“…Unfortunately, despite the uncertainty about GBCAs safety in the human body, the controversial toxic metal has recently been identi ed as a hydrological contaminant. They are reportedly detected in increasing amounts in rivers, estuarine waters, seawater, groundwater, lakes, and Municipal tap water worldwide (Zabrecky et al, 2021;Brünjes and Hofmann, 2020;Andrade et al, 2020;Ebrahimi and Barbieri, 2019;Thomsen, 2017;Brünjes et al, 2016;Bichler et al, 2016;Hatje et al, 2016) Indeed, the consequences of the anthropogenic gadolinium anomaly in water over a signi cant period have remained vague. There is also a lack of extensive clinical evidence of gadolinium deposition and clinical studies' neurologic effects, establishing a link between gadolinium retention and clinical sequelae (Layne et al, 2020;Soloff and Wang, 2020;Choi and Moon, 2019;Kanal, 2016).…”