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Post-surgery MR imaging of cervical spine

Case Study
Blanken, Niels University Medical Center Utrecht • Netherlands
Alberts, Eveline Philips Healthcare • Netherlands

Patient history

A 51-year-old male with general pour health and neurological disturbances underwent surgery. A lipomatous ependyoma was resected. Histological examination of the surgical specimen led to the diagnosis of lipomatous ependyoma.
The patient underwent a post-surgical MRI exam in UMC Utrecht.

MR examination

Post-surgery MRI was performed on Ingenia 1.5T.
The dS HeadNeckSpine coil was used with coverage to T4.

 

 
ExamCard used: 

Images

Sagittal T1W TSE Voxel size 0.7 x 0.9 x 4.0 mmSagittal T2W TSE Voxel size 0.7 x 0.9 x 4.0 mm
Sagittal T1W TSE
Sagittal T2W TSE
Voxel size 0.7 x 0.9 x 4.0 mm
Voxel size 0.7 x 0.9 x 4.0 mm
Axial T1W SE Voxel size 0.7 x 0.9 x 4.0 mmAxial mFFE Voxel size 0.8 x 0.8 x 4.0 mm
Axial T1W SE
Axial mFFE
Voxel size 0.7 x 0.9 x 4.0 mm
Voxel size 0.8 x 0.8 x 4.0 mm
Diffusion b0 Voxel size 2.0 x 2.0 x 2.0 mmDiffusion b400 Voxel size 2.0 x 2.0 x 2.0 mm
Diffusion b0
Diffusion b400
Voxel size 2.0 x 2.0 x 2.0 mm
Voxel size 2.0 x 2.0 x 2.0 mm
T1W TSE post contrast T1W SE post contrast
T1W TSE post contrast
T1W SE post contrast

The T1W TSE and the T2W TSE (pre-contrast) show the spinal cord is still intact. The same for the axial T1W SE and the mFFE. Coronal DWI images show the spinal cord with high signal and good fat suppression. The post-contrast images show that no residual ependyoma can be found around or in the spinal cord.

Diagnosis

MRI helped to determine there was no residual ependyoma after surgery.


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Jul 9, 2013

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Case Study
Ingenia 1.5T
Release 4
Cervical spine, dS HeadNeckSpine coil, dStream, Musculoskeletal, Neuro
 

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