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    Head & Neck Surgery

    The Brooklyn Hospital Center's Division of Head and Neck Surgery manages the diagnosis and surgical treatment of benign and malignant tumors of the head and neck. Staffed by a team of highly capable sur ...

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MRI

Definition

An MRI (magnetic resonance imaging) scan is an imaging test that uses powerful magnets and radio waves to create pictures of the body. It does not use radiation (x-rays).

Single MRI images are called slices. The images can be stored on a computer or printed on film. One exam produces dozens or sometimes hundreds of images.

For more information, see the specific MRI topics:

Alternative Names

Magnetic resonance imaging; Nuclear magnetic resonance (NMR) imaging

How the Test is Performed

You may be asked to wear a hospital gown or clothing without zippers or snaps (such as sweatpants and a t-shirt). Certain types of metal can cause blurry images.

You will lie on a narrow table, which slides into a large tunnel-shaped scanner.

Some exams require a special dye (contrast). Most of the time, the dye will be given  through a vein (IV) in your hand or forearm before the test. The dye helps the radiologist see certain areas more clearly.

Small devices, called coils, may be placed around the head, arm, or leg, or other areas to be studied. These help send and receive the radio waves, and help the quality of the images.

During the MRI, the person who operates the machine will watch you from another room. The test lasts about 30 to 60 minutes, but may take longer.

How to Prepare for the Test

You may be asked not to eat or drink anything for 4 to 6 hours before the scan.

Tell your doctor if you are afraid of close spaces (have claustrophobia). You may be given a medicine to help you feel sleepy and less anxious, or your doctor may suggest an "open" MRI, in which the machine is not as close to the body.

Before the test, tell your health care provider if you have:

Because the MRI contains strong magnets, metal objects are not allowed into the room with the MRI scanner:

How the Test Will Feel

An MRI exam causes no pain. If you have difficulty lying still or are very nervous, you may be given a medicine to relax you. Too much movement can blur MRI images and cause errors.

The table may be hard or cold, but you can request a blanket or pillow. The machine produces loud thumping and humming noises when turned on. You can wear ear plugs to help reduce the noise.

An intercom in the room allows you to speak to someone at any time. Some MRIs have televisions and special headphones that you can use to help the time pass.

There is no recovery time, unless you were given a medicine to relax. After an MRI scan, you can resume your normal diet, activity, and medications.

Why the Test is Performed

Having MRIs with other imaging methods can often help your doctor make a diagnosis.

MRI images taken after a special dye (contrast) is delivered into your body may provide extra information about the blood vessels.

An MRA, or magnetic resonance angiogram, is a form of magnetic resonance imaging, that creates three-dimensional pictures of blood vessels. It is often used when traditional angiography cannot be done.

Normal Results

A normal result means the body area being studied looks normal.

What Abnormal Results Mean

Results depend on the part of the body being examined and the nature of the problem. Different types of tissues send back different MRI signals. For example, healthy tissue sends back a slightly different signal than cancerous tissue. Consult your health care provider with any questions and concerns.

Risks

MRI does not use ionizing radiation. No side effects from the magnetic fields and radio waves have been reported.

The most common type of contrast (dye) used is gadolinium. It is very safe. Allergic reactions rarely occur. However, gadolinium can be harmful to people with kidney problems who are on dialysis. Tell your health care provider before the test if you have kidney problems.

The strong magnetic fields created during an MRI can cause heart pacemakers and other implants not to work as well. The magnets can also cause a piece of metal inside your body to move or shift.

References

Wilkinson ID, Paley MNJ. Magnetic resonance imaging: basic principles. In: Adam A, Dixon AK, eds. Grainger & Allison's Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 5.



Review Date: 11/9/2012
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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    Orthopaedic Services

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    The Division of Podiatry offers high-quality, state-of-the-art therapies to treat a wide range of foot and ankle disorders. Conditions Treated at The Brooklyn Hospital Center ingrown toenails ankle sprains ...

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