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Portal Vein Magnetic Resonance Angiography — With and Without Intravenous Contrast

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

Uses magnetic resonance imaging to evaluate the portal vein and blood flow, sometimes comparing images before and after IV contrast.

Quick summary

["This imaging test helps assess the portal vein for narrowing, blockage, or abnormal blood flow."]

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

Key facts at a glance

LOINC
36414-1
Short code
MRA Portal v WO+W contr IV
Synonyms
MRA Portal v 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?

Portal vein magnetic resonance angiography, or MR angiography, creates detailed images of the major vein carrying blood from the intestines and spleen to the liver. The examination may include images before and after intravenous contrast is given.

Why might I need this test?

This test may be ordered to investigate suspected portal vein narrowing or blockage, unexplained portal hypertension, or blood-flow problems related to liver disease. It can also help evaluate the portal vein before certain medical procedures.

How is the test performed?

You lie on a moving table inside an MRI scanner, which uses a strong magnetic field and radio waves to create images. If contrast is used, it is injected through an intravenous line, and the scanner takes additional images as the contrast moves through the bloodstream.

How do I prepare for the test?

Follow the imaging center's instructions, because fasting or other restrictions may depend on the reason for the examination. Tell the care team if you have had an allergic reaction to MRI contrast, have kidney disease, are pregnant or breastfeeding, or have metal implants in your body.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal findings may indicate portal vein narrowing, a blood clot, reduced or altered blood flow, or pressure-related changes affecting the liver and digestive organs. Results are interpreted together with symptoms, liver function tests, and other imaging studies. A normal examination generally does not explain persistent symptoms by itself and may need further evaluation if clinical concerns remain.

Short name

Portal vein MR angiography

Frequently asked questions

Is this a blood test?
No. This is an MRI-based imaging test of the portal vein rather than a laboratory blood test.
Why are images taken with and without contrast?
Images without contrast show the anatomy naturally, while contrast-enhanced images can highlight blood vessels and the direction and speed of blood flow.
What should I do if I have had a reaction to contrast?
Notify the imaging center before the appointment. A prior contrast reaction may change how the examination is planned or whether contrast medication is used.
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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