Name of the Procedure:

Common Name: MRI Coil Insertion
Technical/Medical Term: Insertion of Imaging Coil, Magnetic Resonance (HCPCS Code: C1770)

Summary

The insertion of an imaging coil is a procedure used in magnetic resonance imaging (MRI) to improve the clarity and detail of the images obtained. The coil is a specialized device that helps enhance the magnetic field and radiofrequency signals during the scan.

Purpose

This procedure is primarily used to obtain highly detailed images of specific body parts, which can assist in diagnosing various medical conditions, including soft tissue injuries, tumors, and diseases affecting organs and bones. The goal is to achieve the best possible image quality for accurate diagnosis and treatment planning.

Indications

• Persistent and unexplained pain in a specific area
• Suspected tumors, infections, or inflammation
• Soft tissue injuries (e.g., ligaments and tendons)
• Abnormal findings from other imaging tests

Preparation

• Patients may need to fast for several hours before the procedure.
• Removal of all metal objects, as these can interfere with the MRI.
• Informing medical staff about any implants, pacemakers, or metal inside the body.
• Possibly undergoing preliminary diagnostic tests, like blood tests or a basic ultrasound.

Procedure Description

1. The patient is positioned on the MRI table.
2. The imaging coil is carefully inserted and placed over the area of interest.
3. The table slides into the MRI scanner.
4. Images are taken while the patient remains still.
5. The coil helps to enhance the signal for clearer and more detailed images.
6. In some cases, contrast material might be injected.

The procedure generally does not require anesthesia but can involve sedation for claustrophobic or anxious patients.

Duration

The entire MRI scan with coil insertion typically takes about 30 minutes to 1 hour, depending on the complexity and area being examined.

Setting

This procedure is performed in a hospital's radiology department, an outpatient imaging center, or a specialized clinic.

Personnel

• Radiologist
• MRI Technician
• Nurse (for sedation and patient monitoring)

Risks and Complications

• Claustrophobia or discomfort during the scan
• Potential allergic reaction to contrast material, if used
• Minor risk of tissue irritation or injury at the coil insertion site
• Extremely rare complications could involve issues with metal implants

Benefits

• Enhanced image clarity and detail
• Improved diagnostic accuracy
• Non-invasive and safe alternative for detailed internal imaging
• Results available soon after the procedure, aiding in quick diagnosis

Recovery

• No significant recovery process; patients can resume normal activities almost immediately.
• Drink plenty of fluids if contrast material was used.
• Follow any additional specific instructions given by the healthcare provider.

Alternatives

• Standard MRI without coil insertion
• CT scans
• Ultrasound imaging
• Each alternative has its pros and cons, such as varying image clarity, exposure to radiation (in CT scans), and the ability to visualize certain tissue types.

Patient Experience

• The procedure is generally painless.
• Most patients will hear loud noises from the MRI machine; earplugs or headphones are often provided.
• Post-procedure, any initial discomfort is minimal, and normal activities can be resumed immediately.
• Sedation, if used, may require monitoring until the patient is fully awake and alert.