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Whole body MRI of bone lesions in spine

Case Study
Nobusawa, Hiroshi, M.D., Ph.D. Kawasaki Sawai Hospital • Japan
Naka, Takanori Kawasaki Sawai Hospital • Japan

Patient history

This  oncology patient received diagnosis extent of disease (EOD) grade 2 after bone scintigraphy. The lesions in the spine (red ellipse) were thought to be age-related bone marrow effects. One month later this patient underwent MRI on Ingenia 1.5T at Kawasaki Saiwai Hospital, Japan

MR examination

The patient was scanned on Ingenia 1.5T using the whole body oncology protocol that includes coronal DWIBS.

 

View ExamCard used:

Images

Click on an image to enlarge
 RI bone scintigraphy inverted DWIBS  <br>1 month later DWIBS  <br>1 month later
RI bone scintigraphy
inverted DWIBS
1 month later
DWIBS
1 month later
 DWIBS<br><br> In phase Opposed phase
DWIBS

In phase
Opposed phase

Diagnosis

The Dual FFE in-phase and opposed-phase images can help the physician to further characterize the lesions. Fatty bone marrow would be expected to appear bright on both in-phase and opposed phase images. Hematopoietic bone marrow would be expected to appear mid-gray on in-phase and dark on opposed phase images. The lesions in this patient are mid-gray on both in-phase and opposed-phase images. The therapy plan for this patient was changed from radiotherapy to pain relief in line with EOD grade 4.

Impact of coronal DWIBS imaging

Read more on how Kawasaki Saiwai hospital improved their DWIBS whole body protocol, shortened their scan time and increased their referrals:

 

FieldStrength article: Expanding whole body MRI use in oncology patients

 

 

 

 

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



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Case Study
Ingenia 1.5T
Release 4
Body, dStream, DWI, DWIBS, Oncology, Spine, Whole body
 

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