Magnetic resonance imaging

mitri.az

 

Magnetic resonance imaging (MRI) is a complex but effective diagnostic method that does not use ionizing radiation. This method is used to discover pathological processes in the cerebrum and spinal cord, spine, small pelvis, kidneys, adrenal glands, knee joints, soft tissues. We use GE devices and have a set of all required magnetic coils to examine all areas of soft tissues and joints, the CNS, small organs, to perform mammography. Our radiological department has been audited by leading international radiologists and selected as the only base for medical examination during the First European Games in Baku in 2015.
MRI is a method of primary choice in case of suspected demyelinating, oncologic pathologies of the central nervous system, an indispensable method for early detection of brain infarction, as well as in case of spine injuries, degenerative changes in intervertebral discs and joints, diseases and injuries of the spinal cord; it is an indispensable method and a method of choice for non-invasive diagnostics of pathologies in the musculoskeletal system and joints; suspected pituitary microadenoma. The imaging makes it possible to detect a disease at an early stage and begin to treat it in proper time.

mitri.az Using this method we can control both the state of blood supply and blood circulation in vessels. The use of a contrast agent makes the method more informative. Magnetic resonance angiography is a popular modern method for diagnosing structural and functional changes in the vascular system. The method is used in neurological, vascular and neurosurgical practice. Three-dimensional contrast magnetic resonance angiography is very informative for detecting vascular pathologies. A special mode of the magnetic resonance imaging without a contrast agent makes it possible to clearly visualize the structure of cerebral vessels, detect anomalies in the structure and anatomy of vessel location, determine the luminal width, degree of stenosis (luminal occlusion), and, thanks to high sensitivity of the method to the blood circulation speed, to distinguish between the quick and slow blood flow. Magnetic resonance angiography of cerebral vessels detects aneurysms, microstrokes, ischemic and hemorrhagic strokes, pathological vascular arborization, cerebral thromboses, cerebral tumours. Magnetic resonance angiography of carotid and vertebral arteries is actively used when detecting the reasons of brain circulation deficiency. Headaches, dizziness, visual disturbances, defective memory and other neurological symptoms can be caused by occlusion of carotid and vertebral arteries (vertebrabasilar insufficiency). The examination makes it possible to determine the level of damage and occlusion of the vessel as well as identify the treatment (conservative or surgical). Magnetic resonance examination of deep veins of the neck makes it possible to detect deep vein thrombosis that is difficult to diagnose. Magnetic resonance venography of deep veins of the neck allows diagnosing the peculiarities in the structure and abnormal development, arterial venous grafts, character of the blood flow.
  • Congenital heart and great vessel diseases;
  • Aneurysmsı;
  • Vasculitis;
  • Stenosis of vessel including heart vessels;
  • Strokes;
  • Atherosclerosis.
Depending on the type of examination the procedure may take 15 to 60 minutes. In 30-60 minutes after the procedure you will receive images, a DVD and medical report. Our radiologist can give you advice based on the results of the examination. The radiologist can also recommend a vascular specialist or neurosurgeon who will prescribe treatment.
mitri.az MRI of the brain is the most informative method for diagnosing the organs of the intracranial case, detecting existing pathologies and their detailed examination. The examination makes it possible to see cranial bones and soft tissues of the head, to detect the consequences of contusions and concussions, strokes, as well as neoplasms. It is also prescribed in case of migraine-like states of unknown etiology, impairment of consciousness, neoplasms, hematomas, coordinator disturbances. With MRI of the brain the following is examined:
  • Main neck vessels;
  • Blood vessels supplying the brain;
  • Brain tissues;
  • Eye-pits;
  • Soft tissues of the head;
  • More deeply located parts of the brain (cerebellum, pineal gland, pituitary gland, medulla oblongata and midbrain);
  • Atherosclerosis of the vascular system of the brain;
  • Presence of craniocerebral injuries and their consequences;
  • Severe brain infarction, stroke;;
  • Infectious inflammatory processes;
  • Benign and malignant tumours;;
  • Aneurysms;;
  • Presence of abnormalities of not only the brain but also the pituitary gland and Turkish saddle;;
  • Malformation of vessels;
  • Encephalomyelitis and vasculitis;
  • Disseminated sclerosis;
  • Deviations in intracranial pressure.
It is impossible to list everything that can be examined with MRI. This method is very popular in medicine.
mitri.az Magnetic resonance imaging of the spine is the most informative, accurate and reliable method for examining the spine and adjacent tissues including the spinal cord. As this diagnostic method does not require any instrumental interference, there is no radiation except for the magnetic field, it is considered to be the most effective, prospective as well as the safest. Using magnetic resonance images the physician evaluates sections of the spine in three mutually perpendicular projections. MRI visualizes the bodies of vertebra, intervertebral discs, joints, the spinal cord, as well as nerve roots coming from the spinal canal. MRI method is widely used in neurological, oncologic and neurosurgical practice for diagnosing different diseases, clarifying the stage and severity of the pathological process, selecting treatment in case of determined diagnosis, deciding on surgical treatment, controlling its efficiency or detecting complications as well as for preventing and early detecting changes in the organism (neoplasms, degenerative processes etc). Depending on the supposed diagnosis a physician can prescribe MRI either of the whole spine or of its sections: MRI of the cervical spine (MRI of the neck); MRI of the thoracic spine; MRI of the МRI lumbosacral spine (МRI of the lower back); МRI of the coccygeal spine (МRI of the coccyx). Thus, when examining the cervical spine, pathologies of vessels and vertebra can be detected that affect the blood supply to the brain. When examining the lumbosacral spine, intervertebral hernias, stylosteophytes and cartilaginous spurs as well as nerve entrapment can be detected. Visual detection of the specificity of the anatomic structure of the spine of the patient and detection of pathological changes of the spinal tissues; preparation to a surgery (for example, in case of spondylosis or the need to decompress nerve roots); evaluation of the state of joints and intervertebral discs or the purpose of degenerative changes; detection of areas of inflammation and compression of nerve endings; detection of injuries and spinal fractures that can cause pain; detection of infectious processes or tumours that affect the spine or occur in it.
  • Pain syndrome in the spine with the pain spreading to the legs;
  • Tumours of the spinal cord and the spine;
  • Metastases in the meninges or the spinal cord itself;
  • Myelopathies of any origin including inflammations;
  • Demyelinating diseases;
  • Degenerative diseases (spinal osteochondrosis for example);
  • Presence of congenital disorders and abnormalities;
  • Developing inflammatory processes (spondylitis, discitis);
  • Spinal traumas of different severity;
  • Consequences of surgeries on the spine and spinal cord
  • Spondylosis, osteochondrosis of the cervical spine;
  • Protrusions and hernias of intervertebral discs of the cervical spine;
  • Metastases of different tumours in the cervical spine;
  • Stenosis of the spinal canal;
  • Traumas in the cervical spine (fractures, dislocations of vertebra);
  • Klippel-Feil syndrome;
  • Injuries and fractures of the spine including when there are no changes on the X-ray image;
  • Spinal osteochondrosis;
  • Suspected hernias and protrusions of intervertebral discs;
  • Congenital or acquired defects of development or spinal structure;
  • Tumours of the thoracic spine;
  • Disseminated sclerosis, acute disseminated encephalomyelitis.
MRI of the lumbosacral spine is the most demanded diagnosing method in neurological and neurosurgical practice. This examination is prescribed in case of different painful states (changes) in the spine, spinal cord etc. MRI of the lumbosacral spine makes it possible to get images of vertebra, intervertebral discs, medullary cones and elements of the “cauda equine” etc. MRI of the lumbosacral spine can be prescribed in case of the following diseases and pathologic changes:
  • Osteochondrosis, deforming spondylosis of the lumbosacral spine;
  • Protrusions and hernias of intervertebral discs of the lumbar spine;
  • Metastases of the lumbar spine;
  • Stenosis of the spinal canal;
  • Traumas in the lumbar spine (fractures, dislocations and instability of the spine);
  • Development abnormalities in the lumbar spine;
  • Presence of transitional vertebra (sacralization, lumbalization of vertebra).
  • Indications to MRI of the coccyx:
  • Pain syndrome of unknown etymology,
  • Traumatic damages of bone structures.
  • Indications to examination of sacroiliac joints:
  • Traumatic changes,
  • Inflammatory changes in this area (typical for Bekhterew’s disease etc.),
  • Tumours.
mitri.az Magnetic resonance imaging of the abdominal cavity and retroperitoneal space is a safe and effective method for evaluating the state of all tissues and organs. It is also the only possible method of reliable diagnostics in case of unclear or contradictory results of USI, X-ray or other examination; the need in detailed examination, clarification of the location of pathological processes; suspected oncology. Thus, MRI with a contrast agent helps detect the smallest tumours that could not be seen during other examinations or could be considered as anatomic peculiarities, which makes it possible to avoid low-traumatic though surgical methods of examination (laparoscopy, laparocentesis etc). MRI of the abdominal cavity is indispensable in correcting the tactics of surgeries and evaluating the results of treatment including in case of oncologic diseases. The method makes it possible to detect pancreatic cysts, analyze the state of bile ducts. All formations blocking the ducts can be detected.
