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A Quick Review
DOTAREM
(GADOTERATE MEGLUMINE)
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.