Gadolinium Contrast in the Bladder: A Malignant Mimic

2022 ◽  
Vol 3 (1) ◽  
Author(s):  
James Kovacic ◽  
Jonathan Kam ◽  
Edward Latif
Keyword(s):  
Gadolinium Contrast

No abstract.

scholarly journals Association Between Gadolinium Contrast Exposure and the Risk of Parkinsonism

JAMA ◽  
2016 ◽  
Vol 316 (1) ◽  
pp. 96 ◽  
Author(s):  
Blayne Welk ◽  
Eric McArthur ◽  
Sarah A. Morrow ◽  
Penny MacDonald ◽  
Jade Hayward ◽  
...  
Keyword(s):  
Gadolinium Contrast ◽  
Contrast Exposure

scholarly journals Bi- or multiparametric MRI in a sequential screening program for prostate cancer with PSA followed by MRI? Results from the Göteborg prostate cancer screening 2 trial

2021 ◽  
Author(s):  
Jonas Wallström ◽  
Kjell Geterud ◽  
Kimia Kohestani ◽  
Stephan E. Maier ◽  
Marianne Månsson ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Cancer Detection ◽  
Screening Program ◽  
Prostate Cancer Screening ◽  
High Sensitivity ◽  
Multiparametric Mri ◽  
False Positives ◽  
Quality Data ◽  
Gadolinium Contrast ◽  
Sequential Screening

Abstract Objectives The PIRADS Steering Committee has called for “higher quality data before making evidence-based recommendations on MRI without contrast enhancement as an initial diagnostic work up,” however, recognizing biparametric (bp) MRI as a reasonable option in a low-risk setting such as screening. With bpMRI, more men can undergo MRI at a lower cost and they can be spared the invasiveness of intravenous access. The aim of this study was to assess cancer detection in bpMRI vs mpMRI in sequential screening for prostate cancer (PCa). Methods Within the ongoing Göteborg PCa screening 2 trial, we assessed cancer detection in 551 consecutive participants undergoing prostate MRI. In the same session, readers first assessed bpMRI and then mpMRI. Four targeted biopsies were performed for lesions scored PIRADS 3–5 with bpMRI and/or mpMRI. Results Cancer was detected in 84/551 cases (15.2%; 95% CI: 12.4–18.4) with mpMRI and in 83/551 cases (15.1%; 95% CI: 12.3–18.2%) with bpMRI. The relative risk (RR) for cancer detection with bpMRI compared to mpMRI was 0.99 (95% one-sided CI: > 94.8); bpMRI was non-inferior to mpMRI (10% non-inferiority margin). bpMRI resulted in fewer false positives, 45/128 (35.2%), compared to mpMRI, 52/136 (38.2%), RR = 0.92; 95% CI: 0.84–0.98. Of 8 lesions scored positive only with mpMRI, 7 were false positives. The PPV for MRI and targeted biopsy was 83/128 (64.8%) for bpMRI and 84/136 (61.8%) for mpMRI, RR = 1.05, 95% CI: 1.01–1.10. Conclusions In a PSA-screened population, bpMRI was non-inferior to mpMRI for cancer detection and resulted in fewer false positives. Key Points • In screening for prostate cancer with PSA followed by MRI, biparametric MRI allows radiologists to detect an almost similar number of prostate cancers and score fewer false positive lesions compared to multiparametric MRI. • In a screening program, high sensitivity should be weighed against cost and risks for healthy men; a large number of men can be saved the exposure of gadolinium contrast medium by adopting biparametric MRI and at the same time allowing for a higher turnover in the MRI room.

scholarly journals Disseminated Cryptococcosis revealed by transverse myelitis in Immunocompetent patient: a case report and review of the literature

BMC Neurology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Fangfang Qu ◽  
Zhenzhen Qu ◽  
Yingqian Lv ◽  
Bo Song ◽  
Bailin Wu
Keyword(s):  
Spinal Cord ◽  
Amphotericin B ◽  
Transverse Myelitis ◽  
Immunocompetent Patient ◽  
Lower Limbs ◽  
Coxsackie Virus ◽  
Gadolinium Contrast ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Cord Injury

Abstract Background Transverse myelitis (TM) is due to inflammatory spinal cord injury with bilateral neurologic involvement, which is sensory, motor, or autonomic in nature. It may be associated with autoimmune disease, vaccination, intoxication and infections. The most common infection cause of TM is Coxsackie virus and Mycoplasma pneumoniae. The cryptococcosis is rare. We present the case of disseminated cryptococcosis revealed by transverse myelitis in an immunocompetent 55-year-old male patient. The literature review is also stated. Case presentation The 55-year-old man suffered from gradual numbness, weakness in both lower limbs and finally paralyzed in the bed. The thoracic spine Computed tomography (CT) was normal, but multiple nodules in the lung were accidentally discovered. Thoracic Magnetic Resonance Imaging (MRI) showed diffused thoracic spinal cord thickening and extensively intramedullary T2 hyper intensity areas. Gadolinium contrast enhanced T1WI showed an intramedullary circle-enhanced nodule at 9th thoracic level. Diagnosis was made by histological examination of the bilateral lung biopsy. The patient was treated successfully with systemic amphotericin B liposome and fluconazole and intrathecal dexamethasone and amphotericin B liposome. Conclusions This is a patient with disseminated cryptococcosis involving the lung, spinal cord and adrenal glands, which is rare in the absence of immunodeficiency.

Injection of gadolinium contrast through pediatric central venous catheters: a safety study

2012 ◽  
Vol 42 (9) ◽  
pp. 1064-1069 ◽  
Author(s):  
John M. Moriarty ◽  
Geoffrey L. Kung ◽  
Yanerys Ramos ◽  
Abbas N. Moghaddam ◽  
Daniel B. Ennis ◽  
...  
Keyword(s):  
Central Venous Catheters ◽  
Central Venous ◽  
Gadolinium Contrast ◽  
Safety Study

Monte Carlo study of dosimetric impact of gadolinium contrast medium in transverse field MR-Linac system

2021 ◽  
Vol 86 ◽  
pp. 19-30
Author(s):  
Takeshi Ohno ◽  
Takahiro Kubota ◽  
Masayuki Yano ◽  
Yasuhiro Fujiwara ◽  
Fujio Araki
Keyword(s):  
Monte Carlo ◽  
Contrast Medium ◽  
Transverse Field ◽  
Monte Carlo Study ◽  
Gadolinium Contrast
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