Freely Filtered 011 Gadolinium Meta-analysis

Just the dudes gathered to talk about the JAMA Internal Medicine Meta Analysis on Gadolinium in CKD stage 4 and 5.

Risk of Nephrogenic Systemic Fibrosis in Patients With Stage 4 or 5 Chronic Kidney Disease Receiving a Group II Gadolinium-Based Contrast AgentA Systematic Review and Meta-analysis.

Summary on NephJC

Cast:

Joel Topf

Swapnil Hiremath

Matt Sparks

Show Notes:

Swap has a disclosure!

He was an author on the Canadian Association of Radiology guidelines on use of Gad in CKD.

Grobner’s original paper reporting the association between gadolinium and NSF.

Matt’s article on alternatives to gadolinium in MRI:

Diagnostic value of alternative techniques to gadolinium-based contrast agents in MR neuroimaging—a comprehensive overview

Using Ferumoxytol as an MRI contrast agent.

Saurabh Jha’s editorial (@RogueRad) for NephMadness when Gadolinium in CKD 4 was a team in 2018.

PEXIVAS was an abstract in 2018 and was not published until 2020.

A Cultural History of Rock-Paper-Scissors

Michelle’s recent case of NSF in a child (in case you thought this disease was gone)

Removing Gad with dialysis.

Matt’s tubular secretion: Biorender.com

John Mandrola Expert or not an expert?

JACC Case Reports on the Kardashian Index

Robert Cardiff’s editorial on the Kardashian Index in JACC Case Reports.

Bryan Vartabedian blog post on Robert Cardiff’s editorial

And NephMadness is coming! Friday March 13, 2020!