Name of the Procedure:

Oral Magnetic Resonance Contrast Agent Administration
Common Name(s): Oral MRI Contrast
Medical Term: Oral Magnetic Resonance Contrast Agent, per 100 ml (HCPCS Code: Q9954)

Summary

This procedure involves the oral administration of a contrast agent used during an MRI (Magnetic Resonance Imaging) scan. The contrast agent helps improve the clarity and detail of the images produced, allowing for better visualization of internal organs, tissues, and structures.

Purpose

The oral MRI contrast agent is used to enhance the quality of MRI scans. It helps to:

• Identify abnormalities or lesions in the gastrointestinal tract.
• Detect inflammation, infections, or tumors.
• Provide a clearer distinction between different types of tissues.

Indications

This procedure is indicated for patients with:

• Symptoms like abdominal pain, unexplained weight loss, or gastrointestinal bleeding.
• Conditions requiring detailed imaging of the gastrointestinal tract, such as Crohn's disease or tumors.
• A need for enhanced MRI imaging to evaluate certain health conditions.

Preparation

• Patients may be instructed to fast for several hours before the procedure.
• Certain medications may need to be adjusted or paused.
• Patients should inform their healthcare provider of any allergies, especially to contrast agents.

Procedure Description

1. The patient will ingest the oral contrast agent, typically a liquid, in the specified amount (per 100 ml).
2. The patient will then wait for the agent to disperse through the gastrointestinal tract.
3. An MRI scan will be performed, during which the patient will lie in an MRI machine.
4. The contrast agent enhances the images taken by the MRI, providing clearer and more detailed pictures of the internal organs and structures.

Duration

• Ingestion of the contrast agent: ~10-15 minutes.
• Waiting period for the agent to take effect: ~30-60 minutes.
• MRI scan: ~45-60 minutes.

Setting

The procedure is typically performed in:

• Hospital imaging departments.
• Outpatient imaging centers or clinics.

Personnel

• Radiologist
• MRI Technician
• Nursing staff (if needed for assistance)

Risks and Complications

• Common: Mild gastrointestinal discomfort, nausea.
• Rare: Allergic reactions to the contrast agent, gastrointestinal upset.

Benefits

• Enhanced clarity and detail of MRI images.
• Improved diagnosis and evaluation of gastrointestinal tract conditions.
• Quick and non-invasive procedure.

Recovery

• Most patients can return to normal activities immediately.
• Follow any specific dietary or activity restrictions advised by the healthcare provider.
• Drink plenty of fluids to help flush the contrast agent from the system.

Alternatives

• Non-enhanced MRI scans (without contrast).
• CT scans with or without contrast.
• Ultrasound imaging.
• Each alternative has varying degrees of effectiveness and may be recommended based on specific patient needs.

Patient Experience

• During the procedure: Drinking the contrast agent may be inconvenient but is generally not painful.
• After the procedure: Most patients feel normal, though some may experience mild gastrointestinal discomfort which is typically short-lived.
• Pain management: Rarely needed; over-the-counter remedies may suffice for mild discomfort.