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MRI of the Pelvis/Endorectal Region with Intravenous Contrast

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

An MRI uses magnetic imaging and intravenous contrast to examine the pelvis, rectum, and nearby tissues for disease or structural abnormalities.

Quick summary

["This scan provides detailed images of the pelvic and rectal region and may help diagnose or stage several conditions."]

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

Key facts at a glance

LOINC
80585-3
Short code
MR Pelvis Endorectal W contr IV
Synonyms
MR Pelvis Endorectal 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
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?

This is an MRI scan of the pelvis and endorectal region performed with intravenous contrast, usually a gadolinium-based dye. It produces detailed images of the rectum, pelvic organs, and surrounding tissues without using radiation.

Why might I need this test?

The test may be used to investigate rectal or pelvic symptoms, evaluate a suspicious mass, assess inflammation or infection, and determine the extent of a known condition. It can also help guide treatment planning and, in some cases, assess whether a tumor can be treated with surgery.

How is the test performed?

You will lie on a table that moves into the MRI scanner. The imaging team may use an endorectal coil or another internal marker, depending on the protocol, and will give intravenous contrast through a vein in your arm. The scan usually takes 30 to 60 minutes, although the exact time varies.

How do I prepare for the test?

Follow the facility's instructions about eating, drinking, and bowel preparation. Tell the imaging team if you have metal implants, a pacemaker, prior contrast reactions, kidney disease, or may be pregnant. You may need to change into a gown and may be asked to empty your bowel before the scan.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal findings may indicate a rectal or pelvic tumor, inflammation, infection, an abscess, or another structural problem. MRI can show the location and extent of disease and may help determine whether a tumor has spread into nearby tissues. A radiologist will interpret the images, and your clinician will explain the findings in the context of your symptoms and other tests.

Short name

Pelvic/endorectal MRI with IV contrast

Frequently asked questions

Does this MRI use radiation?
No. MRI uses a strong magnetic field and radio waves to create images, so it does not expose you to ionizing radiation.
What is the contrast material used for the scan?
The intravenous contrast is usually a gadolinium-based agent that helps highlight tissues, blood vessels, and certain areas of disease. The imaging team will confirm any relevant allergies or kidney concerns before giving it.
Will the endorectal part of the scan be uncomfortable?
The endorectal coil or marker may feel uncomfortable, but it is placed gently and is usually well tolerated. Tell the imaging team if you have pain, bleeding, or a condition that could make the procedure unsafe.
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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