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Abdominal MRI

Abdominal magnetic resonance imaging (MRI) is a non-invasive, radiation-free imaging exam that allows detailed visualization of organs such as the liver, pancreas, kidneys, spleen, gallbladder, adrenal glands and vascular structures. It is essential for the diagnosis and staging of intra-abdominal and pelvic diseases.

What is an Abdominal MRI?

Abdominal magnetic resonance imaging (MRI) uses magnetic fields and radiofrequency waves to obtain high-resolution images of intra-abdominal organs and the pelvis. It allows precise differentiation of soft tissues and characterization of lesions that are not visible on other exams such as ultrasound, X-ray or computed tomography (CT).

What is the price of an Abdominal MRI?

The price of an abdominal MRI is 275€, when performed on a private basis. However, it can also be carried out through several agreements, including:

  • ADSE: If the abdominal MRI is performed under ADSE, the patient only pays a fee of 30;
  • IASFA, ADM GNR, SAD PSP;
  • Insurance companies: Médis, Multicare, Advance Care, Allianz, Saúde Prime, Future HealthCare, SS CGD, SAMS Quadros, SAMS, Montepio, RNA, Generali, Mudum, MGEN, Aegon, Vitória, Una Seguros, other insurers.
  • Health plans: Medicare, Saúde Prime, Future HealthCare, Continente Wells, ACP, other health plans.
  • Protocols: NRD has protocols with several clinics and institutions that allow you to undergo the exam at very competitive prices. For an abdominal MRI, the price through protocol is 220€.

The price varies depending on the healthcare system or insurance you wish to use.

Find out more about the price of MRI exams.

How is it performed?

The patient is positioned lying on their back with a coil placed over the abdomen to obtain detailed images of the area being studied. Sequences are acquired in several directions in order to obtain thin, detailed slices.

The MRI scanner is open at both ends.

Intravenous contrast (gadolinium) may be administered in situations such as the assessment of tumours, inflammation or vascular complications.

During the exam, it is essential to remain still.

During the exam, earplugs are provided to reduce the perception of scanner noise.

The duration varies according to the protocol, usually between 30 and 45 minutes, and may be longer if contrast is used.

abdominal MRI

What does it detect?

Abdominal MRI allows the detection of:

  • Benign or malignant liver lesions, such as hemangiomas and carcinomas;
  • Chronic liver disease, including cirrhosis and steatosis;
  • Changes in the biliary and pancreatic systems, such as lithiasis or tumours;
  • Renal or adrenal masses;
  • Inflammatory bowel disease (e.g. Crohn’s disease), fistulas or abscesses;
  • Lymphadenopathy, metastases or peritoneal disease;
  • Vascular changes, such as arterial thrombosis or aneurysms;
  • Among others.

In which cases is it indicated?

Abdominal MRI may be indicated in the following cases:

  • Hepatic or pancreatic lesions not fully clarified by ultrasound or CT;
  • Abdominal tumours or assessment of metastases;
  • Inflammatory bowel disease or perianal complications;
  • Preoperative assessment of abscesses or fistulas;
  • Abdominal vascular assessment (for example, aorta, renal veins);
  • Among others.

Preparation and guidelines for an Abdominal MRI

Before undergoing an MRI at NRD, please consider the following:

Topic Guidance
Exam prescription (paper copy) You must bring the exam prescription in paper form.
Fasting In cases where it is performed with contrast, fasting for about 3 hours is usually necessary (this will be confirmed when the exam is booked).
Early arrival Arrive 15 minutes before the scheduled time.
Medication You may take essential and unavoidable medication with a minimum amount of water.
Metal objects Remove all metal objects (e.g. earrings, bracelets, necklaces, piercings, hairpins, removable prostheses, etc.).
Pregnancy Inform the NRD healthcare professional if you are pregnant.
Exams / Tests / Info Bring previous imaging exams, relevant clinical information and recent laboratory tests.
Glucose monitoring implant Do not place the implant, as it will have to be removed before the exam.
Make-up Do not wear make-up, as some products may affect the exam.
Valve and/or orthopaedic prostheses If you have valve and/or orthopaedic prostheses, bring proof describing and specifying the material composition.
Hearing aids Inform us if you use a hearing aid, as it must be removed before the exam.
Dental prostheses Inform us if you use a dental prosthesis, as it must be removed before the exam. Also inform us if you have dental implants.
Orthodontic appliances Inform us if you wear orthodontic appliances. A test may be necessary to assess compatibility with MRI.
Pacemakers and implantable devices NRD does not perform MRI exams on people with pacemakers or implantable devices (e.g. cochlear implant), and it is recommended that the exam be carried out in a hospital setting.