  • Non-infectious and mechanical icterus;
  • Development abnormalities, splenomegaly and hepatomegaly;
  • Traumatic bursting, injuries of abdominal cavity organs;
  • Hepatic dystrophy;
  • Gall and bile duct stones;
  • Abdominal cavity fluid (ascites);
  • Inflammatory processes in the abdominal cavity (to detect their focuses);
  • Pancreatitis of any form;
  • Disturbances in the activity of the vascular system in the abdominal area (ischemia, aneurysms, thromboses);
  • Possible neoplasms in the liver, tissue degeneration, apostasis, cysts, fibrosis, cirrhosis;
  • Mass lesions in the liver: cysts, adenomas, lipomas, hyperplasia, primary and metastatic cancer (with determination of the nature);
  • To control the course of the treatment.
  • Possible neoplasms;
  • Diseases of the organs and tissues located near kidneys;
  • Possible disorders in the formation and development of urinary organs;
  • If it is not possible to perform excretory urography.
2-3 days before the examination you should refrain from fresh vegetables, fruits, beans, rye bread, carbonated drinks, and fermented milk products; in case of obstipation and tympanism you should take drugs that remove these symptoms (apocathartic, activated carbon etc). One day before the examination you should exclude high fibre and products that cause flatulence (cabbage, fruits, carbonated drinks, brown bread, fermented milk products etc.). On the day of examination you should refrain from tea, coffee, you should not use makeup (it may contain metallic particles). You should eat not later than 6-8 hours before the examination, drink not later than 4 hours, and take an anti-spasmodic drug half an hour before the procedure. Before the procedure you should go to the toilet and exclude other irritators.
The device is in the form of a wide tube into which the patient is placed in the horizontal position. The patient shall lie motionless, otherwise the image will not be sharp. It is not dark inside the tube, there is inlet ventilation there. The device makes an audible zoom, so the patient is offered to wear noise attenuating ear plugs. Sometimes it is allowed that a relative or a person who accompanies the patient be present in the room where the examination is made (unless this person has contraindications). In some cases the anesthesiologist makes abirritant injections. In this case the procedure is well tolerated; in particular it concerns patients suffering from claustrophobia, children or patients who are unable to lie motionless. The patient falls into a state of a remedial sleep and comes out of it relaxed and alert. The drugs used are quickly removed from the organism and are safe for the patient.
mitri.az MRI of the mammary glands is a new opportunity to examine the mammary glands without surgery and, what is most important, without X-ray. Nowadays MRI of the mammary glands makes it possible to obtain sharp images of the mammary glands, and to more easily distinguish between the healthy and infected tissues. Thanks to high contrast of different tissues of the mammary glands, MRI of the mammary glands allows analyzing their structure in detail and detecting pathologic processes. The objectives of this examination are:
  • Differential diagnostics of earlier detected lesions in the mammary glands (benign or malignant);
  • Detection of breast cancer recurrence after breast prosthetics;
  • Differential diagnostics of lesions detected in women after conservative therapy of breast cancer;
  • Differential diagnostics of post-surgical scars, postradiation fibrosis and breast cancer recurrence;
  • Diagnostics of multicentric and synchronous breast cancer (multifocal), to select an optimum treatment.
The importance of MRI in case of many diseases has been proven including in detecting and determining the stages of breast cancer, especially when other methods (mammography, ultrasound imaging etc) turned out to be non-informative. MRI makes it possible to see the pathology where other visualization methods were useless. In spite of thorough physical examination and mammography in considerable part of women with cancer in one mammary gland the infection of the other mammary gland is omitted – up to 10% population with this disease. It is shown that magnetic resonance imaging used when screening women with a high risk of breast cancer can increase the breast cancer detection frequency in comparison with other methods. According to the conclusion made by the authors of a study carried out in the USA and Israel, the use of MRI to evaluate blood circulation in the area of breast tumour of different localization makes it possible to plan treatment and determine the prognosis. Magnetic resonance mammography is the most sensitive in the dense tissue of the mammary glands being a compulsory rather than additional method of the diagnostic algorithm in young women (under 40). Compared to X-ray mammography and USD, MRI has a number of substantial advantages and the informative value of this method does not depend on the following factors:
  • Density of breast tissues;
  • Intensity of fibrocystic mastopathy;
  • Presence of postsurgical scars;
  • Postradiation fibrosis.
