74185 Magnetic resonance angiography, abdomen, with or without contrast material(s)

Magnetic Resonance Angiography, Abdomen

Name of the Procedure:

• Common Name(s): MRI Angiography, MRA
• Technical Term: Magnetic Resonance Angiography of the Abdomen

Summary

Magnetic Resonance Angiography (MRA) of the abdomen is a medical imaging procedure that uses magnetic fields and radio waves to create detailed images of the blood vessels in the abdominal area. It may be performed with or without contrast material to enhance the visibility of blood vessels.

Purpose

MRA of the abdomen is used to:

• Detect blockages, aneurysms, or other blood vessel abnormalities.
• Assess blood flow in the abdominal arteries and veins.
• Help plan surgeries or treatments related to vascular conditions.

Indications

• Symptoms such as abdominal pain, swelling, or unexplained weight loss.
• Conditions like abdominal aortic aneurysm, renal artery stenosis, or mesenteric ischemia.
• Patients with a history of vascular disease or at risk for blood vessel complications.

Preparation

• Fasting: Patients may be required to fast for 4-6 hours before the procedure.
• Medications: Inform the doctor of all medications; some may need to be adjusted.
• Pre-Procedure Tests: Blood tests, kidney function tests, or previous imaging studies.

Procedure Description

1. Patient Positioning: The patient lies on a movable table that slides into the MRI machine.
2. Initial Imaging: Preliminary images are taken to ensure correct positioning.
3. Contrast Administration (if used): A contrast agent may be injected through an IV line to enhance vascular images.
4. Imaging Sequence: The machine captures a series of images. The patient must remain still; occasionally, breath-holding instructions may be given.
5. Completion: The procedure is completed after sufficient images are collected for diagnosis.

Tools and Technology

• MRI Scanner
• IV Contrast Agent (if applicable)
• Monitors for vital signs

Anesthesia or Sedation

• Typically, no anesthesia or sedation is required. Sedation may be offered for patients with claustrophobia.

Duration

• The procedure usually takes between 30 to 90 minutes.

Setting

• Performed in a hospital radiology department or an outpatient imaging center.

Personnel

• Radiologist
• MRI Technician
• Nursing Staff (if contrast is used)

Risks and Complications

• Common Risks: Discomfort from lying still, minor reactions to contrast material.
• Rare Complications: Allergic reaction to contrast, nephrogenic systemic fibrosis in patients with poor kidney function.

Benefits

• Non-invasive with no exposure to ionizing radiation.
• Provides detailed images that aid in accurate diagnosis and treatment planning.
• Can help avoid more invasive procedures like angiography.

Recovery

• Aftercare: Limited to no recovery time; patients can typically resume normal activities immediately.
• Post-procedure Instructions: Hydration is recommended if contrast material is used.
• Follow-Up: As needed based on the findings.

Alternatives

• CT Angiography: Uses X-rays and contrast material, quicker but involves radiation.
• Ultrasound: Non-invasive but less detailed for certain vascular issues.
• Traditional Angiography: More invasive, involves catheter insertion and exposure to radiation.

Patient Experience

• During Procedure: Might feel cold from the contrast injection, minor discomfort from lying still.
• After Procedure: Minimal to no pain, mild soreness at the IV site if contrast was used.
• Pain Management: Generally, no pain management is necessary.

By following these guidelines, the MRA of the abdomen can be conducted smoothly, providing valuable insights into the patient's vascular health with minimal discomfort.