MRI of the sinuses; Magnetic resonance imaging - sinuses; Maxillary sinus MRI
MRI uses no ionizing radiation. To date, there have been no documented significant side effects of the magnetic fields and radio waves used on the human body.
The most common type of contrast (dye) used is gadolinium. It is very safe. Allergic reactions to the substance rarely occur. The person operating the machine will monitor your heart rate and breathing.
Very rarely people with kidney failure or chronic kidney disease can develop an unusual but serious reaction to the contrast (dye). If you have kidney problems it is important to tell the MRI technologist and health care provider before you get this dye.
People have been harmed in MRI machines when they did not remove metal objects from their clothes or when metal objects were left in the room by others.
Tests that may be done instead of a sinus MRI include:
A CT scan may be preferred in emergency cases, since it is faster and usually available right in the emergency room.
Note: MRI is not as effective as CT in defining the anatomy of the sinuses and therefore is not typically used for suspected acute sinusitis.
Wilkinson ID, Paley MNJ. Magnetic resonance imaging: basic principles. In: Grainger RC, Allison D, Adam, Dixon AK, eds. Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 5.
Rosenfeld RM, Andes D, Bhattacharyya N, Cheung D, Eisenberg S, Ganiats TG, et al. Clinical practice guideline: adult sinusitis. Otolaryngol Head Neck Surg. 2007;137:S1-S31.
Aygun N, Zinreich SJ. Radiology of the nasal cavity and paranasal sinuses. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2010:chap 44.
Grainger RG, Thomsen HS, Morcos SK, Koh D, Roditi G. Intravascular contrast media for radiology, CT, and MRI. In: Adam A, Dixon AK, eds. Grainger & Allison's Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 2.
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