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Pelvic Abdomen MRI

Abdominal and Pelvic Magnetic Resonance Imaging (or Abdominal and Pelvic MRI) aims to study all areas of the anatomical region of the abdomen and pelvis. It allows the assessment of the various intra-abdominal and pelvic organs, particularly with regard to focal or diffuse lesions of solid organs, including quantification of metabolic diseases (e.g. fatty liver), anatomical variants and congenital abnormalities, as well as dynamic/functional studies.

What is an Abdominal and Pelvic MRI?

Abdominal and pelvic magnetic resonance imaging (MRI) is an imaging exam that uses magnetic fields and radiofrequency waves to obtain detailed images of the abdominal and pelvic structures. It allows highly accurate visualisation of organs such as the liver, kidneys, bladder, uterus, ovaries, prostate, intestines and others. It is a key exam in the diagnosis of multiple conditions, especially in situations where other techniques have not been conclusive.

What is the price of an Abdominal and Pelvic MRI?

The price of an abdominal and pelvic MRI is 500€, when performed on a private basis. However, it can also be performed through several agreements, including:

  • ADSE: If the abdominal and pelvic MRI is performed under ADSE, the patient only pays a fee of 60€;
  • 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 and pelvic MRI, the price through protocol is 350€.

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 lies on their back, with the abdomen and pelvis positioned in a dedicated coil. Images are acquired in several planes and, depending on the clinical suspicion, intravenous contrast may be administered for better characterisation of masses, inflammation or vascular lesions.

The MRI scanner is open at both ends.

During the exam, it is essential to remain still. Earplugs are provided to reduce the perception of scanner noise. The duration of the exam varies between 30 and 45 minutes.

Abdominal and Pelvic MRI

What does it detect?

Abdominal and pelvic MRI allows the detection of:

  • Abdominal and pelvic tumours or cysts (liver, kidneys, bladder, ovaries, uterus, prostate);
  • Metastases and adenopathies;
  • Inflammatory or infectious lesions (e.g. inflammatory bowel disease, pyelonephritis, endometritis);
  • Changes in the uterus and ovaries (e.g. fibroids, endometriosis, cysts);
  • Prostate pathology;
  • Retroperitoneal or pelvic masses;
  • Assessment of surgical resections;
  • Among others.

In which cases is it indicated?

Abdominal and pelvic MRI is indicated for:

  • Study of abdominal or pelvic masses;
  • Assessment of primary tumours and oncological staging;
  • Investigation of persistent abdominal or pelvic pain;
  • Diagnosis and follow-up of inflammatory bowel diseases (such as Crohn’s disease);
  • Gynaecological assessment (fibroids, endometriosis, cysts);
  • Assessment of the prostate or bladder;
  • Among others.

Preparation and guidelines for an Abdominal and Pelvic 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 it done?

The 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 an MRI of the abdomen and pelvis take?

Between 30 and 45 minutes, and it may vary depending on the complexity of the exam and whether contrast is used.

Do I need to take any special precautions after an MRI of the abdomen and pelvis?

No. It is a safe exam. If contrast is used, we recommend good hydration after the exam.

Are there any risks with an MRI of the abdomen and pelvis? Is it dangerous?

No. An MRI of the abdomen and pelvis is a simple exam, without side effects or harmful effects on your health, as it does not use ionizing radiation. In cases where contrast is used, mild allergic reactions may occur, although these are very rare. In people with severe kidney failure, the administration of contrast should be avoided.

What are the contraindications for an MRI of the abdomen and pelvis?

The powerful magnetic field used in MRI attracts objects containing iron and can cause them to move with great force.

Metallic objects implanted in the body can be dangerous because they may move or heat up during the MRI. Some conditions are often considered contraindications for MRI. Therefore, if you have any of the following devices or materials, you must inform the medical team before the exam:

  • Pacemakers or implanted devices: Pacemakers or implantable cardioverter-defibrillators, ferromagnetic aneurysm clips, electrodes used in deep brain stimulation, cochlear implants, mechanical heart valves, and other metallic devices.
  • Metallic foreign bodies: Shrapnel or other metallic objects in the body may be heated and/or moved by the magnetic field. They should therefore be assessed to determine the risk of injury during the procedure. This includes any tiny metal fragments 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 this exam include:

  • Known allergy to gadolinium (if contrast is used);
  • Severe kidney failure (if contrast is used);
  • Pregnancy;
  • Drug infusion devices, which may malfunction during MRI. The details of your specific device will determine whether and how you can safely undergo MRI.
  • According to the U.S. Food & Drug Administration (FDA), some patches and electrodes used in electrocardiograms (ECG) may cause skin burns during MRI.

This list does not fully describe all possible contraindications to MRI. Discuss any concerns you may have before the exam with the healthcare professional who will be looking after you.

If I am pregnant, can I have an MRI of the abdomen and pelvis?

In general, MRI is avoided in pregnant women. In urgent situations (subject to clinical judgment), it is recommended only after 12 weeks of pregnancy.

Is an MRI of the abdomen and pelvis performed with contrast?

Yes, in most cases. Contrast helps improve the detection and characterization of lesions, especially in oncologic, inflammatory, or infectious contexts. Its administration is decided by the radiologist based on the clinical information.

Does an MRI of the abdomen and pelvis replace a CT scan?

It depends on the clinical situation. MRI is superior for evaluating soft tissues and pelvic structures, but CT may be preferred for studying bone structures or in emergency settings.