When to Use a CT Scan and When to Use an MRI?

CT and MRI are wonderful techniques for a wide range of indications, and we want to make them available to as many veterinarians and their patients as possible.

In some cases, a CT scan may be the better choice, while in others, an MRI is the preferred imaging method.

The table below shows when a CT scan or an MRI is indicated.

CT

MRI

Skeleton

(Lameness)

+++

Fractures and Tumors
Corpora libera joints
LPC/LPA/OCD

+(+)

Bone edema
Microfractures
Tumors

Tendons and Muscles

(Lameness)

 +

Changes in symmetry
and size (e.g., tumors)

 ++

Edema in muscles/tendons
Tumors, tears of
muscles, tendons, and ligaments

 Nose and Sinuses

(Chronic nasal discharge)

 +++

Rhinitis, fungi, foreign bodies, tumors

 +++

Rhinitis, fungi, foreign bodies, tumors

 Brain

(Tetraparesis/tetraplegia, hemiparesis/hemiplegia, behavioral changes, epilepsy)

 ++

Acute cerebral hemorrhage, (large) tumors, head trauma

 +++

Cerebral edema; tumors, encephalitis, meningitis, hematoma, infarction, Chiari malformation/syringomyelia

Ear canals and bullae

(Deafness, balance disorders)

 ++

Polyp, tumor, otitis media

 +++

Polyp, tumor,
otitis media/PSOM

Jaws/oral cavity

(Swelling, pain)

 +++

Tumor in the gums and oral cavity, fractures, dental problems, tumor spreading to the jaw/nose

 +++

Tumor in the gums and oral cavity, fractures, dental problems, tumor spreading to the jaw/nose

Retrobulbar region

(Bulging eye)

 ++

Tumors/abscesses behind the eye

 +++

Tumors/abscesses behind the eye

Neck and Back

(Pain, paresis/paralysis)

 ++

Extradural problems (HNP), fractures, tumors, discospondylitis

 +++

Extradural and intramedullary conditions,
syringomyelia

Thorax

(Breathing problems)

 +++

Metastases in the lungs and mediastinum, hydrothorax and chylothorax, lobe torsion

 –

Too many motion artifacts

 Abdomen

(Stomach problems)

+++

Liver problems, liver metastases, tumors, kidney and urinary tract abnormalities, ectopic ureters, shunts, adrenal tumors, prostate problems, conditions that are difficult to visualize on ultrasound

 +

Retroperitoneal problems, kidney problems, tumors in the prostate and pelvic cavity

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