Name of the Procedure:

Injection of Gadoteridol (ProHance Multipack), Per ML

• Common Name: MRI Contrast Injection
• Technical Term: HCPCS Code A9576

Summary

This procedure involves the injection of gadoteridol, a contrast agent, used during magnetic resonance imaging (MRI) to enhance the clarity of the images. The contrast agent allows radiologists to identify abnormalities or issues with greater detail.

Purpose

The injection of gadoteridol helps to:

• Improve the visibility of internal structures.
• Detect and differentiate between normal and abnormal tissues.
• Identify specific medical conditions such as tumors, inflammation, or blood vessel diseases.

Indications

• Patients requiring detailed MRI scans.
• Conditions such as brain or spinal cord anomalies, joint disorders, or vascular diseases.
• Patients who need enhanced imaging for accurate diagnosis and treatment planning.

Preparation

• Patients may be advised to fast for a few hours prior to the procedure.
• Any medication adjustments will be communicated by the healthcare provider.
• Pre-procedure questionnaires and possibly blood tests to check kidney function.

Procedure Description

1. The patient is positioned comfortably on the MRI table.
2. An intravenous (IV) line is inserted into a vein, typically in the arm.
3. Gadoteridol is injected through the IV line.
4. The patient is then moved into the MRI scanner where images are taken.
5. The entire process is monitored by a radiologist or MRI technologist to ensure accuracy and patient safety.

• Tools: IV catheter, syringe containing gadoteridol, MRI scanner.
• Anesthesia or Sedation: Typically not required.

Duration

The injection itself takes just a few minutes, but the entire MRI procedure including setup and scanning can take between 30 minutes to 1 hour.

Setting

• Performed in a hospital radiology department or specialized MRI outpatient clinic.

Personnel

• Radiologist (physician specializing in interpreting medical images)
• MRI Technologist
• Potentially a nurse for IV insertion

Risks and Complications

• Common: Mild discomfort at the injection site, slight metallic taste.
• Rare: Allergic reaction, nephrogenic systemic fibrosis in patients with severe kidney issues.

Benefits

• Enhanced clarity of MRI images leading to accurate diagnosis.
• Helps in formulating effective treatment plans.
• Improved detection of abnormalities earlier, potentially improving outcomes.

Recovery

• Typically, no significant recovery time is needed.
• Patients can resume normal activities shortly after the procedure.
• Follow-up appointment may be scheduled to discuss MRI results.

Alternatives

• Non-contrast MRI, which may not be as detailed.
• Other types of imaging like CT scans or ultrasounds:
  • Pros: No use of contrast agents in some cases.
  • Cons: May not provide the same imaging quality or details.

Patient Experience

• During Procedure: A brief discomfort during IV insertion and the potential anxiety of being in the MRI machine.
• After Procedure: Minimal discomfort, usually no pain. Guidelines for hydration might be provided to help flush the contrast agent out of the system.
• Pain Management: Typically not necessary, but over-the-counter pain relief can be used for any mild discomfort at the injection site.