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MRI Resources 
Shielding - Crystallography - RIS - Jobs - Fluorescence - MRI Accidents
 
MAGNETOM Symphony™InfoSheet: - Devices -
Intro, 
Types of Magnets, 
Overview, 
etc.MRI Resource Directory:
 - Devices -
 
www.med.siemens.com/med/d/gg/mr/products/symphony1.html From Siemens Medical Systems;
with the introduction of this system, it is possible to perform contrast MR angiography for abdominal, thoracic and neck vessels from the origins to the circle of Willis. The system also has many newer features including functional imaging, spectroscopy, advanced body, ortho- and neuroimaging.
Device Information and Specification
CLINICAL APPLICATION
Whole body
CONFIGURATION
Compact
Yes/SVS or CSI opt.
SYNCHRONIZATION
ECG/peripheral, respiratory gating
PULSE SEQUENCES
GRE, IR, FIR, STIR, TrueIR/FISP, FSE, FLAIR, MT, SS-FSE, MT-SE, MTC, MSE, EPI, GMR, fat/water sat./exc.
IMAGING MODES
Single, multislice, volume study, multi angle, multi oblique
TR
2.4 msec std.; 2.0 opt.; 1.8 w/30 mT/m at 256matrix
TE
1.1 msec std.; 0.9 opt.; 0.78 w/30 mT/m at 256matrix
SINGLE/MULTI SLICE
178 images/sec at 256 x 256 at 100% FOV
0.5 cm - 50 cm
Min 2D/3D: 0.1/0.05 mm
1024 x 1024 full screen display
MEASURING MATRIX
64 x 64 to 1024 x 1024
PIXEL INTENSITY
21 micrometer in plane, 11 micrometer optional
60 cm
MAGNET WEIGHT
4050kg, 5500kg in operation
H*W*D
236 x 215 x 160 cm w/covers
POWER REQUIREMENTS
380/400/420/440/480 V
COOLING SYSTEM TYPE
Single cryogen, 2 stage refrig.
Liquid He
STRENGTH
20/35 mT/m standard, 30/52 opt.
5-GAUSS FRINGE FIELD
2.5 m / 4.0 m
Passive, act.; 1st order std./2nd opt.
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• Related Searches:
    • MRI Equipment
    • Hardware
    • Device
    • Open MRI
    • Low Field MRI
 
Further Reading:
  Basics:
Symphony Brochure(.pdf)
MRI Resources 
Abdominal Imaging - Breast MRI - Spectroscopy pool - Absorption and Emission - Patient Information - Mass Spectrometry
 
Cardiac MRIForum -
related threads
 
In the last years, cardiac MRI techniques have progressively improved. No other noninvasive imaging modality provides the same degree of contrast and temporal resolution for the assessment of cardiovascular anatomy and pathology. Contraindications MRI are the same as for other magnetic resonance techniques.
The primary advantage of MRI is extremely high contrast resolution between different tissue types, including blood. Moreover, MRI is a true 3 dimensional imaging modality and images can be obtained in any oblique plane along the true cardiac axes while preserving high temporal and spatial resolution with precise demonstration of cardiac anatomy without the administration of contrast media.
Due to these properties, MRI can precisely characterize cardiac function and quantify cavity volumes, ejection fraction, and left ventricular mass. In addition, cardiac MRI has the ability to quantify flow (see flow quantification), including bulk flow in vessels, pressure gradients across stenosis, regurgitant fractions and shunt fractions. Valve morphology and area can be determined and the severity of stenosis quantified. In certain disease states, such as myocardial infarction, the contrast resolution of MRI is further improved by the addition of extrinsic contrast agents (see myocardial late enhancement).
A dedicated cardiac coil, and a field strength higher than 1 Tesla is recommended to have sufficient signal. Cardiac MRI acquires ECG gating. Cardiac gating (ECGs) obtained within the MRI scanner, can be degraded by the superimposed electrical potential of flowing blood in the magnetic field. Therefore, excellent contact between the skin and ECG leads is necessary. For male patients, the skin at the lead sites can be shaved. A good cooperation of the patient is necessary because breath holding at the end of expiration is practiced during the most sequences.

See also Displacement Encoding with Stimulated Echoes.
For Ultrasound Imaging (USI) see Cardiac Ultrasound at Medical-Ultrasound-Imaging.com.

See also the related poll results: 'In 2010 your scanner will probably work with a field strength of' and 'MRI will have replaced 50% of x-ray exams by'
 
Images, Movies, Sliders:
 Infarct 4 Chamber Cine  Open this link in a new window
    

Courtesy of  Robert R. Edelman
 MVP Parasternal  Open this link in a new window
    

Courtesy of  Robert R. Edelman
 Delayed Myocardial Contrast Enhancement from Infarct  Open this link in a new window
      

Courtesy of  Robert R. Edelman
 
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• View the DATABASE results for 'Cardiac MRI' (15).Open this link in a new window


• View the NEWS results for 'Cardiac MRI' (15).Open this link in a new window.
 
