72141 Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material

Name of the Procedure:

Magnetic Resonance Imaging (MRI) of the Cervical Spine without Contrast

Summary

An MRI of the cervical spine is a non-invasive imaging test that uses magnetic fields and radio waves to take detailed pictures of the spine and its surrounding tissues. This specific procedure does not use contrast material.

Purpose

This MRI scan helps diagnose conditions affecting the cervical spine (the neck region) such as herniated discs, spinal tumors, spinal cord injuries, and multiple sclerosis. The goal is to accurately detect abnormalities and guide treatment decisions.

Indications

• Neck pain that persists or worsens
• Suspected spinal cord injury or compression
• Unexplained numbness or weakness in arms or legs
• Symptoms of multiple sclerosis or other neurological disorders
• Follow-up on previously diagnosed cervical spine conditions

Preparation

• Remove all metal objects (e.g., jewelry, dentures)
• Inform the technologist of any implants or devices (e.g., pacemaker)
• Wear a hospital gown if required
• No fasting or medication adjustments generally needed

Procedure Description

1. Patient lies on an MRI table that slides into the MRI machine.
2. The technologist places cushioning for comfort and positions the patient’s neck and head.
3. The machine generates strong magnetic fields and radio waves to capture images.
4. The patient must stay still and may need to hold their breath for short periods.
5. Earplugs or headphones can be used to muffle the loud noises from the machine.

Duration

Typically lasts 30-60 minutes.

Setting

Performed in a hospital radiology department or an outpatient imaging center.

Personnel

• Radiologist
• MRI technologist
• Support staff (e.g., nurses, if necessary)

Risks and Complications

• Generally very safe, as it uses no radiation
• Rare risk of claustrophobia or discomfort from lying still
• Possible interactions with metal implants or devices

Benefits

• Provides highly detailed images of the cervical spine
• Helps in accurate diagnosis and effective treatment planning
• Non-invasive and painless

Recovery

• No downtime; patients can usually resume normal activities immediately
• Follow any specific post-procedure instructions from the healthcare provider
• Schedule follow-up with the ordering physician to discuss results

Alternatives

• CT Scan: Less detailed than MRI but faster; uses radiation
• X-Ray: Good for viewing bones but limited in soft tissue detail

• Electromyography (EMG) or nerve conduction studies: Assesses nerve and muscle function

  Patient Experience

• The machine's noise may be loud, but ear protection is provided.
• Patients must remain still during the scan to ensure clear images.
• Mild discomfort from remaining still or lying on the hard table may occur.
• Inform the technologist if experiencing anxiety or discomfort; they can provide assistance.