No Risks Cited in Gadolinium-based Product Review: FDA

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An ongoing FDA review of the risk of brain deposits following repeated use of gadolinium-based contrast agents (GBCAs) for magnetic resonance imaging (MRI) has not identified adverse health effects from gadolinium retained in the brain. “All GBCAs may be associated with some gadolinium retention in the brain and other body tissues,” a new FDA alert says. “However, because we identified no evidence to date that gadolinium retention in the brain from any of the GBCAs, including GBCAs associated with higher retention of gadolinium, is harmful, restricting GBCA use is not warranted at this time. We will continue to assess the safety of GBCAs and plan to have a public meeting to discuss this issue in the future.”


FDA notes its recommendations for health care professionals and patients remain unchanged from July 2015 when it informed the public about investigating this potential risk with GBCAs. “As is appropriate when considering the use of any medical imaging agent, health care professionals should limit GBCA use to circumstances in which additional information provided by the contrast agent is necessary, and assess the necessity of repetitive MRIs with GBCAs,” the agency says. “Patients, parents, and caregivers should talk to their health care professionals if they have any questions or concerns about the use of GBCAs with MRIs. Retention of gadolinium affects only GBCAs, and does not apply to other types of scanning agents used for other imaging procedures, such as those that are iodine-based or radioisotopes.”

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