74183 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences

Name of the Procedure:

Magnetic Resonance Imaging (MRI) of the Abdomen without Contrast, Followed by with Contrast and Further Sequences.

Summary

Magnetic Resonance Imaging (MRI) of the abdomen is a non-invasive procedure that uses powerful magnets and radio waves to produce detailed images of the abdominal organs and tissues. Initially done without contrast, the procedure may include additional imaging after contrast material is administered to enhance the clarity of the images.

Purpose

MRI of the abdomen is used to diagnose and evaluate various conditions affecting abdominal organs such as the liver, kidneys, pancreas, and blood vessels. The goal is to identify abnormalities, guide treatment plans, and monitor the progress of existing conditions.

Indications

• Abdominal pain of unknown origin
• Suspected tumors or cancer
• Liver diseases such as cirrhosis or hepatitis
• Kidney disorders or masses
• Pancreatic issues
• Vascular diseases affecting the abdomen
• Follow-up evaluations for previously diagnosed conditions

Preparation

• Patients may be required to fast for several hours before the procedure.
• Certain medications might need adjustment.
• Remove all metallic objects as they can interfere with the MRI.
• Diagnostic tests such as blood work may be required to ensure kidney function is sufficient for contrast use.

Procedure Description

1. The patient is positioned on an MRI table.
2. Initial imaging is conducted without the use of contrast material.
3. A contrast agent is then injected intravenously.
4. Further imaging sequences are performed to enhance the visibility of certain structures.
5. The entire process is monitored by a radiologist through a control room.

Duration

The entire procedure typically takes about 30 to 60 minutes.

Setting

The procedure is performed in a hospital's radiology department or an outpatient imaging center.

Personnel

• Radiologist
• MRI technologist
• Nursing staff (for contrast material administration)

Risks and Complications

• Mild allergic reactions to the contrast material
• Claustrophobia or discomfort from lying still in the MRI machine
• Rarely, kidney issues in patients with pre-existing renal conditions

Benefits

• High-resolution images of abdominal structures
• Non-invasive with no radiation exposure
• Accurate diagnosis leading to better treatment planning

Recovery

• Usually, no recovery time is needed.
• Patients can resume normal activities immediately unless advised otherwise.
• Follow-up appointments to discuss results with the healthcare provider.

Alternatives

• Computed Tomography (CT) Scan: Quicker but involves radiation exposure.
• Ultrasound: Less detailed for some structures but can be quicker and more accessible.

Patient Experience

• Patients might feel some discomfort from lying still and the confined space of the MRI machine.
• The contrast injection might cause a cool sensation.
• Pain is minimal; comfort measures, such as music or a panic button, are provided to ease anxiety.

This standardized approach ensures that patients and healthcare providers are well-informed about the benefits, risks, and expectations surrounding the abdominal MRI procedure.