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1. What is an MRI?
2. What is an MRA?
3. What MRI/MRA services are provided by Hackensack Radiology Group?
4. Is there radiation associated with an MRI?
5. Are there any contraindications to my having an MRI?
6. What is the difference between an open and closed MRI?
7. How long does an MRI exam take?
8. Do I need contrast/dye when I receive my MRI?
9. Can I be allergic to the contrast/dye?
10. What will happen during my examination?
11. What if I am claustrophobic?


1. What is an MRI?
MRI stands for magnetic resonance imaging. MRI, is a way of obtaining very detailed images of organs and tissues throughout the body without the need for x-rays. Instead, it uses a powerful magnetic field, radio waves, a rapidly changing magnetic field, and a computer to demonstrate whether or not there is an injury or some disease process present. The MRI aligns atomic particles called protons that are present in most of the body's tissues. Radio waves then cause these particles to produce signals that are picked up by a receiver within the scanner. The signals are specially characterized using the changing magnetic field, and computer-processed to create very sharp images of tissues as "slices" that can be viewed in any plane or from any direction.
MRI is widely used for evaluating orthopedic, joint, and sports medicine related injuries, as well as disc disease and other conditions that affect the spine. Neurologic imaging and tumor evaluation are other uses of MRI.


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2. What is an MRA?
MRA stands for magnetic resonance angiography. It is an MRI examination devoted to evaluation of the vascular system, whether it be arteries or veins. MRA examinations are typically of the vessels of the brain, the carotid arteries (the main arteries in the neck), the aorta, the renal arteries (the arteries feeding the kidneys) or vessels of the legs. The main reason for performing an MRA examination is to look for stenosis, or narrowing, of specific vessels.

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3. What MRI/MRA services are provided by Hackensack Radiology Group?
Hackensack Radiology Group is at the forefront of MRI applications, and is one of General Electric Medical Systems clinical applications test sites. Any MRI procedure being used clinically at the major university hospitals can also be found at our imaging centers. These include, but are not limited to MRI evaluation of the brain and spine, joints, abdominal organs, breasts, bile ducts, arteries, and prostate.

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4. Is there radiation associated with an MRI?
Unlike most other radiology imaging procedures, there is no radiation associated with an MRI exam.

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5. Are there any contraindications to my having an MRI?
There are many reasons that a person may not be able to undergo an MRI exam. Please alert your physician or the radiologist should you have:
• A pacemaker
Implanted metal devises
Aneurysm clips
If you think you might be pregnant
The possibility of any metal fragments in your body (especially your eyes)
If you work around metal
If you are claustrophobic


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6. What is the difference between an open and closed MRI?
Open MRI’s have gained popularity because they provide more room for the patient. This is beneficial for highly claustrophobic patients who are unable to undergo a closed MRI. A closed MRI looks like a tube. Unfortunately, this tube is somewhat narrow — which is necessary to obtain high quality images. While open MRI’s are more spacious, in most cases the image quality is not comparable to a closed MRI. This is largely due to the fact that open MRI’s are significantly weaker “magnets” vs. closed MRI’s. And the strength of the “magnet” directly relates to the quality of the images.

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7. How long does an MRI exam take?
The length of the MRI exam varies depending on the study being performed. Most MRI exams are on the order of 30 minutes, with some being slightly shorter or longer. All of our exams are tailored to your specific history. At Hackensack Radiology Group, we pride ourselves on doing the most detailed examination possible. No corners are cut. Therefore, many examinations may appear longer than a similar study at other imaging center.

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8. Do I need contrast/dye when I receive my MRI?
Depending on the exam ordered by you physician and the questions your doctor has, your may be required to have contrast/dye administered by vein. This would be performed by one of our experienced nurses.

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9. Can I be allergic to the contrast/dye?
The contrast material used for an MRI is not the same as that used for a CT examination. You should not experience any symptoms from the contrast. It is extremely rare to have any type of allergic reaction to the contrast material (nearly one in a million). An allergy to CT contrast does not mean that you will be allergic to MRI contrast, and does not preclude you from having a contrast enhanced MRI examination.

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10. What will happen during my examination?
If your test requires you to disrobe, you will be escorted to a private dressing room with lockers where you can change into a gown and remove jewelry or other objects that may interfere with the exam. For the exam, you will be asked to lie down on a movable table. You will be positioned on the table by one of our certified MRI technologists so that the area being imaged is in the middle of the tube. During the procedure, the table may move over short distances. The technologist will be talking with you through an intercom and may ask you to hold your breath or to keep still to prevent motion or blurring of the pictures. The MRI scanner does make noise. We provide earplugs or headphones for you to listen to music during the exam if you desire.

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11. What if I am claustrophobic?
Most patients who are claustrophobic can still undergo a closed MRI exam. With the assistance of the MRI technologist, it is usually possible to complete the MRI study utilizing special features of the MRI. Some patients require mild sedation with oral valium or other medication prescribed by their physician to be taken prior to the exam. Rarely, a patient with severe claustrophobia is unable to complete the exam. These patients may require a close MRI with anesthesia, open MRI, or a different imaging study in order to evaluate their individual symptoms.

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