Skip to main content
Top
Published in: Pediatric Radiology 11/2011

01-11-2011 | Original Article

Gd-DOTA administration at MRI in children younger than 18 months of age: immediate adverse reactions

Authors: Sophie Emond, Francis Brunelle

Published in: Pediatric Radiology | Issue 11/2011

Login to get access

Abstract

Background

There is a paucity of evidence with regard to the safety of contrast medium administration at MRI in neonates and infants.

Purpose

To assess immediate adverse reactions in children younger than 18 months of age during routine clinical utilization of gadoteric acid (Gd-DOTA) in a cohort of patients with nonselected indications.

Materials and methods

One hundred and four neonates and infants were enrolled in a postmarketing survey with Gd-DOTA (Dotarem, Guerbet, Roissy, France) from a single pediatric hospital. A standardized questionnaire was used to collect the patient information.

Results

All included children, ages 3 days to 18 months, received one injection of Gd-DOTA (volume 0.6–4 ml). No immediate adverse event was reported.

Conclusion

This postmarketing study involving neonates and infants suggests a favorable safety profile of Gd-DOTA in routine practice.
Literature
1.
go back to reference Burtea C, Laurent S, Vander Elst L et al (2008) Contrast agents: magnetic resonance. Handb Exp Pharmacol 185:135–165PubMedCrossRef Burtea C, Laurent S, Vander Elst L et al (2008) Contrast agents: magnetic resonance. Handb Exp Pharmacol 185:135–165PubMedCrossRef
2.
go back to reference Hanquinet S, Christophe C, Greef DD et al (1996) Clinical evaluation of gadodiamide injection in paediatric MR imaging. Pediatr Radiol 26:806–810PubMedCrossRef Hanquinet S, Christophe C, Greef DD et al (1996) Clinical evaluation of gadodiamide injection in paediatric MR imaging. Pediatr Radiol 26:806–810PubMedCrossRef
3.
go back to reference Sadowski EA, Bennett LK, Chan MR et al (2007) Nephrogenic systemic fibrosis: risk factors and incidence estimation. Radiology 243:148–157PubMedCrossRef Sadowski EA, Bennett LK, Chan MR et al (2007) Nephrogenic systemic fibrosis: risk factors and incidence estimation. Radiology 243:148–157PubMedCrossRef
4.
go back to reference Grobner T (2006) Gadolinium—a specific trigger for the development of nephrogenic fibrosing dermopathy and nephrogenic systemic fibrosis? Nephrol Dial Transplant 21:1104–1108PubMedCrossRef Grobner T (2006) Gadolinium—a specific trigger for the development of nephrogenic fibrosing dermopathy and nephrogenic systemic fibrosis? Nephrol Dial Transplant 21:1104–1108PubMedCrossRef
5.
go back to reference Altun E, Semelka RC, Cakit C (2009) Nephrogenic systemic fibrosis and management of high-risk patients. Acad Radiol 16:897–905PubMedCrossRef Altun E, Semelka RC, Cakit C (2009) Nephrogenic systemic fibrosis and management of high-risk patients. Acad Radiol 16:897–905PubMedCrossRef
6.
go back to reference Janus N, Launay-Vacher V, Karie S et al (2010) Prevalence of nephrogenic systemic fibrosis in renal insufficiency patients: results of the finest study. Eur J Radiol 73:357–359PubMedCrossRef Janus N, Launay-Vacher V, Karie S et al (2010) Prevalence of nephrogenic systemic fibrosis in renal insufficiency patients: results of the finest study. Eur J Radiol 73:357–359PubMedCrossRef
7.
