Abstract:
:Nephrogenic systemic fibrosis (NSF) is a highly debilitating scleroderma-like disease occurring exclusively in patients with severe or end-stage renal failure. Since the recognition of a link between gadolinium chelates (GCs) used as contrast agents for MR imaging and NSF by two independent European teams in 2006, numerous studies have described the clinical issues and investigated the mechanism of this disease. So far the most commonly reported hypothesis is based on the in vivo dechelation of GCs. The physicochemical properties of GCs, especially their thermodynamic and kinetic stabilities, are described in the present article. High kinetic stability provided by the macrocyclic structure, combined with high thermodynamic stability, minimizes the amount of free gadolinium released in the body. The current hypotheses regarding the pathophysiologic mechanism are critically discussed.
journal_name
Radiol Clin North Amjournal_title
Radiologic clinics of North Americaauthors
Idée JM,Port M,Dencausse A,Lancelot E,Corot Cdoi
10.1016/j.rcl.2009.06.006subject
Has Abstractpub_date
2009-09-01 00:00:00pages
855-69, viiissue
5eissn
0033-8389issn
1557-8275pii
S0033-8389(09)00098-0journal_volume
47pub_type
杂志文章,评审abstract::Transaxial computed tomographic (CT) data can be used to generate images rapidly in the coronal and sagittal planes (two-dimensional CT) and create simulated three-dimensional images. The techniques and advantages of an integrated two-dimensional/three-dimensional CT approach to musculoskeletal trauma are illustrated ...
journal_title:Radiologic clinics of North America
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journal_title:Radiologic clinics of North America
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journal_title:Radiologic clinics of North America
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