The MRI contrast is Gadolinium and the standard biopsy antibiotic is Ciprofloxacin.
Yes, these are both concerns in the US, but probably driven by ambulance chasing lawyers to a slightly higher extent than is really justified.
There are a number of Gadolinium formulations and I heard we didn't use the worse ones. The fear of UK law suits is causing some of those institutions with 3T scanners to move back to bi-parametric scans, and skip the diffusion scans with Gadolinium contrast. This has always been necessary for patients with reduced kidney function in any case (although I doubt they were all done on 3T scanners).
Ciprofloxacin has some rare side effects of concern, but there are rather few antibiotics which work well in the prostate, so it's not like there are many alternatives. Without it, deaths from sepsis after TRUS would have been higher. It is a black label drug in the US. (I did mention recently to someone in this forum taking it for prostatitis not to put large strain on tendons, but that's not the only side effect.)
It does have to be pointed out that these have been in frequent use for a long time, and there are relatively few cases of the bad side effects.
Edited by member 28 Dec 2020 at 14:29
| Reason: Not specified