MRI of the mammary glands is the basic method of choice in controlling the condition of implants after cosmetic or reconstructive mammoplastics (breast prosthetics), as well as in diagnosing breast diseases in women under 35-40, in case of dynamic examination of women with a high risk of breast cancer. Unlike X-ray examination of the mammary glands (traditional mammography) absence of radiation allows performing this examination as frequently as it is required. To be admitted to the examination you should have all required documents: postsurgical statements, data of previous examinations such as mammography, spiral computer tomography of thoracic organs (images and conclusions, if available), conclusions after breast USI. It is desirable to have a physician’s appointment. This information should be submitted to the physician before the examination, to compare the condition of the mammary glands in dynamics and evaluate the changes that will be detected.
MRI of the mammary glands or magnetic resonance mammography makes it possible to obtain sharp images of the mammary glands that give important information for physicians. Breast MRI completes other methods of breast examination (mammography and breast ultrasound).
Generally, unlike other visualization methods (CT, X-ray imaging or ultrasound), MRI makes it possible to more easily distinguish between the healthy and infected tissues.
Breast MRI does not replace mammography and breast USI, but, as it was already mentioned, completes them helping the physician detect breast cancer and other diseases.
  • Pathologic lesions in the breast;
  • Benign or malignant lesions;
  • Size and location of any pathologic lesion;
  • Increased lymph glands.
  • To clarify the nature of lesions detected by mammography;
  • To early diagnose cancer tumours not detected with other methods, especially in women with predominance of the glandular tissue in the mammary glands and in women with a high risk of cancer development;
  • To determine the intactness of breast implants;
  • To differentiate between the connective tissue of postsurgical scars and recurrent tumours of the mammary glands; to evaluate multiple tumours before nonradical surgeries with breast preservation
  • To determine the distribution of breast cancer detected with mammography or USI to the chest wall
  • To determine the cancer distribution degree after a surgery
  • To evaluate the efficiency of chemotherapy
mitri.az Magnetic resonance imaging of the temporomandibular joint is the most informative, accurate and reliable type of examination of the temporomandibular joint and adjacent tissues. As this diagnostic method does not require any instrumental interference, there is no radiation, it is considered to be the most effective, prospective as well as the safest. It is prescribed to determine the reasons of joint functioning disturbances. This examination reveals the state of cartilages and muscles most fully, gives an opportunity to detect dislocation. It is also used before orthodontic or orthopedic surgeries. The examination of the temporomandibular joint in dynamics, in the process of corrective treatment is very important. This examination is performed according to a physician’s prescription and makes it possible to detect cartilage damage symptoms, articular head dislocation, asymmetry of the head shape, to evaluate the construction, structure of the lateral pterygoid muscle and location of the articular disc.
  • Head of mandible;
  • Temporal articular cavity;
  • Joint capsule;
  • Synovial membrane;
  • Articular disc
  • Articular fossa.
  • Structural changes in the bone
  • Asymmetry and other changes in the articular head;
  • Extension or narrowing of the joint gap;
  • Inflammation in the temporomandibular joint — arthrisis;
  • Excessive fluid in the articular cavity;
  • Articular cartilage deformation — arhtrosis;
  • Trauma consequences — fractures, diclocations, incomplete dislocations in the joint;
  • Ankylosis of the joint;
  • Neoplasmas in the joint and adjacent tissues;
  • Abnormalities and congenital abnormalities;
  • Mutual arrangement of joint structures before the surgery;
  • Result after the surgery.
Depending on the type of examination (with a contrast agent or without it) the procedure may take 15 to 25 minutes. Our radiologist can give you advice based on the results of MRI. The radiologist can also recommend a dental orthodontist or maxillofacial surgeon who will determine treatment.
