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Magnetic resonance angiography

  • Definition
    • Magnetic resonance angiography (MRA) is an MRI exam of the blood vessels. Unlike traditional angiography that involves placing a tube (catheter) into the body, MRA is noninvasive.

  • Alternative Names
    • MRA; Angiography - magnetic resonance

  • How the Test is Performed
    • You may be asked to wear a hospital gown. You can also wear clothing without metal fasteners (such as sweatpants and a t-shirt). Certain types of metal can cause blurry images.

      You will lie on a narrow table, which slides into a large tunnel-shaped scanner.

      Some exams require a special dye (contrast). Most often, the dye is given before the test through a vein (IV) in your hand or forearm. The dye helps the radiologist see certain areas more clearly.

      During the MRI, the person who operates the machine will watch you from another room. The test may take 1 hour or more.

  • How to Prepare for the Test
    • You may be asked not to eat or drink anything for 4 to 6 hours before the scan.

      Tell your health care provider if you are afraid of close spaces (have claustrophobia). You may be given a medicine to help you feel sleepy and less anxious. Your provider may suggest an "open" MRI. In open MRI, the machine is not as close to the body.

      Before the test, tell your provider if you have:

      • Brain aneurysm clips
      • Artificial heart valve
      • Heart defibrillator or pacemaker
      • Inner ear (cochlear) implants
      • Insulin or chemotherapy port
      • Intrauterine device (IUD)
      • Kidney disease or dialysis (you may not be able to receive contrast)
      • Neurostimulator
      • Recently placed artificial joints
      • Vascular stent
      • Worked with sheet metal in the past (you may need tests to check for metal pieces in your eyes)

      Because the MRI contains strong magnets, metal objects are not allowed into the room with the MRI scanner. Avoid carrying items such as:

      • Pocketknives, pens, and eyeglasses
      • Watches, credit cards, jewelry, and hearing aids
      • Hairpins, metal zippers, pins, and similar items
      • Removable dental implants
  • How the Test will Feel
    • An MRA exam causes no pain. If you have problems lying still or are very nervous, you may be given a medicine (sedative) to relax you. Moving too much can blur images and cause errors.

      The table may be hard or cold, but you can ask for a blanket or pillow. The machine produces loud thumping and humming noises when turned on. You can wear ear plugs to help reduce the noise.

      An intercom in the room allows you to speak to someone at any time. Some scanners have televisions and special headphones that you can use to help the time pass.

      There is no recovery time, unless you were given a medicine to relax.

  • Why the Test is Performed
  • Normal Results
    • A normal result means the blood vessels do not show any signs of narrowing or blockage.

  • What Abnormal Results Mean
    • An abnormal exam suggests a problem with one or more blood vessels. This may suggest:

  • Risks
    • MRA is generally safe. It uses no radiation. To date, no side effects from the magnetic fields and radio waves have been reported.

      The most common type of contrast used contains gadolinium. It is very safe. Allergic reactions to the substance rarely occur. However, gadolinium can be harmful to people with kidney problems who require dialysis. If you have kidney problems, please tell your provider before the test.

      The strong magnetic fields created during an MRI can cause heart pacemakers and other implants to not work as well. They can also cause a piece of metal inside your body to move or shift.

  • References
    • Kwong RY. Cardiovascular magnetic resonance imaging. In: Bonow RO, Mann DL, Zipes DP, Libby P, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 17.

      Litt H, Carpenter JP. Magnetic resonance imaging. In: Cronenwett JL, Johnston KW, eds. Rutherford's Vascular Surgery. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 23.

      Radiologyinfo.org. MR Angiography (MRA). Updated June 25, 2015. www.radiologyinfo.org/en/info.cfm?pg=angiomr#experience. Accessed July 13, 2016.