76390 Magnetic resonance spectroscopy

Name of the Procedure:

Magnetic Resonance Spectroscopy (MRS)

Summary

Magnetic Resonance Spectroscopy (MRS) is a non-invasive diagnostic imaging technique that measures the chemical composition of tissues in the body, particularly the brain. It uses similar principles to MRI but focuses on the biochemical changes rather than just the structure.

Purpose

The purpose of MRS is to help diagnose and monitor diseases such as brain tumors, epilepsy, Alzheimer's disease, multiple sclerosis, and metabolic disorders. It aims to provide detailed information about the chemical composition of tissues, which can aid in determining the presence and severity of disease.

Indications

• Unexplained neurological symptoms.
• Identification and grading of brain tumors.
• Diagnosis and monitoring of neurodegenerative diseases like Alzheimer's.
• Evaluation of metabolic disorders.
• Assessment of seizure disorders.

Preparation

• Patients may need to avoid eating or drinking for a few hours before the procedure.
• Remove any metal objects or accessories, including jewelry and eyeglasses.
• Patients with implants or devices containing metal should inform their physician.
• Completing any necessary pre-procedure diagnostic tests, such as blood tests or MRI.

Procedure Description

1. The patient lies on a motorized table that slides into an MRI machine.
2. The technologist positions the patient and ensures they are comfortable.
3. A radiofrequency coil is placed around the target area.
4. The machine generates strong magnetic fields and radio waves to collect data.
5. The data is processed to produce spectroscopic readings of chemical concentrations.
6. No anesthesia or sedation is typically needed, as the procedure is painless.

Duration

The procedure generally takes 30 to 60 minutes, depending on the complexity of the area being scanned.

Setting

MRS is conducted in a hospital radiology department or an outpatient imaging clinic with MRI capabilities.

Personnel

• Radiologist specially trained in magnetic resonance imaging.
• MRI technologist.
• Occasionally, a nurse may be present for support.

Risks and Complications

• Very low risk associated with magnetic fields and radio waves.
• Rarely, patients may experience claustrophobia.
• Potential for allergic reactions to contrast agents, if used.

Benefits

• Non-invasive and painless.
• Offers detailed chemical information aiding in accurate diagnosis and treatment planning.
• Immediate results can be used for timely medical decisions.

Recovery

• No recovery time required; patients can usually go home immediately.
• Follow any specific post-procedure instructions provided by the healthcare team.
• Follow-up appointments may be scheduled to discuss results and next steps.

Alternatives

• CT Scans: Provide detailed images but not chemical information.
• PET Scans: Offer metabolic information but involve exposure to low levels of radioactivity.
• Biopsy: Definitive tissue diagnosis but is invasive.
• Each alternative has its own benefits and drawbacks regarding invasiveness, detail, and timeliness.

Patient Experience

• The patient will hear loud thumping or buzzing noises from the MRI machine but will be provided with ear protection.
• Patients must remain still to ensure clear images.
• Comfort measures such as pillows and blankets can be provided.
• Some patients may feel mild discomfort from lying still or being in the scanner for an extended period.