go back to reference Mendichovszky IA, Marks SD, Simcock CM et al (2008) Gadolinium and nephrogenic systemic fibrosis: time to tighten practice. Pediatr Radiol 38:489–496PubMedCrossRef Mendichovszky IA, Marks SD, Simcock CM et al (2008) Gadolinium and nephrogenic systemic fibrosis: time to tighten practice. Pediatr Radiol 38:489–496PubMedCrossRef
8.
go back to reference Morcos SK (2008) Extracellular gadolinium contrast agents: differences in stability. Eur J Radiol 66:175–179PubMedCrossRef Morcos SK (2008) Extracellular gadolinium contrast agents: differences in stability. Eur J Radiol 66:175–179PubMedCrossRef
9.
go back to reference Herve-Somma CM, Sebag GH, Prieur AM et al (1992) Juvenile rheumatoid arthritis of the knee: MR evaluation with Gd-DOTA. Radiology 182:93–98PubMed Herve-Somma CM, Sebag GH, Prieur AM et al (1992) Juvenile rheumatoid arthritis of the knee: MR evaluation with Gd-DOTA. Radiology 182:93–98PubMed
10.
go back to reference Bonnerot V, Sebag G, de Montalembert M et al (1994) Gadolinium-DOTA enhanced MRI of painful osseous crises in children with sickle cell anemia. Pediatr Radiol 24:92–95PubMedCrossRef Bonnerot V, Sebag G, de Montalembert M et al (1994) Gadolinium-DOTA enhanced MRI of painful osseous crises in children with sickle cell anemia. Pediatr Radiol 24:92–95PubMedCrossRef
11.
go back to reference Ducou le Pointe H, Haddad S, Silberman B et al (1994) Legg-Perthes-Calve disease: staging by MRI using gadolinium. Pediatr Radiol 24:88–91PubMedCrossRef Ducou le Pointe H, Haddad S, Silberman B et al (1994) Legg-Perthes-Calve disease: staging by MRI using gadolinium. Pediatr Radiol 24:88–91PubMedCrossRef
12.
go back to reference Hermans R (2006) Head and neck cancer: how imaging predicts treatment outcome. Cancer Imaging 6:S145–153PubMedCrossRef Hermans R (2006) Head and neck cancer: how imaging predicts treatment outcome. Cancer Imaging 6:S145–153PubMedCrossRef
13.
go back to reference Hsu WC, Loevner LA, Karpati R et al (2005) Accuracy of magnetic resonance imaging in predicting absence of fixation of head and neck cancer to the prevertebral space. Head Neck 27:95–100PubMedCrossRef Hsu WC, Loevner LA, Karpati R et al (2005) Accuracy of magnetic resonance imaging in predicting absence of fixation of head and neck cancer to the prevertebral space. Head Neck 27:95–100PubMedCrossRef
14.
go back to reference Bartels U, Shroff M, Sung L et al (2006) Role of spinal MRI in the follow-up of children treated for medulloblastoma. Cancer 107:1340–1347PubMedCrossRef Bartels U, Shroff M, Sung L et al (2006) Role of spinal MRI in the follow-up of children treated for medulloblastoma. Cancer 107:1340–1347PubMedCrossRef
15.
go back to reference Kobayashi S, Hayakawa K, Nakane T et al (2009) Visualization of intraneural edema using gadolinium-enhanced magnetic resonance imaging of carpal tunnel syndrome. J Orthop Sci 14:24–34PubMedCrossRef Kobayashi S, Hayakawa K, Nakane T et al (2009) Visualization of intraneural edema using gadolinium-enhanced magnetic resonance imaging of carpal tunnel syndrome. J Orthop Sci 14:24–34PubMedCrossRef
16.
go back to reference Drape JL, Thelen P, Gay-Depassier P et al (1993) Intraarticular diffusion of Gd-DOTA after intravenous injection in the knee: MR imaging evaluation. Radiology 188:227–234PubMed Drape JL, Thelen P, Gay-Depassier P et al (1993) Intraarticular diffusion of Gd-DOTA after intravenous injection in the knee: MR imaging evaluation. Radiology 188:227–234PubMed
17.
