Magnetic Resonance Imaging
(Imaging, Magnetic Resonance; MRI Scan; MRI)
In an MRI, magnetic waves are used to make pictures of the inside of the body. Using a large magnet, radio waves, and a computer, an MRI makes two-dimensional and three-dimensional pictures.
Reasons for Test
- Diagnose internal injuries or conditions—You can have an MRI to look at any body part, from your head to your toes.
- Check if medicines or treatments are working
MRI of Brain Injury
What to Expect
Prior to Test
If your doctor prescribes a sedative:
- Arrange for a ride home.
- Do not eat or drink for at least four hours before the exam.
- Take the sedative 1-2 hours before the exam, or as directed.
At the MRI center:
You will be asked about the following:
- Medical and surgical history
- You will be asked if you have something in your body that would interfere with the MRI, such as:
- Pacemaker]]> or implantable defibrillator
- ]]>Ear implant]]>
- Metal fragments in your eyes or in any other part of your body (Tell your doctor if your work involves metal filings or particles.)
- Implanted port device, such as an insulin pump
- Metal plate, pins, screws, or surgical staples
- Metal clips from aneurysm repair
- Retained bullets
- Any other large metal objects in your body (Tooth fillings and braces are usually fine.)
- You will be asked to remove any metal objects (eg, jewelry, hearing aids, glasses).
- You will also be asked to remove all medicine skin patches (eg, Duragesic patch). They may contain metal elements and cause skin burns.
- An ]]>x-ray]]> may be taken to check for any metal objects in your body.
You may be:
- Given ear plugs or headphones (The MRI machine makes a loud banging noise.)
- Given an injection of a contrast dye into your vein
- Allowed to have a family member or friend with you during the test
Description of Test
You will lie very still on a sliding table. Depending on your condition, you may have monitors to track your pulse, heart rate, and breathing. The table will slide into a narrow, enclosed cylinder. In some machines, the sides are open, so you can look out into the room.
If a contrast dye is used, a small IV needle is inserted into your hand or arm before you slide into the machine. First, a saline solution is dripped into your vein to prevent clotting. Then, the dye is injected. You might have an allergic reaction to the dye, but this is rare.
The technician will leave the room. Through the intercom, the technician will give you directions, such as to hold your breath. You can talk to the technician through this intercom as well. The technician will take the pictures. When the exam is done, you will slide out of the machine. If you have an IV needle, it will be removed.
If you are claustrophobic or unable to lie on a flat table, there are open MRI machines available. They allow you to have the test done without being put in a narrow cylinder. There are also MRI machines that allow a patient to be in a sitting position. This may be important for patients with concerns, like a painful back.
You will be asked to wait at the facility while the images are examined. The technician may need more images.
If you took a sedative, do not drive, operate machinery, or make important decisions until it wears off completely.
If you are breastfeeding and receive a contrast dye, you and your doctor should discuss when you should restart breastfeeding. Information available has not found any ill effects to the baby of a breastfeeding mother who has had contrast dye.
How Long Will It Take?
Will It Hurt?
The exam is painless. If you have dye injected, there may be stinging when the IV needle is inserted. You may also feel a slight cooling sensation as the dye is injected.
If you have a fear of enclosed spaces, the exam may be very hard for you. Your doctor may have you take a sedative. You can also ask your doctor about an open MRI, which is larger and has openings on all sides.
After the exam, a radiologist will analyze the images and send a report to your doctor. Your doctor will talk to you about the results and any further tests or treatment.
National Library of Medicine
Public Health Agency of Canada
Administration of contrast medium to nursing mothers. American College of Radiology website. Available at http://www.acr.org/MainMenuCategories/about_us/committees/gpr-srp/AdministrationofContrastMediumtoNursingMothersDoc1.aspx. Accessed September 16, 2009.
Gould TA. How MRI works. How Stuff Works website. Available at: http://electronics.howstuffworks.com/mri.htm/printable. Accessed July 22, 2008.
Hailey D. Open magnetic resonance imaging (MRI) scanners. Issues Emerg Health Technol. 2006 Nov;(92):1-4.
Kanal E, Barkovich A.J., Bell C, et al. ACR Guidance Document for Safe MR Practices: 2007. AJR 2007; 188:1–27
Kuehn BM. FDA warning: remove drug patches before MRI to prevent burns to skin. JAMA. 2009 Apr 1;301(13):1328.
MRI scans. National Library of Medicine, MedlinePlus website. Available at: http://www.nlm.nih.gov/medlineplus/ency/article/003335.htm. Updated July 2008. Accessed July 22, 2008.
University of Iowa, Department of Radiology website. Available at: http://www.radiology.uiowa.edu/. Accessed October 14, 2005.
Last reviewed October 2009 by ]]>Marcin Chwistek, MD ]]>
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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