MRI NECK ANGIO (TOF)

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MRI NECK ANGIO (TOF) Image

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NABH Accredited

Reports in

6hrs

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About The Test

  • Full form: Magnetic Resonance Imaging Neck Angiography – Time-of-Flight
  • Principle: Uses powerful magnets and radio waves (no X-rays) to detect blood flow in carotid and vertebral arteries.
  • Output: High-resolution 3-D images that reveal narrowing, blockages, or abnormal vessels.

List of Parameters

  • Vessel diameter at multiple levels
  • Peak systolic velocity (indirect sign of stenosis)
  • Signal voids that suggest turbulent flow
  • Plaque type (calcified vs. soft)
  • Aneurysm neck & dome dimensions

Why This Test

  • Evaluate dizziness or syncope of unknown origin
  • Check for carotid artery stenosis before cardiac surgery
  • Investigate pulsatile neck mass
  • Plan neuro-interventional procedures (coiling, stenting)
  • Monitor post-surgery vessel patency

When to Take Test

Benefits

Benefits of Taking the Test

  • Zero radiation – safe for children & pregnant women (after 1st trimester)
  • 10–15 minute scan time with Cadabams’ 1.5T & 3T MRI systems
  • Day-zero digital reports via secure email & app
  • Sub-millimetre resolution spots early plaques missed on ultrasound
  • One-stop booking – choose slot, upload prescription, pay online

Illnesses Diagnosed with MRI Neck Angio (TOF)

Condition What the Scan Shows
Carotid stenosis % narrowing, plaque character
Vertebral artery dissection Intimal flap & false lumen
Aneurysm Sac size, neck width, relation to parent vessel
Arteriovenous malformation (AVM) Tangle of flow voids
Takayasu arteritis Long-segment wall thickening

Preparing for test

Pre-requisites

  • Fasting: Not required for plain TOF; 4-hour fast if contrast is added.
  • Clothing: Wear metal-free attire or change into provided gown.
  • Previous films: Bring old scans/CD for comparison.

Best Time to Take the MRI Neck Angio (TOF)

  • Morning slots reduce waiting time.
  • Post-symptom onset within 48 hours yields clearer flow data.

Eligibility

  • Adults & children above 5 years.
  • Pregnant women after risk-benefit discussion with radiologist.

Procedure for Taking an MRI Neck Angio (TOF)

  1. Check-in at Cadabams Diagnostics reception.
  2. Screening form for implants and allergies.
  3. Positioning – lie supine, head in neck coil.
  4. Scan – loud tapping sounds; earplugs provided.
  5. Review – preliminary images shown on console; repeat sequences if needed.
  6. Exit – collect token for online report link within 3 hours.

Caution Before Taking the Test

  • Remove jewellery, credit cards, hearing aids.
  • Inform staff if you have tattoos with metallic ink.
  • Sedation – arrive 30 minutes early if prescribed.

Test Results

Results and Interpretations

Finding / ObservationDescription General Interpretation / Significance
Normal flow voidUniform black tubular lumenNo stenosis
>70 % stenosisReduced lumen diameter & post-stenotic flow jetHigh stroke risk; refer to vascular surgeon
Wall irregularityFocal thickening or ulcerationEarly atherosclerosis; lifestyle + statins
Aneurysm ≥5 mmSaccular outpouchingNeuro-intervention planning
Dissection flapLinear low-signal band splitting lumenStart antiplatelet; repeat scan in 3–6 months
Flow AbnormalitiesAltered flow patterns, such as slow, dampened, or turbulent flow, seen on Doppler or MRA sequences.May indicate upstream narrowing, downstream obstruction, or abnormal vessel structure. Further evaluation may be required.
Vessel Tortuosity / KinkingExcessive curving or sharp bends in arterial paths.Commonly benign and age-related, but significant distortion may influence blood flow or complicate procedures (e.g., catheterization)
Congenital Vascular AnomalyUnusual vessel origin or branching pattern (e.g., aberrant vertebral artery course).Often an incidental finding. May be relevant if associated with symptoms or procedural planning.

Risks & Limitations

Risk / Limitation How Cadabams Manages It
Claustrophobia Open-bore & wide-bore MRI machines, mild sedation on request
Metal implants / pacemakers Detailed screening checklist before booking
Gadolinium allergy TOF sequence is contrast-free; if contrast is added, pre-medication available
Motion artefacts Head-immobiliser cushion & real-time coaching

FAQs

Is MRI Neck Angio (TOF) painful?

No. You simply lie still; there are no needles unless optional contrast is used.

How soon can I drive after the scan?

Immediately, unless you received sedation – then wait 2 hours and bring an escort.

Can I eat or drink before the test?

Yes, for plain TOF. Follow fasting instructions if contrast is added.

Will the scan detect a mini-stroke (TIA)?

It shows vessel changes that may have caused TIA, enabling preventive treatment.

Do I need an injection of contrast dye for an MRI Neck Angio (TOF)?

Typically, no. The Time-of-Flight (TOF) technique is specifically designed to visualize flowing blood without the need for an intravenous contrast agent (dye). This makes it a form of Non-contrast MRI angiography of neck. In some specific situations, if the TOF MRA is inconclusive or more detail is needed, your doctor might recommend a follow-up scan that does use contrast, but this is not standard for the initial TOF MRA.

What happens if an abnormality is found on my scan?

If your MRI Neck Angio (TOF) reveals any abnormalities, your referring doctor will discuss these findings with you in detail. They will explain what the findings mean for your specific health situation and recommend the most appropriate course of action, which could include further monitoring, lifestyle modifications, medication, or other treatments.

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