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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticlePatient Safety

Impact of Kidney Function on CNS Gadolinium Deposition in Patients Receiving Repeated Doses of Gadobutrol

S. Dogra, M.J. Borja and Y.W. Lui
American Journal of Neuroradiology February 2021, DOI: https://doi.org/10.3174/ajnr.A7031
S. Dogra
aFrom the Department of Radiology, New York University Langone Health, New York, New York
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M.J. Borja
aFrom the Department of Radiology, New York University Langone Health, New York, New York
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Y.W. Lui
aFrom the Department of Radiology, New York University Langone Health, New York, New York
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  • FIG 1.
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    FIG 1.

    Flow chart detailing patient selection (A) along with a histogram detailing how many subjects had a specific number of scans performed (B).

  • FIG 2.
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    FIG 2.

    Plot of the percentage change from the first to last scan of the signal intensity ratios of both DN/P and GP/T. Circles represent each of the 131 individual subjects. Error bars indicate the SD from the mean.

  • FIG 3.
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    FIG 3.

    Scatterplot of the lowest and average eGFR versus percentage change in signal intensity ratios of GP/T, shown in A and C, respectively, and DN/P, shown in B and D, respectively, from first to last scan. Lines of best fit are also shown on each graph.

  • FIG 4.
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    FIG 4.

    Plot of the lowest and average eGFR versus percentage change in signal intensity ratios of GP/T, shown in A and C, respectively, and DN/P, shown in B and D, respectively, from first to last scan, broken down by eGFR groupings. eGFR batches were >90, 60–90, 45–60, <45 for the lowest eGFR, and >90, 60–90, <60 for the average eGFR. Circles represent each of the 131 individual subjects. Error bars indicate the SD from the mean.

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    Table 1:

    Patient demographics and clinical characteristicsa

    ParameterResult (Total n = 131)
    Age at last scan (mean) (range) (yr)55.95 (3–86)
    Sex
     Male (No.)58
     Female (No.)73
    Indication for imaging
     Current or prior tumor (No.)127
     Cerebral amyloid angiopathy (No.)1
     Neurosarcoidosis (No.)1
     Progressive multifocal leukoencephalopathy (No.)1
     Recurrent abscesses (No.)1
    Total gadobutrol dose (mean) [SD] (mL)85.43 [29.20]
    No. of scans (mean) (range)12.31 (10–28)
    Time between first and last scan (median) (range) (mo)32.4 (2.1–47.2)
    Lowest eGFR (mL/min/m2)
     >90 (No.) (range)22 (90.51–132.26)
     60–90 (No.) (range)59 (60.06–89.75)
     45–60 (No.) (range)34 (45.82–59.83)
     <45 (No.) (range)16 (10.16–44.24)
    Average eGFR (mL/min/m2)
     >90 (No.) (range)61 (90.77–145.93)
     60–90 (No.) (range)61 (61.00–89.88)
     <60 (No.) (range)9 (38.24–57.26)
    • ↵a No. of scans refers to scans performed with gadolinium contrast.

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    Table 2:

    Correlation coefficients and P values for relationships between either ΔGP/T or ΔDN/P and age at last scan, sex, total gadobutrol dose, number of scans performed with gadolinium contrast, lowest eGFR, and average eGFRa

    ΔGP/TΔDN/P
    rPrP
    Age at last scan–0.05.540.11.21
    Sex–0.04.650.05.54
    Total gadobutrol dose0.12.18−0.07.43
    No. of scans0.09.330.12.18
    Lowest eGFR0.070.43–0.090.28
     Partial correlation–0.14.120.16.07
    Average eGFR0.070.40–0.090.30
     Partial correlation–0.15.090.15.08
    • ↵a Pearson coefficients were used for ΔGP/T with lowest and average eGFR, Spearman coefficients were used for every other calculation. Partial correlations were obtained only for ΔGP/T and ΔDN/P versus lowest and average eGFR, while controlling for the other variables.

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S. Dogra, M.J. Borja, Y.W. Lui
Impact of Kidney Function on CNS Gadolinium Deposition in Patients Receiving Repeated Doses of Gadobutrol
American Journal of Neuroradiology Feb 2021, DOI: 10.3174/ajnr.A7031

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Impact of Kidney Function on CNS Gadolinium Deposition in Patients Receiving Repeated Doses of Gadobutrol
S. Dogra, M.J. Borja, Y.W. Lui
American Journal of Neuroradiology Feb 2021, DOI: 10.3174/ajnr.A7031
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