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  What is MRI?
   
MRI,  which stands for Magnetic Resonance Imaging, is the most recently developed technique for diagnostic imaging. The scanner produces pictures using a powerful magnet, radio waves and a computer. No X-rays are used in this type of scan.

MRI Scanning can be applied to virtually every part of the body, which is one of the reasons why it is now so popular as a diagnostic technique. Use of MRI can often completely remove the need for exploratory surgery.

Some of the many examinations, which can be carried out include investigation for:

Blue bullet Brain disorders

Blue bullet Spine problems

Blue bullet Joint problems

Blue bullet Abdominal diseases

Blue bullet Eye abnormalities

Blue bullet Traumatic injuries

Blue bullet Tumour detection

Blue bullet Musculoskeletal conditions

Blue bullet Cardiac malformations

Blue bullet Dental Problems

If you would like advice on any aspect of MRI scanning please contact our staff.

 
  Why have an MRI scan?
   


An MRI scan can help a doctor make a diagnosis and has many uses including:

Blue bullet orthopaedic examinations

Blue bullet brain imaging to find the cause of a stroke, for example

Blue bullet detecting suspected abnormalities in the body such as abscesses, abnormal blood vessels and tumours

Blue bullet pinpointing the exact site of tumours before radiotherapy

Blue bullet screening and assessing cardiac conditions

 
  Who can have an MRI scan?
   
Not everyone can have an MRI scan. The magnetic fields and radiowaves can seriously affect implants of metal in the body. This includes anyone who has:

Blue bullet a heart pacemaker

Blue bullet a cochlear implant (an internal hearing aid)

Blue bullet metal heart implants such as prosthetic metal valves

Blue bullet metal surgical implants such as surgical clips or pins or rods in bones

Blue bullet surgical implants to stop bleeding in the brain

Blue bullet had pieces of metal removed from their eyes (due to welding or metalwork for example)

Your doctor will discuss with you whether it is safe for you to have an MRI scan.

 
  Can pregnant women have an MRI scan?
   
An MRI is not usually performed on pregnant women unless there is an urgent medical reason for the scan. This is because the long-term effects of strong magnetic fields on a developing baby are not yet known.

 
  What are the alternatives?
   
Generally speaking, MRI provides a more detailed soft tissue image than other scans, such as a CT scan.

In some cases, depending on individual factors such as your symptoms and the specific condition being investigated, there may be alternatives to having an MRI scan. These include:

Blue bullet an plain X-ray

Blue bullet a CT (computerised tomography) scan

Blue bullet ultrasound

Blue bullet a nuclear medicine scan which uses radioactive tracers to create images

 
  What happens before the scan?
   
In many cases no preparation is required. However, if you are having an abdominal or pelvic scan, you may be given special instructions in advance about eating and drinking.

Before the MRI scan you will usually talk to your radiologist or radiographer about the scan and you may be asked to sign a consent form. This confirms that you understand the risks, benefits and possible alternatives to the procedure and have given your permission for it to go ahead. You may also be asked to fill out a questionnaire which will ensure that it is safe for you to have the scan.

Some types of metal can interfere with the scan, so you will be asked to remove metal objects such as coins, keys, and jewellery. It is best to wear clothing that does not have metal zips, buttons or other metal parts such as underwired bras. Relatives or friends who wish to accompany a patient in the MRI room must also follow these guidelines.

 
  Contrast Medium
   
Depending on the part of your body which is to be examined, a dye (contrast medium) may be used to make some tissues show up more clearly. These dyes are harmlessly removed from the blood by the kidneys and passed out in the urine. If needed, you will have the dye at the beginning, or sometimes towards the end of the scan. It will usually be given as an injection into a vein in your hand or arm.

 
  The scan
   
Blue bullet An MRI scan is performed as a day case. An MRI scan is painless so the procedure does not usually require an anaesthetic. However it can be uncomfortable lying still for this length of time, particularly if you have a painful condition.

Blue bullet The scan itself can take from 15 minutes to an hour to perform, depending on the specific examination, but you should allow one to two hours for the whole appointment.

Blue bulletYou will lie on a table which will be moved inside a large "tube", which generates the magnetic field. You may need to enter the tube head-first or feet-first depending on the part of your body that is being scanned. Generally the part of your body to be examined will be placed in the middle of the tube. The tube is open ended so you will not be enclosed at any time.

Blue bulletA radiographer operates the scanner from behind a window, and will be able to see and hear you throughout the procedure. You may be given a call button to hold during the scan which you can press to get the radiographer's attention at any time.

Blue bullet It can take several minutes for each picture to be taken, and it's important to lie very still and breathe quietly during the process. The machine will make quite a loud knocking or buzzing sound so it may help to wear earplugs. Music is played to help you relax.

Blue bullet When the scan is complete, the table will be moved back out from the scanner.

 
  What To Expect Afterwards
   
Once the examination is over, most people can resume their normal activities immediately. However, if you have had a sedative, you will need to arrange for someone to drive you home and then stay with you for the first 24 hours.   If you have had a dye injection, it's a good idea to drink a lot of water for the next 24 hours to help flush the dye out of your body. The pictures taken by the MRI scanner will be interpreted by a radiologist, who will send the results to your doctor or specialist.

 
  Deciding whether to have an MRi scan
   
An MRI scan is a commonly performed and safe procedure. For most people, the potential benefit is greater than the disadvantages. However, in order to make a well-informed decision and give your consent, you need to be aware of the possible side-effects and the risk of complications.

  Side-effects are the unwanted but mostly temporary effects of a successful procedure. The MRI scan itself does not usually have any physical side-effects. However, if a contrast medium is used, you may experience a temporary flushing when you are given the injection. This usually passes within seconds. People who have metal fillings in their teeth may also feel a tingling during the scan. Complications are unexpected problems that can occur during or after the procedure. Most people are not affected.

  Complications that may arise from an MRI scan are related to the contrast medium, and include an allergic reaction to the dye. Different people may have different reactions to the dye - let the radiographer know if you feel uncomfortable or are short of breath during the scan. Allergic reactions happen only occasionally and can be treated immediately with appropriate medicines.

 
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