Use of Contrast Guidelines

USE OF CONTRAST GUIDLINES

HEAD/BRAIN Metastatic disease workup Multiple Sclerosis Headaches/rule out mass MRA – CIRCLE OF WILLIS Recommend without contrast MRA – CAROTIDS With or without contrast	PITUITARY Recommend with contrast ORBITS Recommend with contrast IAC Recommend with contrast
NECK Evaluation of possible mass or adenopathy
ABDOMEN With contrast, better evaluation of liver for potential lesions RENAL ARTERY STENOSIS MR angiography of the abdominal aorta and renal arteries with and without contrast
LUMBAR, CERVICAL OR THORACIC SPINE History of lumbar surgery Multiple Sclerosis Metastatic workup
EXTREMITIES/MUSCULOSKELETAL Without contrast sufficient even with a soft palpable mass If the palpable mass appears hard/solid, use contrast to evaluate for possible malignancy

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