How Long Does a Head and Neck MRI Take?

Magnetic Resonance Imaging (MRI) uses a powerful magnetic field and radio waves to generate detailed cross-sectional pictures of internal structures. A head and neck MRI is typically requested to diagnose conditions affecting the brain, spinal cord, blood vessels, and soft tissues of the face and throat. Because the procedure requires the patient to remain completely still inside a narrow scanner, the duration is a common source of anxiety. The total time spent in the machine varies widely depending on the complexity of the required images.

Typical Scan Duration Breakdown

The specific area being imaged determines the baseline length of the procedure, which is the time spent inside the magnetic bore capturing images. A standard head MRI, focusing on the brain, usually requires 30 to 45 minutes of scan time. This duration allows the technologist to acquire multiple sequences needed to visualize different tissue types, such as fluid, bone, and soft matter. A standard neck MRI, targeting the cervical spine and surrounding soft tissues, also typically takes around 30 to 45 minutes.

When a physician orders a combined head and neck MRI, the scan time is additive because the machine must run two distinct imaging protocols. Patients undergoing this combined examination should expect the actual time inside the scanner to range from 60 to 90 minutes. These figures represent the baseline imaging time and do not account for any preparation or potential delays.

Factors Influencing Scan Length

The baseline duration is subject to change based on several technical and patient-specific factors.

Contrast Agents

One common addition to the scan time is the administration of a contrast agent, typically gadolinium-based, to enhance tissue visibility. If contrast is required, time must be added for the preparation and injection of the agent through an intravenous line. This step can extend the overall scan time by an extra 10 to 30 minutes, plus the time to run additional imaging sequences after the contrast has circulated.

Specialized Protocols

The specific diagnostic question dictates the number and type of imaging sequences used, which can alter the exam length. For instance, a complex study looking at blood vessels, known as Magnetic Resonance Angiography (MRA) or Venography (MRV), requires specialized, longer sequences to capture blood flow. These protocols are essential for mapping vascular anatomy or assessing for tumors, demanding more time inside the machine.

Patient Movement

Patient cooperation is a significant factor in determining the final scan duration. Any substantial movement during image acquisition will blur the image, rendering the data useless. When this occurs, the technologist must repeat the entire sequence, adding several minutes per repeated scan. For patients who struggle to remain still, sedation may be necessary, which lengthens the overall appointment due to pre-scan administration and post-scan monitoring.

Total Time Commitment for the Appointment

The total time commitment for the appointment extends well beyond the actual scan time inside the bore. Patients should plan to arrive 15 to 20 minutes before the scheduled appointment for check-in procedures. This initial period includes completing paperwork, verifying insurance, and undergoing mandatory pre-scan screening for metal implants.

The technologist will then prepare the patient, involving changing into a gown and positioning them on the imaging table. If contrast is used, the IV line is inserted before entering the scanner. After imaging, patients may wait briefly while the technologist reviews the initial images to confirm technical quality. Considering all these steps, a patient should plan for a total appointment duration of approximately 90 minutes to two hours.