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Extensive bone metastases with breast cancer

Case Study
Pedersen, Erik, PhD, DMSc Aarhus University Hospital, Dept. Radiology • Denmark

Patient history

A patient with breast cancer underwent three series of treatment with Xeloda and Zometa and was then referred for MRI at Aarhus University Hospital for imaging of the metastases in the spine.

MR examination

Ingenia 1.5T was used for the MRI examination.

Total spine T2W mDIXON TSE was done in two stations and reconstructed into in-phase and water images. Total spine T1W TSE was also done but not shown here.

Images

Click on image for larger view, then click again to zoom
 T2W mDIXON TSE water<br> T2W mDIXON TSE in-phase <br>
T2W mDIXON TSE water
T2W mDIXON TSE in-phase
  
 
The high quality of the fat suppressed mDIXON TSE images is demonstrated.
Note the superb fat suppression in the neck region.

Diagnosis

Extensive bone metastases are visualized.

Clinical impact of mDIXON TSE

Two mDIXON TSE image series are obtained in about half the time needed for the two conventional imaging sequences with and without fat suppression. So, one mDIXON TSE acquisition can replace two separate scans with and without fat sat, which can save time in pre- and post-contrast imaging.

In addition to its ability to save time, mDIXON TSE shines by consistently producing very homogeneous fat suppression allowing us now to scan larger areas with a homogeneous fatsat.
In the spine, for instance, we can now do a T2 mDIXON TSE with equivalent resolution and obtain image series with and without fatsat in the same time needed for the traditional STIR sequence. We experience flexibility in changing TE and finding the right balance between resolution and SNR.
  
 

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Jul 18, 2014

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Case Study
Ingenia 1.5T
dStream, mDIXON, mDIXON TSE, metastasis, Musculoskeletal, Oncology, Spine, Total spine
 

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