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Ingenia 3.0T combines high quality imaging with productivity

Best Practice
Busch, Hans-Peter, M.D. Krankenhaus der Barmherzigen Brüder • Germany

German site sees increased efficiency and excellent spine and MRA exams with Ingenia

Krankenhaus der Barmherzigen Brüder (Trier, Germany) installed its Ingenia 3.0T system in February 2011. The clinic’s MR group focuses mainly on neuro, MRA and whole body imaging.
Daily monitoring of the scanner’s utilization helps the department run smoothly and boosts patient throughput.

Prof. Hans-Peter Busch, MD, radiologist and physicist, is Director of the Department of Radiology, Neuroradiology, Ultrasound and Nuclear Medicine.

Image quality improves with dStream

Prof. Hans-Peter Busch, MD, radiologist and physicist, is Director of the Department of Radiology, Neuroradiology, Ultrasound and Nuclear Medicine. The department houses two Philips 1.5T MR scanners and Ingenia 3.0T. “Right from the beginning, Ingenia has impressed us with its excellent image quality, high resolution and efficient workflow. We are very enthusiastic, and very satisfied with it.”

“Ingenia’s high SNR is an important advantage,” Prof. Busch explains. “With Ingenia, I can not only measure the higher SNR, I can really see it in the images. In our optimization strategies, we primarily invest the high SNR in image quality to obtain higher spatial resolution and enhanced contrast. However, for restless patients, it’s more useful to invest in making the exam quicker to help reduce motion artifacts.”

High quality spine imaging with improved workflow

“Our 3.0T spine imaging is excellent,” says Prof. Busch. “We can see very small lesions such as in encephalomyelitis disseminate. Our typical resolutions are below 1 mm. For instance, we have an impressive 3D FLAIR sequence with 1.04 x 1.04 x 0.56 mm voxels (reconstructed) for the brain and cervical spine. And we are very satisfied with the quality of the diffusion images.”

3D FLAIR of head and c-spine in MS patient

Ingenia provides the largest homogenous FOV for a 70 cm system. “With the large FOV we can do total spine imaging in two stations, but we only use this for restless patients. For routine exams we use three stations and a longer scan time for exceptional image quality,” explains Prof. Busch.

The large bore of 70 cm allows patients to be comfortable, even if they can’t lie flat or are very large. “One of my larger spine patients could never be scanned in a bore less than 70 cm and the CT exam was not diagnostic,” remembers Prof. Busch. “On Ingenia, he totally filled the gantry, but we scanned this person with excellent image quality.”

“For spine imaging, we use the integrated Posterior coil alone. It works well and is comfortable for the patient. Ingenia’s workflow is fast and easy. We compared time for patient positioning in head/total spine exams. On Ingenia it only took 1 minute, but 6 minutes were needed on our older system, because the patient must stand up again and again to change the coil. This is an example of how Ingenia significantly decreases examination time and increases throughput.”

MRA very efficient with Ingenia 3.0T

“With Ingenia 3.0T we can do high quality MR angiography, for both peripheral MRA and MRA in the head,” says Prof. Busch. “All our neurosurgeons now use the MRA exam to plan their interventions, without need for an additional invasive DSA, apart from a very rare exception.”

Prof. Busch combines the integrated Posterior coil with the tiltable dS HeadSpine coil for MRA of the carotids and intracerebral vessels. “We like this coil very much. For patients with kyphosis or who otherwise don’t have a flat spine it’s very comfortable to be examined in this position.”

Overall productivity is up – for all

Prof. Busch has a clear focus on continuous improvement of productivity. Monitoring his systems’ utilization dashboard on NetForum is part of his daily routine. “If you want to improve something, you must first measure it. The utilization dashboard clearly shows where the opportunities are,” he expounds.

“Management of the patient outside the scanner has the most impact on increasing throughput. The second factor is coil handling, and third is reducing scan time of individual sequences.”

“Ingenia has helped us to realize time savings with its easy-to-use coils, enhanced planning workflow and shorter exam times. The hospital also uses ambient lighting and designer aromas to help patients relax and move less to make the exam easier and faster,” Prof. Busch reports. The hospital’s technologists like to work with Ingenia, for its superb ease of use and efficient workflow.

The hospital recently held its “Turbo Day” to find out the maximum patient throughput it could obtain on Ingenia. “We constructed an ideal day by scheduling patients that needed relatively easy exams, and were very cooperative. We had a maximum throughput of 29 patients in 8 hours! On a normal day, of course, we also have intensive care patients in beds, patients needing anesthesia, or trauma patients and it comes down to about 15 patients in 8 hours as there are lots of variables.”

“The bottom line is that Ingenia makes MRI exams easier and shortens exam times. That is an advantage for economy, for the patient, for all,” he says.

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Apr 12, 2012

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Best Practice
Ingenia 3.0T
dStream, mra, Neuro, productivity, Spine, throughput, Vascular

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