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Fast and easy diagnostic MR imaging from head to toe

Best Practice
Schmidt, Gerwin, M.D. Radiology Munich Center • Germany
Rother, Tobias, M.D. Radiology Munich Center • Germany

The Radiology Practice Munich Center is using the speed and convenience
of Ingenia 1.5T with dStream and the flexibility of IntelliSpace Portal
 Dr. Tobias Rother and Dr. Gerwin Schmidt
Dr. Tobias Rother and Dr. Gerwin Schmidt


The Radiology Practice Munich Center (Munich, Germany) offers a broad variety of radiology exams. Cross-sectional imaging stands out, with particular emphasis on MRI for musculoskeletal and oncology imaging. To differentiate themselves from other practices, they acquired the completely digital Philips Ingenia 1.5T to help them broaden their capabilities, particularly in MRI of oncology patients. In addition, they are now using IntelliSpace Portal for viewing, postprocessing and analyzing. It allows combining data from multiple modalities to easily facilitate combined diagnoses.

Expanding to advanced examinations

“With the Ingenia we can now also offer MRI examinations that are not so typical for outpatient clinics but more usually offered in clinical settings, such as specialized abdominal and whole body scans,” says Dr. Gerwin Schmidt, radiologist with a focus on musculoskeletal and oncology imaging. He is enthusiastic about the advantages provided by Ingenia: “We are flexible now and can adjust our examination to each patient and specific diagnostic question. We can fine-tune our whole body imaging to the specific request, for instance to demonstrate a primary tumor size and location or to visualize smaller lesions in an affected area.”

Dr. Tobias Rother is radiologist with a special interest in cardiovascular, abdominal and musculoskeletal imaging. “The high quality of the Ingenia images provides an important benefit,” he says. “High image quality reduces the uncertainty in reporting – we see abnormalities very clearly. We now also run complex examinations, such as dynamic contrastenhanced multi-planar imaging. Additionally, we are using newer, special techniques, like whole body diffusion weighted imaging which provide additional information to assist in diagnosis. With Ingenia’s digital coil technology and its large field of view of up to 55 cm, we need fewer stations and at the same time we get images of consistently high quality, virtually free of artifacts, all the way to the edge. This high image quality combined with the time saving allows us to now perform these advanced exams in an economically interesting way within a private practice.”

“We now also use the mDIXON technique, which provides different contrast types from a single examination. Its fat saturated images demonstrate excellent uniformity in fat suppression, which is very useful in contrast-enhanced examinations. At the same time mDIXON provides in-phase and opposed-phase images as well, which we use for organs like the liver and the adrenal gland.”
“With all this extra information, Ingenia is giving us confidence in our diagnoses,” says Dr. Schmidt.


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Excellent results, reproducibility and comfort for patients

“For a practice specializing in oncology, the challenge is to capture also the small lesions. This requires a high image quality over a large coverage and the flexibility to combine methods. Ingenia addresses this combination of needs,” explains Dr. Schmidt.

“In the past, whole body scans were reserved for special cases only because of the length of the examinations. Now, with the short examination times we can extend Ingenia’s technological advances to more patients. The large field of view means children and teenagers can be scanned in just two or three steps. Today, we perform whole body imaging whenever indicated,” says Dr. Schmidt. “Ingenia has made it economically viable for the practice to offer such examinations to referring physicians and their patients.”

“Ingenia coils are much lighter than the coils we had before, and easily adapt to the body form,” he reports. “This not only leads to higher quality images, it is also easier for the patients. The automatic selection of coil elements by SmartSelect simplifies patient positioning, makes the work easier for the technologist and reduces examination times still further. Particularly for patients with pain this is a great benefit.”

Viewing and processing independent of location and device

The practice also invested in IntelliSpace Portal, Philips solution for multimodality image viewing and processing. “We have 13 radiologists working at our two sites and we need to view, process and analyze MRI, CT, PET and other images – both our own, and referral images, from a variety of different systems,” explains Dr. Rother. “That is why we need a centralized system that allows us, wherever we are, to efficiently evaluate all such results and present these in our reports. IntelliSpace Portal is ideal because we only need to login to have access to multimodality viewing and processing of all our imaging data in consistent and comparable ways.”

“IntelliSpace packages help us to use diagnostic time effectively and make the most of the ever-improving image quality. For example, the Multimodality Tumor Tracking application lets us calculate the volume of a tumor and easily evaluate its RECIST criteria and compare the results across modalities, such as MRI and CT,” Dr. Rother adds.

Prepared for the future

“With dStream technology and the Ingenia system, we are well prepared for the ever increasing requirements and needs from our referring clinical colleagues,” says Dr. Rother. “The all-digital and channel-independent system architecture makes it possible to easily connect new high-channel coils without system hardware upgrade.”

“Moreover, we experience Ingenia as a very stable and mature system, which satisfies another important criterion for outpatient use. This bodes well for the future of the Radiology Practice Munich Center and of the Ingenia,” he concludes.


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Best Practice
Ingenia 1.5T, IntelliSpace Portal
Release 4
Body, dS Torso coil solution, dStream, DWI, DWIBS, mDIXON, Oncology, Whole body
 

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