ESUR GUIDELINE*: GADOLINIUM BASED. CONTRAST MEDIA AND NEPHROGENIC. SYSTEMIC Incidence of NSF: % in at-risk subjects. Contrast media · › Contrast media · › Prostate MRI · › NSF · › NSF Endometrial Cancer MRI Staging: Updated Guidelines of the European European Society of Urogenital Radiology (ESUR) Guidelines: MR Imaging of Leiomyomas. the proposals from EMA regarding gadolinium based Contrast Media Strong warnings are included in the GdCAs of medium and low NSF risk as during a scan and with a minimum 7 day interval between administrations. ESUR; esursecretary(at); About ESUR · ESUR Guidelines.

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Patients not at increased risk. Intravenous Ezur contrast reaches the renal arteries after passing the right heart and the pulmonary circulation and is thus diluted.

The link between nephrogenic systemic fibrosis NSF and gadolinium-based contrast agents was recognized in Discuss the need to stop nephrotoxic drugs with the referring physician. Following administration of gadolinium-based agents to the mother during pregnancy, no neonatal tests are necessary.

High osmolality ionic contrast media. Avoid large doses of contrast media. Use of a power injector. Guidelines Meticulous angiographic technique is mandatory and is the most important factor nedia reducing thromboembolic complications. To reduce the risk of pulmonary adverse effects. This enables us to improve your future experience on our website. No other contrast medium guuidelines have been printed in such numbers or so many languages.


All departments know about the particular hydration protocols and are responsible for implementing them mddia every patient. The contrast media safety committee has published 23 papers and books dealing with contrast media since its start in From the day of exposure for up to months, sometimes up to years after exposure.

The patient should discuss with the doctor whether the breast milk should be discarded in the 24 hours after contrast medium. The effect of intraarterial IA application depends on the injection site: There is no clinical evidence of the effectiveness of premedication. Eur Radiol ; Clinical features of NSF.

A variety of late symptoms e. I mproving G lobal O utcomes is a global non-profit organization developing evidence-based clinical practice guidelines in kidney disease guidelines for staging acute kidney conrtast AKI. The guidelines will successively be translated into many major languages — look out for yours!

Consider the use of premedication. No additional precautions are necessary for the fetus or neonate. Use of nonionic dimers. Almost reports from international congresses Hundreds of summaries from the leading radiology journals Videos and interviews with radiologists from all over the world.

ESUR Guidelines

When absorption or leakage into the circulation is possible, take the same precautions as for intravascular administration. An adverse reaction which usually occurs more than 1 week after contrast medium injection. Allergy requiring medical treatment.


In all patients use the smallest amount of contrast medium necessary for a diagnostic result. Iodinated contrast media should not be given to patients with manifest hyperthyroidism. To reduce the risk.

ESUR Update –

Patients at high risk. Risk factors for skin reactions:. Emergency treatment may be needed.

Preparation Before intravenous iodine- or gadolinium-based contrast medium: Diagnostic results can be achieved with lower doses than extracellular Gd-CM. Consider an alternative test not requiring an iodine-based contrast agent.

The use of iodinated and gadolinium contrast media during pregnancy and lactation.

Scrotal imaging

Consider an alternative imaging method not using iodine-based contrast media. An adverse reaction which occurs within 1 hour of contrast medium injection. In all patients, avoid osmotic and fluid overload. Gadolinium-based contrast medium Hemodialysis to remove the contrast medium is unnecessary ezur iodine-based contrast medium, but for gadolinium- based contrast medium.