72197 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences

Name of the Procedure:

Magnetic Resonance Imaging (MRI) of the Pelvis; Without Contrast Material, Followed by Contrast Material and Further Sequences

Summary

Magnetic Resonance Imaging (MRI) of the pelvis is a diagnostic test that uses powerful magnets, radio waves, and a computer to create detailed images of the pelvic area. The procedure is done first without contrast material and then with a contrast material injected into the bloodstream to provide additional details.

Purpose

MRI of the pelvis helps diagnose various conditions affecting the pelvic organs, including the bladder, prostate, uterus, ovaries, and surrounding tissues. The goal is to obtain high-quality images to aid in accurate diagnosis and treatment planning.

Indications

Specific symptoms or conditions that may require this procedure include:

• Unexplained pelvic pain
• Suspected pelvic tumors or masses
• Evaluation of complex pelvic conditions such as endometriosis or fibroids
• Pre-surgical planning for pelvic organ surgeries
• Assessment of congenital pelvic abnormalities

Preparation

• Follow dietary restrictions, if any, as instructed by the healthcare provider (e.g., fasting).
• Inform the radiologist if you are pregnant, have any metal implants, or suffer from kidney problems or allergies to contrast materials.
• Complete any necessary blood tests to ensure kidney function is adequate for contrast administration.
• Remove all metal objects and wear a hospital gown provided by the facility.

Procedure Description

1. The patient lies on an MRI table that slides into a large, tunnel-like scanner.
2. Initial MRI images are taken without contrast material.
3. A contrast agent is then injected into a vein in the arm.
4. Further MRI sequences are performed to obtain additional images.
5. The entire scan is non-invasive and the patient needs to remain still to obtain clear images.
6. The radiologist interprets the images and sends a report to your doctor.

Duration

The procedure typically takes between 45 to 90 minutes.

Setting

The MRI scan is usually performed in a hospital radiology department or an outpatient imaging center.

Personnel

• Radiologist or MRI technologist who performs the scan and interprets the images.
• Nurse or healthcare professional to administer the contrast material.

Risks and Complications

• Rare allergic reactions to the contrast material.
• Claustrophobia or discomfort in the confined MRI space.
• The procedure is generally considered safe; however, patients with certain implants or metal fragments may be at risk.

Benefits

• Non-invasive and highly detailed imaging technique.
• Helps in accurate diagnosis and treatment planning.
• No exposure to ionizing radiation.

Recovery

• Generally, there are no significant recovery steps required.
• Patients can usually return to normal activities immediately after the procedure.
• Drink plenty of water to help flush out the contrast material from your body.
• Follow-up appointments may be scheduled based on the MRI findings.

Alternatives

• Computed Tomography (CT) scans, which use X-rays to create images but may not provide as much detail.
• Ultrasound, which is less detailed but useful for certain conditions.
• Diagnostic laparoscopy, which is more invasive and involves surgical insertion of a camera.

Patient Experience

• The patient will need to lie still in a confined space; some experience mild discomfort or anxiety.
• The machine makes loud banging or tapping noises, and earplugs or music may be provided to minimize discomfort.
• Post-procedure, there is typically no pain; any discomfort from the IV placement is minimal and temporary.