Safety Check for MRI Scans

Do you have a cardiac pacemaker?

(Yes/No)

Do you have an intracranial aneurysm clip/programmable

ventriculoperitoneal shunt?

(Yes/No)

Have you had a cochlear implant/neurotransmitter?

(Yes/No)

Are you known to have renal (kidney) problems?

(Yes/No)

Have you had surgery in the last 8 weeks?

(Yes/No)

Is there a history of metal foreign bodies in your eyes?

(Yes/No)

Are you breast feeding?

(Yes/No)

Are you pregnant?

(Yes/No)

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