Guidelines on Performing APPENDICITIS MRI

 Optional Axial/Coronal STIR
• Gadolinium is relatively contra-indicated in ALL pregnant patients. 
• Even though MRI has to date demonstrated no adverse effects to the fetus, it is relatively contra-indicated in the first trimester due to the amount of organogenesis in early pregnancy. 
• Because the long-term effects of MRI on the fetus are still unknown, MRI is a second-line test to evaluate right abdominal pain after an inconclusive ultrasound, when the only available other imaging options involve ionizing radiation. 
• Radiologist’s option: oral mixture of 300cc or GastroMark and 300cc ReadiCat ingested 90 minutes before imaging may improve visualization of the cecum and appendix by providing negative contrast. 
• The on-call radiologist must be actively involved during the exam, checking all sequences before the patient leaves the scanner.
Source://fwdr.pbworks.com/
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