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Tibial plateau fracture

Case Study
Goumas, Chris, M.D. Palo Alto Medical Foundation USA

This patient was scanned on Achieva 3.0T X-series at Palo Alto Medical Clinic Sports Medicine Center.

MR Examination

All images were acquired with the SENSE Knee coil.

FOV 120 mm, slice thickness 2.5 mm were used.

MR images an interpretation

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The sagittal asymmetric TSE, PD-weighted images both show the cordical discontinuity on the tibial plateau with the overlying cartilage appearing intact.

 

The coronal PD-weighted image with SPAIR fat suppression correlates with the sagittal fracture location.

 

The axial PD-weighted SPAIR image demonstrates blood/fluid levels against the contrast of the patellar cartilage.

Diagnosis

The findings suggest a posterior lateral tibial plateau facture with slight cortical offset and associated marked hemarthrosis.

Impact of Achieva 3.0T X-series imaging:

A 3.0T system has significantly higher SNR compared to 1.5T systems, and Dr. Goumas uses that to its full benefit. He has a clear philosophy for orthopedic imaging. He uses a smaller FOV than most, with a higher matrix. The zoomed images in the right column demonstrate the excellent spatial resolution and contrast.

 

 

Related reading:



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Jun 15, 2008

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Case Study
Achieva 3.0T, Achieva 3.0T X-series
Release 1, Release 2, Release 2.5
Quasar, Quasar Dual
3T, Knee, Musculoskeletal
 

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