Check for spinal abnormalities with an MRI scan

Abnormalities related to the “spine” are associated with various diseases that can occur in all genders and ages, such as herniated disc compressing nerves, osteoporosis, as well as from daily lifestyle behaviors like heavy lifting, improper sitting or twisting, and accidents that cause pain, leading to medical consultation for diagnosis. Besides taking medical history, Magnetic Resonance Imaging (MRI) is another important option that doctors use to diagnose symptoms to confirm the cause of the abnormality and prepare an accurate and targeted treatment plan.

6 Main Symptoms Indicating the Need for Spine MRI

1. Severe neck pain radiating down the arm
2. Chronic intermittent back pain
3. Back pain radiating down the leg
4. Weakness in the arm or leg
5. Decreased sexual function
6. Inability to control urination or defecation

Understanding Magnetic Resonance Imaging (MRI)

MRI (Magnetic Resonance Imaging) is a medical technology that helps analyze, diagnose, treat, and monitor treatment outcomes clearly by using a magnetic field and specific high-intensity radiofrequency waves to stimulate and convert energy levels into image signals, creating realistic images of internal organs, especially bones and muscles. Due to its high resolution and clarity, it can distinctly differentiate between tissues, allowing doctors to see anatomical and physiological abnormalities and diagnose diseases more accurately.

Advantages of Spine MRI

For patients with chronic intermittent back pain, MRI can provide clear 3D images showing the spinal cord nerves, body nerves, muscles, and blood vessels. It can detect spinal diseases such as vertebral fractures, herniated discs compressing nerves, spinal tumors, infections, etc., without the risk of contrast injection. This method is painless and free from radiation hazards. The examination time is short (depending on the organ, averaging about 30–40 minutes), allowing quick detection of abnormalities so doctors can promptly plan further treatment.

Preparation for Spine MRI

Generally, nursing staff will provide information on physical and mental preparation, verify the patient’s name, surname, date of birth, and the examination site to prevent errors in patient or site. Patients do not need to fast or avoid drinking since the spine is being examined, which differs from abdominal MRI. However, patients should follow these instructions:

1. Avoid using certain makeup products before the exam, especially eyeshadow and mascara, as they may contain metal that can appear as artifacts in the images.
2. Remove all metal objects such as earrings and jewelry. For MRI of the brain to the neck, braces and dentures should be removed as they affect image clarity.
3. Do not have any metal-containing devices in the body, such as pacemakers or implanted artificial organs from previous surgeries.

For patients with claustrophobia who cannot lie in the MRI tunnel, doctors may consider alternative examination methods or require sedation or general anesthesia during the scan. Such patients must be admitted to the hospital at least one day before the exam and fast for at least 4-6 hours prior.

Procedure for Spine MRI

The patient lies comfortably and still on the examination bed and follows instructions such as breathing in and holding breath or not swallowing saliva. When moved to the center of the magnetic field, slight vibrations and sliding sensations may be felt during imaging.

Post Spine MRI Care

Patients should observe for any abnormal symptoms such as hives, chest tightness, or difficulty breathing. If any abnormalities occur, inform the staff immediately. If no issues arise, patients can eat and resume normal activities.