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Informationforadultshavingan …

Inform atio nfor ad ults havi ng anMRI sc an ofthe sm all bow elProvidingarangeofNHSservicesinGateshea d, par tment: Radiology2 Intr odu cti onTh is leaf let tel ls you about having an MRI scan of th esmal lbo we l. Itex pla ins how the scan is done, the ris ks inv olv ed andwha tto ex pe ct .Wh at is an MR I scan?MR I(M agn eti cResonanceImaging)is the name given to atec hni que wh ich takes very detaile dpicturesthroughthe use sapo werfu lmagneticfield and radio waves, togetherwithan adv ance dco mputer system to build up aseries of images,ea ch one sho wingathin slice of the area being ese image scan show both bone and soft tissues such asmu scl e, ne rves and blood vessels an dorgans such as your smallbowe se the MRI scannerta kes very detailedpicturesofth ebo dy itcan oft en show things that aren tseen on x-ray orothe rte sts su ch a

Informationforadultshavingan MRIscanofthesmallbowel Providing a range of NHS services in Gateshead, South Tyneside and Sunderland. South Tyneside

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Transcription of Informationforadultshavingan …

1 Inform atio nfor ad ults havi ng anMRI sc an ofthe sm all bow elProvidingarangeofNHSservicesinGateshea d, par tment: Radiology2 Intr odu cti onTh is leaf let tel ls you about having an MRI scan of th esmal lbo we l. Itex pla ins how the scan is done, the ris ks inv olv ed andwha tto ex pe ct .Wh at is an MR I scan?MR I(M agn eti cResonanceImaging)is the name given to atec hni que wh ich takes very detaile dpicturesthroughthe use sapo werfu lmagneticfield and radio waves, togetherwithan adv ance dco mputer system to build up aseries of images,ea ch one sho wingathin slice of the area being ese image scan show both bone and soft tissues such asmu scl e.

2 Ne rves and blood vessels an dorgans such as your smallbowe se the MRI scannerta kes very detailedpicturesofth ebo dy itcan oft en show things that aren tseen on x-ray orothe rte sts su ch as esca nner looks like atunnel about one and ahalf metreslon gan dis ope nat both ends. The area of the body that isunde rinvesti gati on will be positionedso that it is in the centreofth etun nel .3Ar e ther e any ri sks with MRI?MR Iis an extremelysafe proce dure and does not hurt. It doesnot involve the use of x-rays. How ever not everyonecan have anMR Isca n.

3 Th emagneticfield af fects some metals and can causean ymetal insi de the body to move .This could potentiallycausean inj is very importantto contact us before coming foryo ur ap po intment if you have, or have had, any of thefo llow ing : Pac emaker Neu ro- stimu lator Artif icial heart valve Ane urysm cli ps(metal clips that are insertedduring someope rati ons, esp ecially in the blood vessels in the brain) Any su rgery which involvedplacing implantsin your head orbod y Any su rgery inthe six weeks before your appointment Me tal frag me nt sin the eye (even if you think the metal hasbe en remove d).

4 You may need to have an x-ray first to provethe re are nometal bits leftMe tal pins an dplates that have been in for along period of timesh oul dno tcreate aproblembut if you have any of these yoush oul dme ntio nitto the radiographerswhen you r impo rtan t informationPl ease also con ta ct us if the follow ing applies to you: You are preg nant (MRI scanningis not advisablein earlypre gnan cy unless there are special circumstances) You wei gh ove r22 stone (137 kilograms).This is the weightlimi tof th esca nner. Patientswho weigh more than this maynee dto ha ve aalternativeexaminationor be sent to adiffe rent type of MRI scanner You are cl au proportionof people findhavi ng aMR Iscan difficultdue to the confinedspace in thesc an ner.

