MRCP contraindications that must be assessed by nurse prior to procedure include which of the following?

• A. Allergy to contrast
• B. Presence of metal implants
• C. Pregnancy
• D. All of the above

Answer: (D)

MRI safety starts with a thorough pre-procedure screen for anything that could pose a risk in the magnetic field. Metal implants or devices can interact with the strong magnet, potentially causing movement, heating, or malfunction of the device. Pregnancy is approached with caution because the fetus is a consideration with imaging and especially with contrast use. An allergy to the contrast agent is also critical to uncover, since gadolinium-based contrast can cause reactions in some individuals and alternatives may need to be used.

Because each of these factors can influence whether the scan is safe or whether precautions or alternatives are needed, all of them must be assessed before an MRCP. That makes all of the above the best answer. If any of these are present, the team can plan accordingly—using non-contrast MRI when appropriate, postponing the study, or choosing a different imaging modality.