Imaging Patients with Renal Failure

Gadolinium should only be given to a patient who is on dialysis and/or has a GFR < 30 if contrast is considered critical to imaging for clinical management by radiology faculty AND informed consent has been obtained by a radiologist.

Alternative MRI contrast agents such as ferumoxytol make be considered when MR Angiography is crucial in a patient with renal failure (eGFR < 30). Please see the UCSF ferumoxytol administration guidelines if you are considering this agent: Ferumoxytol Guidelines (pdf)

Please see the dedicated webpage MRI Contrast – Gadolinium Policy for a more complete discussion of contrast guidelines and the risks of gadolinium.