72196 Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)

Name of the Procedure:

Magnetic Resonance Imaging (MRI) of the Pelvis with Contrast Material(s)

Summary

An MRI of the pelvis with contrast is a non-invasive imaging test that uses magnetic fields and contrast dyes to create detailed images of the pelvic area. This test helps in diagnosing and monitoring various medical conditions.

Purpose

This procedure is performed to diagnose abnormalities and conditions in the pelvic area, such as tumors, infections, or chronic pain. The use of contrast material enhances the clarity of the images, making it easier to spot issues.

Indications

• Persistent pelvic pain
• Unexplained bleeding
• Suspected pelvic tumors or cysts
• Evaluation of conditions like endometriosis or pelvic inflammatory disease
• Monitoring progress or response to treatment for known pelvic conditions

Preparation

• Patients may be asked to fast for a few hours before the procedure.
• Inform your doctor of any medications you're taking, as some may need to be adjusted.
• Previous imaging tests or relevant medical records should be provided.
• Alert your doctor if you have kidney problems or allergies to contrast material.

Procedure Description

1. The patient changes into a hospital gown and removes all metal objects.
2. An IV line is inserted to administer the contrast dye.
3. The patient lies on a movable table that slides into the MRI machine.
4. The machine creates a strong magnetic field and radio waves to take detailed images.
5. Contrast dye is injected halfway through the procedure to enhance image quality.
6. The radiologist monitors the process from a separate room, communicating with the patient as needed.

Duration

The procedure typically takes about 45 minutes to 1 hour.

Setting

Usually performed in a hospital's radiology department or at an outpatient imaging center.

Personnel

• Radiologist
• MRI Technologist
• Nurse (if sedation or special care is required)

Risks and Complications

• Mild side effects from the contrast dye, such as a cold sensation or a metallic taste
• Rare allergic reactions to the contrast material
• Claustrophobia or discomfort from lying still

Benefits

• Provides detailed images for accurate diagnosis
• Non-invasive with no radiation exposure
• Helps guide treatment decisions

Recovery

• Minimal recovery time; patients can usually resume normal activities immediately.
• Drink plenty of fluids to flush out the contrast dye.
• Follow any specific instructions provided by your healthcare provider.

Alternatives

• CT Scan: Involves radiation and may not provide as detailed images.
• Ultrasound: Less detailed but useful for certain conditions.
• X-Ray: Limited in visualizing soft tissue.

Patient Experience

• During the procedure, patients might feel slight discomfort from lying still or mild anxiety.
• After the procedure, most patients can go home immediately and resume their daily activities.
• Pain is minimal, and any discomfort from the IV line or injection site is generally short-lived.