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QUALIFYING FOR TULSA

*PLEASE NOTE* If you do not qualify for TULSA-PRO, you may be eligible for HIFU treatment.

Do you have any of the following:

  • Cardiac pacemaker/pacemaker lines
  • Automatic Internal Cardiac Defibrillator
  • Brain Aneurysm clips
  • Cochlear implant (ear surgery)
  • Cardiac Surgery in last 6 weeks
  • Tissue expander prior to breast implant

***If the patient answered yes to ANY of the above, the patient is ineligible for an MRI procedure at Choice Diagnostic Imaging and the TULSA procedure. ***

IF YOU ANSWERED NO TO THE ABOVE AND HAVE ALREADY HAD A 3T MRI, THEN YOU WILL QUALIFY. YOU WILL STILL NEED TO DISCLOSE ANY OF THE FOLLOWING THAT applies.

Do you have any of the following:

  • Surgical Implants – Electrically, Magnetically or Mechanically Activated

If so, where? Do you have an implant card? When was it implanted?

  • Continuous Glucose Monitor and/or Insulin Pump
  • Penile Implant
  • Removable Heating Aids (Must be removed prior to entering MRI Suite)
  • Neurostimulator (Tens-Unit)
  • Holter Monitor
  • Shunts, stents, filter, or valves
    • Location:
    • Type:
  • Metal chips, foreign body or surgical device in eyes
  • Occupations with exposure to metal fragments
  • Metallic foreign bodies / Shrapnel / If so, Where?
  • Metal rods, metal plates, pins, screws, nails or clips
  • Aortic, brain, or carotid clips
  • Harrington rod
  • Prosthesis – Type:
    • Surgery date:
    • HIP REPLACEMENT Surgery
  • Weight/Obesity

***If the patient answered yes to the above, there must be further discussion with the diagnostic group to ensure the ability to have a 3MRI. ***

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