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Searchterm 'Image' was also found in the following services: 
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News  (255)  Resources  (73)  Forum  (128)  
 
KeyholeInfoSheet: - Sequences - 
Intro, 
Overview, 
Types of, 
etc.
 
Keyhole imaging is used for dynamic imaging with contrast medium. The advantage is that the keyhole technique increases temporal resolution without a loss of spatial resolution by limited data acquisition. Keyhole Fourier imaging updates the low spatial frequencies of the original full, high-resolution data set. The high spatial frequency content of the image is constant in time so that its updating would be unnecessary. The high spatial frequency data is acquired from a baseline image, for example, before injection of a contrast agent.
After contrast injection, only the lower spatial frequency data is acquired because, there is no change in the tissue that is responsible for the higher frequency spatial variation in the image.
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• View the NEWS results for 'Keyhole' (1).Open this link in a new window.
 
Further Reading:
  Basics:
Optimal k-Space Sampling for Dynamic Contrast-Enhanced MRI with an Application to MR Renography
Thursday, 5 November 2009   by www.ncbi.nlm.nih.gov    
MRI Resources 
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Liver ImagingForum -
related threadsMRI Resource Directory:
 - Liver Imaging -
 
Liver imaging can be performed with sonography, computed tomography (CT) and magnetic resonance imaging (MRI). Ultrasound is, caused by the easy access, still the first-line imaging method of choice; CT and MRI are applied whenever ultrasound imaging yields vague results. Indications are the characterization of metastases and primary liver tumors e.g., benign lesions such as focal nodular hyperplasia (FNH), adenoma, hemangioma and malignant lesions (cancer) such as hepatocellular carcinomas (HCC). The decision, which medical imaging modality is more suitable, MRI or CT, is dependent on the different factors. CT is less costly and more widely available; modern multislice scanners provide high spatial resolution and short scan times but has the disadvantage of radiation exposure.
With the introduction of high performance MR systems and advanced sequences the image quality of MRI for the liver has gained substantially. Fast spin echo or single shot techniques, often combined with fat suppression, are the most common T2 weighted sequences used in liver MRI procedures. Spoiled gradient echo sequences are used as ideal T1 weighted sequences for evaluating of the liver. The repetition time (TR) can be sufficiently long to acquire enough sections covering the entire liver in one pass, and to provide good signal to noise. The TE should be the shortest in phase echo time (TE), which provides strong T1 weighting, minimizes magnetic susceptibility effects, and permits acquisition within one breath hold to cover the whole liver. A flip angle of 80° provides good T1 weighting and less of power deposition and tissue saturation than a larger flip angle that would provide comparable T1 weighting.
Liver MRI is very dependent on the administration of contrast agents, especially when detection and characterization of focal lesions are the issues. Liver MRI combined with MRCP is useful to evaluate patients with hepatic and biliary disease.
Gadolinium chelates are typical non-specific extracellular agents diffusing rapidly to the extravascular space of tissues being cleared by glomerular filtration at the kidney. These characteristics are somewhat problematic when a large organ with a huge interstitial space like the liver is imaged. These agents provide a small temporal imaging window (seconds), after which they begin to diffuse to the interstitial space not only of healthy liver cells but also of lesions, reducing the contrast gradient necessary for easy lesion detection. Dynamic MRI with multiple phases after i.v. contrast media (Gd chelates), with arterial, portal and late phase images (similar to CT) provides additional information.
An additional advantage of MRI is the availability of liver-specific contrast agents (see also Hepatobiliary Contrast Agents). Gd-EOB-DTPA (gadoxetate disodium, Gadolinium ethoxybenzyl dimeglumine, EOVIST Injection, brand name in other countries is Primovist) is a gadolinium-based MRI contrast agent approved by the FDA for the detection and characterization of known or suspected focal liver lesions.
Gd-EOB-DTPA provides dynamic phases after intravenous injection, similarly to non-specific gadolinium chelates, and distributes into the hepatocytes and bile ducts during the hepatobiliary phase. It has up to 50% hepatobiliary excretion in the normal liver.
Since ferumoxides are not eliminated by the kidney, they possess long plasmatic half-lives, allowing circulation for several minutes in the vascular space. The uptake process is dependent on the total size of the particle being quicker for larger particles with a size of the range of 150 nm (called superparamagnetic iron oxide). The smaller ones, possessing a total particle size in the order of 30 nm, are called ultrasmall superparamagnetic iron oxide particles and they suffer a slower uptake by RES cells. Intracellular contrast agents used in liver MRI are primarily targeted to the normal liver parenchyma and not to pathological cells. Currently, iron oxide based MRI contrast agents are not marketed.
Beyond contrast enhanced MRI, the detection of fatty liver disease and iron overload has clinical significance due to the potential for evolution into cirrhosis and hepatocellular carcinoma. Imaging-based liver fat quantification (see also Dixon) provides noninvasively information about fat metabolism; chemical shift imaging or T2*-weighted imaging allow the quantification of hepatic iron concentration.

