A Quick Review

References:

Product Brochure Product Monograph

Exec. Summary

What does all this mean?

1- Patients with 30< GFR < 45 can now receive full dose contrast MRIs. Previously half dose or no contrast

2- Patients with 30< GFR < 45 who require a CT, now can get a C+ MRI instead of C- CT. Huge diagnostic advantage. Examples:

CTAs (hepatic arteries, PE studies) Abscesses, septic workups… Acute abdomen, Acute chest syndrome…

How can I take advantage? Keep in mind to request MRI C+ for all

patients unless GFR < 30 Greatly simplifies ordering

Keep in mind to ask for MRI C+ instead of the “limited” CT non-contrast if 30< GFR < 45 .

Liberally call the radiologists for advice until the practice is well established.