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Imaging of dorsal spine tumor on Multiva

Case Study
Ajithkumar, Devaki Ramachandran Philips Healthcare • China, People's Republic of
Rajendran, Karthick Raj Philips Healthcare • India
Aziz, Mudasir Philips Healthcare • India

Patient history

A 50-year-old female with a history of chest pain presented at Holy Family Hospital, New Delhi, India. She underwent MR examination on Multiva 1.5T.
  

Courtesy of Dr. Renee Kulkarni and Dr. Sameer Kaushik, Holy Family Hospital, New Delhi, India

MR examination

The MR examination was performed on a release 5.1 Multiva 1.5T system using the HeadSpineTorso (HST) coil. This dorsal spine protocol on Multiva 1.5T was performed employing TSE, STIR, SPIR and FFE sequences to obtain T1, T2 and fat sat imaging, followed by a contrast enhanced study.

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Images and findings

Click on an image to enlarge.
Sagittal T1W Sagittal T2W
Sagittal T1W
Sagittal T2W
Sagittal STIR
Sagittal STIR
In this case the paraspinal mass was large, ovoid and mildly lobulated. The lesion extends into the neural foramen at D7 widening it and abuts the thecal sac. The contrast enhancement pattern was intense and heterogenous with central non-enhancing areas of cystic degeneration.

Diagnosis

MR Imaging findings are suggestive of a benign paravertebral neurogenic mass with intraspinal extension in the mid-dorsal region. A differential diagnosis possibility may be a schwannoma or a neurofibroma.

Impact of using Multiva 1.5T

With the HST coil, Multiva is capable of examining whole spine and brain without the need of repositioning. The high coil element density provides imaging of the spine with excellent SNR and resolution. The excellent SNR and resolution of Multiva spine imaging could demonstrate the shape, size, characteristics and extent of the lesion. 

Results from case studies are not predictive of results in other cases. Results in other cases may vary.


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Feb 6, 2015

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Case Study
Multiva 1.5T
Release 5.1
HeadSpineTorso coil, Neuro, Oncology, Spine, Total spine
 

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