Mr ingenia clinical_cases_brochure_rsna_2012_v_final_7__30_oct_12 - copia

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Mr ingenia clinical_cases_brochure_rsna_2012_v_final_7__30_oct_12 - copia

  1. 1. RSNA 2012Clinical Cases Ingenia 3.0T
  2. 2. Ingenia 3.0T SmartBreast with the dS Breast 16ch coilBackground InformationHospital:• Wellstar Health System, Marietta, USA SmartBreast – dStream Breast 16ch coil• Group of five hospitals and seven imaging centers Axial T2w 3D TSE (VISTA) and T1w 3D TFE, Resolution 0.8 x 0.8 x 2.0 mm (VISTA) and 0.6 x 0.6 x 2.0 mm (T1w),• Philips Achieva 1.5T & 3.0T, Panorama Scan time 1:30 min (VISTA) and 1:22 min (T1w), Courtesy: Wellstar Health System, Marietta, USA HFO and Ingenia 3.0T• 1000 Breast MR exams a year, 130 Breast MR biopsies• Referred primarily from breast surgeons in the area• New Women’s Center opened in fall 2011Patient:• 57 year old female with a new diagnosis of Ca.• Sample obtained by US biopsy: “Invasive Ductal Ca, grade 3”• MR requested to determine treatmentCase Highlights• 70 cm bore to support patient comfort• dStream Breast 16ch coil designed for high spatial and temporal resolution with coverage deep into the axillae region• SmartBreast for consistent fat suppression due to unique patient-adaptive shimming method• MultiTransmit adapts the RF transmission signals SmartBreast – dStream Breast 16ch coil to the size and shape of each individual patient Axial T2w TSE with SPAIR and Diffusion (b800), Resolution 1.0 x 1.15 x 2.0 mm (T2w) and 2.2 x 2.2 x 1.8 mm (DWI), Scan time 6:52 min (T2w) and 4:13 min (DWI), Courtesy: Wellstar Health System, Marietta, USADescriptionSmartBreast allows for consistent fat suppression and imageuniformity due to unique patient-adaptive shimming methods SmartBreast – dStream Breast 16ch coil Dynamic axial eTHRIVE Resolution 0.8 x 0.8 x 2.0 mm. Scan time 1:22 min per dynamic SmartBreast – dStream Breast 16ch coil Courtesy: Wellstar Health System, Marietta, USA Dynamic axial eTHRIVE, Resolution 0.8 x 0.8 x 2.0 mm. Scan time 1:22 min per dynamic, Courtesy: Wellstar Health System, Marietta, USA2 Clinical Cases Ingenia 3.0T Clinical Cases Ingenia 3.0T 3
  3. 3. High Resolution Knee imaging with Cartilage Assessment Ingenia 3.0T Background Information Hospital: High Resolution Imaging • Palo Alto Medical Foundation, California, USA – dStream Knee 8ch coil • Pioneer in the multispecialty group practice of medicine Coronal T1w TSE and • Provides Healthcare services in 4 California counties Sagittal PDw aTSE including Alameda, San Mateo, Santa Clara and Santa Cruz Resolution 0.26 x 0.39 x • Sports Medicine is one of the hospitals specializations 2.0 mm (T1w) and 0.19 x • Average time planned for patients is 45 minutes 0.30 x 2.0 mm (PDw) Scan time 4:23 min (T1w) Patient: and 5:24 min (PDw) • Middle aged board surfer presents with chronic knee pain Courtesy: Palo Alto Medical • X-Ray shows no abnormalities Foundation, California, USA • Follow-up MR examination requested Case Highlights • dStream Knee 8ch coil is designed for high resolution visualization of fine cartilage structures and small ligaments Comprehensive Knee Imaging • Coil conforms to the anatomy for optimal signal-to-noise ratio – dStream Knee 8ch coilDescription • Coil can be slightly rotated relative to its base plate Axial Dual IR sequencedStream Knee 8ch coil designed for high resolution to ease coil setup and enhance patient comfort Resolution 0.5 x 0.5 x 3.0 mmvisualization of fine cartilage structures and small ligaments • Split coil design and single handle for easy coil setup Scan time 4:28 min Courtesy: Palo Alto Medical