Name of the Procedure:

Injection, gadobutrol, 0.1 ml (A9585) Common Name: Gadobutrol Injection Technical Terms: Gadobutrol Contrast Agent Administration

Summary

Gadobutrol injection is a medical procedure where a contrast agent called gadobutrol is administered intravenously. This agent helps enhance the visibility of blood vessels, organs, and tissues during MRI scans, making it easier to diagnose various medical conditions.

Purpose

Gadobutrol injection enhances the quality of MRI images:

• To identify tumors, infections, or other abnormalities.
• To evaluate blood vessels and detect blockages, malformations, or aneurysms.
• To provide detailed imaging of the brain, spine, and other internal organs.

Indications

• Presence of abnormal growths or tumors
• Unexplained pain or swelling
• Suspected vascular diseases
• Neurological symptoms suggesting brain or spinal issues
• Infections or inflammatory conditions not clearly diagnosed through other imaging methods

Preparation

• Fasting is generally not required, but follow your doctor’s specific instructions.
• Disclose any allergies, especially to contrast agents.
• Inform the doctor of any existing medical conditions or medications.
• Pre-procedure blood tests may be required to assess kidney function.

Procedure Description

1. Patient lies down on the MRI table.
2. An intravenous (IV) line is inserted, usually in the arm.
3. Gadobutrol is injected through the IV line.
4. The MRI scan begins immediately after injection to capture enhanced images.
5. Throughout the procedure, the patient needs to remain still to obtain clear images.

Tools and Equipment:

• MRI machine
• Intravenous (IV) catheter
• Gadobutrol contrast agent

Anesthesia/Sedation:

• Generally, no anesthesia or sedation is needed.

Duration

• The entire process, including preparation and recovery, typically takes about 30 to 60 minutes.
• The actual injection part lasts only a few seconds.

Setting

• Performed in a hospital radiology department or outpatient imaging center.

Personnel

• Radiologist
• MRI Technologist
• Nursing staff

Risks and Complications

• Common Risks: Mild headache, nausea, and dizziness.

• Rare Risks: Allergic reactions, nephrogenic systemic fibrosis (very rare, primarily in patients with severe kidney issues).

  Management:

• Immediate treatment for allergic reactions.
• Continuous monitoring for any adverse effects.

Benefits

• Enhanced MRI images provide more accurate diagnoses.
• Non-invasive and relatively safe procedure.
• Helps in early detection and treatment planning for various conditions.

Recovery

• Most patients can resume normal activities immediately after the procedure.
• Stay hydrated to help clear the contrast agent from the body.
• Follow-up appointments as advised by the doctor for result discussion.

Alternatives

• Non-contrast MRI: Less detailed images, particularly for vascular imaging.
• CT scans with or without contrast: May involve more radiation exposure.
• Ultrasound: Limited in scope for deep or complex structures.

Patient Experience

• During the procedure: Sensation of a cold or warm rush when the contrast is injected.
• After the procedure: Usually feel normal, slight risk of mild side effects like headache or nausea.
• Pain Management: Generally, no post-procedure pain, comfort measures include hydration and rest if needed.