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In circumstances where there is clinical doubt, or symptoms are severe, unremitting or progressive, urgent assessment by an appropriate specialist clinician should be considered. These guidelines have been discussed with Dr Curzon Consultant Radiologist and Dr Clifford, chief of service for radiology. Referrals for MRI will only be accepted on an appropriate request form. The contraindications section of this form should be filled in; failure to do this will cause a delay or possibly refusal to scan your patient.

CT and MRI of the Whole Body, 2-Volume Set

The referrer must be familiar with the duties and responsibilities of a referrer who must be conversant with the exposure and safety implications that may relate to their patient during the MR examination. Referring clinicians must confirm that there are no contraindications to MR for their patient before referral.

Ensure the patient is identifiable from the request form. Name, date of birth, address and NHS number must all be present. Ensure clinical details conform to those in the referral guidelines. If they do not, or there is insufficient information for the practitioner then the examination may not be performed.

Douglas N. Mintz, MD

The provider will obtain and cross check the make and model number against a MRI safety register. Where the implant is determined to be safe the patient episode will continue, however where the implant is determined to be unsafe the request will be rejected on grounds of safety. Also listed are circumstances where extra precautions and patient awareness will be addressed with the patient prior to the examination, and which may lead to deferral of the examination.

These guidelines have been discussed with Dr Curzon Consultant Radiologist and Dr Clifford, chief of service for radiology Referrers responsibility Referrals for MRI will only be accepted on an appropriate request form.

Area and symptoms Indicated or not Lumbar spine Sciatica less than 6 weeks with no adverse features no red flag symptoms or signs MRI not usually indicated RCGP guidelines indicate that conservative management is appropriate in sciatica with out adverse features, MRI reserved for sciatica which does not resolve within the 6 week period. MRI should be reserved for cases unresponsive to conservative management or with atypical symptoms.

MRI very rarely identifies treatable lesions in the absence of focal features.

Abnormal findings on diagnostic imaging of skull and head, not elsewhere classified

Acute thoracic pain in elderly patients may require more urgent referral for imaging to assess for vertebral collapse. Plain radiographs are often adequate with MRI reserved for complex cases.

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Most neck pain resolves on conservative treatment. Degenerative changes are invariably seen on MRI beginning early middle age and are often unrelated to symptoms. What is MyAccess?

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MRI of the Musculoskeletal System

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Previous Chapter. Next Chapter. Miner Haygood T, Sayyouh M.

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Miner Haygood, Tamara, and Mohamed M. Chapter 6. Musculoskeletal Imaging. Chen M. Michael Y. Chen, et al. Accessed September 26, Download citation file: RIS Zotero. Reference Manager. Autosuggest Results. Expand All Sections. Trauma Exercise