mitri.az Magnetic resonance imaging of the shoulder joint is an informative, accurate and reliable type of examination of the joint and adjacent tissues. It is possible to perform the examination with a contrast agent. When diagnosing shoulder joint diseases, ordinary examination and standard investigations can be insufficient to determine a correct diagnosis. It is impossible to obtain all required information even with several X-ray images, and the radiation the patient is exposed to considerably increases. Moreover, not only osseous structures but also soft tissues and cartilages are often involved into the pathologic process. Magnetic resonance imaging makes it possible to determine the place of the pathologic process very accurately, and the patient is not exposed to radiation. It should be noted that such a diagnostic method as MRI of the shoulder joint makes it possible not to measure the intraosseous pressure and not to perform biopsy. The accuracy of a magnetic resonance image is exceptionally high (more than 95%); it means that the physician will easily distinguish between the areas of healthy and damaged tissues. Therefore, this method is considered to be much more effective than roentgenography or USI. MRI of the shoulder joint is distinguished by relatively high safety, as it does not require invasive interference. This examination requires a rather strong magnetic field with a considerable magnetic voltage equal to 1.5 T. Because the images are made from a whole series of thin sections, their accuracy and quality are extremely high. MRI also uses a superficial radiofrequency coil produced in a special way.
  • Structural changes of bones;
  • Asymmetry and other dislocations in the articular head;
  • Extension or narrowing of the joint gap;
  • Inflammation in the joint — arthrisis;
  • Fluid in the articular cavity;
  • Articular cartilage deformation — arhtrosis;
  • Trauma consequences — fractures, diclocations, incomplete dislocations in the joint;
  • Ankylosis of the joint;
  • Neoplasmas in the joint and adjacent tissues;
  • Abnormalities and congenital abnormalities;
  • Mutual arrangement of joint structures before the surgery;
  • Result after the surgery.
Depending on the need to use a contrast agent the procedure can last 15 to 30 minutes.
mitri.az Magnetic resonance imaging of the elbow joint is a highly accurate method of diagnosing pathologic changes in bones and soft tissues around the joint. The procedure lasts for about 30 minutes; as a result the patient and his/her physician obtain visual images of the joint structures, including pathologic changes. Like most joints in a human body, the elbow joint is characterized by a complex structure consisting of osseous, cartilage and muscle tissues, nerve fibres and blood vessels. They all interact according to a very complex scheme. The movements of the shoulder, forearm and radial bone depend on the state of this joint. The slightest disorder in one of the constituent parts leads to an imbalance and a failure in the functioning of the complex biochemical construction, which is the zone of the elbow bending. All constructional and functional peculiarities of the system are well seen in MRI. The anatomy of the elbow joint is very complex. In fact, it consists of three simpler joint junctions combined by a common capsule. These are humeroulnar, radioulnar proximal and humeroradial joints. They connect the humerus, ulnar and radial bones, respectively. MRI of the elbow joint is an effective way to diagnose diseases, injuries and disorders in this structure. Considerable loads the joint feels even in case of moderate physical activity, not to mention about sports exercises and hard manual work, lead to aging of tissues, damage of nerve endings and the blood flow system.
  • Pain in the elbow joint when there is no information about the objective reasons of pain after other examinations;
  • To clarify pathologic changes and distribution of the process when other research methods gave unclear results;
  • Suspected oncologic pathology of the elbow joint and adjacent soft tissues;
  • Hidden traumatic changes of the bones in the elbow joint (the only method that allows diagnosing hidden bone fractures is MRI of the elbow joint);
  • To clarify the structures injured as a result of a trauma of the elbow joint and the levels of their impairment;
  • Abnormalities in the elbow joint;
  • To diagnose inflammatory and degenerative diseases of the joint;
  • Contraindications for X-ray examination methods.
Depending on the need to use a contrast agent the procedure can last 15 to 30 minutes.
mitri.az Magnetic resonance imaging of the radiocarpal joint and hand makes it possible to determine the reason of pains, numbness and other discomfort in hands as exactly as possible. Only this diagnostics method determines the presence of some diseases, for example the tunnel syndrome, or neoplasms at early stages. This type of examination does not use X-ray radiation, therefore it is absolutely safe for patients. MRI does not give radiation load to the organism, so the procedure can be performed as frequently as possible. The device can create structure images in any plane and with the required zooming. MRI makes it possible to analyze all anatomic elements of this area with high accuracy. This makes the method reliable for diagnosing nerve entrapment, vascular disorders, fractures and cracks of bones, not detectable by X-ray examination. MRI is important in case of injuries of carpal bones that have cancellous structure; their fractures are less noticeable by roentgenoscopy. In case of such a suspected pathology as hemarthrosis in the joint, magnetic resonance imaging can be performed instead of centesis. In case of suspected ligamentous injuries or arthritis it can replace arthroscopy that requires anesthesia and puncturing of the joint capsule.
