What is MRI?
Magnetic Resonance Imaging (MRI) uses a strong magnetic force and radio-frequency pulses to collect signals from the body. These signals are then converted by computers into a series of images that are interpreted by Radiologists. MRI allows doctors to look at the soft tissues of the body and is different from other Medical Imaging examinations such as X-ray or CT because it does not expose you to any radiation.
What happens during an MRI scan?
Each MRI scan can be quite different. Each part of the body requires the use of different pieces of equipment to obtain the appropriate MRI images. The MRI team will set up the examination table in advance and explain the procedure to you prior to starting your scan.
MRI technology can be quite loud; dependent upon the scan being performed you will be offered one of a number of forms of hearing protection. Some form of hearing protection must be worn.
In most instances, you will just need to lie comfortably on you back whilst the MRI scan is performed. Constant communication, both verbal and visual, is maintained with you throughout the scan to ensure that you are comfortable and remain informed about the progress of your examination. If at any time you become uncomfortable, a handheld buzzer enables you to alert our MRI team that you need to speak to them. The length of time for each examination can vary but our MRI team will give you an indication of the estimated time of your examination before the scan starts.
Is MRI safe?
For the majority of patients MRI is safe and painless examination. Extensive research over a number of decades has been unable to identify any significant harmful effects attributable to MRI technology. Unlike other medical imaging examinations, MRI will not expose you to any radiation.
How do I know whether I am safe for an MRI?
Your safety is of paramount importance to San Radiology so we work with you to ensure your safety before entering the MRI magnet room. When making your appointment our staff will ask you a series of safety questions. You will also be required to complete a safety questionnaire prior to your MRI, and our team will verbally confirm your answers.
It is important you inform our staff of any device, implant or metal objects in your body when asked the safety questions. This is because a small number of devices and implants are not compatible with MRI scanning. Devices such as vascular aneurysm clips, cochlear implants, neuro-stimulators, vascular pumps, gastric bands, penile implants, cardiac valves and annuloplasty rings and large vascular stents will need to be specifically identified (manufacturer, model name or number), preferably in writing from the responsible surgeon or by an identifying implant card (often given to patients at the time of insertion).
If you have ever had any significant metallic foreign body in your eyes and have not had it removed by a doctor, you will probably need to have a precaution X-ray of your eyes prior to your MRI scan. Likewise if you have had any significant shrapnel or bullets in your body, it might be necessary to have it localised prior to your MRI appointment. Please discuss this with you doctor to ensure you have X-rays performed before your MRI appointment.
Are there any contraindications for an MRI scan?
If you have a cardiac pacemaker or implanted cardiac defibrillator, it is usually not safe for you to undergo an MRI scan. In addition, some patients with cerebral aneurysm clips, infusion pumps, neuro-stimulators and cochlear implants cannot be scanned. All devices/implants have to be accurately identified prior to your scan in order to ensure your safety before having an MRI scan.
Can I have an MRI if I am pregnant?
If you are known to be pregnant, or could be pregnant, at the time of making your appointment then please inform us so that we can discuss this with your referring doctor prior to your scan.
MRI has traditionally been avoided in the first trimester of pregnancy (0-12 weeks) unless your diagnosis cannot wait and your doctor considers MRI to be the investigation of choice. This practice is only a precaution given there is no information/data at this stage suggesting that MRI poses any danger to the unborn foetus. In fact, MRI is often preferentially chosen as a means of imaging the foetus if clinically indicated.
Will I fit on the San Radiology MRI?
Nearly all MRI systems have limitations to the size of patients they can scan. This is due to the technology and physics used. At San Radiology our MRI machines are considered wide and short bore which means many patients who cannot be scanned on long bore or narrow MRI machines can indeed have their examination performed.
If you have concerns about whether you will fit on our MRI please discuss with your doctor (who may enquire on your behalf) or with our bookings staff directly at the time of making your appointment.
How long do I need to wait for an appointment for an MRI?
As we have two (2) MRI machines with Medicare-eligibility the waiting times are very short. Usually, an MRI examination can be booked within days of your enquiry or same day if considered clinically urgent by your doctor.
How do I prepare for my MRI?
In most cases there is no special preparation required for an MRI examination, which means you can eat and drink normally (no fasting required). However most abdominal or pelvic examinations will require fasting and potentially additional preparation, all of which will be explained over the phone at time of booking and those more complex instructions will also be emailed to you.
All jewellery excluding wedding rings (unless scanning that hand/wrist) must be removed prior to your examination, including all piercings for safety reasons. Please note that we do not have the tools required to assist with removing piercings.
