Renal cell carcinoma
Magnetic Resonance Imaging (MRI) scans provide an image of the soft tissues in the body using radio waves and strong magnets. MRI can be used instead of CT if the patient exhibits an allergy to the contrast media administered for the test. Sometimes prior to the MRI scan, an intravenous injection of a contrasting material called gadolinium is given to allow for a more detailed image. Patients on dialysis or those who have renal insufficiency should avoid this contrasting material as it may induce a rare, yet severe, side effect known as nephrogenic systemic fibrosis. A bone scan or brain imaging is not routinely performed unless signs or symptoms suggest potential metastatic involvement of these areas.
MRI scans should also be considered to evaluate tumour extension which has grown in major blood vessels, including the vena cava, in the abdomen. MRI can be used to observe the possible spread of cancer to the brain or spinal cord should the patient present symptoms that suggest this might be the case.
Safety of magnetic resonance imaging
There is no proven risk of biological harm from any aspect of a MRI scan, including very powerful static magnetic fields, gradient magnetic fields, or radio frequency waves. Some studies have suggested possible genotoxic (i.e., potentially carcinogenic) effects of MRI scanning through micronuclei induction and DNA double strand breaks in vivo and in vitro, however, in most, if not all cases, others have not been able to repeat or validate the results of these studies, and the majority of research shows no genotoxic, or otherwise harmful, effects caused by any part of MRI. A recent study confirmed that MRI at some of the most potentially-risky parameters tested to date (7-tesla static magnetic field, 70 mT/m gradient magnetic field, and maximum strength radio frequency waves), did not cause any DNA damage in vitro.