1. A Quick Review

2. References:  Product Brochure  Product Monograph

3. Exec. Summary

6. 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…

7. 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.