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Pelvic MRI

Pelvic magnetic resonance imaging (MRI) is a non-invasive, radiation-free imaging exam that provides clear images of the pelvic organs, including the bladder, uterus, ovaries, prostate, and adjacent vascular and lymphatic structures. It is useful in the diagnosis of gynaecological, urological and oncological diseases.

What is a Pelvic MRI?

Pelvic magnetic resonance imaging (MRI) uses magnetic fields and radiofrequency waves to generate detailed images of the pelvic cavity. It allows precise differentiation of soft tissues, assessment of masses and characterization of lesions that are not evident on pelvic ultrasound or pelvic CT scan.

What is the price of a Pelvic MRI?

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

  • ADSE: If the pelvic 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 a pelvic 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?

In a pelvic MRI, the patient lies on their back in a coil specifically designed for the pelvic region. Sequences are acquired in different planes to obtain thin, detailed slices.

The MRI scanner is open at both ends.

In some cases, intravenous contrast may be administered to assess tumours, inflammatory lesions or vascular disease.

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

The duration varies according to the protocol, usually between 30 and 50 minutes, and may be longer if contrast is used.

pelvic MRI

What does it detect?

Pelvic MRI allows the detection, for example, of:

  • Uterine lesions such as fibroids, adenomyosis and endometrial changes;
  • Ovarian and adnexal lesions;
  • Changes in the prostate and peri-prostatic structures;
  • Diseases of the bladder and lower urinary tract;
  • Pelvic inflammatory disease and gynaecological complications;
  • Pelvic lymph nodes and metastatic changes;
  • Vascular changes, such as thrombosis or pelvic varices;
  • Among others.

In which cases is it indicated?

Pelvic MRI may be requested in situations such as:

  • Assessment of uterine or ovarian masses that are not clearly defined on ultrasound;
  • Staging of gynaecological or urological tumours;
  • Investigation of pelvic pain or bleeding;
  • Surgical planning (e.g. myomectomy, prostatectomy);
  • Assessment of endometriosis or pelvic inflammatory disease;
  • Among others.

Preparation and guidelines for a 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 Most MRI exams do not require fasting. In cases with contrast, fasting for 3 hours is usually necessary (confirmed when booking).
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 a Pelvic MRI?

A pelvic 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 a pelvic MRI take?

Between 30 and 50 minutes, and it may take longer if contrast is used.

Do I need to take any special precautions after a pelvic MRI?

No. Pelvic MRI does not require any specific care. If contrast is used, it is recommended to stay well hydrated in the following hours.

Is a pelvic MRI covered by the National Health Service (SNS)?

No. MRI exams are not covered by the SNS.

Are there any risks with a pelvic MRI? Is it dangerous?

No. A pelvic MRI 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 a pelvic MRI?

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, among 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 a pelvic MRI?

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

Do I need to fast before a pelvic MRI?

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

Is a pelvic MRI painful?

No. Pelvic MRI is completely painless.

Is a pelvic MRI performed with contrast?

It depends on the clinical situation. In many cases, pelvic MRI is performed without contrast, especially for the assessment of endometriosis or fibroids. However, contrast may be necessary for better characterisation of tumours, inflammations, or for oncologic staging. The decision is made by the radiologist, depending on the reason for the exam.