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HFO Lumbar spine with the patient in the panoramic position

ExamCard
Syrenius, Paula Philips Healthcare Philips Global

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ExamCard purpose

This Panorama High Field Open ExamCard is used to scan the lumbar spine of patients that may have difficulty lying supine on the examination table due reasons such as claustrophobia or pathology. The ST Extremity M coil is used.

Patient preparation

Some patients cannot be scanned in the normal supine position. Because the Panorama HFO is an open scanner, these patients are placed on their side, known as the panoramic position, with the ST Extremity M coil placed lengthwise behind the patient's back.

 

The patient should be made comfortable and held firmly in position using pads, pillows and/or wedges. The patient should also be positioned as straight as possible.

 

Position the coil elements in line (see the photo below) and with a distance of 2 cm between them. This is to optimize the coil performance.

 

It is important to stabilize the coil elements well with sandbags and/or pads. 

 

Make sure the patient´s shoulder, or any other body part, is not touching the upper pole. If necessary use a thinner mattress under the patient.

 

Panoramic positioning is also used to perform functional spine imaging, enabling the patient to bend forward (flexion) and/or backwards (extension).

Coil positioning The coil elements are in line, parallel to the patient's back.
Note the gap between the elements.
Coil positioning
The coil elements are in line, parallel to the patient's back. Note the gap between the elements.

ExamCard overview

L-spine
Scan 1Survey
Scan 2Ref scan
Scan 3T2w Sag
Scan 4T1w Sag
Scan 5T2w Tra
Scan 6T1w Tra
Scan 7T2w Flexion/Extension

ExamCard images

T2w  Sag FOV 300 mm<br>
Voxel 1.2*1.4*4.00 mm<br>
Scan time 3:23 min.T1w Sag FOV 300 mm<br>
Voxel1.0*1.2*4.00 mm<br>
Scan time 4:09 min.<br>
2 REST slab
T2w Sag
T1w Sag
FOV 300 mm
Voxel 1.2*1.4*4.00 mm
Scan time 3:23 min.
FOV 300 mm
Voxel1.0*1.2*4.00 mm
Scan time 4:09 min.
2 REST slab
T2w Tra FOV 200 mm<br>
Voxel 0.7*0.8*4.00 mm<br>
Scan time 3:00 min.T1w Tra FOV 200 mm<br>
Voxel 0.7*0.8*4.00 mm<br>
Scan time 3:18 min.
T2w Tra
T1w Tra
FOV 200 mm
Voxel 0.7*0.8*4.00 mm
Scan time 3:00 min.
FOV 200 mm
Voxel 0.7*0.8*4.00 mm
Scan time 3:18 min.
T2w Flexion FOV 300 mm<br>
Voxel 1.2*1.4*4.0 mm<br>
Scan time 1:52 min.T2w Extension FOV 300 mm<br>
Voxel 1.2*1.4*4.0 mm<br>
Scan time 1:52 min.
T2w Flexion
T2w Extension
FOV 300 mm
Voxel 1.2*1.4*4.0 mm
Scan time 1:52 min.
FOV 300 mm
Voxel 1.2*1.4*4.0 mm
Scan time 1:52 min.


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Added:
May 29, 2007

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ExamCard
Panorama HFO
Release 2
Pulsar
Lumbar spine, Neuro
 

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