2018
DOI: 10.1016/j.trac.2017.12.011
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Analysis of metal-based contrast agents in medicine and the environment

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Cited by 29 publications
(23 citation statements)
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“…Since the first generation of an image using nuclear magnetic resonance in 1973, non-invasive diagnostic techniques, such as MRI, have been developed as an indispensable method in modern medicine. Although contrast agents are not necessary for MRI exams, 0.1 mmol of Gd per kg of body weight (average body weight is 70 kg [95]) has been applied in about 40% of MRI exams [96,97]. In comparison with other paramagnetic elements, such as manganese, dysprosium, iron, and copper, the paramagnetic characteristics of Gd 3+ are unparalleled [98].…”
Section: Gd-cas In Mrimentioning
confidence: 99%
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“…Since the first generation of an image using nuclear magnetic resonance in 1973, non-invasive diagnostic techniques, such as MRI, have been developed as an indispensable method in modern medicine. Although contrast agents are not necessary for MRI exams, 0.1 mmol of Gd per kg of body weight (average body weight is 70 kg [95]) has been applied in about 40% of MRI exams [96,97]. In comparison with other paramagnetic elements, such as manganese, dysprosium, iron, and copper, the paramagnetic characteristics of Gd 3+ are unparalleled [98].…”
Section: Gd-cas In Mrimentioning
confidence: 99%
“…Regarding the chelate type and charge, Gd-CAs can be divided into linear/macrocyclic and ionic/non-ionic groups. A wide range of Gd-CAs are commercially available and their stability is dependent on the conditional thermodynamic stability constant (K cond ), thermodynamic stability constant (K therm ), and kinetic stability ( Figure 3; Table 3) [97]. Higher values of K cond (at physiological pH tests) and K therm imply a greater Gd affinity for ligands, higher stability of Gd complexes, and less free gadolinium ion [102,103].…”
Section: Gd-cas In Mrimentioning
confidence: 99%
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“…These concentrations may cause the appearance of severe diseases, such as nephrogenic systemic fibrosis (NSF) as well as accumulation in patients' brain, bones and kidneys (Idee et al, 2006). Pathological effects have been documented through histological examination, particularly regarding diffuse ulcerative calcific atherosclerosis, patchy myocardial necrosis and fibrosis, central venous congestion of the liver as well as calciphylaxis and necrotic skin (Clases et al, 2018). For patients with a median age of 55 years, an average time of 112 days between the diagnosis of NSF and death have been reported (Clases et al, 2018).…”
Section: Chelates Of Gadolinium As Contrast Agents In Magnetic Resonance Imagingmentioning
confidence: 99%