Changing practices in gadolinium-enhanced Direct Magnetic Resonance Arthrography: a UK based survey
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View abstract on PubMed
Summary
This summary is machine-generated.Magnetic Resonance Arthrography (MRA) use is common, but UK radiologists are reducing gadolinium-based contrast agent (GdCA) use due to safety and logistical concerns. Saline is an emerging alternative.
Area Of Science
- Musculoskeletal Radiology
- Medical Imaging Techniques
Background
- Direct Magnetic Resonance Arthrography (MRA) is a standard procedure for assessing intra-articular joint structures.
- Concerns regarding the safety and cost of gadolinium-based contrast agents (GdCA) are prompting changes in MRA practices.
Purpose Of The Study
- To evaluate current MRA practices among UK musculoskeletal radiologists.
- To identify reasons for changes in MRA techniques, particularly concerning GdCA usage.
Main Methods
- A questionnaire was distributed to members of the British Society of Skeletal Radiology.
- Survey responses were analyzed and compared to historical data from 2019.
Main Results
- 43 out of 45 respondents regularly perform MRA, with 56% performing over three procedures monthly.
- 72% of MRA practitioners use GdCA, with a significant portion using off-licence preparations.
- 28% of respondents utilize saline as an alternative to GdCA, driven by logistics and bioaccumulation concerns.
Conclusions
- MRA remains prevalent, but its practice is evolving with a noticeable decrease in GdCA utilization.
- Radiologists are adapting MRA techniques due to safety, logistical, and cost considerations.
- The study highlights the need to discuss alternatives to GdCA-MRA and optimize safety in current practices.
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