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For your magnetic resonance imaging exam, the technologist will position you on a table that will slide into the scanner. With the newest technology it takes only a few minutes, and unlike the older technology it is open. In fact, this magnetic resonance imaging scanner has a window to the outside. A magnetic resonance imaging technologist will maintain constant communication with you throughout the exam. The resulting images will be reviewed and interpreted by a radiologist and a report will be sent to your doctor.

Because of the magnetic field, you will be asked to wear metal-free clothing. You also will be asked to remove any metallic objects, such as jewelry, watches and hair clips. Inform your technologist of prior surgeries or metal implants, such as pacemakers or aneurysm clips.

Difference between CT's, X-rays and MRI's...Unlike x-rays and CT's, MRI's do not use radiation. Instead, magnetic resonance creates high-quality images through the combination of a strong magnetic field and radio waves. Magnetic resonance images can detect certain diseases much earlier than other medical imaging techniques, making it the diagnostic tool of choice for many physicians.

Body parts the MRI can evaluate...Physicians use the magnetic resonance imaging scanner to examine one part of the body at a time. The scanner can take pictures of the head, neck, back abdomen, pelvis, shoulder, elbow, knee, blood vessels and more.

Preparations...People having IV sedation or contrast (dye) should not eat for several hours prior to the test. Talk to the center to get specific instructions.

Risks...MRI's are considered safe. There are no known health risks associated with the magnetic field or the radio waves used by the machine nor should there be any side effects.

Pregnant or breastfeeding...Magnetic resonance images are not recommended for pregnant women unless it is medically indicated. If you are breastfeeding and have contrast as part of your exam, please suspend nursing for 24 hours after the exam.

Noisy...Scanners work with strong metallic fields, which builds up energy. The energy is released as loud knocking sounds.

MRI's require M.D. or D.C. referral - To schedule a procedure, fax a physician or chiropractic referral (prescription) to (866) 380-6337. Include patient's contact phone number on the referral form.

The image and resolution produced by MRI is quite detailed and can detect tiny changes of structures within the body. For some procedures, contrast agents such as gadolinium are used to increase the accuracy of the images.

When are Magnetic Resonance Imaging scans used?

An MRI scan can be used as an extremely accurate method of disease detection throughout the body. In the head, trauma to the brain can be seen as bleeding or swelling. Other abnormalities often found include brain aneurysms, stroke, tumors of the brain, as well as tumors or inflammation of the spine. Neurosurgeons use an MRI scan not only in defining brain anatomy but in evaluating the integrity of the spinal cord after trauma. It is also used when considering problems associated with the vertebrae or intervertebral discs of the spine. An MRI scan can evaluate the structure of the heart and aorta, where it can detect aneurysms or tears. It provides valuable information on glands and organs within the abdomen, and accurate information about the structure of the joints, soft tissues, and bones of the body. Often, surgery can be deferred or more accurately directed after knowing the results of an MRI scan.

What are the risks of an Magnetic Resonance Imaging scan?

An MRI scan is a painless radiology technique which has the advantage of avoiding x-ray radiation exposure. There are no known side effects of an MRI scan. The benefits of an MRI scan relate to its precise accuracy in detecting structural abnormalities of the body. Patients who have any metallic materials within the body must notify their physician prior to the examination or inform the MRI staff. Metallic chips, materials, surgical clips, or foreign material (artificial joints, metallic bone plates, or prosthetic devices, etc.) can significantly distort the images obtained by the MRI scanner. Patients who have heart pacemakers, metal implants, or metal chips or clips in or around the eyeballs cannot be scanned with an MRI because of the risk that the magnet may move the metal in these areas. Similarly, patients with artificial heart valves, metallic ear implants, bullet fragments, and chemotherapy or insulin pumps should not have MRI scanning.

