Magnetic Resonance Imaging (MRI)
Magnetic Resonance Imaging (MRI) is a non-invasive medical imaging technique that provides high-resolution images of internal body structures, especially soft tissues such as the brain, spinal cord, muscles, and internal organs.
Physical Principles
MRI is based on the following components:
- A strong magnetic field aligns hydrogen nuclei (protons) in the body.
- Radiofrequency (RF) pulses disturb this alignment.
- As protons return to their original alignment, they emit signals.
- These signals are detected and processed into detailed images.
Advantages
- No ionizing radiation.
- Excellent soft tissue contrast.
- Multiplanar capabilities (axial, sagittal, coronal, oblique).
- Functional and contrast-enhanced imaging options.
Common Clinical Uses
- Neurology: stroke, tumors, multiple sclerosis, epilepsy, trauma
- Spine: disc herniation, myelopathy, spinal tumors
- Musculoskeletal: ligament/tendon injuries, joint disorders
- Cardiology: myocardial viability, congenital heart disease
- Oncology: tumor detection, staging, and follow-up
- Abdominal imaging: liver, kidneys, uterus, prostate, pancreas
Contrast Agents
- Gadolinium-based agents are used to enhance vascular structures and highlight pathology.
- Usually safe, but used cautiously in patients with severe renal impairment (due to risk of nephrogenic systemic fibrosis).
Limitations and Contraindications
- Metallic implants, pacemakers, or ferromagnetic fragments may pose risks.
- Claustrophobia may require sedation or use of open MRI systems.
- Long acquisition times compared to CT.