Implementation plan

Recommendation	Time frame for implementation: <1 year, 1 to 3 years or >3 years	Expected effect on costs	Limitations for implementation	Barriers to implementation1	Actions needed for implementation2	Parties responsible for actions3	Other remarks
Ensure a strict indication for gadolinium-enhanced MRI and use EMA-approved GBCA in all patients to minimize possible gadolinium deposition.	1 to 3 years	None	Lack of knowledge of guideline	Lack of knowledge of guideline	Dissemination of guideline	NVvR

¹ Barriers can be found at multiple levels. They can exist at the level of the consultant, the hospital organisation, and the health care system.

² Actions needed for implementation, but also actions to promote implementatie. Think about checks during quality visits, guideline publication, information of hospital management, et cetera.

³ Who is responsible for implementation of recommendations will largely be determined by the level where the barriers are expected to be.