Further Reading:
  Basics:
Cardiac MRI - Technical Aspects Primer
Wednesday, 7 August 2002
Prediction of Myocardial Viability by MRI
1999   by circ.ahajournals.org    
  News & More:
MRI technology visualizes heart metabolism in real time
Friday, 18 November 2022   by medicalxpress.com    
Even early forms of liver disease affect heart health, Cedars-Sinai study finds
Thursday, 8 December 2022   by www.eurekalert.org    
MRI sheds light on COVID vaccine-associated heart muscle injury
Tuesday, 15 February 2022   by www.sciencedaily.com    
Radiologists must master cardiac CT, MRI to keep pace with demand: The heart is not a magical organ
Monday, 1 March 2021   by www.radiologybusiness.com    
Diffusion weighted imaging (DWI) and diffusion tensor imaging (DTI) in the heart (myocardium)
Sunday, 30 August 2020   by github.com    
Non-invasive diagnostic procedures for suspected CHD: Search reveals informative evidence
Wednesday, 8 July 2020   by medicalxpress.co    
Cardiac MRI Becoming More Widely Available Thanks to AI and Reduced Exam Times
Wednesday, 19 February 2020   by www.dicardiology.com    
Controlling patient's breathing makes cardiac MRI more accurate
Friday, 13 May 2016   by www.upi.com    
Precise visualization of myocardial injury: World's first patient-based cardiac MRI study using 7T MRI
Wednesday, 10 February 2016   by medicalxpress.com    
New technique could allow for safer, more accurate heart scans
Thursday, 10 December 2015   by www.gizmag.com    
MRI Resources 
Shoulder MRI - Claustrophobia - General - Online Books - MRI Reimbursement - Open Directory Project
 
Spine MRIMRI Resource Directory:
 - Spine MRI -
 
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:
•
Neurological deficit, evidence of radiculopathy, cauda equina compression
•
Primary tumors or drop metastases
•
Infection/inflammatory disease, multiple sclerosis
•
Postoperative evaluation of lumbar spine: disk vs. scar
•
Evaluation of syrinx
•
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).
 
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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• View the DATABASE results for 'Spine MRI' (11).Open this link in a new window


• View the NEWS results for 'Spine MRI' (4).Open this link in a new window.
 
Further Reading:
  Basics:
Newer Sequences for Spinal MR Imaging: Smorgasbord or Succotash of Acronyms?
   by www.ajnr.org    
Cutting Edge Imaging of THE Spine
February 2007   by www.pubmedcentral.nih.gov    
Landmark Independent Study by UCLA School of Medicine Reports Comparison of Dynamic™ Upright® MRI With Static Upright MRI in More Than 1,000 Patients (1,302):
Thursday, 15 November 2007   by www.fonar.com    
  News & More:
Recommendations for MRI Assessment in Managing Axial Spondyloarthritis
Wednesday, 8 January 2020   by www.rheumatologyadvisor.com    
MRI Of The Spine Identifies Smoldering Myeloma Patients At High Risk Of Progressing To Multiple Myeloma
Tuesday, 26 August 2014   by www.myelomabeacon.com    
Intensive training of young tennis players causes spinal damage
Wednesday, 18 July 2007   by www.eurekalert.org    
MRI Resources 
MRCP - MRI Technician and Technologist Career - Pediatric and Fetal MRI - Quality Advice - MRI Accidents - Online Books
 
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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• View the DATABASE results for 'Lumbar Spine MRI' (6).Open this link in a new window

 
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    
MRI Resources 
Spectroscopy pool - Absorption and Emission - RIS - DICOM - Breast Implant - Education
 
Shoulder MRI
 
MRI of the shoulder with its excellent soft tissue discrimination, and high spatial resolution offers the best noninvasive way to study the shoulder. MRI images of the bone, muscles and tendons of the glenohumeral joint can be obtained in any oblique planes and projections. MRI gives excellent depiction of rotator cuff tears, injuries to the biceps tendon and damage to the glenoid labrum. Shoulder MRI is better than ultrasound imaging at depicting structural changes such as osteophytic spurs, ligament thickening, and acromial shape that may have predisposed to tendon degeneration.
A dedicated shoulder coil and careful patient positioning in external rotation with the shoulder as close as reasonably possible to the center of the magnet is necessary for a good image quality. If possible, the opposite shoulder should be lifted up, so that the patient lies on the imaged shoulder in order to rotate and fix this shoulder to reduce motion during breathing.
Axial, coronal oblique, and sagittal oblique proton density with fat suppression, T2 and T1 provide an assessment of the rotator cuff, biceps, deltoid, acromio-clavicular joint, the glenohumeral joint and surrounding large structures. If a labral injury is suspected, a Fat Sat gradient echo sequence is recommended. In some cases, a direct MR shoulder arthrogram with intra-articular injection of dilute gadolinium or an indirect arthrogram with imaging 20 min. after intravenous injection may be helpful.

See also Imaging of the Extremities.
 
Images, Movies, Sliders:
 Anatomic Imaging of the Shoulder  Open this link in a new window
      

Courtesy of  Robert R. Edelman

 
Radiology-tip.comradArthrography
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Medical-Ultrasound-Imaging.comLow Intensity Pulsed Ultrasound,  Musculoskeletal and Joint Ultrasound
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• View the DATABASE results for 'Shoulder MRI' (3).Open this link in a new window


• View the NEWS results for 'Shoulder MRI' (1).Open this link in a new window.
 
Further Reading:
  News & More:
The Spectrum of Shoulder Pathologies on Magnetic Resonance Imaging: A Pictorial Review
Wednesday, 6 September 2023   by www.cureus.com    
MRI costs wide-ranging
Thursday, 14 April 2011   by www.chieftain.com    
MRE Could Provide A Definitive Diagnosis For People With Muscle Pain, Study Shows
Friday, 30 November 2007   by www.sciencedaily.com    
Peer-Reviewed Study Concludes The FONAR UPRIGHT™ MRI Could Serve as the “Standard Procedure of Care” for Pediatric Shoulder Malady
Wednesday, 30 May 2007   by www.fonar.com    
MRI Resources 
Breast MRI - Coils - Manufacturers - Veterinary MRI - Jobs - Brain MRI
 
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