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Magnetic Resonance Angiography (MRA), Aortic Arch and Descending Thoracic Aorta — With or Without IV Contrast

Published: August 9, 2026Updated: August 16, 2026

An MRI test that creates detailed images of the major arteries in the chest, sometimes with intravenous contrast, to evaluate blood flow and the aortic wall.

Quick summary

["This MRA checks the aortic arch and descending thoracic aorta for narrowing, aneurysm, dissection, and other abnormalities."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
36272-3
Short code
MRA Abd Aorta WO+W contr IV
Synonyms
MRA Abd Aorta WO+W contr IV
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
mr-angio
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

Magnetic resonance angiography, or MRA, uses magnetic fields and radio waves to produce detailed pictures of blood vessels. This examination evaluates the aortic arch and the descending thoracic aorta, which carries blood from the heart through the chest.

Why might I need this test?

A clinician may order this test to investigate suspected aortic narrowing, an aneurysm, a tear in the aortic wall, or an aortic valve problem. It may also be used to assess blood flow before and after a procedure involving the aorta.

How is the test performed?

You lie on a moving table inside an MRI scanner while images of the aorta are taken. The test may be performed with or without intravenous contrast, depending on the examination ordered. A breath-holding instruction may be given briefly while images are captured.

How do I prepare for the test?

Follow the imaging center's instructions and tell the staff about kidney disease, prior contrast reactions, claustrophobia, implanted devices, or metal in your body. If contrast will be used, you may need blood tests or a contrast allergy assessment; fasting is usually not required unless specifically requested.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

MRA of the aortic arch and descending thoracic aorta

Frequently asked questions

Is this the same as a routine MRI of the chest?
No. MRA is focused on blood vessels and uses specialized imaging sequences to show the aorta and blood flow. A routine chest MRI may show the aorta incidentally but generally does not provide the same detailed vascular evaluation.
Is intravenous contrast always used?
No. Some MRA examinations are performed without contrast, while others use an IV contrast agent to improve the visibility of blood vessels. The technologist will explain the protocol before the scan begins.
Can I have this test if I am claustrophobic?
Most facilities offer options to help with claustrophobia, such as relaxation techniques, a wider scanner, or occasionally sedation when appropriate. Tell the imaging center before your appointment so the best plan can be arranged.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy