Anthropogenic gadolinium (Gd), used as a contrast agent in magnetic resonance imaging, may enter rivers and groundwaters with the effluents of wastewater treatment plant (WWTP). Such contaminations, which are mainly found in densely populated areas with highly developed medical systems, induce positive gadolinium anomalies in waters. This study reports on the occurrence of positive Gd anomaly in wastewaters, surface and groundwaters in a slightly populated Mediterranean watershed. Water samples have been collected along the Hérault River, in its tributaries, in wells and springs supplying drinking water and in WWTP effluents during two sampling campaigns in February and July 2003. Systematically pronounced positive gadolinium anomalies (Gd/Gd( *)) were observed in WWTP effluents with values reaching 306. These observations have shown that Gd/Gd( *) can also be found in wastewater drained from rural communities, not equipped with MRI facilities. Positive gadolinium anomalies were detected in two tributaries of the Hérault River and in some wells supplying drinking water, corresponding to an excess of anthropogenic Gd in water up to 15.4pM. A monthly monitoring on one well has confirmed the persistence of gadolinium anomalies all along the year, suggesting a continual wastewater contamination on this site. A spatial monitoring on one tributary showed that wastewater contribution modifies completely the normalized REE pattern of river water, resulting in a decrease of REE amount correlated to the Gd anomaly appearance.
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http://dx.doi.org/10.1016/j.chemosphere.2009.01.036 | DOI Listing |
Diagnostics (Basel)
January 2025
Arrow Program for Medical Research Education, Sheba Medical Center, Tel Hashomer, Ramat Gan 52621, Israel.
As medical imaging continues to expand, concerns about the potential risks of ionizing radiation to the developing fetus have led to a preference for non-radiation-based alternatives such as ultrasonography and fetal MRI. This review examines the current evidence on the safety of MRI during pregnancy, with a focus on 3 T MRI and contrast agents, aiming to provide a comprehensive synthesis that informs clinical decision-making, ensures fetal safety and supports the safe use of all available modalities that could impact management. We conducted a comprehensive review of studies from 2000 to 2024 on MRI safety during pregnancy, focusing on 3 T MRI and gadolinium use.
View Article and Find Full Text PDFEur Heart J Case Rep
January 2025
Cardiovascular and Thoracic Division, Cardiology Department, University Hospital Southampton, Tremona Road, Southampton SO16 6YD, UK.
Background: Takotsubo cardiomyopathy usually presents with acute reversible left ventricular apical hypokinesia and apical ballooning with basal hyperdynamic function. We describe an underreported case of Takotsubo cardiomyopathy (TCM), misinterpreted as apical hypertrophic cardiomyopathy (HCM) due to transient apical oedema in the recovery phase of the condition.
Case Summary: A 74-year-old Caucasian woman, presented to the emergency department complaining of retrosternal chest pain following, emotional stress.
Int J Cardiol
January 2025
Department of Cardiology, Hospital Universitario de Torrejón, Torrejón, Spain; Department of Cardiology, Hospital Clínico San Carlos, Madrid, Spain.
Background: Takotsubo syndrome (TTS) is characterized by transient left ventricular (LV) dysfunction and wall motion abnormalities without culprit coronary artery disease. LV thrombus (LVT) formation during the acute phase is a fearsome complication.
Objectives: To identify factors associated with LVT and its prognostic impact in TTS patients.
JACC Case Rep
January 2025
Division of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Structural abnormalities within the right ventricular outflow tract (RVOT) can present similarly to Brugada syndrome. A 34-year-old woman with no medical history presented with polymorphic ventricular tachycardia/ventricular fibrillation cardiac arrest and initial electrocardiogram showed type I Brugada pattern. Cardiac magnetic resonance imaging revealed prominent tissue thickening at the RVOT with late gadolinium enhancement.
View Article and Find Full Text PDFJACC Case Rep
January 2025
Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Kobe, Japan.
A 51-year-old man with a history of antibiotic therapy for syphilis 1 month ago presented with syncope. Computed tomography revealed circumferential aortic wall thickening complicating severe stenosis of left main coronary ostium. Abnormalities in serologic and cerebrospinal fluid tests led to the diagnosis of syphilitic aortitis and neurosyphilis.
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