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Magnetic resonance
imaging uses sophisticated technology to image the inside of the
brain and spine. It has the ability to show images in three
planes; 1)axial (the body is shown in slices across, like
slicing a salami), 2) coronal (the slices are taken from side to
side, like a crown extending over the head, from one ear to another),
and 3) sagittal (from front to back, like the arrow shot by Sagittarius
(therefore the name sagittal)).
While an MRI does not show bone anatomy
as well as Computed Tomography (CT), it is excellent at showing
soft tissue. In particular, brain, spinal cord, and nerves
are well seen. A contrast agent known as gadolinium may be
injected to show tumors, which often appear bright white on MRI.
There is no known adverse effects to
a fetus, from MRI.
Contrindications
(conditions for which MRI cannot be used) are:
- cardiac pacemaker, implanted neurostimulators,
cochlear implants
- ferromagnetic aneurysm clips
- metallic implants or foreign bodies
with large components of iron or cobalt
- metal fragments within the eye
- stents, coils or filters placed
within the past 6 weeks
Relative contraindications:
- claustrophobic patients, although
some may tolerate the procedure with sedation
- critically ill patients where monitoring
during the procedure may be impaired
- obese patients: size limitations
may not permit the patient to fit within the closed bore MRI scanners;
an open MRI may be needed, although, depending upon the open scanner,
image quality may suffer
- metal implants within the area of
interest may impair good image quality
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