Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences
CPT4 code
Name of the Procedure:
Magnetic resonance imaging (MRI) of any joint in the upper extremity without contrast material(s), followed by contrast material(s) and further sequences.
Common name(s): MRI with contrast of the shoulder, elbow, wrist, etc.
Summary
An MRI scan uses powerful magnets and radio waves to create detailed images of a joint in the upper extremity. The procedure initially captures images without contrast material, and then additional images are taken after a contrast dye is injected to enhance visibility of specific structures.
Purpose
This procedure is used to evaluate joint conditions such as tears, inflammation, tumors, or infections. By using a contrast dye, it helps to provide clearer images and more accurate diagnoses.
Indications
- Chronic joint pain or swelling.
- Suspected ligament or tendon injuries.
- Detection of tumors or cysts.
- Evaluation of previous joint surgeries.
Unexplained joint dysfunction.
Preparation
- Fasting may be required for a few hours before the procedure.
- Removal of any metal objects (jewelry, hearing aids).
- Informing the doctor about any medical implants, allergies, or claustrophobia.
- Pre-procedure assessment might include blood tests to check kidney function.
Procedure Description
- You will lie on a movable examination table that slides into the MRI machine.
- Initial images are taken without any contrast material. It involves lying still for several minutes.
- A radiologist will then inject a contrast dye into your bloodstream.
- Further sequences are captured after the dye has circulated.
- The entire process involves multiple sets of images to ensure a thorough examination.
Duration
The procedure typically takes about 45 to 90 minutes.
Setting
It is usually performed in a hospital radiology department or an outpatient imaging center.
Personnel
- A radiologist (specialist in interpreting medical images).
- Radiologic technologist (operates the MRI machine).
Risks and Complications
- Claustrophobia due to the enclosed space of the MRI machine.
- Allergic reaction to the contrast dye (rare).
- Infection at the injection site (very rare).
- Potential impacts on individuals with kidney problems.
Benefits
- Provides high-resolution images for accurate diagnosis.
- Helps in planning appropriate treatment strategies.
Non-invasive with no exposure to ionizing radiation.
Recovery
- Most patients can resume normal activities immediately after the procedure.
- Drink plenty of fluids to help flush out the contrast dye.
- Follow-up appointments may be necessary to discuss results.
Alternatives
- X-rays: Less detailed, exposure to radiation.
- CT scans: Good for bone structures, involves radiation.
Ultrasound: Useful for soft tissues, but less detailed.
Pros and cons of alternatives vary based on specific patient needs and conditions.
Patient Experience
- You might feel a cold sensation or slight discomfort from the contrast dye injection.
- Loud noises from the MRI machine may require ear protection.
- Minimal discomfort; pain management is usually not necessary.