DS9 Document EFTA00313610

S Mount Sinai Doctors The Mount Sinai Hospital One Gustave L. Levy Place New York, New Yoh( 10029 DEPARTMENT OF RADIOLOGY MAGNETIC RESONANCE IMAGING (MR!) PATIENT INFORMATION INFORMATION ABOUT SCANNING The MR scan you are to have will be performed on a state-of-the-art machine that uses a very strong magnetic field. There are no known harmful effects. The magnetization may. however. interfere with the working of a cardiac pacemaker and can move pieces of magnetized metal. Because of this, we ask you to answer all of the questions on this brief questionnaire on the reverse side of this sheet. You will be placed in a long chamber in the middle of the machine. Although the fit may seem close, the space you are in is open at both ends and the technicians are constantly in communication with you via a microphone system. If you are uncomfortable, they can hear you if you simply speak in a normal voice. You will hear a loud clicking or knocking noise sound. That is a normal function of the machine. There are no moving parts and nothing will touch or harm you. You will be given earplugs. As with regular pictures, if you move, you will ruin the images. Because of this, it is very important that you remain still and breathe normally while the scans are being taken. It is our hope to make this necessary examination as comfortable for you as possible. We will be glad to answer any questions that you may have regarding the study. PLEASE ANSWER QUESTIONS ON FRONT OF THIS SHEET, AND SIGN AT THE BOTTOM. Thank You! EFTA00313610