The safe and accurate measurement of liver iron concentration Information for Patients What you What youneed needto toknow know What is iron overload? What is iron overload? “Iron overload” is accumulation the accumulation much “Iron overload” is the of of tootoo much iron in the body. People receiving multiple blood iron in the body. People receiving multiple blood transfusions are at risk of iron overload because transfusions are at risk of iron overload because each transfusion has a high iron content. Patients each with transfusion has aconditions high iron are content. the following often atPatients risk: with the following conditions are often at risk: • Thalassaemia • Thalassaemia • Sickle cell disease • Sickle cell disease syndrome • Myelodysplastic • Myelodysplastic syndrome Iron overload can also be caused by conditions such as hereditary haemochromatosis, a condition Iron overload can also be caused by conditions that involves abnormally high iron absorption from such as hereditary haemochromatosis, a condition a person’s diet. Hereditary haemochromatosis is that involves abnormally high iron absorption from caused by an abnormal gene or genes that a person’s diet. Hereditary haemochromatosis is control iron absorption. caused by an abnormal gene or genes that control iron absorption. Why is it important to measure the amount of iron in the liver? Why is it important to measure There are several reasons why it is important to the have amount inassessed the liver? your liver of iron iron accurately if you are riskseveral of iron reasons overload:why it is important to Thereatare have your liver accurately(LIC) assessed if you are • Liver ironiron concentration is recognised as most effective measure of your body’s total at risk oftheiron overload: iron stores • Liver iron concentration (LIC) is recognised as The liver is themeasure main site of where is the•most effective yourexcess body’siron total stored in the body iron stores • Patients with elevated LIC have a greater risk • The liver is the main site where excess iron is of future complications stored in the body Liver iron concentration provides an early • Patients with elevated LIC have a greater risk warning of potential future complications in the of future complications heart and other organs and the early diagnosis and management of provides iron overload is important Liver iron concentration an early to prevent widespread organ damage. warning of potential future complications in the heart and other organs and the early diagnosis and management of iron overload is important to prevent widespread organ damage. about FerriScan. . about FerriScan ® ® What WhatisisFerriScan? FerriScan? FerriScan testtest to measure FerriScanisisananMRI-based MRI-based to measure the amount of iron in the liver (or liverliver ironiron the amount of iron in the liver (or concentration). The FerriScan result will provide concentration). The FerriScan result will provide your doctor with the accurate information they your doctor with the accurate information they need to help determine the most appropriate need to help determine the most appropriate treatment for your condition. For transfused treatment yourcan condition. transfused patients thefor doctor use this For information patients the doctor can use this information to make decisions on: to make decisions on: • when to start chelation therapy whentotoadjust start chelator chelationdose therapy •• when when adjust chelator •• the besttoway to deliver the dose chelation therapy • the best way to deliver haemochromatosis the chelation therapy For patients with hereditary FerriScan can with assisthereditary with diagnosing iron overload For patients haemochromatosis and identifying patients who are at risk ironoverload FerriScan can assist with diagnosingofiron induced liver damage. and identifying patients who are at risk of iron induced liver damage. How does FerriScan work? There are 3 simple steps: How does FerriScan work? 1. An MRI scanner captures a set of images There are 3 simple steps: of your liver. 1. The An MRI scannerare captures set of images 2. MRI images sent via athe internet of your liver. to the FerriScan Service Centre where 2. they The are MRIanalysed. images are sent via the internet to thethe FerriScan Service where 3. Once analysis has beenCentre completed, a they are analysed. report detailing the amount of iron in your liver sent to doctorhas (viabeen the MRI Centre). a 3. isOnce theyour analysis completed, report detailing the amount of iron in your liver How long does a FerriScan take? is sent to your doctor (via the MRI Centre). On average, it takes around 10 minutes to collect the MRI images required for FerriScan analysis but this can be quicker on some scanners. The results are On average, it takes 10 minutes to collect the usually available within around 48 hours. How long does a FerriScan take? MRI images required for FerriScan analysis but this can be quicker on some scanners. The results are usually available within 48 hours. Do referral? Do II need a referral? Yes, to obtain obtainaareferral referralfrom from Yes, you you will will need to your treating treating doctor doctor prior your priorto toattending attendingthe the radiology (MRI) clinic. radiology clinic. Your Yourdoctor doctorwill willneed need tospecifically specifically request to request aa quantitative quantitativeMRI MRIliver liver iron test test or or ‘FerriScan’. ‘FerriScan’. iron Is it it safe safe to Is to have have an anMRI MRIand and FerriScan? FerriScan? Yes. MRI is accepted as a safe, non-invasive Yes. MRI is accepted as a safe, non-invasive imaging procedure. MRI scanners use a magnetic imaging procedure. MRI scanners use a magnetic field and pulses of radio wave energy to take field and pulses of radio wave energy to take images, so there is no radiation exposure. images, so there is no radiation exposure. No contrast agent is administered during the No contrast agent is administered during the FerriScan procedure. FerriScan procedure. Can anyone have a FerriScan? Can anyone have a FerriScan? Before the scan, you will be asked some Before the to scan, youyour will suitability be askedfor some questions assess MRI questions to assess your suitability for where MRI examination. There are some instances examination. are some to instances it might not beThere recommended have an where MRI including you are pregnant or if you itscan might not be ifrecommended to have an have MRI a pacemaker or metal scan includingorif any youelectronic are pregnant or if implants. you have doctor will your suitability with you. aYour pacemaker or discuss any electronic or metal implants. If youdoctor have any please let the MRI Your will concerns, discuss your suitability with you. or concerns, your doctorplease know prior to MRI Ifradiographer you have any let the undergoing the scan. radiographer or your doctor know prior to undergoing the scan. Can my child have a FerriScan? Children of most ageshave will be able to have a Can my child a FerriScan? FerriScan. However, it may be necessary for Children of most ages will be able to have a them to be sedated during the MRI scan as FerriScan. However, itofmay be necessary shifting or movement the body can affectfor the them to be sedated during the MRI as accuracy of the FerriScan result. Yourscan Doctor shifting or movementwill of talk the to body affect or MRI radiographer youcan about this the accuracy of the FerriScan result. Your Doctor if it is required. or MRI radiographer will talk to you about this if it is required. How frequently frequently can How canFerriScan FerriScan be used? be used? FerriScan is safe to be used repeatedly. It is FerriScan is safe to be used repeatedly. It is recommended that you have a FerriScan once recommended that you have a FerriScan once every year to monitor the amount of iron in your every year to monitor the amount of iron in your liver if you are receiving regular blood transfusions. liver if you are receiving regular blood transfusions. How do I find out my FerriScan How do I find out my FerriScan results? results? Once the FerriScan analysis is completed, the results will be sent back to the MRI centre. The MRI the centre will Once the FerriScan analysis is completed, results return the results to your referring doctor. will be sent back to the MRI centre. TheYour MRIdoctor centre will will discuss the results withreferring you. return the results to your doctor. Your doctor will discuss the results with you. Why you should choose FerriScan? FerriScan is theshould world’s leading liver ironFerriScan? Why you choose measurement technology which offers substantial FerriScan is patients. the world’s leading liver iron benefits for These include: measurement technology which offers substantial • Non-invasive - no longer require a liver biopsy benefits for patients. These include: • Accurate - serum ferritin tests do not provide an • Non-invasive - no longer liverstores biopsy accurate measurement of require the bodya iron • •Accurate - serum ferritin tests do not provide an Can be used repeatedly accurate measurement of the body iron stores FerriScan has regulatory clearance in the USA (FDA), • Europe Can be(CE used repeatedly Mark), Australia (TGA), New Zealand (MedSafe) and Canada (Health Canada). As at 2008, FerriScan has regulatory clearance in the USA (FDA), we have performed over 5,000 patient liver iron Europe (CE Mark), Australia (TGA), New Zealand measurements and FerriScan is available in over (MedSafe) and Canada (Health Canada). As at 2008, 20 countries. we have performed over 5,000 patient liver iron measurements and FerriScan is available in over Where can I get a FerriScan? 20 countries. A list of FerriScan sites is available from our website at www.resonancehealth.com. Where can I get a FerriScan? A list of FerriScan sites is available from our website at www.resonancehealth.com. Resonance Health Analysis Service Pty Ltd Level 1, 216 Stirling Highway, Claremont 6010, WA Australia Website: www.resonancehealth.com Email: [email protected] Phone: +61 (0)8 92865 300 +61 (0)8 9286 1179 DISCLAMIER: FerriScan provides a Liver Iron Concentration measurement only and no other diagnostic information can be derived from the scan images or test results. Resonance Health Limited and its subsidiary companies including its officers, employees, representatives and consultants use all reasonable efforts to include up-to-date, complete and accurate information in this brochure. Resonance Health Group, however, shall not be liable for any loss, damage, or injury resulting from reliance on information provided. Patients considering having a FerriScan should seek advice from their physician in relation to their condition. © Copyright Resonance Health Analysis Services Pty Ltd MARCH 2009 Fax:
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