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December 14, 2012RadiologyOpen Access

Effect of Abrupt Substitution of Gadobenate Dimeglumine for Gadopentetate Dimeglumine on Rate of Allergic-like Reactions

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Why the study?

Does gadobenate dimeglumine increase the rate of allergic-like reactions compared to gadopentetate dimeglumine?

Population

105,607 injections of gadolinium-based contrast media

Comparison

Gadobenate dimeglumine vs Gadopentetate dimeglumine

Design

Cohort

Follow-up

5.5 years (2 years before and 3.5 years after substitution)

Authors

MDMatthew S. DavenportFlorida State UniversityJDJonathan R. DillmanCincinnati Children's Hospital Medical CenterRCRichard H. CohanUniversity of Michigan

Discussion

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Member takes

Implication

May reflect Weber effect after agent switch rather than true difference; leaves open gadolinium contrast safety comparisons.

Structured PICO

Does gadobenate dimeglumine increase the rate of allergic-like reactions compared to gadopentetate dimeglumine?

P
Population
105,607 injections of gadolinium-based contrast media
I
Intervention
Gadobenate dimeglumine
C
Comparator
Gadopentetate dimeglumine
O
Outcome
Rate of allergic-like reactionssafety

A transient increase in reported allergic-like reactions after switching to gadobenate dimeglumine suggests a Weber effect rather than a true difference in safety profile.

Cite This Study

Davenport et al. (2012) studied this question.

synapsesocial.com/papers/6a1d237aba65f5ee325ddf4ahttps://doi.org/10.1148/radiol.12120253
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Acute Adverse Reactions to Gadopentetate Dimeglumine and Gadobenate Dimeglumine: Experience With 32,659 Injections2010 · 90 citations
  2. 2Incidence of Immediate Gadolinium Contrast Media Reactions2011 · 271 citations
  3. 3Adverse reactions to gadolinium contrast media: a review of 36 cases.1996 · 277 citations
  4. 4Safety characteristics of gadobenate dimeglumine: Clinical experience from intra‐ and interindividual comparison studies with gadopentetate dimeglumine2006 · 44 citations
  5. 5Gadolinium – a specific trigger for the development of nephrogenic fibrosing dermopathy and nephrogenic systemic fibrosis?2006 · 1,858 citations