Name of the Procedure:

• Common Name(s): Iron-based MRI contrast injection
• Technical/Medical Term: Injection, iron-based magnetic resonance contrast agent, per ml (HCPCS code Q9953)

Summary

This procedure involves injecting an iron-based contrast agent into the body to enhance the quality of images obtained during a magnetic resonance imaging (MRI) scan. The contrast material helps to highlight blood vessels, tissues, and organs, providing clearer and more detailed pictures for medical diagnosis.

Purpose

• Medical Conditions Addressed: Used to diagnose and monitor various conditions such as tumors, vascular issues, and other abnormalities.
• Goals/Expected Outcomes: The primary goal is to improve the clarity of MRI images, aiding in the accurate diagnosis of medical conditions.

Indications

• Symptoms/Conditions: Persistent unexplained symptoms like chronic pain, abnormal blood test results indicating potential organ dysfunction, suspected tumors, or vascular abnormalities.
• Patient Criteria: Typically appropriate for patients requiring detailed imaging for diagnostic purposes where traditional MRI scans without contrast do not provide sufficient information.

Preparation

• Pre-procedure Instructions: Patients may be advised to avoid eating or drinking for a few hours prior. Instructions regarding medication adjustments will be provided by the healthcare team.
• Diagnostic Tests: Blood tests to check kidney function, and perhaps a preliminary MRI scan, might be required to ensure the procedure is safe and necessary.

Procedure Description

1. The patient is positioned comfortably on an MRI table.
2. An intravenous (IV) line is inserted, usually into the arm or hand.
3. The iron-based contrast agent is gradually injected through the IV under the supervision of a healthcare professional.
4. The patient remains still inside the MRI machine while images are taken.
   • Tools/Equipment: MRI machine, IV line, iron-based contrast agent.
   • Anesthesia/Sedation: Typically, no anesthesia or sedation is required, although patients with anxiety or claustrophobia may receive mild sedatives.

Duration

The entire procedure, including preparation and imaging, usually takes about 30 to 60 minutes.

Setting

Typically performed in a hospital setting or an outpatient imaging center equipped with an MRI machine.

Personnel

• Radiologist
• MRI Technician
• Nursing staff for IV placement and monitoring

Risks and Complications

• Common Risks: Mild reactions like nausea, headache, or local discomfort at the injection site.
• Rare Risks: Allergic reactions, kidney problems in patients with pre-existing conditions. Management includes immediate medical intervention if any severe reactions occur.

Benefits

• Expected Benefits: Enhanced MRI image clarity, leading to accurate and timely diagnosis.
• Realization Time: Improved imaging results are seen immediately during the MRI scan.

Recovery

• Post-procedure Care: Patients can usually resume normal activities immediately but should stay hydrated to help flush out the contrast agent.
• Expected Recovery Time: Minimal to no recovery time is needed. Follow-up depends on the MRI scan's findings.

Alternatives

• Other Treatment Options: Traditional MRI without contrast, CT scans with iodine-based contrasts.
• Pros and Cons: MRI without contrast might not provide as detailed images; CT scans offer different imaging insights but involve exposure to ionizing radiation.

Patient Experience

• During the Procedure: Patients may feel a cool sensation during IV placement and contrast injection. MRI machines can be noisy; ear protection is often provided.
• After the Procedure: Minimal side effects with normal activity resumption. Instructions for hydration and any follow-up tests or appointments are typically provided.

Pain management and comfort measures are in place to ensure a safe and positive experience throughout the procedure.