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How to Order and Interpret Radiology Studies

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Magnetic Resonance Imaging<br />

Contraindications<br />

– Pacemakers<br />

(under investigation)<br />

Pracically, , an absolute<br />

contraindication<br />

– Prosthetic cardiac valves<br />

safe after 6 weeks<br />

– Stents & grafts<br />

Non-ferromagnetic are safe<br />

Ferromagnetic are safe after 6 weeks<br />

– Due <strong>to</strong> epithelialization<br />

Abdominal aortic aneurysm stents check with<br />

radiologist<br />

– Pumps – check with radiologist<br />

– Other devices may malfunction or be contraindicated<br />

Magnetic Resonance Imaging<br />

Contraindications (continued)<br />

– Metal objects<br />

Can migrate, heat up, <strong>to</strong>rque<br />

Foreign bodies, body piercings, jewelry<br />

Situational clearance<br />

– Fragment in brain or<br />

eye contraindicated<br />

– Bullet in femur or<br />

muscle likely OK<br />

– Tat<strong>to</strong>os & cosmetics can<br />

heat up<br />

Metallic dyes<br />

Magnetic Resonance Imaging<br />

Contraindications (continued)<br />

– Obese patients<br />

Scanner table weight limits<br />

Gantry opening might be<br />

<strong>to</strong>o small<br />

– Pregnancy<br />

Animal studies conflicting<br />

Avoid during 1 st trimester<br />

No gadolinium unless<br />

absolutely necessary<br />

335

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