What
is Magnetic Angiography (MRA)?
Magnetic resonance angiography (MRA) is a special type of
magnetic resonance imaging (MRI) test designed to evaluate
arteries, veins, and the flowing blood within them. During
an MRI examination, the patient is placed inside the opening
of a very large magnet. Radiofrequency pulses are used within
the magnetic field to generate detailed images of internal
organs. No X-rays or ionizing radiation of any kind is necessary
for an MRI exam. During an MRA exam, special types of scans
are used to create pictures of flowing blood and blood vessels.
Sometimes, to produce exceptionally detailed pictures, an
MRI contrast (gadolinium) is injected into a vein in the arm.
MRA is performed on the arteries of the neck and brain to
test for any narrowing or plaque buildup that could lead to
stroke, or for any weakening or ballooning of the arteries
(aneurysms) that could lead to bleeding. MRA is performed
on the arteries to the kidneys to test for narrowing that
could lead to hypertension (high blood pressure). MRA is performed
on the pelvis and legs to look for narrowing that could lead
to painful walking or nonhealing ulcers. It is also used to
evaluate for aneurysms or dissections of the aorta in the
chest or abdomen.
Patient
Preparation for the Procedure
There is no special diet or medication needed for an MRA exam.
To prepare for the exam, all that is necessary is that the
patient remove eyeglasses, hearing aids, hairpins, removable
dental work, jewelry, watches, or any other metallic objects.
Often the patient will be allowed to remain in street clothes,
but must empty pockets of keys, credit cards, bank cards,
coins, etc. Other times the patient will change into a hospital
gown.
Does
an MRA hurt?
No. There is no pain involved with an MRI/MRA examination.
A special form of MRI is a MRA. Some patients with severe
claustrophobia have difficulty with the test because the inside
of the MRI machine is confining. As the exam proceeds, you
will hear a muffled thumping sound for several minutes at
a time.
What
are the risks of an MRI/MRA?
There are no known harmful effects created by the magnetic
field or the radio waves. The exam is only dangerous to patients
with certain implanted devices such as pacemakers, defibrillators,
cochlear implants, and aneurysm clips. MRI/MRA would not be
performed on these patients. If contrast examination is necessary,
then there is a very small risk of allergic reaction to the
injected contrast media.
Who
will read my scan?
All MRI/MRA exams at Radiology Associates are interpreted
by board-certified diagnostic radiologists with fellowship
training or with experience and special interest in MRI.
How
do I get the results?
We will send a written report within 48 hours to your doctor.
You and your doctor can then discuss the results, and how
they apply to your medical care.