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Follow-up exam of Multiple Sclerosis with Ingenia 3.0T

Case Study
Kennedy, Ben, M.Sc. Qscan Radiology Clinics • Australia

Patient history

A 60-year-old male with a history of Multiple Sclerosis (MS) underwent an MRI exam for following up progression. He was imaged at Qscan Radiology Clinics, Queensland, Australia.

MR examination

Ingenia 3.0T with 32-channel dS Head coil was used.

View ExamCard used:

Images

Click on images to enlarge.
 3D T1W <br> Voxels 0.5 x 0.5 x 2 mm T2W <br> Voxels 0.4 x 0.49 x 3.5 mm T2W
3D T1W
Voxels 0.5 x 0.5 x 2 mm
T2W
Voxels 0.4 x 0.49 x 3.5 mm
T2W
 3D FLAIR <br> Voxels 0.6 x 0.8 x 1.5 mm 3D FLAIR <br> Voxels 0.6 x 0.8 x 1.5 mm 3D FLAIR <br> Voxels 0.6 x 0.8 x 1.5 mm
3D FLAIR
Voxels 0.6 x 0.8 x 1.5 mm
3D FLAIR
Voxels 0.6 x 0.8 x 1.5 mm
3D FLAIR
Voxels 0.6 x 0.8 x 1.5 mm
 T1W FS <br> Voxels 0.5 x 0.5 x 2 mm T1W FS <br> Voxels 0.5 x 0.5 x 2 mm T1W FS <br> Voxels 0.5 x 0.5 x 2 mm
T1W FS
Voxels 0.5 x 0.5 x 2 mm
T1W FS
Voxels 0.5 x 0.5 x 2 mm
T1W FS
Voxels 0.5 x 0.5 x 2 mm

 

On the sagittal 3D T1W image some hypointense MS plaques are seen. Plaques are also well visible on the high quality T2-weighted and FLAIR images. Note also the excellent quality of the pons and peduncle brain fibers and vascular structures on the T2-weighted and FLAIR images. The T1-weighted ProSet fat suppressed images show high quality brain anatomy and high detail fine vascular information in conjunction to the MS plaques.

Diagnosis

The multiple pericallosal and subcortical white matter hyperintense foci with several small foci in the posterior fossa and a single focus at the craniocervical junction are consistent with the history of Multiple Sclerosis. Two of the foci were not seen in previous examinations.

Clinical impact of using Ingenia 3.0T with 32-channel dS Head coil

Two of the foci were not seen in previous examinations. This has been thought to be likely due to the high SNR and high resolution demonstrated by the 32-channel dS Head coil. Due to the high image quality the 32-channel coil is used for all neuro imaging now.

Related reading:



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Jun 3, 2014

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Case Study
Ingenia 3.0T
Release 4
32ch dS Head coil, Brain, dStream, FLAIR, Head, multiple sclerosis, Neuro
 

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