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      Anthropogenic gadolinium in the Tone River (Japan): an update showing a 7.7-fold increase from 1996 to 2020

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          Abstract

          Background

          Anthropogenic gadolinium (Gd), originating from Gd-based contrast agents (GBCAs) used in magnetic resonance imaging (MRI), is widely identified in the aquatic environment with concerns about toxicity and accumulation. We aimed to present new data on anthropogenic Gd in the Tone River, which has the largest drainage area in Japan, and then to compare the current data with those obtained in 1996.

          Methods

          The water samples were collected on August 9−10, 2020, at 15 different locations of the Tone River in Japan. The concentrations of the rare earth elements (REEs) were measured by inductively coupled plasma-mass spectrometry and normalized to Post-Archean Australian Shale to construct shale-normalized REE patterns. The degree of Gd-anomaly was defined as the percentage of anthropogenic Gd to the geogenic background and used to compare the water samples from different locations. Pearson’s correlation coefficients were calculated.

          Results

          All the samples displayed positive Gd anomalies. The Gd-anomaly ranged from 121 to 6,545% and displayed a repeating decrease-and-increase trend. The Gd-anomaly showed strong positive correlations to the number of hospitals ( r = 0.88; p < 0.001) and their MRI units ( r = 0.89; p < 0.001).

          Conclusions

          Our study revealed notable anomalies of Gd concentrations in river water in Japan, with strong positive correlations to the number of major hospitals and their MRI units. Compared with the previous report in 2000, the Gd-anomaly in Tone River increased from 851% (sampled in 1996) to 6,545%, i.e., 7.7 times, reflecting the increased use of GBCAs in hospitals.

          Relevance statement

          Notable Gd concentration anomalies in river water in Japan were observed. This result underlines the importance of more extensive research on anthropogenic gadolinium, and investigations of risks to human health as well as the development of effective removal technologies may be necessary.

          Key points

          • All water samples from Tone River displayed positive Gd anomalies.

          • The Gd anomalies increased to 7.7 times higher over the past 24 years.

          • Correlations between Gd values and the number of hospitals and MRI units were observed.

          Graphical Abstract

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          Most cited references37

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          High signal intensity in the dentate nucleus and globus pallidus on unenhanced T1-weighted MR images: relationship with increasing cumulative dose of a gadolinium-based contrast material.

          To explore any correlation between the number of previous gadolinium-based contrast material administrations and high signal intensity (SI) in the dentate nucleus and globus pallidus on unenhanced T1-weighted magnetic resonance (MR) images. The institutional review board approved this study, waiving the requirement to obtain written informed consent. A group of 381 consecutive patients who had undergone brain MR imaging was identified for cross-sectional analysis. For longitudinal analysis, 19 patients who had undergone at least six contrast-enhanced examinations were compared with 16 patients who had undergone at least six unenhanced examinations. The mean SIs of the dentate nucleus, pons, globus pallidus, and thalamus were measured on unenhanced T1-weighted images. The dentate nucleus-to-pons SI ratio was calculated by dividing the SI in the dentate nucleus by that in the pons, and the globus pallidus-to-thalamus SI ratio was calculated by dividing the SI in the globus pallidus by that in the thalamus. Stepwise regression analysis was undertaken in the consecutive patient group to detect any relationship between the dentate nucleus-to-pons or globus pallidus-to-thalamus SI ratio and previous gadolinium-based contrast material administration or other factors. A random coefficient model was used to evaluate for longitudinal analysis. The dentate nucleus-to-pons SI ratio showed a significant correlation with the number of previous gadolinium-based contrast material administrations (P < .001; regression coefficient, 0.010; 95% confidence interval [CI]: 0.009, 0.011; standardized regression coefficient, 0.695). The globus pallidus-to-thalamus SI ratio showed a significant correlation with the number of previous gadolinium-based contrast material administrations (P < .001; regression coefficient, 0.004; 95% CI: 0.002, 0.006; standardized regression coefficient, 0.288), radiation therapy (P = .009; regression coefficient, -0.014; 95% CI: -0.025, -0.004; standardized regression coefficient, -0.151), and liver function (P = .031; regression coefficient, 0.023; 95% CI: 0.002, 0.044; standardized regression coefficient, 0.107). The dentate nucleus-to-pons and globus pallidus-to-thalamus SI ratios in patients who had undergone contrast-enhanced examinations were significantly greater than those of patients who had undergone unenhanced examinations (P < .001 for both). High SI in the dentate nucleus and globus pallidus on unenhanced T1-weighted images may be a consequence of the number of previous gadolinium-based contrast material administrations. RSNA, 2013
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            Characteristics of gadolinium-DTPA complex: a potential NMR contrast agent.

