Comparison of 1.0 M gadobutrol and 0.5 M gadopentate dimeglumine-enhanced MRI in 471 patients with known or suspected renal lesions: Results of a multicenter, single-blind, interindividual, randomized clinical phase III trial

The purpose of this phase III clinical trial was to compare two different extracellular contrast agents, 1.0 M gadobutrol and 0.5 M gadopentate dimeglumine, for magnetic resonance imaging (MRI) in patients with known or suspected focal renal lesions. Using a multicenter, single-blind, interindividual, randomized study design, both contrast agents were compared in a total of 471 patients regarding their diagnostic accuracy, sensitivity, and specificity to correctly classify focal lesions of the kidney. To test for noninferiority the diagnostic accuracy rates for both contrast agents were compared with CT results based on a blinded reading. The average diagnostic accuracy across the three blinded readers ('average reader') was 83.7% for gadobutrol and 87.3% for gadopentate dimeglumine. The increase in accuracy from precontrast to combined precontrast and postcontrast MRI was 8.0% for gadobutrol and 6.9% for gadopentate dimeglumine. Sensitivity of the average reader was 85.2% for gadobutrol and 88.7% for gadopentate dimeglumine. Specificity of the average reader was 82.1% for gadobutrol and 86.1% for gadopentate dimeglumine. In conclusion, this study documents evidence for the noninferiority of a single i.v. bolus injection of 1.0 M gadobutrol compared with 0.5 M gadopentate dimeglumine in the diagnostic assessment of renal lesions with CE-MRI

Quantification Studies in continuous-flow 13C Nuclear Magnetic Resonance Spectroscopy by Use of Immobilized Paramagnetic Relaxation Agents

Different types of immobilized free radicals as well as immobilized paramagnetic gadolinium(III) complexes were synthesized and used as relaxation agents to shorten the spin-lattice relaxation times T1 of analytes in quantitative continuous-flow 13C nuclear magnetic resonance spectroscopy (NMR). The immobilized paramagnetic relaxation agents were characterized with electron paramagnetic resonance spectroscopy (EPR) and extended X-ray absorption fine structure spectroscopy (EXAFS). With these types of paramagnetic relaxation agents, it was possible to obtain a 4-fold increase in signal-to-noise ratio per unit time, and an almost quantitative NMR spectra in continuous-flow 13C NMR spectroscopy could be acquired with this method

NMR and chiroptical examination of the diastereoisomers of (S)-Eu-EOB-DTPA

The solution structure of the diastereoisomers of (S)-Eu-EOB-DTPA has been analysed by H-1 NMR, CD and CPL spectroscopy. Two major species exist which possess very similar 1H NMR paramagnetic shifts and emission spectra, consistent with a 9-coordinate structure involving one bound water. Circularly polarised luminescence data are consistent with a common Lambda-helicity for each isomer; the isomers differ only in the absolute configuration of the central nitrogen atom