Indications and contraindications for magnetic resonance imaging

Indications for the MRI

In cases reimbursed by the NFZ, it is the referring doctor who decides on the appropriate diagnostic procedure on the basis of the patient’s physical examination and medical history. The method of examination is determined individually by the radiologist on the basis of the submitted medical documentation, the latest knowledge in the selected diagnostic issue, and an analysis of the test results to date. Due to a wide range of indications and the continuous evolution of magnetic resonance equipment from a technological standpoint, the radiologist may modify the examination procedure - depending on the clinical issue - with adherence to all standards, possibly enabling the most accurate diagnostics for each patient.

Contraindications to the MRI

The magnetic field created by the MRI machine may interfere with the functioning of electrical devices including heart pacemakers and neurostimulators. Persons with implanted electrical devices must not enter the scanner room. During the examination, there is also a risk of temperature elevation in the adjacent tissues in patients with implanted metal parts, including hip replacements, vascular clips or foreign bodies.

Strict contraindications

  • Implanted electric and electronic devices are a strict contraindication to the magnetic resonance imaging, and in particular:
  • heart pacemakers (especially older types)
  • insulin pumps
  • implanted hearing aids
  • neurostimulators
  • intracranial metal clips
  • metallic bodies in the eye

Relative contraindications

Metal hip replacements, sutures or foreign bodies in other sites are relative contraindications to the MRI. The first trimester of pregnancy is also a relative contraindication against the examination. The radiologist makes the final decision as to whether to proceed with the examination. In case of any doubts, please contact the Manager of the MRI Laboratory via telephone.