  • Pain in the radiocarpal joint and hand when there is no information about the objective reasons of pain after other examinations ;
  • To clarify pathologic changes and distribution of the process when other research methods gave unclear results;
  • Suspected oncologic pathology of the radiocarpal joint and hand as well as of the adjacent soft tissues;
  • Hidden traumatic changes of the bones in the elbow joint (the only method that allows diagnosing hidden bone fractures is MRI of the radiocarpal joint and hand) ;
  • To clarify the structures injured as a result of a trauma of the radiocarpal joint and hand as well as the levels of their impairment ;
  • Abnormalities in the radiocarpal joint and hand;
  • To diagnose inflammatory and degenerative diseases of the joint;
  • Contraindications for X-ray examination methods.
  • If pathology was detected during roentgenography or computer tomography it is used to make a more exact diagnosis.
  • Carpal injuries, most often hand injuries, ligament, muscle, tendon and joint capsule breakages.
  • Steady pain in the elbow or the wrist.
  • Mass lesion of an unknown etiology near the wrist.
  • Tendon and nerve entrapment near the radiocarpal joint and hand;
  • Restriction of movements of the wrist and hand.
  • Clear signs of wrist and hand inflammation.
Depending on the need to use a contrast agent the procedure can last 10 to 25 minutes.
mitri.az Magnetic resonance imaging is a highly accurate method of diagnosing diseases in the hip joint that is very popular thanks to its high level of information content. Practice shows that analyzing a radiological image of the hip joint a qualified physician can see its structure in detail, detect existing pathologies, evaluate the course of physiological processes. During magnetic resonance examination of the hip joint several thin sections of a single three-dimensional image are taken. The physician analyzes them thoroughly, separates even the vascular tree and vessels, nerve stems, if necessary. This type of procedure is considered to be indispensable when preparing for a surgery, planning surgical stages. MRI makes it possible to analyze all anatomic elements of this area with high accuracy. This makes the method reliable for diagnosing nerve entrapment, vascular disorders, fractures and cracks of bones, not detectable by X-ray examination. In case of such a suspected pathology as hemarthrosis in the joint, magnetic resonance imaging can be performed instead of centesis. This zone has special structural peculiarities. Thus, the hip joint is the only joint in the whole organism that has a blood vessel in its structure. It is surrounded with dozens of tendons and ligaments that often become damaged when this zone is injured. MRI makes it possible to detect existing tissue impairments that cannot be detected with other diagnostics methods. Moreover, magnetic resonance imaging makes it possible to refuse invasive diagnostic methods, for example arthroscopy when a thin endoscope is inserted into the joint cavity to see its structure from the inside.
  • Pain in the hip joint and hip when there is no information about the objective reasons of pain after other examinations;
  • To clarify pathologic changes and distribution of the process when other research methods gave unclear results;
  • Suspected oncologic pathology of the hip joint and the adjacent soft tissues ;
  • Hidden traumas of the bones forming the hip joint;
  • Abnormalities in the development of the hip joint;
  • To diagnose inflammatory diseases of the hip joint;
  • Contraindications for X-ray examination methods.
In 20-30 minutes after the procedure you will receive images and a medical report. Our radiologist can give you advice based on the results of MRI. The radiologist can also recommend a specialist who will prescribe treatment.
mitri.az Magnetic resonance imaging is a highly accurate method of diagnosing diseases of the knee joint that is very popular thanks to its high level of information content. Practice shows that analyzing a radiological image of the knee joint a qualified physician can see its structure in detail, detect existing pathologies, evaluate the course of physiological processes, the state of internal knee structures (meniscus, ligaments, cartilage, joint capsule) and the consequences of injuries. The knee joint is the most complex and largest joint. It is most often injured. Statistics shows that every third person after the age of 30 experiences pain in this area. During magnetic resonance examination of the knee joint several thin sections of a single three-dimensional image are taken. This type of procedure is considered to be indispensable when preparing for a surgery, planning surgical stages. MRI makes it possible to analyze all anatomic elements of this area with high accuracy. This makes the method reliable for diagnosing nerve entrapment, vascular disorders, fractures and cracks of bones, not detectable by X-ray examination. Magnetic resonance imaging of the knee joint is an invasive medical diagnostic method that helps physicians diagnose and then treat various diseases of the knee joint.
  • Pain in the knee, weakness, hemorrhage in the tissues of the joint and around it.
  • Injury of the cartilage, meniscus, ligaments or tendons.
  • Sports traumas of the knee such as ligament tension, breakages of ligaments and tendons.