During the MRI scan, patients lie in a closed area inside the magnetic tube. Some patients can experience a claustrophobic sensation during the procedure. Therefore, patients with any history of claustrophobia should relate this to the practitioner who is requesting the test, as well as the radiology staff. A mild sedative can be given prior to the MRI scan to help alleviate this feeling. It is customary that the MRI staff will be nearby during MRI scan. Furthermore, there is usually a means of communication with the staff (such as a buzzer held by the patient) which can be used for contact if the patient cannot tolerate the scan.

How does a patient prepare for an Magnetic Resonance Imaging scan and how is it performed?

All metallic objects on the body are removed prior to obtaining an MRI scan. Occasionally, patients will be given a sedative medication to decrease anxiety and relax the patient during the Magnetic Resonance Imaging scan. MRI scanning requires that the patient lie still for best accuracy. Patients lie within a closed environment inside the magnetic machine. Relaxation is important during the procedure and patients are asked to breathe normally. Interaction with the MRI technologist is maintained throughout the test. There are loud, repetitive clicking noises which occur during the test as the scanning proceeds. Occasionally, patients require injections of liquid intravenously to enhance the images which are obtained. The magnetic resonance imaging scanning time depends on the exact area of the body studied, but ranges from half an hour to an hour and a half.

How does a patient obtain the results of the Magnetic Resonance Imaging scan?

After the MRI scanning is completed, the computer generates visual images of the area of the body that was scanned and these images are transferred to film (hard copy) or to a CD. This film is given to a radiologist, a physician who is specially trained to interpret images of the body reproduced on film. The interpretation is transmitted in the form of a report to the practitioner who requested the MRI scan. The practitioner can then discuss the results with the patient and/or family.

Scientists are developing newer MRI scanners that are smaller, portable devices. These new scanners apparently can be most useful in detecting infections and tumors of the soft tissues of the hands, feet, elbows, and knees. The application of these scanners to medical practice is now being tested.

Magnetic Resonance Imaging Scan At A Glance

Magnetic Resonance Imaging (MRI Scan) Glossary of Terms

Bone: Bone is the substance that forms the skeleton of the body. It is composed chiefly of calcium phosphate and calcium carbonate . It also serves as a storage area for calcium, playing a large role in calcium balance in the blood.

Brain: That part of the central nervous system that is located within the cranium ( skull ). The brain functions as the primary receiver, organizer and distributor of information for the body. It has two (right and left) halves called "hemispheres."

Claustrophobia: An abnormal and persistent fear of closed spaces, of being closed in or being shut in, as in elevators, tunnels, or any other confined space. The fear is excessive (and quite common).

Contrast: Short for "contrast media." Contrast media are X-ray dyes used to provide contrast, for example, between blood vessels and other tissue.

Heart: The muscle that pumps blood received from veins into arteries throughout the body. It is positioned in the chest behind the sternum (breastbone; in front of the trachea, esophagus, and aorta; and above the diaphragm muscle that separates the chest and abdominal cavities. The normal heart is about the size of a closed fist, and weighs about 10.5 ounces. It is cone-shaped, with the point of the cone pointing down to the left. Two-thirds of the heart lies in the left side of the chest with the balance in the right chest.

Heart valves: There are four heart valves. All are one-way valves. Blood entering the heart first passes through the tricuspid valve and then the pulmonary valve. After returning from the lungs, the blood passes through the mitral (bicuspid) valve and exits via the aortic valve.

Magnetic resonance imaging : A special radiology technique designed to image internal structures of the body using magnetism, radio waves, and a computer to produce the images of body structures. In magnetic resonance imaging (MRI), the scanner is a tube surrounded by a giant circular magnet. The patient is placed on a moveable bed that is inserted into the magnet. The magnet creates a strong magnetic field that aligns the protons of hydrogen atoms, which are then exposed to a beam of radio waves. This spins the various protons of the body, and they produce a faint signal that is detected by the receiver portion of the MRI scanner. A computer processes the receiver information, and an image is produced. The image and resolution is quite detailed and can detect tiny changes of structures within the body, particularly in the soft tissue, brain and spinal cord, abdomen and joints.

