Gadolinium contrast MRI: “GBCAs are still safe for the majority of patients. Maybe only 1 in 10,000 develop GDD. Just because it is rare does not mean we should ignore it and hope it goes away,”
by Paul Alexander
Dr. Hodkinson raiased a great point & I too disagree with the flavor of the EPOCH article; a stated non-lethal averse effect 1: 10,000, thus no reason for pilots not to agree to being screened
‘Chelation therapy, specifically with the FDA-approved chelator DTPA, is currently the most effective method to remove gadolinium from the body. Additional treatments may include sauna use (with caution), an anti-inflammatory diet, and supplements.
Dr. Semelka also notes that the risk is minimal for most patients.
“GBCAs are still safe for the majority of patients. Maybe only 1 in 10,000 develop GDD. Just because it is rare does not mean we should ignore it and hope it goes away,” he said.’
This is really about informed consent and ensuring patients are fully informed.
I say the benefit is worth the risk in terms of using gadolinium chest MRIs to assess myocarditis risk in pilots, sports athletes etc. Imperative with D-DIMER, Troponin tests, EKGs etc.