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Queensland Government
Link to Queensland Government (www.qld.gov.au)
 
Queensland Health
Informed Consent

Adult Medical Imaging

 

Adult  |  Child/Young Person

Medical Imaging Informed Consent Directory

The Medical Imaging Informed Consent Directory is a guideline that specifies what consents and/or patient information sheets are required for medical imaging procedures. Click here to download the latest version of the Adult Medical Informed Consent Directory.


Available in Other Languages = Available in other languages

Medical Imaging Posters
> Radiation and medical imaging - understanding the risks
> X-rays and scans - understanding the risks


A |  C   |  D   |  E   |  G   |  H  |   I   |  J   |  K  |  M  |  N   |  O  |  P  |  Q  |  R   |  S  |  T   |  U  |  |  W  |  Y  |  Z

Index

Procedure List

File Size

A

Adenosine - MRI Cardiac Stress Perfusion Study

114 KB

 

Adrenal Vein Sampling

127 KB

Amniocentesis

160 KB

Anaesthetic

  66 KB

Angiogram

149 KB

Angiogram &/-Plasty / Stenting

209 KB

Angioplasty

209 KB

Antenatal Ultrasound Guided Procedure   37 KB
Arterial Stent 209 KB
Arteriogram 149 KB
Arthrogram 165 KB
Aspiration 148 KB
Aspiration - Breast 80 KB
Aspiration - Chest 162 KB


 

Index

Procedure List

File Size

B

Available in Other Languages

Barium Enema   40 KB

 

Biliary Drain Insertion

  86 KB

Biliary Stent Insertion

86 KB

Biliscopin

100 KB

Biopsy - Chest

152 KB

Biopsy - Other

149 KB

Biopsy - Superficial

137 KB

Biopsy - TRUS 108 KB
Blood & Blood Products Transfusion - Consent Form & Patient Information 96 KB
Blood & Blood Products Transfusion - Patient Information   31 KB
Bone Biopsy 135 KB
Breast Aspiration   80 KB
Breast Biopsy 112 KB

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Index

Procedure List

File Size

C

Cardiac CT

  80 KB

Cardiac MRI - Adenosine

114 KB

Cardiac MRI - Dobutamine

148 KB

Carotid Stent

157 KB

Catheter Check with IV Contrast

  64 KB

Catheter Check without IV Contrast   41 KB
Celiac Plexus Block

  72 KB

Central Line Check   64 KB
Central Line Insertion 119 KB
Central Vascular Access Device Insertion 119 KB
Cerebral Vasospasm Treatment 135 KB
Cerebral Thrombolysis / Clot Retrieval 125 KB
Chemoemobolisation 113 KB
Chest Aspiration 162 KB
Chest Biopsy 152 KB
Chest Drain 143 KB
Cholangiogram - CT 100 KB
Cholangiogram - Percutaneous   86 KB
Chorionic Villus Sampling (CVS) 160 KB
Clot Retrieval - Cerebral 125 KB
CO2 Angiogram   72 KB
Coiling - Cerebral Aneurysm 140 KB
Conduitogram   24 KB

Available in Other Languages

Contrast Enema   40 KB

Available in Other Languages

Contrast Injection - Iodinated   48 KB
Contrast Injection - Iodinated (Renal Impaired Patient ONLY) 116 KB

Available in Other Languages

Contrast Injection - MRI   41 KB
Contrast Injection - MRI (Renal Impaired Patient ONLY)   83 KB
CSF Flow Study 110 KB
CT Cardiac   80 KB
CT Cholangiogram 100 KB
CT Colonoscopy   40 KB

Available in Other Languages

CT Scan   82 KB
Cystogram   40 KB

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Index

Procedure List

File Size

D

Dacrocystogram

  40 KB

Defaecogram

  40 KB

Discogram

  85 KB

Dobutamine Stress Study MRI

148 KB

Drainage

148 KB


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Index

Procedure List

File Size

E

Embolisation - Cerebral Coiling

140 KB

Embolisation - CNS

102 KB

Embolisation - Other

146 KB

Embolisation Uterine Artery (EUA)

112 KB

Enteroclysis   33 KB

Available in Other Languages

Enema   40 KB
Epidural Injection

131 KB


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Index

Procedure List

File Size

F

Facet Joint Injection

131 KB

Fetal Ultrasound - Nuchal Translucency

76 KB

Available in Other Languages

Fetal Ultrasound - Obstetric

73 KB

Fine Needle Aspiration (FNA)

149 KB

Fistulogram (AV) 103 KB
Fistulogram / Sinogram   32 KB

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Index

Procedure List

File Size

G

Gastrostomy

  40 KB

Gastrostomy Check 127 KB

Available in Other Languages

Gastrografin Enema   41 KB
Generic Medical Imaging Consent    224 KB
Generic Nuclear Medicine Consent   75 KB

Generic Ultrasound Guided Anenatal Procedure

37 KB

Groin Biopsy 112 KB

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Index

Procedure List

File Size

H

Hickman Catheter Insertion

119 KB

Hickman Catheter Check   64 KB

HyCoSy

101 KB

Hydrodilatation

141 KB

Hysterosalpingogram (HSG)