Throughout the MRI exam, you will be continuously monitored by the NRD imaging technologist responsible for your exam. An alert system will also be at your disposal, which you can activate if needed.

You should remain still during the exam to ensure high-quality images.

The entire NRD team will be at your disposal to answer any questions that may arise.

After the exam, you can return to your usual daily activities.

When and how do you receive the results?

You will receive the MRI results within 7 days after the exam, by email or in paper form at the clinic. On the day of the exam, you will take a CD with the images with you.

Where can you have an abdominal MRI?

An abdominal MRI can be performed at NRD, at the following address:

Avenida Columbano Bordalo Pinheiro, nº 11-B, r/c, 1070 – 060 Lisbon (near Praça de Espanha)

How long does Abdominal Magnetic Resonance Imaging take?

Between 30 and 45 minutes, and it may take longer if contrast is used.

Do I need any special care after Abdominal Magnetic Resonance Imaging?

No. The exam is non-invasive and does not require special care. If contrast has been used, we recommend good hydration in the following hours.

Can Abdominal Magnetic Resonance Imaging be covered by the SNS?

No. Magnetic Resonance Imaging is not covered by the SNS.

Does Abdominal Magnetic Resonance Imaging have risks / is it dangerous?

No. Abdominal Magnetic Resonance Imaging is a simple exam, without side effects or harm to your health, since it does not use ionizing radiation. In cases where contrast is used, mild allergic reactions may occur, although they are very rare. In people with severe kidney failure, administration of contrast should be avoided.

What are the contraindications for abdominal MRI?

The powerful magnetic field used in Magnetic Resonance Imaging attracts objects that contain iron and can cause them to move with great force.

Metallic objects implanted in the body may pose a danger because they can move or heat up during Magnetic Resonance Imaging. Some conditions are often contraindications for Magnetic Resonance Imaging. Therefore, if you carry any of the following devices/materials, you should report it before having the exam:

  • Pacemakers or implanted devices: Pacemakers or cardiac defibrillators, ferromagnetic aneurysm clips, electrodes used in deep brain stimulation, cochlear implants, mechanical heart valves, among other metallic devices;
  • Metallic foreign bodies: Shrapnel or other metal objects in the body can be heated and/or moved by the magnetic field. They must therefore be evaluated to determine the risk of injury during the procedure. This includes any tiny metal fragments or splinters that may have lodged in the eye as a result of welding, grinding, or any type of accident.
  • Some types of ocular implants pose a risk of eye damage due to metallic components.

Other situations that may contraindicate performing this exam:

  • Known allergy to gadolinium (if contrast is used);
  • Severe kidney failure (in case of contrast);
  • Pregnancy;
  • Drug infusion devices may malfunction during Magnetic Resonance Imaging. The details of your specific model will determine whether and how you can safely undergo Magnetic Resonance Imaging.
  • According to the Food and Drug Administration (FDA), the US health regulatory agency, some patches and electrodes used in electrocardiograms (ECG) may cause skin burns during Magnetic Resonance Imaging.

This list does not specify in detail all possible contraindications to Magnetic Resonance Imaging. Discuss any concerns you may have before the exam with the healthcare professional who will be accompanying you.

I am pregnant. Can I have an abdominal MRI?

Generally, Magnetic Resonance Imaging is avoided in pregnant women. If it is an urgent situation (subject to clinical judgment), it is recommended only after 12 weeks.

Do I need to fast before an abdominal MRI?

Fasting is not necessary, except if contrast is used. In that case, the recommended fasting period is 3 hours.

Is an abdominal MRI painful?

No. Abdominal Magnetic Resonance Imaging is completely painless.

Is abdominal MRI performed with contrast?

Abdominal MRI is often performed with contrast. Unlike other MRIs such as knee or shoulder MRI, the abdomen contains multiple organs (liver, pancreas, kidneys, gallbladder, intestines) where contrast is essential for a complete assessment. Contrast helps to differentiate between normal and pathological tissues, assess organ vascularization, detect tumors, inflammation or infections, and characterize liver, pancreatic or kidney lesions. In some specific cases, such as the simple assessment of gallstones or some intestinal conditions, it can be performed without contrast. The doctor will determine whether your specific case does or does not require contrast based on the clinical suspicion.

Can I take my usual medications before the exam?

In most cases, yes. However, you should always confirm this with your doctor or with the clinic team, especially if you take medication for diabetes or blood-thinning medication.