|Approvals/Requirements Satisfied by eRADIMAGING Courses|
|~ ASRT approval for ARRT® Category A credit||~ MDCB approval by the Medical Dosimetrist Certification (Selected Courses)|
|~ ARMRIT accepted (All MRI Courses)||~ CAMRT and Sonography Canada recognize the ASRT approval (All Courses)|
|~ ARDMS accepted (All Courses)||~ Florida approval for all courses 1 credit or more|
|~ NMTCB accepted (All Courses)||~ California CE requirements met for all radiography courses|
|~ All Courses eligible of international radiographers' CPD requirements||~ All Courses available for RRAs|
|~ ASRT and MDCB are approved continuing education providers of ARRT® and all courses are accepted by ARRT®|
The Link Between MRI Gadolinium Contrast Media and Nephrogenic Systemic Fibrosis Presented in Patients with Renal Insufficiency
Jeff Berry, MS, RT(R)(CT) and Melony Green, BS, RT(R)
*Assistant Professor, Radiography Program Director, University of Oklahoma Health Sciences Center, College of Allied Health, Department of Medical Imaging and Radiation Sciences, Oklahoma City, Oklahoma.
†Radiologic Technologist, Fort Worth, Texas.
Address correspondence to: Jeff Berry, MS, RT(R)(CT), Assistant Professor, Radiography Program Director, University of Oklahoma Health Sciences Center, 1200 North Stonewall, AHB-3021, Oklahoma City, OK 73117. E-mail: Jeff-Berry@ouhsc.edu.
Disclosure Statement: The authors report having no significant financial or advisory relationships with corporate organizations related to this activity.
Nephrogenic systemic fibrosis (NSF) is a new disease that has raised concerns within magnetic resonance imaging (MRI) and the medical community. With the advancements in technology and imaging capabilities of MRI in the past decade, the use of gadolinium contrast agents has increased significantly in magnetic resonance angiography procedures, potentially leading to the sudden onset of NSF symptoms. The majority of NSF cases in the literature are associated with single or multiple doses of gadolinium contrast materials after a patient undergoes an MRI procedure. It has been suspected that gadolinium contrast media enables a metal toxic event that occurs systemically in skin, muscle, and organ tissues stimulating fibrosing characteristics. This disease is focused particularly in patient populations who have kidney disease or renal insufficiencies stemming from the decreased function of the glomerular filtration system. There are many possible causes of NSF, but the chief attribute is focused on gadolinium contrast agents: types, chemical stability, and the toxic transmetallation process. Over 90% of NSF cases can be linked to a previous MRI gadolinium contrast exam throughout research findings which has heightened apprehension within the US Food and Drug Administration and medical imaging facilities.
Full Course Content available to active members of eRADIMAGING.com
* This sample course is for reference purposes only. It is not currently available for earning CE credits. To earn ARRT CE credits please subscribe to eRADIMAGING where you will see a complete listing of all active and eligible CE courses.