Los radiólogos debemos estar familiarizados con estas novedades y recomendaciones para de esta manera utilizar de forma adecuada la RM en los procesos de diagnóstico y seguimiento de la EM. Asimismo, la normativa establecida por la Comisión Europea en relación con el uso de medios de contraste que contienen gadolinio ha obligado a revisar y restringir la indicación de su uso en la práctica clínica. En los últimos años se han descrito nuevos hallazgos radiológicos en la EM, y han aparecido nuevas evidencias sobre el papel de la RM en el seguimiento de la enfermedad. Pharmacists can provide valuable therapeutic services and bring increased attention to the medication needs of foster care patients by assuming a more active role as a member of their care team.Įstá ampliamente aceptado que la resonancia magnética (RM) es la técnica paraclínica más relevante, no solo para establecer un diagnóstico preciso y precoz de la esclerosis múltiple (EM), sino también para predecir su pronóstico y para controlar y predecir la eficacia de los diferentes tratamientos modificadores de la enfermedad. Pharmacists’ skills in medication therapy management, medication reconciliation, patient and caregiver education, and interprofessional collaboration can and should be used to reduce overmedication in the foster care population. Despite federal mandates, foster youth medication use remains drastically higher than that of the general population. By virtue of being removed from their homes, foster youth experience trauma and are placed into a system that can be inconsistent, lead to further disruption, and create gaps in their medical care and management. ![]() ![]() To support this objective, it is important to understand (1) what foster care is, (2) the vulnerabilities of youth in foster care, (3) medication use among youth in foster care, and (4) how the foster care system complicates medication management.įoster care youth are not yet considered a vulnerable patient population from the pharmacy perspective, despite a high rate of prescriptions and medications without proper indication. Gadolinium contrast medium is used in about 1 in 3 of MRI scans to improve the clarity of the images or pictures of your body’s internal structures.The objective of this commentary is to recommend that pharmacists take a larger role in medication management for the vulnerable patient population of youth in foster care. Why do I need to have gadolinium contrast medium? The contrast medium is injected intravenously (into a vein) as part of an MRI scan, and eliminated from the body through the kidneys. Different brands of gadolinium contrast medium use different chelating molecules. A chelating agent prevents the toxicity of gadolinium while maintaining its contrast properties. The chemical bonds are made between a gadolinium ion and a carrier molecule (a chelating agent). Gadolinium contrast media consist of complex molecules, arrangements of atoms held together by chemical bonds. This allows the radiologist (a specialist doctor trained to examine the images and provide a written report to your doctor or specialist) to more accurately report on how your body is working and whether there is any disease or abnormality present. ![]() When injected into the body, gadolinium contrast medium enhances and improves the quality of the MRI images (or pictures). ![]() Gadolinium contrast media (sometimes called a MRI contrast media, agents or ‘dyes’) are chemical substances used in magnetic resonance imaging (MRI) scans. Prof Stacy Goergen * What is gadolinium contrast medium? percutaneous transhepatic cholangiogram.18-20 week screening pregnancy ultrasound.
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