5 Ifyo uare worriedabout this aspect please contact theMRI dep artmen tfor advice. If you want to have amildse da tive to help you relax during the scan you should speak toyou rGP in adva nce of the appointment to arrangethis You have pro blems weight- bearingand need ahoist totra nsfe r You are unab letokeep still or lie flat You need an tell us this when you receiveyou rap poi ntme nt so that we can arrangean officialinte rpreter for you You requ ire ambulancetransportto bring you to the may need to change the time ofyour llneed to con tact your GP to boo kthe ambulancetransportIf you don t tel lus about any of the above we may be

6 Unable tosca nyou onth eday of your at are the alternativesto an MRI scan?Alte rnative sinclude x-rays, CT (computerisedtomography)scans,an giograp hy (all of which involvesexposureto radiation)andultra sou nd (w hich uses sound waves). Howeverif your doctorhas re qu ested an MRI scan it is usually becausethis will giveth em the cl earest th er e any pr ep arationfor the scan?Yo urapp oi ntment letter will ask yo uto confirmthat you canatte nd the ap poi ntment time that has been of fered to en yo utel ep hone you will be asked some safety questionsto che ckth escan is suitablefor you.

7 You will also be able toask any qu esti on sthat you may ha ve about the is ve ry imp ortantthat you do not eat or drink anythingforth esi xhou rs before the scan. Food and liquid in your stomachca nmak eitdi fficult to obtain images of your bile or pancreaticduc ts. Sips of water may be taken with you are diab etic and are con cerned about fasting for six hoursprio rto th escan ,please inform us when you telephonetoco nfirm you ease re move any makeup,nail polish or other cosmeticsthatco ntai nme tal as they may affect the would behelpfu lifyo uco uld leave any valuablesat home and remove anyjewe llery befo re arrivingfor your at ha pp en s whenI arriveat the department?

8 Wh en yo uarri ve at the MRI departmentyou should go to therec ep tio ndesk where you will be bookedin and given aseat inth ewa itin garea. You will be asked to completeand sign asafe ty qu estio nnaire. Aradiographerwill then go throughtheque stio nn ai re with you, explain the procedureand answer anyque stio ns th at you may eMR Istaf fwill then give you one litre of aliquid to drinkover a40mi nute period before the scan. This expandsthe bowelwhi ch is very importantfor us to get uwillbeasked to change into ahospitalgown. You will beal so be asked to remove anythingthat may contain metal suchas zi ps, jew el lery, hair grip, wigs, body piercingand moneybefo re ente ri ng the scan room bec ause of the it cards are also affectedby the will beprovi de dwith alocker to put your clothingand belongingsintowhi lst you have your at wil l hap pen duringmy MRI scan?

9 Th eMR Istaf fwill positionyou on acouch which slides into thesca nne r. You wi llbe asked to lie on your back. Asophisticatedan tenn aknow nas acoil will be placed around your abdomenan dpelvis. Th epurpose of the coil is to improvethe quality ofth eMRI imag ce yo uare comfortableand in the correct position,it isimpo rtant tha tyou remain very still during the scan, as anymo vem ent wi llaffect the quality of the will begiven abu zzer to press in case you need to contact therad iog raph er du ring the scan. The radiographerwill be able tosee yo uthro ugh awindowduring the scan and will talk to youth roug han intercom in betweenthe epi cture bel owshows the positionfor asmall bowel MRIsca ro ug hou tth escan you will hear repeatedloud banging,buzzi ng an dta pping noises which stop and start.

10 These noisesare norma lduri ngascan and wewill provideyou withheadp hon es orearplugs to protect your ears from some of thenoi uwillbeasked to hold you rbreath for ashort period of timefo rso me ofth epicturesWil l I need an injection?We wi ll ne ed to give you an injectionof MRI contrast(dye) tomak ethe sma llbowel more visible .This is normallygiventh roug haneed leor cannulain the arm or back of your hand byaqua lified memberof staff. We will also need to give aninje cti onofBuscopan (a bow el rela xing drug) throughtheca nnu la. Th ishel ps to reduce the movementof your bowel andmak ethe pictures clearer.


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