SAH Presentation Template - Sydney Adventist Hospital PDF
Preview SAH Presentation Template - Sydney Adventist Hospital
MRI Imaging of GP Medicare Eligible Conditions By Dr. Andrew Stuart Radiologist Sydney Adventist Hospital 0562/SAH/1112/SAH Learning Objectives • Indications for GP referred Medicare eligible MRI scans • MRI imaging appearances of selected cases • Benefits to patients in being able to access rebatable MRI • Precautions and contraindications with MRI referral Criteria for GP referred for Medicare eligible MRI scans • MRI Head for unexplained Seizure(s) or Chronic Headaches • MRI Cervical Spine for Cervical Radiculopathy or Trauma • MRI Knee for Acute Knee Trauma with possible Meniscal Tear or Anterior Cruciate Tear ABSOLUTE CONTRA-INDICATIONS FOR MRI • Pacemaker or defribillator wires (now a pacemaker that is MRI safe) • Metallic FB`s in the eye • Swan-Ganz catheter • Deep brain stimulator • Bullets or gunshots pellets near great vessels or vital organs • Cerebral aneurysm clips if magnetic (includes unknown) • Cochlear implant • Magnetic dental implant • Drug infusion devices RELATIVE CONTRAINDICATIONS FOR MRI • AAA stent • stapes implant • implanted drug infusion device • neuro or bone growth stimulator • surgical clips, wire sutures, screws or mesh • ocular prosthesis • penile prosthesis • joint replacement or prosthesis • other implants, in particular mechanical devices • too large patient • claustrophic patient • inability to lie still • surgery in previous 6 weeks Nephrogenic systemic fibrosis (NSF) • Rare and serious condition involving fibrosis of skin, eyes, joints and internal organs. • Occurs in patients exposed to gadolinium with severe renal disease. • Please ensure if you are referring a patient for MRI who has suspected renal disease or who is elderly that there is a relatively recent creatinine. • At the SAN we use Gadovist which has not had a definite case of NSF associated with its use. 28 yr old female • Suspected cervical trauma playing netball p/w left sided neck pain • Probable migraine • Exclude spinal pathology Sagittal water sensitive MRI sequences T2 STIR TOF MRA of neck arteries
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