It is recommended that you do not wear eye make-up or hairspray if you are having a scan of the head/brain.
To ensure you are free of any metal, including zippers, buttons, wires, and metallic fabric in your clothes, you will be asked to change into a hospital gown prior to your examination.
Please let us know of previous relevant imaging examinations from other imaging providers or bring it with you on the day of your examination to assist our Radiologists with your MRI report.
Please bring any previous relevant imaging examinations with you on the day of your examination to assist our Radiologists with your MRI report.
What if I am, or think I may be, claustrophobic or suffer from anxiety?
Our MRI team is very experienced in helping patients with claustrophobia through their MRI examinations.
Our MRI machines are the widest and shortest available, with flared open ends. Windows at the rear of the rooms provide plenty of natural light and ceiling imagery making the environment far more comfortable and acceptable for anxious patients.
Our experienced team is often successful in performing MRI examinations for patients who have been unsuccessful elsewhere. This is through a combination of regular communication with patients and efficient scanning to minimise examination times where possible.
However, if you have previously experienced problems with MRI scans and are concerned about claustrophobia, then it is recommended you discuss your concerns with your doctor who may prescribe a light, oral sedative to take prior to your MRI scan. Please make our bookings team aware if you plan to take oral sedation, so we can book you at an appropriate time. We will advise you on the day when to take your medication, so we can ensure it is most effective at the time of your examination.
If IV sedation is required, it must be written by your doctor on your request and advised to our team at the time of booking.
If you do require either oral or IV sedation then you must also arrange for another person to attend the appointment with you so they can drive you home after the examination, as you will not be permitted to do so for your safety.
Should I continue to take my pain medication?
Please continue taking your usual pain medication. If you can time your dose such that its "peak action" corresponds to your appointment time, then this will help you keep still during the scan.
All other medications should be taken as normally prescribed. If you are required to fast for your examination, a small amount of water to take required medications is permitted.
If you have any questions or concerns, please raise them with the bookings team, who can liaise with our nursing staff.
Will I require an injection?
Many MRI tests do not require a contrast injection; however, in certain circumstances it may be required to provide further information during your scan. The decision to administer a Gadolinium injection is usually made by the Radiologist supervising your examination. If required, the injection is usually administered via a very small cannula into a vein in your arm/hand. It is different to the iodine-based IV contrast used in X-ray or CT examinations.
Prior to all MRI examinations you will be asked to complete a written Contrast Safety Questionnaire. This assists with the information you and the MRI team require if it is decided your examination requires a gadolinium contrast injection.
If you have previously had a reaction to MRI contrast or have concerns about it, please raise this with the team at the time of booking.
When is a Gadolinium injection not used?
A Gadolinium injection is usually not given to patients who have seriously compromised renal (kidney) function, have had a previous reaction to Gadolinium contrast, or are pregnant.
Please note that allergy to CT contrast is not indicative of a reaction to MRI contrast.
When will I get my MRI results?
MRI examinations contain specialised and complex information displayed as a large number of images. These images can take considerable time to review, particularly where previous examinations are made available for comparison.
Usually, your MRI report will be made available to your referring doctor within two (2) business days following your examination. San Radiology now has referrer and patient access to our imaging portal.
Referring doctors will be able to see images and reports immediately once available. Patients will be able to see their imaging as soon as the examination is finished and reports 7 days after being signed off by the Radiologist. Patients can access their imaging once completed through the MySRNM app available on iOS and Android or by visiting www.sah.org.au/patient-resources/ for more information
Is the MRI scan covered by Medicare?
San Radiology has two Medicare-eligible MRI machines – one will full licensing and the other partial licensing.
If your MRI is referred by a specialist then there is a high chance that it will be Medicare-eligible, however, not all examinations/body areas are currently eligible. Our bookings team will provide an estimate at the time of booking.
Some MRI examinations referred by a General Practitioner are also Medicare-eligible at San Radiology. Please ask our bookings team at the time of booking.
How much will my MRI cost?
Outpatients will be charged a private fee. If your examination is Medicare-eligible you will be able to claim most of this fee back from Medicare however an out-of-pocket (gap) payment will apply.
Inpatients will also be charged a private fee. If your examination is Medicare-eligible you will be able to claim part of the fee back from Medicare and depending on your health fund might be able to claim some of the out-of-pocket costs.
Our bookings team will provide you with an estimate of any out-of-pocket expense at the time of making your appointment.
