MRI evaluation of "solitary" brain metastases with triple-dose gadoteridol: comparison with contrast-enhanced CT and conventional-dose gadopentetate dimeglumine MRI studies in the same patients.

作者: Matthew J Kuhn , Glenn M Hammer , Linda C Swenson , Hisham T Youssef , Theodore J Gleason

DOI: 10.1016/0895-6111(94)90011-6

关键词: Magnetic resonance imagingMedicineGadoteridolNuclear medicineContrast (vision)Mri studiesEnhanced ctCentral nervous system diseaseIntracranial metastasisPhysical examinationRadiology

摘要: Abstract The purpose of this investigation was to compare the sensitivity and safety high dose gadoteridol (ProHance) with routine gadopentetate dimeglumine (Magnevist) in detection intracranial metastases on magnetic resonance imaging (MRI) when a solitary lesion detected contrast-enhanced cranial computed tomography (CT). Four patients, each metastasis demonstrated CT were studied prospectively both 0.3 mmol/kg 0.1 dimeglumine. Images acquired before immediately following contrast administration. Both MR studies performed between two six days other within 1 wk CT. Scan parameters injection rates identical occasions. Patient monitoring for study included physical examination, vital signs laboratory tests at several pre-determined times. Eighteen total MRI compared four Seven visualized unenhanced images, nine scans using dimeglumine, all eighteen gadoteridol. Additional lesions seen images patients. No adverse events attributable media occurred. significant changes or values

参考文章(7)
Val M. Runge, John E. Kirsch, Vickie J. Burke, Ann C. Price, Kevin L. Nelson, Greg S. Thomas, Bruce L. Dean, Charles Lee, High-dose gadoteridol in MR imaging of intracranial neoplasms Journal of Magnetic Resonance Imaging. ,vol. 2, pp. 9- 18 ,(1992) , 10.1002/JMRI.1880020103
Val M. Runge, Dean M. Kaufman, Michael L. Wood, Lester S. Adelman, Stanley Jacobson, Experimental trials with Gd(DO3A)—a nonionic magnetic resonance contrast agent International Journal of Radiation Applications and Instrumentation. Part B. Nuclear Medicine and Biology. ,vol. 16, pp. 561- 567 ,(1989) , 10.1016/0883-2897(89)90071-8
W T Yuh, D J Fisher, J D Engelken, G M Greene, Y Sato, T J Ryals, M R Crain, J C Ehrhardt, MR evaluation of CNS tumors: dose comparison study with gadopentetate dimeglumine and gadoteridol. Radiology. ,vol. 180, pp. 485- 491 ,(1991) , 10.1148/RADIOLOGY.180.2.2068317
Val M. Runge, John E. Kirsch, Greg S. Thomas, High-dose applications of gadolinium chelates in magnetic resonance imaging. Magnetic Resonance in Medicine. ,vol. 22, pp. 358- 363 ,(1991) , 10.1002/MRM.1910220241
V M Runge, D Y Gelblum, M L Pacetti, F Carolan, G Heard, Gd-HP-DO3A in clinical MR imaging of the brain. Radiology. ,vol. 177, pp. 393- 400 ,(1990) , 10.1148/RADIOLOGY.177.2.2217775
Roy A. Patchell, Phillip A. Tibbs, John W. Walsh, Robert J. Dempsey, Yosh Maruyama, Richard J. Kryscio, William R. Markesbery, John S. Macdonald, Byron Young, A Randomized Trial of Surgery in the Treatment of Single Metastases to the Brain The New England Journal of Medicine. ,vol. 322, pp. 494- 500 ,(1990) , 10.1056/NEJM199002223220802
WT Yuh, John D Engelken, Michael G Muhonen, Nina A Mayr, David J Fisher, James C Ehrhardt, Experience with high-dose gadolinium MR imaging in the evaluation of brain metastases. American Journal of Neuroradiology. ,vol. 13, pp. 335- 345 ,(1992)