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Diagnostic brain scans
Scans provide a detailed 3D image of the brain by taking multiple pictures of the inside of your head.
Scans are used during diagnosis or motitoring your tumour during and after treatment. They allow doctors to see whether there is a tumour and, if there is, its size and position.
What is a scan?
There are various types of scan that can produce a 3D image of the inside of your head, including your brain.
The two types of scan that are most commonly used are:
CT scans
CT stands for Computerised Tomography. You may also sometimes hear doctors referring to CT scans as CAT scans - these are the same thing.
CT scanners use x-rays to take several cross-sectional pictures through your head, then use a computer to stack these 2D picture 'slices' into a 3D image.
MRI scans
Magnetic Resonance Imaging, or MRI, uses magnetic fields, rather than x-rays. MRI scanners take pictures from several angles around your head, then build these into a 3D image.
What other types of scan might I have?
There are some other types of scan that may be used to diagnose a brain tumour, or to find out more about a diagnosed tumour. These include:
- PET (Positron Emission Tomography) scans
- SPECT (Single Photon Emission Computerised Tomography) scans
- fMRI (functional MRI scan)
- specialised MRI scans.
Take action to manage scanxiety
Waiting to have a scan or for the results can be an anxious time. Use BRIAN’s quality-of-life tracker to record how you’re feeling each day, so you can work out when you start getting anxious and try coping techniques or get support before it happens.
BRIAN is our trusted online app where you can track your experience, compare it with others who’ve been there and get the knowledge you need to make informed decisions.
Before your scan
You’ll need to take off anything metal, e.g. glasses, earrings, hairclips, that may interfere with the scan. Fillings in your teeth and braces are fine, but tell your radiographer about them.
If you’re having an MRI scan, you’ll be asked if you have:
- a pacemaker
- any implants, such as a programmable shunt, infusion pump or skull section
- ever worked in the steel or metal industries, as small metal fragments could be lodged in your body.
If you have, then an MRI may not be suitable for you, as it uses magnetic fields to take images. Your radiographer will be able to tell you more.
For both types of scan, you may be given a fluid called a contrast medium. Usually given via an injection (but sometimes as a drink), it helps to get a clearer image from the scan.
Depending on which contrast medium is used, it may make you feel warm all over, though some people feel cold. Or you may think that you’re passing urine, but you’re not.
Scanxiety
For some people, the thought of having a scan can cause fear and anxiety – either about:
- being in the scanner (I get claustrophobic. What’s it going to be like?)
- waiting for the results (Has the tumour grown or returned?)
These feelings are often called ‘scanxiety’ (scan anxiety).
During the scan
The procedure for both CT and MRI scans is very similar.
You’ll lie, usually on your back, on the motorised flat bed that’s part of the scanner. The bed can move in and out of the scanner.
- the CT scanner is shaped like a doughnut or ring, with a round hole in the middle– this is where your head will go
- the MRI scanner is more cylindrical, like a short tube, and your head and shoulders will lie within it.
You’ll probably be given headphones, particularly for an MRI scan. You can usually take music to play through the headphones.
If you tend to get claustrophobic, it’s a good idea to let staff know before the day of your scan. You can have a friend or relative with you if you’re nervous. Or the staff may be able to give you a sedative to calm you.
Once the staff have got you in the right position, they’ll leave the room, but will be nearby. They can see, hear and talk to you, and you can hear and talk to them. They’ll tell you what will happen.
During the scan, you need to lie very still, so you shouldn’t talk while the actual scan is happening. You may be given a button to hold, which you can press if you need to stop the scan for any reason. But this will mean the scan has to start from the beginning again.
You can breathe normally during the scan.
The scan isn’t painful, nor will the scanner touch you. But, during the scan, you’ll hear noises from the scanner when it’s taking pictures:
- for a CT scan, this will be soft humming and clicks
- for an MRI scan, this will be very loud banging and clanging noises.
After the scan
After the scan, you’ll usually be allowed to go straight home. If you’ve needed a sedative to calm you, the hospital staff will first check that it’s safe for you to leave. You should arrange for a friend or relative to accompany you and take you home afterwards.
You should be told when you’ll get your test results.
Frequently asked questions
Neither scan is better than the other. It’s more a question of which scan is best suited to meet the needs of the person with a brain tumour.
MRI scans and CT scans are similar. Both build up detailed images of the brain. However, there are a few differences:
- MRI scans don’t use radiation to produce the images.
(CT scans use x-rays [radiation], while MRI scans use magnetic fields [non-radiation].) - MRI scans usually give more detailed images than CT scans.
- CT scans are quicker and quieter than MRI scans, and people tend to find them less claustrophobic.
- CT scans can be used when there is metal in the body that cannot be removed.
Your whole appointment will take quite a bit longer than the scan itself, as time will be spent getting you into the right position in the scanner.
For MRI scans, time will also be spent explaining the scan and going through the safety questionnaire with you.
For the scan itself:
- CT scan - 5-10 minutes (though the newest CT scanners take about 1 minute to scan the whole brain)
- MRI scan - 15-90 minutes (depending on the size of the area being scanned and how many images are taken).
Though CT scans use radiation, it’s kept at a very low dose and they’re only used when they’re considered necessary, with the benefits outweighing the risks.
MRI scans are completely safe. There are no risks associated with them and they don’t expose your brain to radiation. However, they aren’t suitable for some people who have metal in their body (for example, skull plates).
Very rarely, the contrast medium can affect the kidneys, particularly if your kidneys aren’t working properly. So it’s important to tell you medical team if you have any kidney problems.