Abdominal MRI scan

Definition

An abdominal magnetic resonance imaging scan is an imaging test that uses powerful magnets and radio waves. The waves create pictures of the inside of the belly area. It does not use radiation (x-rays).

Single magnetic resonance imaging (MRI) images are called slices. The images can be stored on a computer, viewed on a monitor, or scanned to a disc. One exam produces dozens or sometimes hundreds of images.

Alternative Names

Nuclear magnetic resonance - abdomen; NMR - abdomen; Magnetic resonance imaging - abdomen; MRI of the abdomen

How the Test is Performed

You may be asked to wear a hospital gown or clothing without metal zippers or snaps (such as sweatpants and a t-shirt). Certain types of metal can cause blurry images.

You will lie on a narrow table. The table slides into a large tunnel-shaped scanner.

Some exams require a special dye (contrast). Most of the time, the dye is given during the test through a vein (IV) in your hand or forearm. The dye helps the radiologist see certain areas more clearly.

During the MRI, the person who operates the machine will watch you from another room. The test lasts about 30 to 60 minutes, but it may take longer.

How to Prepare for the Test

You may be asked not to eat or drink anything for 4 to 6 hours before the scan.

Tell your health care provider if you are afraid of close spaces (have claustrophobia). You may be given a medicine to help you feel sleepy and less anxious. Your provider may also suggest an open MRI, in which the machine is not as close to your body.

Before the test, tell your provider if you have:

• Artificial heart valves
• Brain aneurysm clips
• Heart defibrillator or pacemaker
• Inner ear (cochlear) implants
• Kidney disease or dialysis (you may not be able to receive contrast)
• Recently placed artificial joints
• Certain types of vascular stents
• Worked with sheet metal in the past (you may need tests to check for metal pieces in your eyes)

Because the MRI contains strong magnets, metal objects are not allowed into the room with the MRI scanner. Avoid carrying items such as:

How the Test will Feel

An MRI exam causes no pain. You may get medicine to relax you if you have a problem lying still or are very nervous. Moving too much can blur MRI images and cause errors.

The table may be hard or cold, but you can ask for a blanket or pillow. The machine makes loud thumping and humming noises when turned on. You can wear ear plugs to help reduce the noise.

An intercom in the room allows you to speak to someone at any time. Some MRIs have televisions and special headphones to help you pass time.

There is no recovery time, unless you were given a medicine to help you relax. After an MRI scan, you can go back to your normal diet, activity, and medicines.

Why the Test is Performed

An abdominal MRI provides detailed pictures of the belly area from many views. It is often used to clarify findings from earlier x-rays or CT scans.

This test may be used to look at:

• Blood flow in the abdomen
• Blood vessels in the abdomen
• The cause of abdominal pain or swelling
• The cause of abnormal blood test results, such as liver or kidney problems
• Lymph nodes in the abdomen
• Masses in the liver, kidneys, adrenals, pancreas, or spleen

MRI can distinguish tumors from normal tissues. This can help the doctor know more about the tumor such as size, severity, and spread. This is called staging.

In some cases it can give better information about masses in the abdomen than CT.

What Abnormal Results Mean

An abnormal result may be due to:

• Abdominal aortic aneurysm
• Abscess
• Cancer or tumors that involves the adrenal glands, liver, gallbladder, pancreas, kidneys, ureters, intestines
• Enlarged spleen or liver
• Gallbladder or bile duct problems
• Hemangiomas
• Hydronephrosis (kidney swelling from the backflow of urine)
• Kidney infection
• Kidney damage or diseases
• Kidney stones
• Enlarged lymph nodes
• Obstructed vena cava
• Portal vein obstruction (liver)
• Blockage or narrowing of the arteries that supply the kidneys
• Renal vein thrombosis
• Kidney or liver transplant rejection
• Cirrhosis of the liver
• Spread of cancers that began outside the belly

Risks

MRI does not use ionizing radiation. No side effects from the magnetic fields and radio waves have been reported.

The most common type of contrast (dye) used is gadolinium. It is very safe. Allergic reactions are rare but can occur. If you have a history of severe allergic reactions to other medicines you should notify your doctor. In addition, gadolinium can be harmful to people with kidney problems who need dialysis. Tell your provider before the test if you have kidney problems.

The strong magnetic fields created during an MRI can cause heart pacemakers and other implants not to work as well. The magnets can also cause a piece of metal inside your body to move or shift.

References

Brandt LJ, Aroniadis OC. Vascular disorders of the gastrointestinal tract. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 37.

Kim DH, Pickhard PJ. Diagnostic imaging procedures in gastroenterology. In: Goldman L, Schafter AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 133.

Wilkinson ID, Graves MJ. Magnetic resonance imaging. In: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Grainger & Allison's Diagnostic Radiology. 6th ed. New York, NY: Elsevier Churchill Livingstone; 2015:chap 5.