See also Abdominal Imaging, Primovistâ„¢, Liver Acquisition with Volume Acquisition (LAVA), T1W High Resolution Isotropic Volume Examination (THRIVE) and Bolus Injection.

For Ultrasound Imaging (USI) see Liver Sonography at Medical-Ultrasound-Imaging.com.
 
Images, Movies, Sliders:
 Anatomic Imaging of the Liver  Open this link in a new window
      

 MRI Liver T2 TSE  Open this link in a new window
    
 
Radiology-tip.comradAbdomen CT,  Biliary Contrast Agents
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Medical-Ultrasound-Imaging.comLiver Sonography,  Vascular Ultrasound Contrast Agents
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• View the DATABASE results for 'Liver Imaging' (13).Open this link in a new window


• View the NEWS results for 'Liver Imaging' (10).Open this link in a new window.
 
Further Reading:
  Basics:
Comparison of liver scintigraphy and the liver-spleen contrast in Gd-EOB-DTPA-enhanced MRI on liver function tests
Thursday, 18 November 2021   by www.nature.com    
Liver Imaging Today
Friday, 1 February 2013   by www.healthcare.siemens.it    
Elastography: A Useful Method in Depicting Liver Hardness
Thursday, 15 April 2010   by www.sciencedaily.com    
Iron overload: accuracy of in-phase and out-of-phase MRI as a quick method to evaluate liver iron load in haematological malignancies and chronic liver disease
Friday, 1 June 2012   by www.ncbi.nlm.nih.gov    
  News & More:
Utility and impact of magnetic resonance elastography in the clinical course and management of chronic liver disease
Saturday, 20 January 2024   by www.nature.com    
Even early forms of liver disease affect heart health, Cedars-Sinai study finds
Thursday, 8 December 2022   by www.eurekalert.org    
For monitoring purposes, AI-aided MRI does what liver biopsy does with less risk, lower cost
Wednesday, 28 September 2022   by radiologybusiness.com    
Perspectum: High Liver Fat (Hepatic Steatosis) Linked to Increased Risk of Hospitalization in COVID-19 Patients With Obesity
Monday, 29 March 2021   by www.businesswire.com    
EMA's final opinion confirms restrictions on use of linear gadolinium agents in body scans
Friday, 21 July 2017   by www.ema.europa.eu    
T2-Weighted Liver MRI Using the MultiVane Technique at 3T: Comparison with Conventional T2-Weighted MRI
Friday, 16 October 2015   by www.ncbi.nlm.nih.gov    
EORTC study aims to qualify ADC as predictive imaging biomarker in preoperative regimens
Monday, 4 January 2016   by www.eurekalert.org    
MRI effectively measures hemochromatosis iron burden
Saturday, 3 October 2015   by medicalxpress.com    
Total body iron balance: Liver MRI better than biopsy
Sunday, 15 March 2015   by www.eurekalert.org    
MRI Resources 
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Lumbar Spine MRI
 
MRI of the lumbar spine, with its multiplanar 3 dimensional imaging capability, is currently the preferred modality for establishing a diagnosis. MRI scans and magnetic resonance myelography have many advantages compared with computed tomography and/or X-ray myelography in evaluating the lumbar spine. MR imaging scans large areas of the spine without ionizing radiation, is noninvasive, not affected by bone artifacts, provides vascular imaging capability, and makes use of safer contrast agents (gadolinium chelate).
Due to the high level of tissue contrast resolution, nerves and discs are clearly visible. MRI is excellent for detecting degenerative disease in the spine. Lumbar spine MRI accurately shows disc disease (prolapsed disc or slipped disc), the level at which disc disease occurs, and if a disc is compressing spinal nerves. Lumbar spine MRI depicts soft tissues, including the cauda equina, spinal cord, ligaments, epidural fat, subarachnoid space, and intervertebral discs. Loss of epidural fat on T1 weighted images, loss of cerebrospinal fluid signal around the dural sac on T2 weighted images and degenerative disc disease are common features of lumbar stenosis.

