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Magnetic resonance imaging (MRI) is a type of noninvasive imaging test that uses magnets and radio waves to create pictures of the inside of your body. Unlike a CT scan, an MRI uses no radiation and is considered a safer alternative, especially for pregnant women.
In a chest MRI, magnets and radio waves create black and white images of your chest. These images allow your doctor to check your tissues and organs for abnormalities without making an incision. MRIs also create images that "see" beyond your bones — and include soft tissue.
Your doctor may order an MRI scan if they suspect that something is wrong in your chest area and think the cause of the problem can’t be determined through a physical examination.
Your doctor may want to order a chest MRI to see if you have:
Your doctor will tell you the exact reason they ordered the MRI. Your doctor should keep you abreast of what they think could be wrong during and after the procedure. If you aren’t clear on what’s going on, make sure to ask plenty of questions.
Since an MRI does not use radiation, there are few, if any, side effects. To date, there have been no documented side effects from the radio waves and magnets used.
According to the National Heart, Lung, and Blood Institute, there are few risks from an MRI scan. If you have a pacemaker or metal implant from previous surgeries or injuries, be sure to tell your doctor beforehand and find out whether you can have an MRI. It is possible for these implants to complicate a scan, or even malfunction during the scan.
In rare cases, the dye used for the test will cause an allergic reaction or worsen kidney function if you have kidney disease. However, these are unlikely side effects.
If you are claustrophobic or have difficulty being in enclosed spaces, you may feel uncomfortable while in the MRI machine. Try to remember that there is nothing to fear. Your doctor may prescribe an anti-anxiety medication to help with your discomfort. In some cases, you might be sedated for the process.
Before the test, tell your doctor if you have a pacemaker. Depending on your type of pacemaker, your doctor may suggest another route for inspection, such as a CT scan. However, some pacemaker models can be reprogrammed before an MRI so they are not disrupted by the examination.
Also, the MRI uses magnets, which can attract metals. Tell your doctor if you have any type of metal implanted from previous surgeries, such as:
You may need to fast for four to six hours before the exam. Check with your doctor to be sure.
Your doctor may require the use of a special dye to highlight an area of concern. This dye, gadolinium, is administered through an IV. It is different from the dye used during a CT scan. While allergic reactions to the dye are rare, alert your doctor of any concerns before the dye is injected.
An MRI machine looks futuristic — it has a bench that slowly glides you into a giant metal cylinder.
The technician will have you lie on your back on the bench. You may receive a pillow or blanket if you have trouble lying still on the bench. The technician will control the movement of the bench using a remote control from another room. They will communicate with you through a microphone and speakers.
The machine will make some thumping and whirring noises as the images are being taken. Many hospitals offer earplugs, while others have televisions or headphones to help you pass the time. The test can last up to 90 minutes.
As the pictures are being taken, the technician will ask you to hold your breath for a few seconds. You won’t feel anything during the test, as the magnets and radio frequencies — similar to the waves of FM radio — can’t be felt.
You don’t need to do anything after an MRI except put your clothes back on.
If the images are projected onto film, it can take some hours for the film to develop. It will also take some time for your doctor to review the images and interpret them. More modern machines display images on a computer, which allows your doctor to view them more quickly.
Preliminary results from a chest MRI may come within a few days, but comprehensive results can take up to a week or more. Your doctor will most likely call you in for an appointment to discuss your results and plan treatment for problems identified. If your results were normal, they may order more tests to help diagnose the cause of your symptoms.
Written by: Brian Krans
Medically reviewed on: Jan 19, 2016: Debra Sullivan, PhD, MSN, RN, CNE, COI
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