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UCSF gadolinium policy: dialysis scheduling
Product / population
UCSF institutional MRI contrast policy; the page references ACR Manual version 10.3 (2017).
Renal method
Existing hemodialysis versus peritoneal dialysis and nondialysis CKD.
Source revision
Undated policy page; references ACR 2017 version 10.3.
Retrieved
2026-09-07
Local review status
Selected source text imported locally; independent clinical review pending. Not a complete prescribing monograph.
Documented differences and cautions on this drug
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Gadolinium: existing-dialysis timing differs between dated sources
The 2021 ACR-NKF abstract regards dialysis alteration as generally unnecessary after its group II/III agents. UCSF seeks prompt hemodialysis, preferably within 24 hours, for existing dialysis patients. Both distinguish this from starting prophylactic dialysis.
What to reconcile: Reconcile the agent, date and local radiology/nephrology policy. Do not delay essential imaging or initiate dialysis automatically; no agent classification is inferred from a class name.
UCSF Radiology · UCSF institutional MRI contrast policy; the page references ACR Manual version 10.3 (2017).
Renal method: Existing hemodialysis versus peritoneal dialysis and nondialysis CKD. Source date: Undated policy page; references ACR 2017 version 10.3. Retrieved: 2026-09-07
Professional guidance with defined scope. Publication date, institutional setting and source limitations remain controlling. This is not automatic preference over another source.
Selected source text imported locally; independent clinical review pending. Not a complete prescribing monograph.
Renal dosing, restrictions and evidence limits
For patients already receiving dialysis, this policy seeks hemodialysis as soon as practical after contrast MRI, preferably within 24 hours, and notes that the normal outpatient schedule may need coordination with nephrology. It does not recommend switching peritoneal dialysis to hemodialysis or initiating prophylactic dialysis in nondialysis CKD. Dialysis does not guarantee protection from NSF. This institutional scheduling approach differs from the later ACR-NKF consensus wording about changing dialysis; keep the publication context and local coordination requirements visible.
This reference does not select a regimen. Complete the indication, measured/estimated renal function and trend, dialysis setting, source rationale, monitoring and reassessment plan in your institution's approved documentation system. Confirm the complete current source before adopting its regimen.
GlobalRPh v6.6 | RDM66-DIRECT-PHP-20260911 | Local library date 2026-09-11. Selected-card identity does not imply clinical verification.