85 KB


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Index

Procedure List

File Size

I

InterCostal Catheter (ICC) Insertion

143 KB

Interventional Procedure - Any Interventional Procedure Requiring Consent

72 KB

Intrathecal Chemotherapy Lumbar Puncture

109 KB

Intrauterine Blood Transfusion   37 KB

Available in Other Languages

Intravenous Pyelogram (IVP)   66 KB

Available in Other Languages

Iodinated Contrast   48 KB
Iodinated Contrast (Renal Impaired Patients ONLY) 116 KB
Iodine-131 Therapy for Hyperthyroidism   85 KB
IVC Filter Insertion 128 KB
IVC Filter Removal

109 KB


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Index

Procedure List

File Size

J

Joint Injections - Other

141 KB


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Index

Procedure List

File Size

L

Liver Biopsy 149 KB
Liver Biopsy - Transjugular 111 KB
Lumbar Puncture (LP) 131 KB
Lumbar Puncture (Intrathecal Chemotherapy) 109 KB

 

Lung Biopsy

152 KB


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Index

Procedure List

File Size

M

Mammy Ductogram   44 KB
Medical Imaging Generic Consent   72 KB
Micturating CystoUrethrogram (MCU)   40 KB
MRI Cardiac Stress Perfusion 114 KB

Available in Other Languages

MRI Contrast Injection   41 KB
MRI Contrast Injection (Renal Impaired Patients ONLY)   83 KB
MRI Dobutamine Stress Study 148 KB

Available in Other Languages

MRI Scan   57 KB

Myelogram

146 KB

 

Myocardial Perfusion Scan

  86 KB


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Index

Procedure List

File Size

N

Nasogastric Tube Check   41 KB

 

Nephrostogram   65 KB
Nephrostomy 168 KB
Nerve Root Injection 131 KB
Nuchal Translucency Ultrasound   76 KB
Nuclear Medicine Generic Consent   75 KB

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Index

Procedure List

File Size

O

Available in Other Languages

Obstetric Scan

  73 KB


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Index

Procedure List

File Size

P

Pain Block 131 KB
Parathyroid Sampling 151 KB
PEG 127 KB
PEG Check   41 KB

Available in Other Languages

Pelvic Ultrasound - Transvaginal   38 KB
Percutaneous Transhepatic Cholangiogram (PTC)   86 KB
Percutaneous Transluminal Angioplasty (PTA) 209 KB
Peripherally Inserted Central Catheter (PICC) 119 KB
Peripheral Thrombolysis 126 KB
Permacath Insertion 119 KB
Petrosal Sinus Sampling 151 KB
Phosphorus-32 Therapy  82 KB
Pleural Tap 162 KB
Portacath Insertion 119 KB
Portacathogram   64 KB

 

Prostate Biopsy

108 KB


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Index

Procedure List

File Size

R

Available in Other Languages

Radiation and Medical Imaging   33 KB
Radio Frequency Ablation (RFA) 186 KB
Renal Biopsy 149 KB

 

Renal Renin Sampling

130 KB


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Index

Procedure List

File Size

S

Saline Sonogram 101 KB
Samarium-153 EDTMP Bone Therapy   81 KB
Selective Internal radiation Therapy (SIRT) 112 KB
Selective Termination   37 KB
Sialogram   45 KB
Sinogram / Fistulogram   32 KB
Small Bowel Series / Follow Through   46 KB
Small Bowel Enema   33 KB
Spinal Injection 131 KB
Stontium-89 Bone Therapy   81 KB
Superficial Biopsy 137 KB

Available in Other Languages

Swallow / Meal

  46 KB


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Index

Procedure List

File Size

T

Thoracentesis (Pleural Tap) 162 KB
Thrombolysis - Cerebral 125 KB
Thrombolysis - Peripheral (Catheter Directed) 126 KB
Thryoid Biopsy 112 KB
Transcatheter Arterial ChemoEmbolisation (TACE) 113 KB
Transjugular Intrahepatic Portcaval Shunt (TIPS) 112 KB
Transjugular Liver Biopsy 111 KB
Trans Rectal Ultrasound (TRUS) Biopsy 108 KB
T Tube Cholangiogram   41 KB

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Index

Procedure List

File Size

U

Available in Other Languages

Ultrasound Scan   38 KB
Ultrasound Scan - Nuchal Translucency   76 KB

Available in Other Languages

Ultrasound Scan - Obstetric   73 KB
Ureteric Stent 168 KB
Urethrogram   46 KB

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Index

Procedure List

File Size

V

Vascath Insertion 119 KB
Vasospasm (Cerebral) Treatment 135 KB
Venogram 103 KB
Vertebroplasty   86 KB
V/Q Scan in Pregnancy   82 KB

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Index

Procedure List

File Size

Y

Yttrium-90 Colloid Therapy for Joint Pain and Swelling  89 KB

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Last Updated: 03 February 2012
Last Reviewed: 13 July 2011