Magnetic Resonance Imaging (MRI) of the Bones, Joints, and Soft Tissues

Magnetic resonance imaging (MRI) uses a large magnet, radiofrequencies, and a computer
to make detailed pictures of organs and structures within the body. It is used to
diagnose health problems.

MRI machine is a large, tube-shaped machine that creates a strong magnetic field around
the person being examined. Some look like narrow tunnels, while others are more open.
This magnetic field, along with a radiofrequency, briefly redirects the hydrogen atoms’
natural alignment in the body. Computers are then used to form 2-D images of a body
structure or organ based on the activity of the hydrogen atoms. Cross-sectional views
can be done to show more details. MRI does not use ionizing radiation, like X-rays or CT

MRI scan may be used to look at bones, joints, and soft tissues such as cartilage,
muscles, and tendons for things like:

  • Injuries, such as fractures or tears to a tendon, ligament, or cartilage
  • Structural abnormalities due to aging
  • Infection like osteomyelitis
  • Tumors
  • Inflammatory disease
  • Congenital abnormalities (those you’re born with)
  • Osteonecrosis (bone cell death caused by a poor blood supply to the area)
  • Bone marrow disease
  • Degenerative joint problems, like arthritis
  • Herniation or degeneration of disks of the spinal cord
  • Assessment after surgical procedures

healthcare provider may have other reasons to recommend an MRI scan of the bones,
joints, or soft tissue.

There is no risk of exposure to radiation during an MRI scan.

Because of of the strong magnet, an MRI scan can’t be used for people with:

  • Implanted pacemakers
  • Some
    older intracranial aneurysm clips
  • Cochlear
  • Certain
    prosthetic devices
  • Implanted medicine infusion pumps
  • Neurostimulators
  • Bone-growth stimulators
  • Certain
    intrauterine contraceptive devices (IUDs)
  • Any
    other type of iron-based metal implants
  • Internal metallic objects in certain areas, such as bullets or shrapnel, surgical
    clips, pins, plates, screws, metal sutures, or wire mesh

your healthcare provider if you are pregnant or think you may be. In general, there is
no known risk of MRI in pregnancy. But particularly in the first trimester, MRI should
only be used to address very important problems or suspected abnormalities.

contrast dye is used, there is a risk for allergic reaction to the dye. Tell your
provider if you are allergic to or sensitive to medicines, contrast dye, or iodine.

contrast may have an effect on other conditions. These include allergies, asthma,
anemia, low blood pressure, kidney disease, and sickle cell disease. It can also affect
the baby if you are breastfeeding.

Nephrogenic systemic fibrosis (NSF) is a very rare but serious complication of MRI
contrast use in people with kidney disease or kidney failure. If you have a history of
kidney disease, kidney failure, kidney transplant, liver disease, or are on dialysis, be
sure to tell the MRI technologist or radiologist before getting the contrast.

may be other risks depending on your specific health condition. Talk about any concerns
with your healthcare provider before the procedure.

Tell the radiologist, the person
doing the test (technician), or your healthcare provider if you:

  • Have ever had an imaging
    test (MRI or CT) with contrast dye
  • Are allergic to contrast
    dye, iodine, shellfish, or any medicines
  • Have a serious health
    problem such as diabetes or kidney disease
  • Are pregnant or may be
    pregnant, or are breastfeeding
  • Have any implanted
    devices, metal clips, or pins in your body

Your healthcare provider will explain the procedure to you and give you a chance to ask any questions.

your MRI scan involves the use of contrast dye, you will be asked to sign a consent form
that gives permission to do the procedure. Read the form carefully and ask questions if
anything is not clear.

Generally, there is no special restriction on diet or activity before an MRI scan.

Before the MRI scan, it is very important that you tell the technologist if any of
these apply to you:

  • You are
    claustrophobic and think that you will be unable to lie still inside the scanning
    machine, in which case you may be given a sedative.
  • You
    have a pacemaker or have had heart valves replaced.
  • You have
    any type of implanted pump, such as an insulin pump.
  • You
    have metal plates, pins, metal implants, surgical staples, or aneurysm clips.
  • You have
    any metallic fragments anywhere in the body.
  • You
    have permanent eyeliner or tattoos.
  • You are
    pregnant or think you may be pregnant.
  • You
    ever had a bullet wound.
  • You have
    ever worked with metal (for example, a metal grinder or welder).
  • You
    have any body piercings.
  • You have
    an intrauterine device (IUD).
  • You are
    wearing a medicine patch.

is a possibility that you may get a sedative before the procedure. So you should plan to
have someone drive you home afterward.

