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Health

[CT vs PET vs MRI] Compare imaging techniques at a glance: what should you note when buying medical insurance?

2023-04-12 5min read
CT vs PET vs MRI 影像診斷技術比較

CT Scan, PET Scan and MRI are all commonly used imaging diagnostic techniques. In simple terms, they use images to show what is happening inside the body, helping doctors make a diagnosis. However, even when symptoms appear in the same part of the body, doctors will recommend different tests according to the patient’s clinical needs. Patients may wonder: what exactly are the differences between CT, PET and MRI? Which conditions are suitable for which technique? And how do the resulting images differ? 

Understanding CT, PET, and MRI: What are the principles behind these imaging diagnostic techniques?

CT (Computed Tomography):

  • Uses X-ray radiation to capture images of the human body from multiple angles, which are then combined by computer technology to produce cross-sectional images, enabling in-depth examination of individual organs or areas. It is commonly used to scan the head, neck, chest, abdomen and pelvis.
  • Although X-ray radiation involves exposure to radiation, according to data from the UK National Health Service (NHS), the impact of a CT scan on a patient’s health is very limited, with a patient’s future risk of developing cancer being less than one in 2,000. If not overused, the benefits of undergoing a CT examination generally outweigh the radiation risk.

PET (Positron Emission Tomography):

  • The patient needs to be injected with a radioactive isotope, after which a whole-body or localised scan is carried out. Its key feature is the ability to assess the activity level of cancer cells. In addition to cancer, a PET scan can also be used to diagnose inflammation, infection and neurological diseases.

PET-CT (Positron Emission Tomography-Computed Tomography):

  • Combining CT and PET, it can diagnose early cancerous changes more effectively, identify the source of cancer, determine the stage of cancer, and detect signs of spread or recurrence. PET-CT scans can examine most tumours, including common cancers such as lung, liver, colorectal and breast cancer.

MRI (Magnetic Resonance Imaging):

  • MRI is the only imaging diagnostic technology that does not use X-ray radiation. It uses a strong magnetic field to temporarily realign hydrogen atoms in the body, then releases signals via radio waves, which are converted by computer processing into multi-angle images.
  • Compared with other imaging diagnostic technologies, MRI is particularly effective in examining soft tissue and nervous tissue, and is commonly used to assess the brain, ligaments and joints. It can also be used to diagnose certain cancers. 

CT vs PET vs MRI: A comparison of the features of imaging diagnostic techniques

 Computed Tomography (CT)Positron Emission Tomography (PET)Magnetic Resonance Imaging (MRI)
PrincipleUses X-rays to image the inside of the body, with a computer combining the images into cross-sectional scansA radioactive isotope drug is injected, followed by a whole-body or local scanUses a strong magnetic field to cause hydrogen atoms to vibrate and release signals, which are then converted into images by a computer
Conditions targetedSports injuries, brain haemorrhage, stroke, etc.Cancer, inflammation, neurological disorders, etc.Soft tissues such as nerves and muscles, as well as tumours
Scan timeAbout 10 secondsAbout 15–20 minutesAbout 30 to 45 minutes
Advantages
  • Fast · high resolution
  • Can thoroughly examine lesions in individual organs or body parts
  • Can show the activity level of cancer cells
  • No radiation · high soft tissue resolution · can clearly show the internal tissue structure of organs and nerve pathways
Disadvantages
  • Poor soft tissue resolution
  • Some patients require an injection of contrast agent
  • Requires injection of a radioactive isotope drug
  • Slow · noisy
  • Not suitable for patients with claustrophobia
Side effects
  • Exposure to radiation, but the dose is low and will not cause serious harm to the body
  • Some patients may be allergic to the contrast agent; around 1% may experience mild reactions such as skin itching and nausea
  • As radioactive isotopes have a short half-life, the radiation they carry generally decays to near zero after about half a day, but in very rare cases the radioactive isotope drug may cause allergic reactions
  • The strong magnetic field may cause metal devices in the patient’s body to shift, or electronic devices to malfunction. The patient must first remove the device or switch it to MRI-compatible mode
Price
  • Cheapest · Charges vary depending on the scan area and whether a contrast agent is required
  • If no contrast agent is needed, a brain scan costs about HK$1,400 to HK$3,000; an abdominal scan costs about HK$2,500 to HK$6,000
  • Most expensive · Private hospitals in Hong Kong mostly offer PET-CT or PET-MRI combinations
  • A PET-CT whole-body trunk scan costs about HK$13,600 to HK$19,000
  • Moderate
  • Charges vary depending on the scan area and whether a contrast agent is required
  • If no contrast agent is needed, a brain scan costs about HK$5,000 to HK$8,300; the price for a one-sided joint scan is similar

Note: Prices are for reference only. Actual charges may vary depending on the patient’s condition, and charges may also differ between medical institutions. Please refer to the institution’s information for details.

Regardless of the imaging diagnostic technology used, scan results need to be interpreted by a specially trained doctor. At the same time, diagnosing a disease requires consideration from multiple angles, including clinical symptoms. Patients should communicate with their attending doctor to decide on the most appropriate treatment. If you would like to learn more about individual imaging diagnostic technologies and their prices, please refer to other 10Life articles: CT Scan, PET Scan, MRI.

Can medical insurance claims be made?

CT, PET and MRI are all classified as “specified diagnostic imaging tests” under VHIS. With a written referral from a attending doctor, reimbursement will be available regardless of whether these tests are carried out during a hospital stay, or at a clinic or day surgery centre. However, the insured person generally has to bear 30% of the cost, with the insurer paying the remainder.

As for other medical insurance policies that are not VHIS plans, although CT, PET and MRI are also covered, they are generally classified as “miscellaneous expenses” and subject to additional conditions, such as the test having to be carried out during hospitalisation, or the illness in question being diagnosed as a result of the examination. Before taking out a policy, in addition to noting the reimbursement limit, you should also pay attention to whether claims are calculated per injury/illness or per hospitalisation. 

If you would like a preliminary understanding of how different insurance products cover this area, you can use 10Life’s 《Insurance Decoder》to compare products’ coverage for “specified diagnostic imaging tests” and “miscellaneous expenses”.

Source: Hong Kong Integrated Oncology Centre, media reports, Hong Kong Professional Diagnostic Centre, Government VHIS website, private hospitals or medical institutions.

This English version of this article has been generated by machine translation powered by AI. It is provided solely for reference purposes. In the event of any discrepancy or inconsistency between this translation and the original Chinese version, the Chinese version shall prevail.

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10Life Editorial Team

Our team of professional content researchers focussing on insurance

10Life Logo
10Life Editorial Team

Our team of professional content researchers focussing on insurance

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