Woman and doctor

Diagnostics

Magnet Resonance Imaging

A magnetic resonance imaging scan is usually called an MRI. It is a medical test that takes very clear, detailed pictures of the inside of the body. Each picture, or slice shows only a few layers of body tissue at a time. The MRI machine uses a large magnet, radio waves and a computer to take images. Pictures taken this way can help physicians find and see problems in the body more easily. This test may take up to 60 minutes per exam.

The pictures made during an MRI help physicians learn more about the cause of your health problem. An MRI can be used to evaluate brain, neck and spinal cord problems. It can also help physicians look at problems with your chest, heart, abdomen, joints or blood vessels. Nearly every part of the body can be studied with an MRI.

The pictures created are digital and can be viewed by your physician through the computer, or they can be sent to them on a compact disc.

When should a person not have an MRI?

An MRI will not be performed on a person who is pregnant without clearance from an IVCH radiologist.

Patients who have a cardiac pacemaker or implanted cardiac defibrillator cannot have an MRI.

You may not be able to have an MRI if you have any of the following things in or on your body (please notify your physician if you have any of the items listed):

  • Aneurysm clips (unless the clip is compatible with magnets)
  • Artificial or prosthetic limbs or joints (such as an artificial knee joint)
  • Bullets or pieces of shrapnel
  • Cochlear (ear) implants
  • Artificial heart valve
  • Implanted IV ports
  • Implanted spinal stimulator
  • Insulin pump
  • Intrauterine device (IUD).
  • Medication patch (transdermal or skin patch, including nicotine, birth control and nitroglycerin patches)
  • Metal pins, plates, screws or surgical staples
  • Metal fragments in your eyes from welding
  • Tattoos and permanent eyeliner

The staff may take x-rays to determine if it is possible to proceed with your MRI if there is any question about whether you have any metal in your body.

How does MRI work?

The MRI machine is large and looks like a hollow tube. The table that you lie on goes into the tube during the test.

The machine is usually in a room by itself. The MRI technologist sits behind a window on one side of the room during the MRI. From this spot, the technologist can talk to you during your scan.

What happens during the MRI?

You may be asked to put on a gown, and the technologist will help you lie down on the MRI table. The body part being tested may be kept in place with a cradle or straps to hold it very still. You are not able to see anything once you are inside the machine. You may speak to the technologist at certain times during your test. You are also given an emergency call button. The technologist will stop the test and move your bed out of the MRI machine immediately if you press the button.

The bed slides into the round tube in the center of the machine. While our new MRI equipment is much quieter than earlier models, you may hear some noise while the pictures are being taken. The noise is caused by gradient coils inside the magnet. You may be allowed to wear ear plugs or headphones to help you relax and soften the noise of the machine.

Each MRI is made up of a number of sets of image scans. You must lie very still during the actual scans, for a few seconds to a few minutes at a time. You may be able to move a little in between the scan sets. The technologist may put padding or cushions around and under you for comfort. The technologist will tell you when the test is finished.

Some MRI tests need dye, sometimes called contrast, to help make your body part show up better in the pictures. The contrast is put through an IV in your hand or arm. Your skin around the IV may feel warm or cold as the contrast is put into the IV. Tell the technologist if you feel any unusual things as the contrast is given. You may have a metallic taste in your mouth for a few seconds while the contrast is administered.

Risks

MRI scans are very safe, and complications are rare. There is no radiation.

Allergic reactions to the dye used are possible but not likely. It is very important to inform your physician about any allergies that you have.

It is your responsibility to tell your physician and the technologist about any possible implants or metallic fragments. It is very important. This information can help avoid potentially deadly complications.

If you have a pacemaker or an implanted cardiac defibrillator, you must not have an MRI.

Preparation

There is no special preparation needed. You may eat and drink normally and take any usual medications, unless you have received different instructions from your physician or the hospital staff. For the test, wear loose, comfortable clothing without any metal fastenings, such as zippers or clasps, because metal will interfere with the test. Do not wear any jewelry.

Paperwork

Informed consent: You have the right to understand your health condition in words that you know. You should be told what tests, treatments or procedures may be done to treat your condition. Your doctor should also tell you about the risks and benefits of each treatment. You may be asked to sign a consent form that gives your physician and the hospital staff permission to do certain tests, treatments or procedures. If you are unable to give your consent, someone who has permission can sign this form for you. A consent form is a legal piece of paper that tells exactly what will be done to you. Before giving your consent, make sure all your questions have been answered so that you understand what may happen.

Screening Sheet

You will be asked to fill out a screening sheet. Tell your physician if:

  • You have any metal in your body, such as metal screws, pins or plates.
  • You have a medication patch on your skin. Ask if your patch should be off your skin during the MRI.
  • You think you are pregnant. Your physician needs to know so he can decide whether you should have the test.
  • You are claustrophobic or afraid of being in closed or cramped places. Your physician may then give you sedative medicine to help you relax during the test. You must get a prescription for this medicine from the physician who is ordering the MRI. You will also need an adult to drive you home if you have a sedative.

Support

Bring a family member or friend with you if you need to wait for test results. They can talk with you and be there to support you during and after the test. They can also drive you home if you have sedative medicine during the test.

Bring with you any papers your physician has given you to sign.

What will happen after the test?

When the test is over, you can go home.

Your physician will contact you with your test results. The results are usually available within one business day after you have the test.

Call the Diagnostic Imaging Department (815.780.3431) If:

  • You cannot make it to your MRI appointment on time.
  • You have questions or concerns about having an MRI.

If you have to take medicine for claustrophobia, call the MRI desk at 815.780.3280 before you take the medicine to make sure we are running on time.

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