Based on your health condition, your healthcare provider may ask for other specific

MRI may be done on an outpatient basis or as part of your stay in a hospital. Procedures may vary depending on your condition and your healthcare provider’s practices.

Generally, MRI of the bones, joints, or soft tissue follows this process:

  1. You will be asked to remove any clothing, jewelry, eyeglasses, hearing aids, hairpins, removable dental work, or other objects that may get in the way of the procedure.
  2. If you are asked to remove clothing, you will be given a gown to wear.
  3. If you
    are to have an MRI scan with contrast, an intravenous (IV) line will be started in
    your hand or arm for injection of the contrast dye.
  4. You will lie on a narrow table that slides into the large circular opening of the scanning machine. Pillows and straps may be used to help prevent movement during the scan.
  5. The
    technologist will be in another room where the scanner controls are located. But you
    will be in constant sight of the technologist through a window. Speakers inside the
    scanner allow the technologist to talk to you and hear you. You will have a call
    button so that you can let the technologist know if you have any problems during the
    scan. The technologist will be watching you at all times and will be in constant
  6. A loop of conducting material called a surface coil may be placed over the area to be examined if it is a relatively small area, such as a joint.
  7. You will be given earplugs or a headset to wear to help block out the noise from the scanner. Some headsets may provide music for you to listen to. During the scanning process, you will hear clicking and thumping noises as the magnetic field is created and pulses of radio waves are sent from the scanner.
  8. It will be important for you to stay very still during the exam. Any movement could cause distortion and affect the quality of the scan.
  9. At certain times, you may be told to hold your breath, or to not breathe for a few seconds, depending on the body part being examined. You will then be told when you can breathe. You should not have to hold your breath for longer than a few seconds.
  10. If contrast dye is used, you may feel some effects when the dye is injected into the IV line. These effects include a warm flushing sensation or a feeling of coldness, a salty or metallic taste in the mouth, a brief headache, itching, or nausea. These effects usually only last for a few moments.
  11. Tell the
    technologist right away if you have any trouble breathing, sweating, numbness, or
    heart palpitations.
  12. Once the scan is done, the table will slide out of the scanner and you will be helped off the table.
  13. If an IV line was put in, it will be removed.

While the MRI scan itself causes no pain, having to lie still for the length of the
procedure might cause some discomfort or pain, particularly if you’ve recently been
injured or had surgery. The technologist will use all possible comfort measures and do
the scan as quickly as possible to minimize any discomfort or pain.

occasion, some people with metal fillings in their teeth may feel some slight tingling
of the teeth during the scan.

slowly when getting up from the scanner table so you don’t have any dizziness or
lightheadedness from lying flat for the length of the procedure.

any sedatives were used for the scan, you may need to rest until the sedatives have worn
off. You will also need someone to drive you home.

contrast dye is used, you may be watched for some time for any side effects or reactions
to the contrast dye, such as itching, swelling, rash, or trouble breathing.

you notice any pain, redness, or swelling at the IV site after you go home, tell your
healthcare provider. This could be a sign of infection or other type of reaction.

Otherwise, there is no special type of care required after a MRI scan of the bones, joints, and soft tissues. You may go back to your usual diet and activities, unless your healthcare provider tells you differently.

Your healthcare provider may give you other instructions after the procedure, depending on your particular situation.

Before you agree to the test or the procedure make sure you know:

  • The name of the test or procedure
  • The reason you are having the test or procedure
  • What results to expect and what they mean
  • The risks and benefits of the test or procedure
  • What the possible side effects or complications are
  • When and where you are to have the test or procedure
  • Who will do the test or procedure and what that person’s qualifications are
  • What would happen if you did not have the test or procedure
  • Any alternative tests or procedures to think about
  • When and
    how you will get the results
  • Who to call after the test or procedure if you have questions or problems
  • How much
    you will have to pay for the test or procedure