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For interventional radiology procedures, most authorities agree that the radiologists should obtain informed consent [16, 23]. Although diagnostic studies are not as invasive as interventional procedures, informed consent for such studies is usually left to caretakers other than the radiologist.
There are two main contraindications for the administration of gadolinium based IV contrast agents used in MRI: risk of nephrogenic systemic fibrosis (NSF) and allergy to gadolinium.
Practical Aspects of Contrast Administration A Radiology nurse or a Radiology technologist may administer intravenous contrast media under the general supervision of a physician. This policy applies for all areas in the Department of Radiology and Biomedical Imaging where intravenous iodinated contrast media is given.
The use of gadolinium contrast is optional. However, your physician believes the potential diagnostic benefits for you exceed these small risks. By signing below you understand the statements above and agree to receive gadolinium contrast for your exam.
All patients need consent for IV contrast. There are no exceptions allowed. This is hospital policy but also the accepted policy of all major Radiologic organizations.
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The following are the required elements for documentation of the informed consent discussion: (1) the nature of the procedure, (2) the risks and benefits and the procedure, (3) reasonable alternatives, (4) risks and benefits of alternatives, and (5) assessment of the patients understanding of elements 1 through 4.
This form is meant to provide you with information about the procedures and risks associated with MRI scanning and to obtain your consent to participate.

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