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Learn how patients with specific GFR levels can now benefit from full-dose MRIs, allowing better diagnostic outcomes. Request MRI C+ for enhanced imaging. Consult radiologists for guidance in transitioning to this practice.
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A Quick Review Dotarem(GadoterateMeglumine)
References: • Product Brochure • Product Monograph
What does all this mean? • 1- Patients with 30< GFR < 45 can now receive full dose contrast MRIs. • Previously half dose or no contrast • 2- Patients with 30< GFR < 45 who require a CT, now can get a C+ MRI instead of C- CT. • Huge diagnostic advantage. Examples: • CTAs (hepatic arteries, PE studies) • Abscesses, septic workups… • Acute abdomen, Acute chest syndrome…
How can I take advantage? • Keep in mind to request MRI C+ for all patients unless GFR < 30 • Greatly simplifies ordering • Keep in mind to ask for MRI C+ instead of the “limited” CT non-contrast if 30< GFR < 45 . • Liberally call the radiologists for advice until the practice is well established.