1. RSNA 2012
Clinical Cases Ingenia 3.0T

2. Ingenia 3.0T
SmartBreast with the dS Breast 16ch coil
Background Information
Hospital:
• 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 2011
Patient:
• 57 year old female with a new diagnosis of Ca.
• Sample obtained by US biopsy:
“Invasive Ductal Ca, grade 3”
• MR requested to determine treatment
Case 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, USA
Description
SmartBreast allows for consistent fat suppression and image
uniformity 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, USA
2 Clinical Cases Ingenia 3.0T Clinical Cases Ingenia 3.0T 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 coil
Description • Coil can be slightly rotated relative to its base plate
Axial Dual IR sequence
dStream Knee 8ch coil designed for high resolution to ease coil setup and enhance patient comfort
Resolution 0.5 x 0.5 x 3.0 mm
visualization 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, USA
4 Clinical Cases Ingenia 3.0T Clinical Cases Ingenia 3.0T 5

4. Lumbar Spine in obese patient
Ingenia 3.0T
Background Information Lumbar Spine - dStream
Hospital: 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 3:23
Patient:
(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 meningioma
Case 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 imaging
Description:
Integrated dStream Posterior FlexCoverage coil reduces patient set Lumbar Spine - dStream
up 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, Germany
6 Clinical Cases Ingenia 3.0T Clinical Cases Ingenia 3.0T 7

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NOV 2012