Abstract | PURPOSE: MATERIAL AND METHODS: In a clinical phase-II study 20 patients who had been diagnosed as having brain metastases with CT or MRT were studied prospectively with Gadobutrol, a new nonionic, low osmolality contrast agent. Each patient received an initial injection of 0.1 mmol/kg body weight and an additional dose of 0.2 mmol/kg Gadobutrol 10 min later. Spin-echo images were obtained before and after the two applications of Gadobutrol. Dynamic scanning (Turbo-FLASH) was performed for 3 min after each injection of the contrast agent. Both quantitative and qualitative data were intraindividually evaluated. The primary tumor was a bronchial carcinoma in 11 cases; in 9 other cases there were different primary tumors. RESULTS: Forty-eight hours after the use of Gadobutrol there were no adverse signs in the clinical examination, vital signs or blood and urine chemistry. Statistical analysis (Friedman test and Wilcoxon test) of the C/N ratios between tumor and white matter, percentage enhancement, and visual assessment rating revealed statistically significant superiority of high-dose Gadobutrol injection in comparison to the standard dose. The percentage enhancement increased on average from 104% after 0.1 mmol/kg to 162% after 0.3 mmol/kg Gadobutrol. Qualitative delineation and contrast of the lesions increased significantly. The use of high-dose Gadobutrol improved the detection of 36 additional lesions in 6 patients. CONCLUSION:
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Authors | T J Vogl, C E Friebe, T Balzer, M G Mack, S Steiner, H Schedel, W Pegios, W Lanksch, D Banzer, R Felix |
Journal | Der Radiologe
(Radiologe)
Vol. 35
Issue 8
Pg. 508-16
(Aug 1995)
ISSN: 0033-832X [Print] Germany |
Vernacular Title | Zerebrale Metastasendiagnostik mittels Standarddosis Gadobutrol vs. einem Hochdosisprotokoll. Intraindividuelle Evaluierung einer Phase-II-Hochdosisstudie. |
PMID | 7568795
(Publication Type: Clinical Trial, Clinical Trial, Phase II, Comparative Study, English Abstract, Journal Article)
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Chemical References |
- Contrast Media
- Organometallic Compounds
- gadobutrol
- Pentetic Acid
- Gadolinium DTPA
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Brain
(pathology)
- Brain Neoplasms
(diagnosis, secondary)
- Carcinoma, Bronchogenic
(diagnosis, secondary)
- Carcinoma, Non-Small-Cell Lung
(diagnosis, secondary)
- Carcinoma, Small Cell
(diagnosis, secondary)
- Contrast Media
(adverse effects)
- Dose-Response Relationship, Drug
- Female
- Gadolinium DTPA
- Humans
- Image Enhancement
- Injections, Intravenous
- Lung Neoplasms
(diagnosis)
- Magnetic Resonance Imaging
(methods)
- Male
- Middle Aged
- Organometallic Compounds
(adverse effects)
- Pentetic Acid
(analogs & derivatives)
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