC, Futterer SF, et al. Contrast-enhanced MR angiography of the carotid and vertebrobasilar circulations. AJNR Am J Neuroradiol. 2005;26(8):2095-2101.
  2. Fraum TJ, Ludwig DR, Bashir MR, Fowler KJ. Gadolinium-based contrast agents: A comprehensive risk assessment. J Magn Reson Imaging 2017; 46:338.
  3. American College of Radiology. Committee on Drugs and Contrast Media. ACR Manual on Contrast Media, Version 10.3. https://www.acr.org/-/media/ACR/Files/Clinical-Resources/Contrast_Media.pdf (Accessed on September 22,  2020


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