Limitations of the MRI Brain



  • Limited ability in imaging the skull and facial bones -- conventional X-ray or CT scan is better in demonstrating bone details.
  • Compared to CT scanning, MRI is less sensitive in demonstrating acute hemorrhage, as in subarachnoid hemorrhage and hemorrhagic infarction.
  • Hard to depict calcifications
  • MRI does not always distinguish tumor tissue from edema fluid
  • Less sensitive in detecting small abnormalities compared to CT scans (poor spatial resolution)
  • Inability to scan critically-ill patients requiring life support systems and monitoring devices that employ ferromagnetic materials.
  • May be dangerous in scanning patients with metal implants and other metal objects
  • May provoke claustrophobia
  • Longer exam time compared to CT scans
  • Safety in scanning pregnant women is not known. 

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