Talk with your doctor about your claustrophobia and ask for a sedative to help. These sedatives may make you sleepy and often people will fall asleep during the MRI. Make sure you inform the staff that you have taken a sedative so they are aware and make certain you have a driver.
When not properly accommodated during an MRI, claustrophobic patients may experience panic attacks, which can bring on increased heart rate, difficulty breathing, chills, sweating, and other distressing symptoms.
RAYUS Center Manager Desiree Rocovich says claustrophobia is common in the world of MRI. It's so common that asking questions about it is standard in the pre-appointment screening call. “Four out of ten patients that we call will mention something about claustrophobia,” Desiree estimates.
Most people who have claustrophobia are able to tolerate the MRI scan in the open, upright MRI machine. This is the structure of most MRI machines that can only perform the imaging studies with the patient lying on their back on a table that is moved into the core of the magnetic field where the images are captured.
Patients with certain conditions that may prevent them from staying still in the MRI machine, such as claustrophobia, anxiety, or any condition that causes physical pain, may qualify for an MRI with sedation. What medications are used? Propofol or Versed will be given through an I.V. to induce conscious sedation.
For patients who may experience claustrophobia during an MRI scan and require prophylaxis, the University of Wisconsin Department of Radiology suggests the use of Lorazepam (Ativan, Temesta), a short-to-intermediate duration benzodiazepine.
Counting numbers or listening to music: Counting slowly or listening to a soothing melody can help distract you and make the time pass quickly while you are in the scanner. Talk to the Technician: In most instances, you can speak to the technician throughout most of the procedure.
Oral Benzodiazepines
Many patients find that an oral benzodiazepine, such as Xanax, Ativan, or Valium, taken prior to the exam sufficiently relieves their anxiety and allows them to complete an MRI with relative ease.
The most accurate MRI system is the closed MRI scan. You lie in a tube-like, narrow space structure for the scan. Patients often report feelings of claustrophobia while being scanned in a traditional closed MRI. Being obese can make it almost impossible to undergo a closed scan.
Many MRI procedures don't require your head to go inside the machine at all, but if you need a head or upper spine MRI, you'll appreciate the fact our machine provides a full 12 inches of clearance between your face and the wall – relieving stress for our patients with claustrophobia.
MRIs show common structural abnormalities among patients with depression and anxiety. Magnetic resonance images have shown a common pattern of structural abnormalities in the brains of people with major depression disorder (MDD) and social anxiety disorder (SAD), according to a study to be presented at RSNA 2017.
An MRI scanner is a short cylinder that's open at both ends. You'll lie on a motorised bed that's moved inside the scanner. You'll enter the scanner either head first or feet first, depending on the part of your body being scanned.
Keep your eyes closed or even wear a blindfold.
It's much easier in an open MRI it's wider than a standard scanner, so patients shouldn't feel any walls touching them.
Diazepam 5 mg po, once for MRI study or Lorazepam 1mg po, once for MRI study. B. For use with adult patients who have a need for an oral sedative for a successful MRI.
An open-bore MRI machine is open on both ends and enclosed by a tube-like bore; it offers a wide opening of approximately two feet. A conventional MRI is also open on both ends but has a smaller opening.
Claustrophobia Option 1: High-Field Open MRI
RAYUS offers two alternatives to the traditional MRI. The first option is a High-Field Open MRI. Instead of a tube-like machine, this MRI has open sides and nothing pushes on your arms or shoulders.
A single scan may take a few seconds or 3 to 8 minutes. You may be asked to hold your breath during short scans. The total scan lasts 15 to 90 minutes, depending on the size of the area being scanned and how many images are needed. You'll be moved out of the scanner when your scan is over.
Traditional MRI: A traditional MRI machine is a large tube, roughly 23.5 inches in diameter that a patient lays in. Wide Bore MRI: Essentially this is the same as the traditional MRI machine, but it is a little wider—roughly 27.5 inches. The wide bore is ideal for larger patients and those who are claustrophobic.
It's important that patients remove all clothing prior to their MRI exam. We ask patients to remove: All outer clothing, including shoes. Bras or any undergarment that could have metal in it.
For most procedures, the patient goes into the MRI machine head-first, and the lower part of the body remains completely outside the machine. If you are having an MRI of your foot, knee or leg, you will go into the machine feet first, and your head and upper body will remain outside the machine.
You're surrounded by highly experienced people using state of the art equipment designed with patient safety in mind. You will not get stuck in an MRI machine, it simply doesn't happen.
Pain medications: Take your recommended pain medications at least half an hour before your MRI unless you have been otherwise instructed by your doctor. Control your breathing: Slow rhythmic breathing will calm your central nervous system and will help you better manage your pain symptoms.