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Bone and liver metastases in breast cancer patient

Case Study
Dr. Pans, Steven, M.D. Leuven, University of Leuven

Patient history

A 32-year-old female with breast cancer underwent an MR examination on the Achieva 3.0T TX at Leuven University Hospital, Belgium.

MR examination

The Achieva 3.0T TX with MultiTransmit was used with the Integrated Body coil and tabletop extender.

Coronal T1 and STIR (no contrast administration, 5.5 mm slice thickness) are acquired, in combination with DWIBS (5 mm, 7 stacks).  Total scan time was 36 minutes.

Images

Click on an image to enlarge it
 T1 T1 DWIBS MPR
T1
T1
DWIBS MPR
 PET Ncl bone scan
PET
Ncl bone scan

PET showed liver metastases and bone metastases on the lumbar spine.
The Ncl bone scan showed multiple bone metastases in the lumbar spine.
Bone metastases in the vertebral bodies of the lumbar spine are visible on T1, STIR and DWIBS images.

There is excellent correlation between MR and Ncl bone scans and PET.

Diagnosis

The findings of all imaging techniques used are consistent with bone metastases and liver metastases.

Clinical impact of the Achieva 3.0T TX with MultiTransmit:

Using just the single Integrated Body coil in combination with MultiTransmit, we can perform not only whole body STIR sequences, but also whole body T1 and whole body DWI sequences in the same examination. The combination of these three sequences gives excellent information for staging of suspicious lesions.

Related reading:



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Jun 10, 2011

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Case Study
Achieva 3.0T
Release 2, Release 3
Abdomen, Body, Breast, Liver, Musculoskeletal, Oncology
 

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