            Chelation of the rare-earth element gadolinium (Gd) with diethylenetriaminepentaacetic acid (DTPA) results in a strongly paramagnetic, stable complex that is well tolerated in animals. The strongly paramagnetic gadolinium complex reduces hydrogen-proton relaxation times even in low concentrations (less than 0.01 mmol/L). The pharmacokinetic behavior of intravenously delivered Gd-DTPA is similar to the well known iodinated contrast agents used in urography and angiography; excretion is predominantly through the kidneys with greater than 90% recovery in 24 hr. The intravenous LD50 of the meglumine salt of Gd-DTPA is 10 mmol/kg for the rat; in vivo there is no evidence of dissociation of the gadolinium ion from the DTPA ligand. The combination of strong proton relaxation, in-vivo stability, rapid urinary excretion, and high tolerance favors the further development and the potential clinical application of gadolinium-DTPA as a contrast enhancer in magnetic resonance imaging.
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              • Article: not found

              Scleromyxoedema-like cutaneous diseases in renal-dialysis patients.

              15 renal dialysis patients have been identified with a skin condition characterised by thickening and hardening of the skin of the extremities and an increase in dermal fibroblast-like cells associated with collagen remodelling and mucin deposition. The disease closely resembles scleromyxoedema, yet has significant enough clinical and histopathological differences to warrant its designation as a new clinicopathological entity.
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                Author and article information

                Contributors
                kumasaka88@gunma-u.ac.jp
                Journal
                Eur Radiol Exp
                Eur Radiol Exp
                European Radiology Experimental
                Springer Vienna (Vienna )
                2509-9280
                24 May 2024
                24 May 2024
                December 2024
                : 8
                : 64
                Affiliations
                [1 ]Department of Diagnostic Radiology and Nuclear Medicine, Gunma University Graduate School of Medicine, ( https://ror.org/046fm7598) 3-39-22 Showa-machi, Maebashi, Gunma 371-8511 Japan
                [2 ]Radiological Sciences, School of Medicine, University of Nottingham, ( https://ror.org/01ee9ar58) Nottingham, NG7 2UH United Kingdom
                [3 ]Department of Nuclear Medicine and Molecular Imaging, Universitas Padjadjaran, ( https://ror.org/00xqf8t64) Jl. Raya Bandung Sumedang KM.21, Hegarmanah, Kabupaten Sumedang, Jatinangor, Jawa Barat 45363 Indonesia
                [4 ]Department of Nutrition, Koshien University, ( https://ror.org/00337p258) 10-1 Momijigaoka, Takarazuka, Hyogo 665-0006 Japan
                [5 ]Department of Public Health, Gunma University Graduate School of Medicine, ( https://ror.org/046fm7598) 3-39-22 Showa-machi, Maebashi, Gunma 371-8511 Japan
                [6 ]Division of Internal Medicine, Gunma Rehabilitation Hospital, 2136 Kamisawatari, Nakanojo, Agatsuma District, Gunma, 377-0541 Japan
                Author information
                http://orcid.org/0000-0001-5541-3847
                Article
                460
                10.1186/s41747-024-00460-2
                11116359
                38782825
                518670a2-ac6a-4ccd-9a26-24c7651ed211
                © The Author(s) 2024

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 17 November 2023
                : 20 March 2024
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100001698, Kurita Water and Environment Foundation;
                Award ID: 19A010
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100007106, Gunma University;
                Award ID: G3-3
                Award Recipient :
                Categories
                Original Article
                Custom metadata
                © European Society of Radiology (ESR) 2024

                anthropogenic effects,environmental monitoring,gadolinium,magnetic resonance imaging,water

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