Common indications for MRI of the lumbar spine:
Neurologic deficits, evidence of radiculopathy, acute spinal cord compression (e.g., sudden bowel/bladder disturbance)
Suspected systemic disorders (primary tumors, drop metastases, osteomyelitis)
Postoperative evaluation of lumbar spine: disk vs. scar
Localized back pain with no radiculopathy (leg pain)

Lumbar spine imaging requires a special spine coil. often used whole spine array coils have the advantage that patients do not need other positioning if also upper parts of the spine should be scanned. Sagittal T1 and T2 weighted FSE sequences are the standard views. With multi angle oblique techniques individually oriented transverse images of each intervertebral disc at different angles can be obtained.

See also the related poll result: 'MRI will have replaced 50% of x-ray exams by'
 
Images, Movies, Sliders:
 Anatomic Imaging of the Lumbar Spine  Open this link in a new window
      

Courtesy of  Robert R. Edelman

 
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Further Reading:
  Basics:
Lumbar Spine Stenosis: A Common Cause of Back and Leg Pain
   by www.aafp.org    
Spine imaging after lumbar disc replacement: pitfalls and current recommendations
Tuesday, 21 July 2009   by 7thspace.com    
  News & More:
Impact of patient-reported symptom information on lumbar spine MRI Interpretation
Monday, 25 January 2021   by www.eurekalert.org    
Lumbar spine MRI reports are too difficult for patients to understand
Friday, 29 March 2019   by www.eurekalert.org    
Inappropriate Ordering of Lumbar Spine Magnetic Resonance Imaging: Are Providers Choosing Wisely? -
Tuesday, 2 February 2016   by www.ajmc.com    
How Weight-Bearing MRIs Can Improve Care & Lower Costs While Meeting Milliman Criteria
Friday, 4 October 2013   by www.beckersspine.com    
Lumbar Diskal Cyst Containing Intervertebral Disk Materials
Tuesday, 1 November 2011   by www.orthosupersite.com    
A Study of the Morphology of Lumbar Discs in Sitting and Standing Positions Using a 0.5T Open- Configuration MRI(.pdf)
2001   by cds.ismrm.org    
Searchterm 'Image' was also found in the following services: 
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Lung ImagingMRI Resource Directory:
 - Lung Imaging -
 
Lung imaging is furthermore a challenge in MRI because of the predominance of air within the lungs and associated susceptibility issues as well as low signal to noise of the inflated lung parenchyma. Cardiac and respiratory triggered or breath hold sequences allow diagnostic imaging, however a comparable image quality with computed tomography is still difficult to achieve.
Assumptions for lung MRI:
Low signal to noise ratio of the inherently low lung proton density.
Cardiac and respiratory motion artifacts.
Magnetic susceptibility effects of large magnetic field gradients.
Very short transverse relaxation times and significant diffusion yielding short T2 (30-70 msec), short T2* (1-3 msec), and additional long T1 relaxation times (1300-1500 msec).
The extreme short T2 values are responsible for a fast signal decay during a single shot readout, resulting in blurring.

The current trends in MRI are the use of new imaging technologies and increasingly powerful magnetic fields. Among these technologies are parallel imaging techniques as well as ventilation agents like hyperpolarized helium for the use as an inert inhalational contrast agent to study lung ventilation properties. With hyperpolarized gases clear images of the lungs can be obtained without using a large magnetic field (see also back projection imaging). Single shot sequences (e.g. TSE or Half Fourier Acquisition Single Shot Turbo Spin Echo HASTE) used in lung MR imaging benefits from parallel imaging techniques due to reduced relaxation time effects during the echo train and therefore reduced image blurring as well as reduced motion artifacts.
In the future, more effective contrast agents may provide an alternative solution to the need for high field MRI. Dynamic contrast enhanced MRI perfusion has demonstrated a potential in the diagnosis of pulmonary embolism or to characterize lung cancer and mediastinal tumors. 3D contrast enhanced magnetic resonance angiography of the thoracic vessel.

See also the related poll result: 'MRI will have replaced 50% of x-ray exams by'
 
Images, Movies, Sliders:
 Anatomic Imaging of the Lungs  Open this link in a new window
      

Courtesy of  Robert R. Edelman
 Normal Lung Gd Perfusion MRI  Open this link in a new window
      

Courtesy of  Robert R. Edelman

 MRI Thorax Basal Plane  Open this link in a new window
 
Radiology-tip.comradLung Scintigraphy
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• View the DATABASE results for 'Lung Imaging' (7).Open this link in a new window


• View the NEWS results for 'Lung Imaging' (3).Open this link in a new window.
 
