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mDIXON TSE in pediatric total spine

Case Study
Miller, Jeffrey, M.D. Phoenix Children's Hospital • USA

Patient history

A  5-year-old already diagnosed with metastatic leukemia was referred for an MRI examination at Phoenix Children’s Hospital (Phoenix, AZ, USA).

MR examination

The examination was performed on Ingenia 3.0T using the dS Torso coil solution.
mDIXON TSE is compared to T1-weighted SPIR.

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Images

Click on an image to enlarge.
Standard post T1 STIR Voxels 0.6 x 0.9 x 3 mm <br>
scan time 6:22 min <br>
<br>mDIXON TSE post T1 water only Voxels 0.6 x 0.9 x 3 mm <br>
scan time 5:52 min <br>
<br>
Standard post T1 STIR
mDIXON TSE post T1 water only
Voxels 0.6 x 0.9 x 3 mm
scan time 6:22 min

Voxels 0.6 x 0.9 x 3 mm
scan time 5:52 min

Both mDIXON TSE and T1-weighted SPIR demonstrate deposits within the vertebral bone marrow (box) and deposits coating the surface of the spinal cord and nerve roots (arrow).
All of the lesions seen on standard SPIR are also seen on mDIXON TSE.

Clinical impact

Evaluating many cases like this contributes to Dr. Miller's diagnostic confidence that mDIXON has equal sensitivity in visualizing these important lesions. With this confidence, we can therefore use mDIXON TSE instead of SPIR to benefit from the reliable fat suppression of mDIXON TSE without being concerned to miss abnormalities like these because of the changed method. 

Related reading:



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


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Jan 13, 2015

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Case Study
Ingenia 3.0T
mDIXON TSE, metastatic leukemia, Musculoskeletal, Neuro, Oncology, Pediatric, Spine, Total spine
 

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