Prosthetic: Referring to a prosthesis, an artificial substitute or replacement of a part of the body such as a tooth , eye, a facial bone, the palate , a hip, a knee or another joint , the leg, an arm, etc. A prosthesis is designed for functional or cosmetic reasons or both.

Radiologist: A physician specialized in radiology , the branch of medicine that uses ionizing and nonionizing radiation for the diagnosis and treatment of disease.

Radiology: The branch of medicine that uses ionizing and nonionizing radiation for the diagnosis and treatment of disease.

Scan: As a noun, the data or image obtained from the examination of organs or regions of the body by gathering information with a sensing device.

Spine: 1) The column of bone known as the vertebral column, which surrounds and protects the spinal cord. The spine can be categorized according to level of the body: i.e., cervical spine (neck), thoracic spine (upper and middle back), and lumbar spine (lower back). See also vertebral column. 2) Any short prominence of bone. The spines of the vertebrae protrude at the base of the back of the neck and in the middle of the back. These spines protect the spinal cord from injury from behind.

Stroke : The sudden death of some brain cells due to a lack of oxygen when the blood flow to the brain is impaired by blockage or rupture of an artery to the brain. A stroke is also called a cerebrovascular accident or, for short, a CVA.

In 2003, Paul C. Lauterbur of the University of Illinois and Sir Peter Mansfield of the University of Nottingham were awarded the Nobel Prize in Medicine for their discoveries concerning magnetic resonance imaging. ing science.

A-Z Health Guide from WebMD: Medical Tests

Magnetic Resonance Imaging (MRI)

Test Overview

A magnetic resonance imaging (MRI) is a test that uses a magnetic field and pulses of radio wave energy to make pictures of organs and structures inside the body. In many cases, MRI gives information that cannot be seen on an x-ray, ultrasound or computed tomography (CT) scan. For an MRI test, the area of the body being studied is placed inside a special machine that is a strong magnet. Information from an MRI can be saved and stored on a computer for more study. Photographs or films of certain views can also be made. In some cases, a contrast material may be used during the MRI to show pictures of organs or structures more clearly.

Why It Is Done

Magnetic resonance imaging (MRI) is used to find problems, such as tumors, bleeding, injury, blood vessel problems, or infection. An MRI may be done using contrast material to see abnormal tissue clearly. An MRI can be done for the:

Head. MRI can look at the brain for tumors, an aneurysm, bleeding in the brain, nerve injury, and other problems, such as damage caused by a stroke. MRI can also find problems of the eyes and optic nerves, and the ears and auditory nerves.
Chest. An MRI of the chest can look at the heart, the valves, and coronary blood vessels. It can show if the heart or lungs are damaged. MRI of the chest may also be used to look for breast or lung cancer.
Blood vessels. Using an MRI to look at blood vessels and the flow of blood through them is called magnetic resonance angiogram (MRA). It can find problems of the arteries and veins, such as an aneurysm, a blocked blood vessel, or a torn lining of a blood vessel (dissection). Sometimes contrast material is used to see the blood vessels more clearly.
Abdomen and pelvis. MRI can find problems in the organs and structures in the belly, such as the liver, gallbladder, pancreas, kidneys, and bladder. It is used to find tumors, bleeding, infection, and blockage. In women, it can look at the uterus and ovaries. In men, it looks at the prostate.
Bones and joints. MRI can check for problems of the bones and joints, such as arthritis, problems with the temporomandibular joint, bone marrow problems, bone tumors, cartilage problems, torn ligaments or tendons, or infection. MRI can also tell if a bone is broken if an x-ray cannot. MRI is done more commonly than other tests to check some bone and joint problems.
Spine. MRI can check the discs and nerves of the spine for conditions such as spinal stenosis, disc bulges, and spinal tumors.