  • Bone fractures that can be invisible during roentgenography or other visualization methods.
  • Degenerative diseases of joints (ostheoarthritis).
  • Fluid accumulation in the knee joint
  • Infections (for example osteomyelitis)
  • Tumours (primary tumours and metastases) with involvement of both osseous and soft tissues
  • Sense of instability
  • Restriction of movements in the knee joint
  • Injuries of the knee cap or pain in the knee cap
  • Complications due to implanted surgical devices
  • Articular surfaces: hip condyles and upper articular surfaces of the tibia;
  • Patella;
  • Hip muscle tendons;
  • Ligaments : patellar ligament, posterior and anterior cruciate ligaments, lateral tibial and fibular ligaments;
  • Articular cartilages;
  • Articular capsule, periarticular capsules and the synovial membrane;
  • Meniscuses: internal and external.
Depending on the need to use a contrast agent the procedure can last 15 to 30 minutes. Our radiologist can give you advice based on the results of MRI. The radiologist can also recommend an orthopedic specialist or a traumatologist who will prescribe treatment.
mitri.az Magnetic resonance imaging of the ankle joint provides a high quality of visualization of the structures of this joint which helps physicians diagnose a wide range of diseases and states. Patients who feel pain in the ankle can be referred for MRI. Most often, MRI of the ankle joint is prescribed for diagnosing injuries of the bones, tendons, ligaments and cartilages of the ankle joint. MRI visualization also allows diagnosing tumours, arthritis, infections of the joint. Different tendons and ligaments in the malleolus including the Archilles tendon assure the flexibility of the joint and required range of movements. Forced movements in the ankle in an uncomfortable position, outside the typical range of movements, can lead to injuries in the tendons and ligaments of the ankle. MRI of the ankle joint makes it possible to detect both the bursting and the complete breakage of ligaments and tendons. For most injuries of ankle tendons and ligaments MRI is the most informative and reliable diagnostic method. Thinning and changing in the structure of the ankle cartilage tissue of an involutional degenerative character is also well visualized with MRI of the ankle. Ankle bones (including the astragalus and calcaneus), foot bones are well visualized with MRI of the ankle joint and help detect fractures. MRI of the ankle joint makes it possible to detect bone bruises, dislocations or osteoarthritis symptoms. Moreover, MRI of the ankle joint gives good information about the presence of tumours, blood accumulation in soft tissues around or inside the ankle joint. MRI of the ankle joint also makes it possible to evaluate the state of distal parts of the tibial or fibular tissue as well as foot muscles. Using a contrast agent allows visualizing ankle structures in more detail and determining small morphological changes.
  • Pain in the ankle joint when there is no information about the objective reasons of pain after other examinations;
  • To clarify pathologic changes and distribution of the process when other research methods gave unclear results;
  • Suspected oncologic pathology of the ankle joint;
  • Hidden traumas of the bones forming the ankle joint;
  • To clarify the structures injured as a result of a trauma of the ankle joint and foot as well as the levels of their impairment;
  • Abnormalities in the development of the ankle joint and foot;
  • To diagnose inflammatory and other diseases of the ankle joint;
  • Contraindications for X-ray examination methods.
Depending on the need to use a contrast agent the procedure can last 15 to 30 minutes. Our radiologist can give you advice based on the results of MRI. The radiologist can also recommend a traumatologist, podiatrist or oncologist who will prescribe treatment.
  • Safety. During MRI a patient is not exposed to harmful radioactive radiation; therefore the procedure is safe for health. Pregnant women, infants and even newborns can undergo this examination.
  • Painlessness. The procedure does not bring pain and discomfort.
  • Good visibility. MRI is the most accurate type of diagnostics. A magnetic resonance image shows exactly the organs, soft tissues, joints, vessels and surrounding tissues.
  • MRI examination has no adverse effects.
  • MRI examination requires no special preparation.
  • You can undergo the examination as many times as required.
  • Unlike X-ray examination, it makes it possible to analyze not only osseous tissues but also cartilages, tendons, nerves, muscles and blood vessels.
  • It makes it possible to obtain an exact image of the pathologic zone, determine its distribution to within one millimeter.
  • It does not bring any radiation doses; the number of procedures is unlimited.
  • It visualizes some types of tumours better than computer tomography.
  • It is an informative and reliable way to detect various pathologies.
