Name of the Procedure:

Injection, gadobenate dimeglumine (Multihance Multipack), per ml

• Common Name(s): Gadobenate dimeglumine injection, MRI contrast agent
• Technical/Medical Term: Gadobenate dimeglumine (Multihance Multipack)

Summary

Gadobenate dimeglumine injection is a medical procedure where a contrast agent, known as gadobenate dimeglumine, is administered intravenously to enhance the quality of magnetic resonance imaging (MRI) scans. This agent helps produce clearer and more detailed images, aiding in the diagnosis of various medical conditions.

Purpose

• Medical Conditions/Problems Addressed: It assists in the visualization of blood vessels, organs, and tissues, aiding in the diagnosis of conditions like tumors, inflammation, and blood vessel disorders.
• Goals/Expected Outcomes: The goal is to improve the clarity and detail of MRI images, allowing healthcare providers to make a more accurate diagnosis and determine an appropriate treatment plan.

Indications

• Specific Symptoms/Conditions: Suspected tumors, brain abnormalities, vascular issues, liver disease, and other conditions requiring detailed imaging.
• Patient Criteria/Factors: Patients who require enhanced imaging for accurate diagnosis, as determined by a healthcare provider.

Preparation

• Pre-Procedure Instructions:
  • Fasting may be required for a few hours before the procedure.
  • Patients should inform their doctor about any medications they are taking, allergies, and existing medical conditions.
• Diagnostic Tests/Assessments: Blood tests to check kidney function may be conducted to ensure the patient's ability to safely process the contrast agent.

Procedure Description

• Step-by-Step Explanation:
  1. The patient is positioned for the MRI scan.
  2. An IV line is inserted into a vein in the patient's arm.
  3. Gadobenate dimeglumine is injected through the IV at the appropriate dose.
  4. The patient remains still while the MRI scan is performed.
• Tools/Equipment Used: MRI machine, IV line, gadobenate dimeglumine
• Anesthesia/Sedation Details: Generally, no anesthesia or sedation is required unless the patient experiences anxiety or discomfort.

Duration

The injection itself takes a few minutes, while the overall MRI scan can take 30 to 60 minutes.

Setting

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

Personnel

• Healthcare Professionals Involved: Radiologist, MRI technologist, nurse

Risks and Complications

• Common Risks: Mild headache, nausea, dizziness, localized pain or swelling at the injection site.
• Rare Risks: Allergic reaction (rash, itching, difficulty breathing), nephrogenic systemic fibrosis (in patients with severe kidney problems)

Benefits

• Expected Benefits: Enhanced MRI images that provide better diagnostic information.
• Realization of Benefits: Benefits are typically immediate, as clearer images are produced during the scan, aiding prompt diagnosis.

Recovery

• Post-Procedure Care: Patients can usually resume normal activities shortly after the scan unless otherwise advised by their healthcare provider.
• Recovery Time: No significant recovery time is usually needed.
• Restrictions/Follow-Up: Follow-up appointments may be scheduled to discuss MRI results.

Alternatives

• Other Treatment Options: MRI without contrast, CT scans, ultrasound.
• Pros and Cons Compared to Described Procedure: MRI without contrast may be less effective for detailed imaging; CT scans involve radiation; ultrasound may not provide as clear images for certain conditions.

Patient Experience

• During the Procedure: The patient might feel a cold sensation during the injection and need to stay still while the MRI is performed. Mild discomfort at the IV site is possible.
• After the Procedure: Most patients experience minimal side effects and can return to routine activities. Any discomfort from the IV site is generally temporary.
• Pain Management/Comfort Measures: Reassurance, keeping the patient informed, and addressing any anxiety can help manage comfort. Pain at the injection site can be managed with simple pain relief methods if needed.