Before your MRI test, tell your health professional and the MRI technologist if you:

Are allergic to any medicines. The contrast material used for MRI does not contain iodine. If you have a known allergy to the contrast material used for MRI, tell your health professional before having the test. Sometimes the benefits of having this test may outweigh the risks.
Are or might be pregnant.
Have a pacemaker, artificial limb, any metal pins or metal parts in your body (especially in the eyes), metal heart valves, metal clips in your brain, metal implants in your ear, tattooed eyeliner, or any other implanted or prosthetic medical device (such as a medicine infusion pump). Also, tell your health professional if you have worked around metal or if you have recently had surgery on a blood vessel. In some cases you may not be able to have the MRI test.
An IUD may prevent you from having the MRI test done.
Become very nervous in confined spaces. You need to lie very still inside the MRI magnet, so you may need to have the test done with open MRI equipment. It is not as confining as standard MRI machines. You may need medicine to help you relax.
Have any other health conditions, such as kidney problems or sickle cell anemia, that may prevent you from having an MRI using contrast material.
Wear any medication patches. The MRI may cause a burn at the patch site.

For an MRI of the belly, you may be asked to not eat or drink for several hours before the test.

How It Is Done

A magnetic resonance imaging (MRI) test is usually done by an MRI technologist. The pictures are usually interpreted by a radiologist. However, some other types of doctors can also interpret an MRI scan. You will need to remove all metal objects (such as hearing aids, dentures, jewelry, watches, and hairpins) from your body because these objects may be attracted to the powerful magnet used for the test. If you have had an accident or you work around metal, there is a possibility that you have metal fragments in your head, eyes, skin, or spine. An X-ray may be taken before the MRI to see if you can have the test.

You will need to take off all or most of your clothes, depending on which area is examined (you may be allowed to keep on your underwear if it is not in the way). You will be given a gown to use during the test. If you are allowed to keep some of your clothes on, you should empty your pockets of any coins and cards (such as credit cards or ATM cards) with scanner strips on them because the MRI magnet may erase the information on the cards.

During the test you will lie on your back on a table that is part of the MRI scanner. Your head, chest, and arms may be held with straps to help you remain still. The table will slide into the space that contains the magnet. A device called a coil may be placed over or wrapped around the area to be scanned. Some MRI machines (called open MRI) are now made so that the magnet does not enclose your entire body. Some people feel nervous (claustrophobic) inside the MRI magnet. If this keeps you from lying still, you can be given a medicine (sedative) to help you relax. Open MRI machines may be helpful if you are claustrophobic.

Inside the scanner you will hear a fan and feel air moving. You may also hear tapping or snapping noises as the MRI scans are taken. You may be given ear plugs or headphones with music to reduce the noise. It is very important to hold completely still while the scan is being done. You may be asked to hold your breath for short periods of time. During the test, you may be alone in the scanner room. However, the technologist will watch you through a window. You will be able to talk through a speaker. If contrast material is needed, the technologist will put it in an intravenous (IV) line in your arm. The material may be given over 1 to 2 minutes. Then more MRI scans are done. An MRI test usually takes 30 to 60 minutes but can take as long as 2 hours.

How It Feels

You won't have pain from the magnetic field or radio waves used for the MRI test. The table you lie on may feel hard and the room may be cool. You may be tired or sore from lying in one position for a long time. If a contrast material is used, you may feel some coolness and flushing as it is put into your IV.

In rare cases, you may feel:

A tingling feeling in the mouth if you have metal dental fillings.
Warmth in the area being examined. This is normal. Tell the technologist if you have nausea, vomiting, headache, dizziness, pain, burning, or breathing problems.

