MRI Arthrography
MRI arthrography is an imaging study designed to diagnose problems within a joint (i.e., shoulder, hip, wrist) with the aid of a contrast agent called gadolinium. When this contrast agent is introduced into the joint, it enhances the visualization of joint structures and improves MRI evaluation of joint abnormalities.

The radiologist will position a thin needle by means of a fluoroscope connected to a television monitor, then inject the contrast into the joint. X-rays will be taken. The injection portion of the exam takes approximately 10-20 minutes.

The second stage of the exam involves imaging of the joint. You will be placed in the MRI scanner for a series of images through the contrast-enhanced anatomy. It is important to remain motionless so that small details within the anatomy can be captured. The imaging portion of the exam takes approximately 30 minutes.

For specific instructions/restriction on exam preparation, please refer to our Patient Prep Instructions.

Frequently Asked Questions:

Q: Are there any preparations/restrictions?
A: A technologist will contact you 24-48 hours prior to the examination to review any medications you may be taking and to discuss known allergies to foods or medications. Stop taking any blood thinners 48 hours prior to the procedure. Liquids and/or a light snack are recommended prior to the injection.

Q: Is the procedure painful?
A: During the injection of the gadolinium, you may feel some slight pressure or discomfort as the joint is distended. The sensation is temporary and will pass within 4-6 hours after the procedure. Some soreness may also be present at the injection site for up to 24 hours.

Q: Are there any side effects?
A: Possible side effects of the steroid medications include facial flushing, insomnia, and occasional low grade fever. These side effects are bothersome in only about 5% of patients and commonly disappear within 1-3 days after the injection.

Q: How soon may I resume normal activities?
A: You may resume regular activities immediately after the procedure. The radiologist will recommend, however, that you limit strenuous or "stress-bearing" activities on the affected joint for 24 hours following the procedure.

Q: Is it necessary for me to have a driver?
A: Yes, if the arthrogram was performed on either ankle. For all other arthrograms, no driver is required.