Foundation, California, USA Comprehensive Knee Imaging – dStream Knee 8ch coil Axial T2 calculation sequence (multi-echo SE) Resolution 0.4 x 0.5 x 2.5 mm Scan time 5:24 min Courtesy: Palo Alto Medical Foundation, California, USA Homogeneous fat suppression – dStream Knee 8ch coil Axial, Coronal and Sagittal PDw aTSE with SPAIR fat suppression, Resolution 0.24 x 0.34 x 2.0 mm, Scan time 4:44 min (axial and sagittal), 5:15 min (coronal) Courtesy: Palo Alto Medical Foundation, California, USA4 Clinical Cases Ingenia 3.0T Clinical Cases Ingenia 3.0T 5
  4. 4. Lumbar Spine in obese patient Ingenia 3.0TBackground Information Lumbar Spine - dStreamHospital: Posterior FlexCoverage coil• Krankenhaus der Barmherzigen Brüder, Trier Germany Sagittal T2w TSE and T1w• One of the largest hospitals within its region TSE pre and post Gd with 612 beds and 15 clinical specialties Resolution 0.8 x 1.0 x 4.0 mm. Scan time 3:23Patient: (T2w) and 2:19 (T1w)• 32- year old male patient, 180 kg, with back pain Courtesy: Krankenhaus• Was first examined on CT but quality der Barmherzigen Brüder, was not sufficient for diagnosis Trier, Germany• MRI gave excellent images. Diagnosis: small protrusion of the disc L5/S1, no meningiomaCase Highlights• 70 cm bore for increased patient comfort and easy positioning• Homogeneous signal intensity over the entire field of view• Integrated dStream Posterior FlexCoverage coil reduces patient set up time and provides high SNR and large signal penetration depth• MultiTransmit adapts the RF signals to each patient leading to superb image uniformity and faster imagingDescription:Integrated dStream Posterior FlexCoverage coil reduces patient set Lumbar Spine - dStreamup time and provides high SNR and large signal penetration depth Posterior FlexCoverage coil Coronal STIR, radial M2D myelo, axial T2w and T1w TSE Resolution 0.9 x 1.3 x 4.0 mm (STIR), 0.5 x 1.6 x 40.0 mm (myelo), 0.7 x 0.8 x 4.0 mm (axials). Scan time 3:23 (STIR), 2:40 (myelo), 3:21 (axial T2w TSE) and 5:09 (axial T1w TSE) Courtesy: Krankenhaus der Barmherzigen Brüder, Trier, Germany Lumbar Spine - dStream Posterior FlexCoverage coil Comparison between CT image and MR images Courtesy: Krankenhaus der Barmherzigen Brüder, Trier, Germany6 Clinical Cases Ingenia 3.0T Clinical Cases Ingenia 3.0T 7
  5. 5. Imaging 2.0 – Transforming care, Philips Healthcare is partof together. Royal Philips Electronics At Philips, we recognize that radiology is the How to reach us cornerstone of diagnosis and treatment. www.philips.com/healthcare healthcare@philips.com And that clinical integration and collaboration are key to more personal care, Asia better patient outcomes, and lower costs. +49 7031 463 2254 Imaging 2.0 signals our endless quest to raise Europe, Middle East, Africa the bar on clinical excellence – by working +49 7031 463 2254 with you to develop innovations that enable you to collaborate freely, diagnose Latin America confidently, and care passionately. +55 11 2125 0744 Together, we will continue to spark a North America revolution in imaging science with advanced +1 425 487 7000 technologies designed to deliver greater 800 285 5585 (toll free, US only) collaboration and integration, increased patient focus, and improved economic value. Learn more at www.philips.com/imaging2.0Please visit www.philips.com/mri © 2012 Koninklijke Philips Electronics N.V. All rights are reserved. Philips Healthcare reserves the right to make changes in specifications and/or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication. Printed in The Netherlands. NOV 2012

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