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1.5T Peripheral nerve study, joints - Istanbul, Turkey

ExamCard
Baskan, Ozdil, M.D. Istanbul, Sonomed Imaging Center Turkey

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ExamCard purpose

This ExamCard, for release 11.1.2.1, has been created to specifically view nerves of joints such as the wrist and ankle. It is one of a series of ExamCards that have been created by the Sonomed Imaging Center to generate high resolution images in both the longitudinal and cross sectional planes of major peripheral nerves.

ExamCard overview

The ExamCard is used in combination with the Microscopy 47 mm coil.

For instructions on the use of the 3-points Planscan technique please refer to the Application Guide Volume 3.

 

Note: help text found in the ExamCard may not reflect the latest optimizations.

Clinical case

A 49-year-old male presented with a suspicious nodular swelling in the right ankle. The clinician wanted to exclude a neural tumour.

Images:

Axial T1W TSE Slice thickness 2 mm<br>
An MR marker (vit E) has been placed on the skin.Axial T2W TSE Slice thickness 2 mm<br>
The normal right tibial nerve is visualised at the level of the medial malleolus (green arrows)<br>
An MR marker (vit E) has been placed on the skin.
Axial T1W TSE
Axial T2W TSE
Slice thickness 2 mm
An MR marker (vit E) has been placed on the skin.
Slice thickness 2 mm
The normal right tibial nerve is visualised at the level of the medial malleolus (green arrows)
An MR marker (vit E) has been placed on the skin.
Axial T1W TSE The structure of the normal right tibial nerve can be visualised (green arrows) together with it's relationship with the surrounding anatomical structures.Coronal/oblique T1W TSE The 3PPS technique was used<br>
Slice thickness 1.5 mm<br>
The normal right tibial nerve (red arrows)<br>
The plantar nerve (black arrow)<br>
The medial plantar nerve (white arrow)
Axial T1W TSE
Coronal/oblique T1W TSE
The structure of the normal right tibial nerve can be visualised (green arrows) together with it's relationship with the surrounding anatomical structures.
The 3PPS technique was used
Slice thickness 1.5 mm
The normal right tibial nerve (red arrows)
The plantar nerve (black arrow)
The medial plantar nerve (white arrow)
Note: Click on the images to enlarge them.

Conclusion:

At the level of the medial maleolus the tibial nerve and medial-lateral plantar nerves were normal. No mass was detected.

 

 

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ExamCard
Intera 1.5T
Release 11
Explorer / Nova Dual, Master / Nova, Omni / Stellar, Power / Pulsar
Neuro, Peripheral nerves
 

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