Name of the Procedure:

Injection, Gadobenate Dimeglumine (Multihance), per ml (HCPCS Code A9577)

Summary

In this procedure, gadobenate dimeglumine, a contrast agent, is injected to enhance the quality of magnetic resonance imaging (MRI) scans. This substance helps to provide clearer pictures of tissues, blood vessels, and organs, aiding in more accurate diagnosis.

Purpose

Gadobenate dimeglumine is used in MRI scans to detect abnormalities such as tumors, infections, and other medical conditions. The goal is to improve the visibility of structures within the body, thereby enhancing the accuracy of the diagnosis.

Indications

Specific Symptoms or Conditions:

• Tumors or cancerous lesions
• Vascular abnormalities
• Brain and spinal cord disorders
• Inflammatory diseases
• Liver and kidney conditions

Patient Criteria:

• Patients requiring detailed imaging for diagnosis
• Individuals with previous unclear MRI results
• Candidates for surgery needing precise imaging

Preparation

• Patients may need to fast for a few hours before the procedure.
• All jewelry and metallic objects must be removed.
• Inform the healthcare provider about any allergies, especially to contrast agents or iodine.

Procedure Description

1. The patient is positioned on the MRI table.
2. An intravenous (IV) line is placed, usually in the arm.
3. Gadobenate dimeglumine is injected through the IV line.
4. The patient is then moved into the MRI machine.
5. MRI scans are taken, capturing detailed images enhanced by the contrast agent.

Tools and Equipment:

• MRI machine
• Intravenous (IV) catheter
• Gadobenate Dimeglumine (Multihance)

Anesthesia or Sedation:

• Not typically required unless the patient has severe anxiety or claustrophobia.

Duration

The injection itself takes a few minutes, while the complete MRI scan may last between 30 to 60 minutes.

Setting

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

Personnel

• Radiologist
• Radiologic technologist
• Registered nurse or medical assistant

Risks and Complications

Common Risks:

• Mild allergic reactions such as itching or rash
• Temporary discomfort at the injection site

Rare Risks:

• Severe allergic reactions (anaphylaxis)
• Nephrogenic systemic fibrosis in patients with severe kidney impairment

Benefits

Expected Benefits:

• Enhanced image clarity and detail
• Improved diagnostic accuracy ##### Realization Time:
• Immediately during the MRI procedure

Recovery

• Patients can typically resume normal activities immediately.
• Drink plenty of fluids to help flush the contrast agent from your body.
• Follow any specific instructions provided by your healthcare provider.

Follow-Up:

• May include additional diagnostic tests or consultation with your healthcare provider to discuss results.

Alternatives

Other Options:

• MRI without contrast agents
• CT scans with or without different types of contrast
• Ultrasound imaging

Pros and Cons:

• MRI without contrast may provide less detailed images.
• CT scans may expose patients to ionizing radiation.
• Ultrasound is less detailed for certain structures but avoids the use of contrast agents.

Patient Experience

During the Procedure:

• Slight discomfort from the IV insertion
• Possible feeling of warmth or metallic taste when the contrast agent is injected

After the Procedure:

• Most patients experience no significant discomfort post-procedure.
• Pain management is usually not necessary, but patients should report any unusual symptoms to their healthcare provider.