Table 3.
Comparison of Advantages and Disadvantages of CT and MRI
Variable | Head CT | MRI |
Technical | Head trauma/skull fracture | Better for most examinations |
Acute bleed | Parenchyma and | |
Calcifications | white matter lesions | |
Emergent mass effect/herniation process | Posterior fossa and brain stem | |
Emergent hydrocephalus MRI contraindications (metallic foreign bodies, claustrophobia, size/weight) | CT contraindications (generally related to radiation risks: pregnancy, children < 3 y) | |
Practical | Quick imaging time (emergencies) | Longer imaging time |
Broad availability (emergencies) | Higher cost (although becoming less costly) | |
Low cost | No radiation, safer for repeated studies |
Abbreviations: CT = computed tomography, MRI = magnetic resonance image.