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Of course he can refuse to go and evenif you get him there he can refuse to get on the table and the techicians won't make him. if he moves around the scan will be worthless anyway.
So find answers to all the questions then decide if this is worth it or just a money making exercise for the hospital.
When you have these answers stop worrying about it.
Your profile states he has Alzheimers and dementia. Has he been officially diagnosed?
Is he on medication? Does he acknowledge that he has a problem? Perhaps a discussion about establishing a baseline would help him. It really depends on what he is able to understand and if he can still reason.
Tell his doctor he refuses the test and see what if anything he recommends as a next step.
Perhaps someone else has had this experience and will answer.
I've personally not felt the test made that much difference in my experience with my loved one with dementia. Each person is different.
If your husband has never had an MRI before, he might be uncertain or afraid of what it involves. Do you think that's the issue, or is he generally not accepting of what this doctor suggests?
More information on your husband's medical condition would help, i.e., if he had some level of dementia and isn't clearly understanding the issues, if he's had TIAS or a stroke, etc.