Nephrogenic systemic fibrosis and gadolinium: a perfect storm.

1 las [18]. That study reported no significant worsening of renal function in 15 patients who were not immediately treated with hemodialysis, with 2and 6-month “monitoring” [18]. Because of this apparent safety, most radiology practices did not require serum creatinine measurements before the administration of GBCAs. This absence of data increased the difficulty in retrospective analysis of the relationship of NSF cases to preexisting renal dysfunction.