Risks

There are no known harmful effects from the strong magnetic field used for MRI. However, the magnet is very powerful. The magnet may affect pacemakers, artificial limbs, and other medical devices that contain iron. The magnet will stop a watch that is close to the magnet. Metal parts in the eyes can damage the retina. If you may have metal fragments in the eye, an X-ray of the eyes may be done before the MRI. If metal is found, the MRI will not be done. Iron pigments in tattoos or tattooed eyeliner can cause skin or eye irritation. An MRI can cause a burn with some medication patches. Be sure to tell your health professional if you are wearing a patch. There is a slight risk of an allergic reaction if contrast material is used during the MRI. However, most reactions are mild and can be treated using medicine. There also is a slight risk of an infection at the IV site.

Results

A magnetic resonance imaging (MRI) is a test that uses a magnetic field and pulses of radio wave energy to make pictures of organs and structures inside the body. The radiologist may discuss initial results of the MRI with you right after the test. Complete results are usually ready for your health professional in 1 to 2 days. An MRI can sometimes find a problem in a tissue or organ even when the size and shape of the tissue or organ looks normal.

Factors that can interfere with your test or the accuracy of the results include:

Pregnancy. An MRI test usually is not done during pregnancy.
Medical devices that use electronics, such as a pacemaker or medication infusion pump. The MRI magnet may cause problems with these devices and may prevent you from having an MRI.
Medical devices that have metal in them. The metal might make some of the detailed MRI pictures blurry. This may prevent your doctor from seeing the organ that is being looked at.
Inability to remain still during the test.
A person who is very overweight may not fit into standard MRI machines.

What To Think About

Sometimes your magnetic resonance imaging test results may be different because you were tested at a different medical center or your old studies are not available to compare to the new study.
MRI is a safe test for looking at structures and organs inside the body. It costs more than other methods and may not be available in your area.
Open Magnetic Resonance Imaging machines are now made so that the magnet does not completely surround you. However, these machines may not be available in all medical centers. Open MRI is useful for people who are claustrophobic or obese.
MRI can be used to check different parts of the body, such as the head, belly, breast, spine, shoulder, and knee. For more information, see the medical tests Magnetic Resonance Imaging of the Head, Magnetic Resonance Imaging of the Abdomen, Magnetic Resonance Imaging of the Breast, Magnetic Resonance Imaging of the Spine, Magnetic Resonance Imaging of the Shoulder, and Magnetic Resonance Imaging of the Knee.
Magnetic resonance angiogram (MRA) is a special magnetic resonance imaging method that studies blood vessels and blood flow. For more information, see the medical test Magnetic Resonance Angiogram (MRA).
MRI spectroscopy is a special magnetic resonance imaging method that identifies certain medical problems by looking for specific chemicals in body tissues.

Low Cost MRI & CT Scan Tests (Partial List)

Bone is better imaged by conventional x-rays in some cases and CT Scans are preferred for patients with severe bleeding. A MRI may not always distinguish between tumor tissue and edema fluid and does not detect calcium when this is present within a tumor. In most cases the examination is safe for patients with metal implants, with the exception of a few types of implants, so patients should inform the technician of an implant prior to the test. The examination must be used cautiously in early pregnancy. MRI typically costs more than CT scanning.

How does the MRI procedure work?

MRI is a unique imaging method because, unlike the usual radiographs (x-rays) or even Computed Tomography (CT) scanning, it does not rely on radiation. Instead radiofrequency waves are directed at protons, the nuclei of hydrogen atoms, in a strong magnetic field. The protons are first "excited" and then "relaxed," emitting radio signals that can be computer-processed to form an image. In the body, protons are most abundant in the hydrogen atoms of water—the "H" of H₂O—so that an MR image shows differences in the water content and distribution in various body tissues. Even different types of tissue within the same organ, such as the gray and white matter of the brain, can easily be distinguished. Typically an MRI examination consists of two to six imaging sequences, each lasting two to 15 minutes. Each sequence has its own degree of contrast and shows a cross-section of the body in one of several planes (right to left, front to back, upper to lower).

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