I was referred for an MRI by my physical medicine doctor. When the radiology Dept called to schedule I asked if it would be with contrast and was told, "no". It was scheduled for today at noon.
At 9am this morning I was called by radiology and admonished for not having had the blood work needed for the MRI since it was ordered with contrast.
I hurried to the lab and had the tests thinking the appt person had probably given me the wrong info. My physical medicine doctor went on vacation the day after my appt and won't be back until next Tuesday so I couldn't check with her.
But at the appt time, when I was already disrobed, I found out that the MRI technician said that it should have been ordered with contrast so he had gotten the clearance from the radiologist to include contrast. I asked if the contrast would interact with Pred. I asked what the risks were...the usual itch or maybe nausea. I signed the consent and they proceeded as planned. The first 75 minutes were without contrast.
Inside an MRI there's nothing to do but think and almost immediately I realized that I hadn't asked the most pertinent question, whether the radiologist who added contrast to the order knew my medical history, that I had PMR, vasculitis.
When they ended the first session and wheeled me out to start the contrast infusion I asked that question. The technician said he didn't know. I said I wasn't comfortable doing the infusion if no one familiar with my PMR history could reassure me that it wouldn't put me at risk for a flare.
Everyone was very nice about it. I probably was overly cautious, but I had to make a judgment call. In the absence of any knowledge.....I said,",No".
All those 75 min I was wishing I could ask you guys for help deciding what to do. Really, I kept seeing myself at my computer posting this very post.
Is anyone familiar with the safety of contrast infusions for MRI when under treatment for PMR? I don't remember it coming up here.