MRI Scan Guide

Cardiac MRI: What It Shows, How It Works, and What to Expect

Overview

What is a cardiac MRI?

A cardiac MRI produces detailed images of the heart, including the chambers, valves, myocardium (heart muscle), and major blood vessels. It is considered the gold standard for evaluating cardiac structure and function.

Cardiac MRI is used to diagnose cardiomyopathy, myocarditis, heart valve disease, congenital heart defects, and to assess the extent of damage after a heart attack. It provides information that echocardiography and CT cannot, particularly regarding tissue characterization.

The scan requires ECG gating (synchronization with your heartbeat) and often involves contrast administration. It is painless and does not use ionizing radiation.

The procedure

How a cardiac MRI works

ECG leads are placed on your chest to synchronize the scan with your heartbeat. You lie on the scanner table with a cardiac coil placed over your chest. The scan acquires images at specific points in the cardiac cycle, producing both still images and cine (moving) sequences that show the heart beating. You may be asked to hold your breath for 10 to 15 seconds during certain sequences. Total scan time is approximately 45 to 60 minutes.

Diagnostic value

What a cardiac MRI detects

Cardiomyopathy (dilated, hypertrophic, restrictive)
Myocarditis (heart inflammation)
Myocardial infarction and viability
Heart valve disease
Congenital heart defects
Cardiac masses and tumours
Pericardial disease
Aortic aneurysm and dissection

Preparation

How to prepare for a cardiac MRI

Cardiac MRI vs echocardiogram

Echocardiography (ultrasound of the heart) is the first-line imaging test for most cardiac conditions. It is widely available, portable, and provides real-time images. Cardiac MRI is used when echocardiography is inconclusive or when more detailed information is needed, particularly regarding tissue characterization (identifying fibrosis, inflammation, or iron overload). The two tests are complementary.

Understanding your results

Your scan results, in plain English.

Every Mira scan comes with two reports. A medical report from a radiologist for your doctor, and a miraclarity report for you. The miraclarity report explains your cardiac MRI findings in straightforward language with visual guides, severity indicators, and recommended next steps.

No jargon. No waiting for another appointment just to understand what your scan found. miraclarity is included free with every scan.

Book your scan

Where to get a cardiac MRI

Frequently asked questions

How long does a cardiac MRI take?

A cardiac MRI typically takes 45 to 60 minutes.

Can I have a cardiac MRI with a pacemaker?

Some modern pacemakers and defibrillators are MRI-conditional, meaning they can be safely scanned under specific conditions. This must be confirmed before your appointment.

What is the difference between cardiac MRI and cardiac CT?

Cardiac CT is primarily used for coronary artery calcium scoring and CT angiography. Cardiac MRI provides superior assessment of heart muscle, valves, and tissue characterization without radiation.

Other MRI scans

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