Contraste en pruebas de imagen

[Usuario Eliminado] · junio 2012

Quisiera preguntar a los especialistas q recomendaciones hay para el tema de las pruebas con contraste.
Me interesa el tema de riñones y por otro lado lo del oido interno en ambos casos me piden contraste. La pregunta me gustaria extenderla para cualquier prueba de imagen por tener una vision global.

Quisiera saber a que atenerme y que riesgos añadidos tengo por ser diabetico 1.
Pueden estroperarme la funcion renal los contrastes y cuales especificamente son los mas ,llamemosle, arriesgados.
Muchas gracias

owash · junio 2012

Pues para empezar ni se te ocurra meter la bomba dentro de la resonancia, ni del TAC ni de los rayos

Un enlace: http://aprendersobreradiologia.blogspot ... chive.html

otro enlace sobre contraste yodado y nefropatía: http://aprendersobreradiologia.blogspot ... chive.html
basicamente hay que extremar las precauciones en este caso y usar dosis de baja intensidad, es lo que viene a decir el artículo

la metformina sí que hay que suspenderla en caso de contraste yodado, pero la insulina no.

del oido interno ni idea

[Usuario Eliminado] · junio 2012

Muchas gracias por la pagina.
Creo que pegastes el mismo enlace por error (en el segundo enlace)
En el que aparece no dice que concentracion (si es mezcla) o volumen (si es menor volumen) de contraste yodado inyectado en sangre seria "seguro" para un paciente con DB1.
Sabes de esa informacion?

Gracias

owash · junio 2012

Sí, cierto

a ver ahora: http://www.google.es/url?sa=t&rct=j&q=& ... VpLyrmQM-A

es una presentacion en power point, no habla específicamente de DM1...solamente menciona la metformina.

en cualquier caso, con DM1 somos considerados de riesgo (en esto y en casi todo) así que teoricamente el radiólogo se tiene que fijar más en estos casos

[Usuario Eliminado] · junio 2012

EL PPT fantastico!!
La prueba del oido es resonancia magnetica , no se que se usa ahi.
La medicina nuclear no se cual tendra. Las pruebas neurologicas creo son de medicina nuclear.
Gracias.

owash · junio 2012

en la resonancia se usa el gadolineo: http://www.crccorp.es/resonancia-magnetica.php?org=1
No parece que haya mayores problemas con esa sustancia.

normalmente en medicina nuclear inyectas isótopos radioactivos y miden a través de ellos lo que les interesa...por ejemplo, suelen usar las gammagrafía renal para evaluar el rión.

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