View in EDS HTML Full Text PDF Full Text

Reconsidering gadolinium in long-term glioma follow-up: is contrast always and unquestionably necessary?

Saved in:
Bibliographic Details
Title: Reconsidering gadolinium in long-term glioma follow-up: is contrast always and unquestionably necessary?
Authors: Naval-Baudin, Pablo1,2,3,4 (AUTHOR) pablo.naval.idi@gencat.cat, Pons-Escoda, Albert1,2,3,5 (AUTHOR)
Source: European Radiology. Sep2025, Vol. 35 Issue 9, p5203-5205. 3p.
Subjects: Gadolinium, Gliomas, Magnetic resonance imaging, Imaging systems, Diagnostic imaging, Tumor growth
Abstract: The article discusses the evolving standards for monitoring adult-type diffuse gliomas using MRI, particularly the reliance on gadolinium-enhanced T1-weighted sequences (CET1w) versus non-contrast T2-weighted/FLAIR sequences. Recent findings from a multicenter study suggest that T2w/FLAIR abnormalities can effectively detect tumor progression, often earlier than gadolinium enhancement, raising questions about the necessity of gadolinium in certain cases, especially for long-term survivors of low-grade gliomas. The authors advocate for a balanced approach that utilizes T2w/FLAIR as an initial assessment tool, reserving gadolinium for cases where abnormalities are detected, thereby addressing concerns about gadolinium's safety, cost, and environmental impact. The article emphasizes the need for further research to refine imaging protocols and explore advanced non-contrast techniques in glioma management. [Extracted from the article]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Engineering Source
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: egs
DbLabel: Engineering Source
An: 187309370
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Reconsidering gadolinium in long-term glioma follow-up: is contrast always and unquestionably necessary?
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Naval-Baudin%2C+Pablo%22">Naval-Baudin, Pablo</searchLink><relatesTo>1,2,3,4</relatesTo> (AUTHOR)<i> pablo.naval.idi@gencat.cat</i><br /><searchLink fieldCode="AR" term="%22Pons-Escoda%2C+Albert%22">Pons-Escoda, Albert</searchLink><relatesTo>1,2,3,5</relatesTo> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Sep2025, Vol. 35 Issue 9, p5203-5205. 3p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Gadolinium%22">Gadolinium</searchLink><br /><searchLink fieldCode="DE" term="%22Gliomas%22">Gliomas</searchLink><br /><searchLink fieldCode="DE" term="%22Magnetic+resonance+imaging%22">Magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Imaging+systems%22">Imaging systems</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnostic+imaging%22">Diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Tumor+growth%22">Tumor growth</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The article discusses the evolving standards for monitoring adult-type diffuse gliomas using MRI, particularly the reliance on gadolinium-enhanced T1-weighted sequences (CET1w) versus non-contrast T2-weighted/FLAIR sequences. Recent findings from a multicenter study suggest that T2w/FLAIR abnormalities can effectively detect tumor progression, often earlier than gadolinium enhancement, raising questions about the necessity of gadolinium in certain cases, especially for long-term survivors of low-grade gliomas. The authors advocate for a balanced approach that utilizes T2w/FLAIR as an initial assessment tool, reserving gadolinium for cases where abnormalities are detected, thereby addressing concerns about gadolinium's safety, cost, and environmental impact. The article emphasizes the need for further research to refine imaging protocols and explore advanced non-contrast techniques in glioma management. [Extracted from the article]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=egs&AN=187309370
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s00330-025-11504-5
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 3
        StartPage: 5203
    Subjects:
      – SubjectFull: Gadolinium
        Type: general
      – SubjectFull: Gliomas
        Type: general
      – SubjectFull: Magnetic resonance imaging
        Type: general
      – SubjectFull: Imaging systems
        Type: general
      – SubjectFull: Diagnostic imaging
        Type: general
      – SubjectFull: Tumor growth
        Type: general
    Titles:
      – TitleFull: Reconsidering gadolinium in long-term glioma follow-up: is contrast always and unquestionably necessary?
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Naval-Baudin, Pablo
      – PersonEntity:
          Name:
            NameFull: Pons-Escoda, Albert
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 09
              Text: Sep2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 09387994
          Numbering:
            – Type: volume
              Value: 35
            – Type: issue
              Value: 9
          Titles:
            – TitleFull: European Radiology
              Type: main
ResultId 1