go back to reference Willinek WA, Schild HH (2008) Clinical advantages of 3.0 T MRI over 1.5 T. Eur J Radiol 65:2–14PubMedCrossRef Willinek WA, Schild HH (2008) Clinical advantages of 3.0 T MRI over 1.5 T. Eur J Radiol 65:2–14PubMedCrossRef
18.
go back to reference Riccabona M, Simbrunner J, Ring E et al (2002) Feasibility of MR urography in neonates and infants with anomalies of the upper urinary tract. Eur Radiol 12:1442–1450PubMedCrossRef Riccabona M, Simbrunner J, Ring E et al (2002) Feasibility of MR urography in neonates and infants with anomalies of the upper urinary tract. Eur Radiol 12:1442–1450PubMedCrossRef
19.
go back to reference Herborn CU, Honold E, Wolf M et al (2007) Clinical safety and diagnostic value of the gadolinium chelate gadoterate meglumine (Gd-DOTA). Invest Radiol 42:58–62PubMedCrossRef Herborn CU, Honold E, Wolf M et al (2007) Clinical safety and diagnostic value of the gadolinium chelate gadoterate meglumine (Gd-DOTA). Invest Radiol 42:58–62PubMedCrossRef
20.
go back to reference Briand Y, Neiss AC, Vitry A (1992) Efficacy and safety of the macrocyclic complex Gd-DOTA in children: results of a multi-centre study. In: 29th congress of the European Society of Pediatric Radiology, Budapest: R12. Briand Y, Neiss AC, Vitry A (1992) Efficacy and safety of the macrocyclic complex Gd-DOTA in children: results of a multi-centre study. In: 29th congress of the European Society of Pediatric Radiology, Budapest: R12.
21.
go back to reference Shellock FG, Parker JR, Pirovano G et al (2006) Safety characteristics of gadobenate dimeglumine: clinical experience from intra- and interindividual comparison studies with gadopentetate dimeglumine. J Magn Reson Imaging 24:1378–1385PubMedCrossRef Shellock FG, Parker JR, Pirovano G et al (2006) Safety characteristics of gadobenate dimeglumine: clinical experience from intra- and interindividual comparison studies with gadopentetate dimeglumine. J Magn Reson Imaging 24:1378–1385PubMedCrossRef
22.
go back to reference Kuo PH, Kanal E, Abu-Alfa AK et al (2007) Gadolinium-based MR contrast agents and nephrogenic systemic fibrosis. Radiology 242:647–649PubMedCrossRef Kuo PH, Kanal E, Abu-Alfa AK et al (2007) Gadolinium-based MR contrast agents and nephrogenic systemic fibrosis. Radiology 242:647–649PubMedCrossRef
23.
go back to reference Grobner T (2008) Prischl FC (2008) Patient characteristics and risk factors for nephrogenic systemic fibrosis for gadolinium exposure. Semin Dial 21:135–139PubMedCrossRef Grobner T (2008) Prischl FC (2008) Patient characteristics and risk factors for nephrogenic systemic fibrosis for gadolinium exposure. Semin Dial 21:135–139PubMedCrossRef
24.
go back to reference Idee JM, Port M, Dencausse A et al (2009) Involvement of gadolinium chelates in the mechanism of nephrogenic systemic fibrosis: an update. Radiol Clin N Am 47:855–869PubMedCrossRef Idee JM, Port M, Dencausse A et al (2009) Involvement of gadolinium chelates in the mechanism of nephrogenic systemic fibrosis: an update. Radiol Clin N Am 47:855–869PubMedCrossRef
Metadata
Title
Gd-DOTA administration at MRI in children younger than 18 months of age: immediate adverse reactions
Authors
Sophie Emond
Francis Brunelle
Publication date
01-11-2011
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 11/2011
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-011-2167-3

Other articles of this Issue 11/2011

Pediatric Radiology 11/2011 Go to the issue

Hermes

Hermes