When undergoing a brain MRI, there may be concerns regarding metal in the teeth?
Hello doctor, last week I had a brain MRI.
After I returned, I suddenly remembered that I have a fixed dental crown on my upper left tooth (with a ceramic outer layer and a metal inner layer) and another tooth on the lower right that had a cavity filled with amalgam.
I would like to ask if this will affect the imaging results.
Ban Jie Ming, 30~39 year old female. Ask Date: 2019/01/13
Dr. Wang Yifen reply Radiology
Hello, the MRI images of the oral region may be affected by the metal from dentures, resulting in image artifacts, while the rest of the brain is not significantly impacted.
Additionally, the scanning parameters of the equipment can be adjusted during the examination to improve image quality.
Therefore, it is important to accurately fill out all questions on the MRI consent form prior to the examination for the reference of the medical personnel conducting the scan.
Wishing you safety and good health.
Reply Date: 2019/01/13
More Info
When it comes to undergoing an MRI (Magnetic Resonance Imaging) scan, the presence of metal dental work, such as crowns and fillings, can raise concerns about potential interference with the imaging results. In your case, you mentioned having a fixed dental crown with a metal inner layer and a silver amalgam filling in another tooth. Let's delve into how these materials may affect your brain MRI.
MRI utilizes strong magnetic fields and radio waves to create detailed images of the body's internal structures. One of the primary concerns with metal objects in the body is that they can create artifacts or distortions in the images, which may obscure or alter the appearance of the tissues being examined. The degree of interference largely depends on the type of metal, its location, and the specific MRI sequences being used.
1. Types of Metals: Different metals have varying magnetic properties. For instance, ferromagnetic metals (like iron) can be significantly affected by the MRI's magnetic field, potentially causing movement or heating, which can be dangerous. However, most dental materials, including the metals used in crowns and fillings, are typically non-ferromagnetic. Common materials like gold, titanium, and certain alloys are considered safe for MRI.
2. Location of Dental Work: The location of your dental work in relation to the area being scanned is crucial. Since your dental work is situated in the mouth and the MRI is focused on the brain, the impact on the imaging results should be minimal. The further the metal is from the area of interest, the less likely it is to cause significant artifacts. In your case, since the dental work is not within the cranial cavity, it is unlikely to interfere with the quality of the brain images.
3. Artifacts: While dental work can create artifacts, these are often manageable. Artifacts may appear as dark or bright spots on the MRI images, but radiologists are trained to recognize these and can often differentiate between actual pathology and artifacts caused by dental materials.
4. Consultation with Radiologists: It is always advisable to inform the radiology team about any metal dental work prior to the MRI. They can take this into account when interpreting the images. If there are specific concerns regarding the materials used in your dental work, the radiologists may recommend additional imaging techniques or adjustments to the MRI protocol to minimize any potential impact.
5. Safety Considerations: Generally, dental work is considered safe for MRI scans. However, if you have any doubts or if the dental work includes materials that are less common or have not been discussed, it is prudent to consult with your dentist or the radiologist. They can provide specific insights based on the materials used in your dental work.
In conclusion, while the presence of metal dental work can potentially affect MRI imaging, in your case, it is unlikely to have a significant impact on the results of your brain MRI. The materials you mentioned are typically safe, and the distance from the area being scanned further reduces the likelihood of interference. Always ensure to communicate any concerns with your healthcare provider to ensure a safe and effective imaging process.
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