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Name: Appointment date: Arrival time: Scan time: r r Your consultant’s name: Chelsea Outpatient Centre is at 280 Kings Road, just past Chelsea Town Hall and on the same side of the road as Chelsea Fire Station. The entrance is next to the furniture store, Poliform. Well positioned for Sloane Square and South Kensington tube stations, the Centre has good road links to Victoria mainline station and London’s major airports. By tube: The nearest underground stations are Sloane Square and South Kensington (District and Circle lines), both of which are about 15 minutes walk away. By bus: Bus numbers 11, 19, 22 and 319 stop just outside Chelsea Outpatient Centre. By train: The nearest mainline train station is London Victoria, which is about 15 minutes walk away. Local parking facilities: Car parking is limited in the Kings Road area, although there is a public car park nearby in Sydney Street and some metered parking is also available locally. Notes for patients: Your arrival time is set to accommodate registration and allows your details to be updated on the hospital system prior to your appointment. Before arriving you MUST obtain specific pre-authorisation for Cardiac MRI from your insurance company. You will be asked for these details during registration. If you are paying for your scan yourself, please bring a method of payment with you to your appointment. All major credit cards are accepted, as are personal cheques up the limit of your cheque guarantee card. Cancellation fees apply: If you’re late for your appointment, your scan may need to be re-booked. A cancellation fee will be charged for late arrivals or cancellations where less than 24 hours’ notice is given. Please note: we do not have childcare facilities at Chelsea Outpatient Centre. Imaging Services department, Chelsea Outpatient Centre 280 Kings Road London SW3 5AW t: 020 7881 4114 f: 020 7349 3893 w: www.chelseaoutpatientcentre.com Cardiac MRI What do I need to do before the MRI scan? Please ensure you arrive at least 15 minutes before your appointment time. A member of staff will go through the MRI safety and contrast questionnaire with you and thoroughly explain the procedure. You'll be provided with a gown and slippers, and asked to change. What is a cardiac MRI scan? MRI stands for Magnetic Resonance Imaging. A cardiac MRI scan is a non-invasive test with no radiation that accurately measures the heart’s function and condition. It uses a strong magnetic field and radio waves to create detailed cross-sectional images of your heart. The entire study will take around 1 to 11/2 hours, after which you can return to work or continue with your daily activities. During the cardiac MRI, we will obtain pictures of your heart and moving images which demonstrate how your heart functions. Cardiac MRI is used to diagnose and assess many diseases and conditions, including: Cardiac tumours Congenital heart defects The MRI radiographer will ask you to complete and sign a safety questionnaire, which ascertains whether MRI is suitable and safe for you. You’ll then be asked to remove any jewellery, metallic objects and any other items that could be damaged by the magnetic field. These items will be securely stored in a locker. Women should always inform the Radiographer if there is any chance they are pregnant. Please bring: Your own music to listen to during the scan The request form or letter from your doctor, if you were given one as well as any previous cardiac studies and test results. What happens during the cardiac MRI scan? Heart failure The radiographer will ask you to lie comfortably on the MRI scanner table. ECG dots will be attached to your chest. A coil, which is a very light piece of equipment, will gently lie across your chest, enabling us to obtain clear pictures of your heart. The radiographer will practice the 10 second breath holds with you – you’ll need to perform these throughout the examination. The scanner is quite noisy, so you will be given some headphones to reduce the noise, and you will hear both your selection of music and the radiographer’s instructions through these. You will also be given a call bell to hold for the duration of the scan in case you need the radiographer at any point. Towards the end Pericarditis (a condition in which the membrane around your heart is inflamed). How does an MRI scan work? The scanner users a strong magnetic field and radiowaves to assess the heart’s function and condition, and to take images of the heart and your major blood vessels. Using a computer, this information is converted into a black and white picture. Will I need to have an injection? You will be injected with a contrast agent (dye), which helps to provide clearer images and potentially aid your diagnosis. Who does the scan? The MRI scan is performed by a radiographer and your results are reported by a Consultant Radiologist or Cardiologist. What should I bring with me? Damage from a heart attack Hypertension of the study, with about 10 minutes to go, we will inject a contrast agent called Gadolinium into the cannula, and continue to scan your heart, watching the contrast go through it. You will not feel anything from this contrast agent and there is no preparation for the scan. What happens after the scan? The results and images from your scan will be sent to your referring clinician within 48 hours. We can also provide you with your own copy of the images on CD. If required, we may be able to provide urgent results sooner - please discuss this with one of the team when you book your appointment. For you, there are no restrictions on returning to normal activity immediately after your scan. Rearranging an appointment If you need to rearrange or cancel an existing appointment, call the Imaging team on 020 7349 3851. Any other questions? If you have any other questions about your MRI scan, just contact an MR radiographer on 020 7349 3851.