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Department: Radiology Procedure Number: 9.16.19 Section: Education Effective Date: 11/2012 Revision: October 2013 MRI DWI for the Spinal Column Clinical Competency The following steps must be performed
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How to fill out MRI DWI form:

01
Start by carefully reading the instructions provided on the form. This will give you a clear understanding of what information needs to be included and how to correctly fill out the form.
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Fill in your personal details accurately. This typically includes your full name, date of birth, gender, and contact information. Double-check for any typographical errors before moving on to the next section.
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Provide the necessary medical information. This may include details about your symptoms, medical history, and any relevant medications you are currently taking. Carefully review this section to ensure all important information is included.
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Include the reason for the MRI DWI scan. Specify the suspected medical condition, injury, or symptom that necessitates the need for this type of diagnostic test. Be as specific and concise as possible.
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Indicate any known allergies or sensitivities to medications, contrast agents, or any other substances that may be used during the MRI DWI scan. It is essential to disclose this information to prevent any adverse reactions or complications.
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If applicable, note any previous surgeries or procedures that may impact the MRI DWI scan. This ensures that the healthcare provider can take appropriate precautions or make accommodations based on your medical history.
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Review the form for completeness and accuracy before submitting it. Check that all sections are filled out correctly, there are no missing or duplicated entries, and all necessary signatures are provided, if required.

Who needs MRI DWI for form:

01
Individuals who have experienced symptoms such as headaches, dizziness, difficulty speaking or walking, and cognitive deficits may require an MRI DWI scan. This type of scan provides detailed images of the brain, allowing healthcare professionals to assess any abnormalities or potential causes for these symptoms.
02
Patients with suspected stroke or transient ischemic attack (TIA) may also be recommended to undergo an MRI DWI scan. It helps in detecting acute ischemic brain lesions and can provide valuable information about the location and extent of the stroke.
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Doctors may order MRI DWI scans for individuals with suspected brain tumors or other brain abnormalities. The high sensitivity of DWI enables the early detection and characterization of brain lesions.
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Patients with suspected neurodegenerative diseases, such as Alzheimer's or Parkinson's, may require an MRI DWI scan to aid in diagnosis and monitor disease progression.
05
Individuals who have suffered traumatic brain injuries or have a history of chronic migraines may also benefit from an MRI DWI scan to assess any damage or abnormalities in the brain.
It is important to consult with a healthcare professional to determine if an MRI DWI scan is necessary and appropriate for your specific medical situation. The need for this form may vary depending on the healthcare facility or specific healthcare provider requirements.
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