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Magnetic resonance imaging ( MRI) of the spine is a noninvasive procedure to evaluate different types of tissue, including the spinal cord, vertebral disks and spaces between the vertebrae through which the nerves travel, as well as distinguish healthy tissue from diseased tissue.
The cervical, thoracic and lumbar spine MRI should be scanned in individual sections.
The scan protocol parameter like e.g. the field of view ( FOV), slice thickness and matrix are usually different for cervical, thoracic and lumbar spine MRI, but the method
is similar. The standard views in the basic spinal MRI scan to create detailed slices (cross sections) are sagittal T1 weighted and T2 weighted images over the whole body part, and transverse (e.g. multi angle oblique) over the region of interest with different pulse sequences according to the result of the sagittal slices. Additional views or different types of pulse sequences like fat suppression, fluid attenuation inversion recovery ( FLAIR) or
diffusion weighted imaging are created dependent on the indication.
Indications:
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Neurological deficit, evidence of radiculopathy, cauda equina compression
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Primary tumors or drop metastases
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Infection/inflammatory disease, multiple sclerosis
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Postoperative evaluation of lumbar spine: disk vs. scar
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Localized back pain with no radiculopathy (leg pain)
Contrast enhanced MRI techniques delineate infections vs. malignancies, show a syrinx cavity and support to differentiate the postoperative conditions. After surgery for disk disease, significant fibrosis can occur in the spine. This scarring can mimic residual disk herniation. Magnetic resonance myelography evaluates spinal stenosis and various intervertebral discs can be imaged with multi angle oblique techniques. Cine series can be used to show true range of motion studies of parts of the spine.
Advanced open MRI devices are developed to perform positional scans in the position of pain or symptom (e.g. Upright™ MRI formerly Stand-Up MRI). | | | | | | | | | | | Further Reading: | | Basics:
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(2D TOF MRA) This form of MR angiography is based on the acquisition of multiple, short-TR, gradient echo single slice images. 2D TOF MRA is the preferred technique for visualizing slow flow, how for example it happens in veins. 2D TOF MRA consists of multiple sequentially-acquired single slices, therefore the saturation effects are minimized. | | | | | |
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(ASL) A MR image can be sensitized to the effect of inflowing blood spins if those spins are in a different magnetic state to that of the static tissue. Techniques known as ASL techniques uses this idea by magnetically labeling blood flowing into the slices of interest. Contrast agents are not required for these techniques. This perfusion measurement is completely noninvasive.
Blood flowing into the imaging slice exchanges with tissue water, altering the tissue magnetization. A perfusion-weighted image can be generated by the subtraction of an image in which inflowing spins have been labeled from an image in which spin labeling has not been performed.
Quantitative perfusion maps can be calculated if other parameters (such as tissue T1 and the efficiency of spin labeling) also are measured. | | | | • View the DATABASE results for 'Arterial Spin Labeling' (5).
| | | • View the NEWS results for 'Arterial Spin Labeling' (3).
| | | | Further Reading: | News & More:
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From Aurora Imaging Technology, Inc.;
The Aurora® 1.5T Dedicated Breast MRI System with Bilateral SpiralRODEO™ is the first and only FDA approved MRI device designed specifically for breast imaging. The Aurora System, which is already in clinical use at a growing number of leading breast care centers in the US, Europe, got in December 2006 also the approval from the State Food and Drug Administration of the People's Republic of China (SFDA).
'Some of the proprietary and distinguishing features of the Aurora System include: 1) an ellipsoid magnetic shim that provides coverage of both breasts, the chest wall and bilateral axillary lymph nodes; 2) a precision gradient coil with the high linearity required for high resolution spiral reconstruction;; 3) a patient-handling table that provides patient comfort and procedural utility; 4) a fully integrated Interventional System for MRI guided biopsy and localization; and 5) the user-friendly AuroraCAD™ computer-aided image display system designed to improve the accuracy and efficiency of diagnostic interpretations.'
Device Information and Specification
CONFIGURATION
Short bore compact
TE
From 5 ms for RODEO Plus to over 80 ms, 120 ms for T2 sequences
Around 0.02 sec for a 256x256 image, 12.4 sec for a 512 x 512 x 32 multislice set
20 - 36 cm, max. elliptical 36 x 44 cm
POWER REQUIREMENTS
150A/120V-208Y/3 Phase//60 Hz/5 Wire
| | | | • View the DATABASE results for 'Aurora® 1.5T Dedicated Breast MRI System' (2).
| | | • View the NEWS results for 'Aurora® 1.5T Dedicated Breast MRI System' (3).
| | | | Further Reading: | News & More:
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'Next generation MRI system 1.5T CHORUS developed by ISOL Technology is optimized for both clinical diagnostic imaging and for research development.
CHORUS offers the complete range of feature oriented advanced imaging techniques- for both clinical routine and research. The compact short bore magnet, the patient friendly design and the gradient technology make the innovation to new degree of perfection in magnetic resonance.'
Device Information and Specification
CLINICAL APPLICATION
Whole body
Spin Echo, Gradient Echo, Fast Spin Echo,
Inversion Recovery ( STIR, Fluid Attenuated Inversion Recovery), FLASH, FISP, PSIF, Turbo Flash ( MPRAGE ),TOF MR Angiography, Standard echo planar imaging package (SE-EPI, GE-EPI), Optional:
Advanced P.A. Imaging Package (up to 4 ch.), Advanced echo planar imaging package,
Single Shot and Diffusion Weighted EPI, IR/FLAIR EPI
STRENGTH
20 mT/m (Upto 27 mT/m)
| | | | • View the DATABASE results for 'CHORUS 1.5T™' (2).
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