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3.0T Shoulder routine examination

ExamCard
Yang, Ping Philips Healthcare

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ExamCard Purpose

These optimized sequences can be used for routine shoulder examinations with the SENSE Flex-M coil.  The ExamCard provides high resolution T1W, PDW, T2W and SPAIR fat suppression imaging in less than 18 minutes.

ExamCard Overview

ExamCard image steps

Scan 1Survey
Scan 2Reference Flex M
Scan 3T1W TSE AXI
Scan 4PDW TSE COR
Scan 5PDW SPAIR COR
Scan 6T2W SPAIR COR

A 3-plane survey (AXI, SAG, COR) is performed followed by a reference scan to allow the use of CLEAR.

 

An axial T1W scan covers from the acromioclavicular joint to the glenohumeral joint. The axial images give an overview of anatomic information and are also used for oblique coronal scan planning.

 

The oblique coronal PDW and T2W images with and without fat suppression provide more information on the rotator cuff and glenohumeral joint. 

 

The SPAIR technique allows you to choose partial or full fat suppression.

Axial scan planning T1W AXI Coronal scan planning
Axial scan planning
T1W AXI
Coronal scan planning
PDW COR PDW SPAIR COR T2W SPAIR COR
PDW COR
PDW SPAIR COR
T2W SPAIR COR

Patient preparation

SENSE Flex-M coil positioning: Put center of the front coil element in the acromion (the red circle in the following photo) and make an 1/4 overlap with the back part of the coil.

Fasten the coil with a strap. Ask the patient to move the examined shoulder as close as possible to the isocenter of the magnet .

Coil positioning at front Coil overlap Fasten the coil elements
Coil positioning at front
Coil overlap
Fasten the coil elements



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ExamCard
Achieva 3.0T
Release 1
Musculoskeletal, Shoulder
 

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