PHYSICIAN'S CORNER
Indications for use of Contrast Media
in MRI Examinations
Return to the Physician's Corner BRAIN:
- To exclude underlying mass or other abnormality in the patients with the history of Seizures
- Workup of a patient with possible intracranial neoplasm, either primary or metastatic
- When clinical symptoms indicate possibility of a mass in the cerebello-pontine angle( acoustic neuromas, meningioma or epidermoid)
- Pituitary related abnormalities, either micro adenoma or macro adenoma
- When there is suspicion of intracranial infection ( encephalitis, cerebritis or brain abscess.
- Workup of a patient with severe headache, when it is needed to exclude any intracranial mass.
- When there is a clinical suspicion of a mass in the orbits.
- In a patient with multiple sclerosis, contrast enhanced examination helps to monitor the prognosis and also response to the treatment.
- When there has been previous surgery on the brain for neoplasm or an abscess.
- When there is a suspicion of granulomatous. meningitis.
SPINE:
- Patient with previous spine surgery, contrast enhanced examination helps to differentiate between post surgical scar tissue and recurrent disc herniation.
- When a syrinx is present, to exclude the possibility of any underlying mass.
- When there is possibility of mass
- Patients with history of recent surgery, when there is clinical suspicion of Osteomyelitis, disckitis or an abscess
MUSCULOSKELETAL SYSTEM:
- When Osteomyelitis is being suspected
- When there is suspicion of a mass
- In case of foot examination, contrast enhanced examination is needed when planter fasciatis is being suspected.
- For diagnosis of early Rheumatoid arthritis ( shows changes of synovitis)