Further Reading:
  Basics:
A safer approach for diagnostic medical imaging
Monday, 29 September 2014   by www.eurekalert.org    
Parallel Lung Imaging(.pdf)
  News & More:
Chest MRI a viable alternative to chest CT in COVID-19 pneumonia follow-up
Monday, 21 September 2020   by www.healthimaging.com    
CT Imaging Features of 2019 Novel Corona virus (2019-nCoV)
Tuesday, 4 February 2020   by pubs.rsna.org    
Polarean Imaging Phase III Trial Results Point to Potential Improvements in Lung Imaging
Wednesday, 29 January 2020   by www.diagnosticimaging.com    
Low Power MRI Helps Image Lungs, Brings Costs Down
Thursday, 10 October 2019   by www.medgadget.com    
Chest MRI Using Multivane-XD, a Novel T2-Weighted Free Breathing MR Sequence
Thursday, 11 July 2019   by www.sciencedirect.co    
Researchers Review Importance of Non-Invasive Imaging in Diagnosis and Management of PAH
Wednesday, 11 March 2015   by lungdiseasenews.com    
New MRI Approach Reveals Bronchiectasis' Key Features Within the Lung
Thursday, 13 November 2014   by lungdiseasenews.com    
MRI techniques improve pulmonary embolism detection
Monday, 19 March 2012   by medicalxpress.com    
  News & More:
Partnership with VIDA to streamline adoption of advanced MRI of the lungs
Monday, 11 September 2023   by www.itnonline.com    
MRI Resources 
Safety Products - Education pool - Service and Support - Diffusion Weighted Imaging - Breast MRI - Libraries
 
MAGNETOM Aera
 
www.healthcare.siemens.com/magnetic-resonance-imaging/0-35-to-1-5t-mri-scanner/magnetom-aera/ From Siemens Medical Systems;
Received FDA clearance in 2010.
The MAGNETOM Aera is a patient friendly, comfortable 1.5 Tesla MRI system with advanced radio frequency chain.
The system is equipped with the Tim 4G and Dot system (Total imaging matrix + Day optimizing throughput), to enhance both productivity and image quality.
Tim 4G technology provides improved SNR. The standard system configuration of 48 radio frequency channels and 204 coil elements creates an imaging matrix that allows maximum use of coil elements at full field of view. Dot provides improved image consistency through new features like auto align, auto FoV and automatic bolus detection.
Device Information and Specification
CLINICAL APPLICATION
Whole body
CONFIGURATION
Open bore
Head, spine, torso/ body coil, neurovascular, cardiac, neck, shoulder, knee, wrist, foot//ankle and multi-purpose flex coils. Peripheral vascular, breast, shoulder. Up to 60% more SNR with Tim 4G.
CHANNELS (min. / max. configuration)
48, 64
IMAGING TECHNIQUES
iPAT, mSENSE and GRAPPA (image, k-space), noncontrast angiography, plaque imaging, radial motion compensation, Dixon, improved workflow with Dot, Caipirinha - single digit breath-holds for 3-D body imaging.
MINIMUM TR
3-D GRE: 0.95 (256 matrix)
MINIMUM TE
3-D GRE: 0.22 (256 matrix), Ultra-short TE
FOV
0.5 - 50
BORE DIAMETER
or W x H
At isocenter: L-R 70 cm, A-P (with table) 55 cm
TABLE CAPACITY
250 kg
MAGNET WEIGHT (gantry included)
3121 kg
DIMENSION H*W*D (gantry included)
145 x 231 x 219 cm
5-GAUSS FRINGE FIELD
2.5 m / 4.0 m
CRYOGEN USE
Zero boil off rate, approx. 10 years
COOLING SYSTEM
Water
up to 200 T/m/s
MAX. AMPLITUDE
33 or 45 mT/m
3 linear with 20 coils, 5 nonlinear 2nd-order
POWER REQUIREMENTS
380 / 400 / 420 / 440 / 460 / 480 V, 3-phase + ground; 85 kVA
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MRI Resources 
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MRI is trending to low field magnets :
reduced costs will lead to this change 
AI will close the gap to high field 
only in remote areas 
is only temporary 
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