If you don’t have a doctor’s appointment, it makes sense to be preliminarily examined by our physician, and this will make MRI diagnostics more effective. Your MRI examination will be focused on the required zone. Perhaps you will even save your money not performing an unnecessary examination. The procedure can determine the correct diagnose.
  • Presence of a cardiostimulator or other electronic devices;
  • Metallic fragments, metallic foreign objects near the eye pit;
  • Electronic or ferromagnetic prostheses of the middle ear;
  • Ferromagnetic Ilizarov apparatuses;
  • Large metallic internal prostheses;
  • Cerebral vessel clamps;
  • Metallic objects left in the organism after surgeries;
  • Hematopoiesis anemia (including also if a contrast agent is required);
  • Intracranial aneurysm clipped with a ferromagnetic material (nowadays non-magnetic materials are used);
  • Allergies or intolerance of the magnetic contrast agent (only when this agent is required during diagnostics).
  • Metallic nerve system stimulators;
  • Insulin pumps;
  • External pacemaker;
  • Some types of internal ear prostheses;
  • Cardiac valve prostheses;
  • Artery clamps outside cerebral vessels;
  • Pregnancy and lactation in case of using a contrast agent (a gynecologist’s opinion should be received);
  • Tattoos with metallic compounds;
  • Agitation, abnormal behaviour of the patient;
  • The state of narcotic or alcohol intoxication (in this case the patient does not always adequately evaluate and control the actions);
  • Need to continuously control vital factors;
  • Very severe pain that does not allow the patient lie motionless;
  • Metallic fragments in the organs that are not scanned, as well as metallic prostheses in any part of the organism;
  • Tattoos with metallic compounds;
  • Cardiac insufficiency at a decompensation stage, in particular, left ventricular failure, severe claustrophobia (fear of being closed-in). In this case imaging can be performed but the patient should be cast into a medication sleep.
Special preparation is required only for patients whose internal organs (urogenital and gastrointestinal tracts) will be examined: you should not eat five hours before the procedure.
Before the procedure each patient should fill in an application form that will help identify contraindications. The patient should leave all things that can cause interference with the magnetic field in the MRI operator’s room. You should pull out your pockets, take off and hand in the following things:
  • telephones, keys, belts, metallic coins;
  • all metal containing things (clothes, hair clips, jewellery);
  • electronic devices (mobile phones, cameras, players);
  • magnetic plastic cards..
You may be checked with a portable metal detector.
If the head will be examined women should take off makeup because the substances the makeup (for example eye shadows) contains can influence the result.
Then you will be suggested to change your clothes. The staff will help you lie down on the table of the tomographic scanner and fix special magnetic coils. During the MRI examination you should lie motionless and breathe evenly all the time, this will influence the quality of the image and correctness of the diagnosis.
The device is in the form of a wide tube into which the patient is placed in the horizontal position. The patient shall lie motionless, otherwise the image will not be sharp. It is not dark inside the tube, there is inlet ventilation there. The device makes an audible zoom, so the patient is offered to wear noise attenuating ear plugs.
Sometimes it is allowed that a relative or a person who accompanies the patient be present in the room where the examination is made (if this person has no contraindications and handed in all metallic things). In some cases the anesthesiologist makes abirritant injections. In this case the procedure is well tolerated, in particular it concerns patients suffering from claustrophobia, children or patients who are unable to lie motionless. The patient falls into a state of a remedial sleep and comes out of it relaxed and alert. The drugs used are quickly removed from the organism and are safe for the patient.
The results of the examination will be ready 30 minutes after the procedure. The results will be in the form of a DVD disc, medical report and images.
MRI diagnostics is most often performed without a contrast agent. However in some cases contrasting is required (for examination of vessels). In these cases the contrast agent is injected intravenously with a catheter. The procedure is similar to any intravenous injection. Special substances are used for this type of examination, they are called paramagnetic substances. They are weak magnetic substances the particles of which, when in an external magnetic field, become magnetized in parallel with the lines of the field.
  • Pregnancy and lactation (gynecologists opinion should be received);
  • Kidney failure (it is necessary to know the level of creatinine in the plasma);
  • Individual intolerance of the contrast agent detected earlier.
Depending on the type of examination, the need to use a contrast agent the procedure can last 15 minutes to 1 hour.
30-60 minutes after the procedure you will be given discs and a medical report. Our radiologist can give you advice based on the results of MRI. The radiologist can also recommend a specialist who will prescribe treatment.
It is recommended to take the results of the previous examinations: computer tomography or ultrasound examinations, other medical documentation. This will help in determining the correct diagnosis.
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