RSNA 2012Clinical Cases Ingenia 3.0T

Ingenia 3.0TSmartBreast with the dS Breast 16ch coil

Background InformationHospital:•WellstarHealthSystem,Marietta,USA•Groupoffivehospitalsandsevenimagingcenters•PhilipsAchieva1.5T&3.0T,PanoramaHFOandIngenia3.0T

•1000BreastMRexamsayear,130BreastMRbiopsies•Referredprimarilyfrombreastsurgeonsinthearea•NewWomen’sCenteropenedinfall2011

Patient:•57yearoldfemalewithanewdiagnosisofCa.•SampleobtainedbyUSbiopsy:“InvasiveDuctalCa,grade3”

•MRrequestedtodeterminetreatment

Case Highlights•70cmboretosupportpatientcomfort•dStreamBreast16chcoildesignedforhighspatialandtemporalresolutionwithcoveragedeepintotheaxillaeregion

•SmartBreastforconsistentfatsuppressionduetouniquepatient-adaptiveshimmingmethod

•MultiTransmitadaptstheRFtransmissionsignalstothesizeandshapeofeachindividualpatient

DescriptionSmartBreastallowsforconsistentfatsuppressionandimageuniformityduetouniquepatient-adaptiveshimmingmethods

SmartBreast – dStream Breast 16ch coilAxial T2w 3D TSE (VISTA) and T1w 3D TFE, Resolution 0.8 x 0.8 x 2.0 mm (VISTA) and 0.6 x 0.6 x 2.0 mm (T1w),

Scan time 1:30 min (VISTA) and 1:22 min (T1w), Courtesy: Wellstar Health System, Marietta, USA

SmartBreast – dStream Breast 16ch coilAxial T2w TSE with SPAIR and Diffusion (b800), Resolution 1.0 x 1.15 x 2.0 mm (T2w) and 2.2 x 2.2 x 1.8 mm (DWI),

Scan time 6:52 min (T2w) and 4:13 min (DWI), Courtesy: Wellstar Health System, Marietta, USA

SmartBreast – dStream Breast 16ch coilDynamic axial eTHRIVE, Resolution 0.8 x 0.8 x 2.0 mm. Scan time 1:22 min per dynamic, Courtesy: Wellstar Health System, Marietta, USA

SmartBreast – dStream Breast 16ch coilDynamic axial eTHRIVE

Resolution 0.8 x 0.8 x 2.0 mm. Scan time 1:22 min per dynamic

Courtesy: Wellstar Health System, Marietta, USA

Clinical Cases Ingenia 3.0T 3Clinical Cases Ingenia 3.0T2

Background InformationHospital:•PaloAltoMedicalFoundation,California,USA•Pioneerinthemultispecialtygrouppracticeofmedicine•ProvidesHealthcareservicesin4CaliforniacountiesincludingAlameda,SanMateo,SantaClaraandSantaCruz

•SportsMedicineisoneofthehospitalsspecializations•Averagetimeplannedforpatientsis45minutes

Patient:•Middleagedboardsurferpresentswithchronickneepain•X-Rayshowsnoabnormalities•Follow-upMRexaminationrequested

Case Highlights•dStreamKnee8chcoilisdesignedforhighresolutionvisualizationoffinecartilagestructuresandsmallligaments

•Coilconformstotheanatomyforoptimalsignal-to-noiseratio•Coilcanbeslightlyrotatedrelativetoitsbaseplatetoeasecoilsetupandenhancepatientcomfort

•Splitcoildesignandsinglehandleforeasycoilsetup

Homogeneous fat suppression – dStream Knee 8ch coilAxial, Coronal and Sagittal PDw aTSE with SPAIR fat suppression, Resolution 0.24 x 0.34 x 2.0 mm, Scan time 4:44 min (axial and sagittal), 5:15 min (coronal)

Courtesy: Palo Alto Medical Foundation, California, USA

High Resolution Imaging – dStream Knee 8ch coilCoronal T1w TSE and

Sagittal PDw aTSE

Resolution 0.26 x 0.39 x

2.0 mm (T1w) and 0.19 x

0.30 x 2.0 mm (PDw)

Scan time 4:23 min (T1w)

and 5:24 min (PDw)

Courtesy: Palo Alto Medical

Foundation, California, USA

Comprehensive Knee Imaging – dStream Knee 8ch coilAxial Dual IR sequence

Resolution 0.5 x 0.5 x 3.0 mm

Scan time 4:28 min

Courtesy: Palo Alto Medical

Foundation, California, USA

Comprehensive Knee Imaging – dStream Knee 8ch coilAxial T2 calculation sequence

(multi-echo SE)

Resolution 0.4 x 0.5 x 2.5 mm

Scan time 5:24 min

Courtesy: Palo Alto Medical

Foundation, California, USA

DescriptiondStreamKnee8chcoildesignedforhighresolutionvisualizationoffinecartilagestructuresandsmallligaments

High Resolution Knee imaging with Cartilage AssessmentIngenia 3.0T

Clinical Cases Ingenia 3.0T 5Clinical Cases Ingenia 3.0T4

Lumbar Spine - dStream Posterior FlexCoverage coilComparison between CT image and MR images

Courtesy: Krankenhaus der Barmherzigen Brüder, Trier, Germany

Lumbar Spine in obese patientIngenia 3.0T

Background InformationHospital:•KrankenhausderBarmherzigenBrüder,TrierGermany•Oneofthelargesthospitalswithinitsregionwith612bedsand15clinicalspecialties

Patient:•32-yearoldmalepatient,180kg,withbackpain•WasfirstexaminedonCTbutqualitywasnotsufficientfordiagnosis

•MRIgaveexcellentimages.Diagnosis:smallprotrusionofthediscL5/S1,nomeningioma

Case Highlights•70cmboreforincreasedpatientcomfortandeasypositioning•Homogeneoussignalintensityovertheentirefieldofview•IntegrateddStreamPosteriorFlexCoveragecoilreducespatientsetuptimeandprovideshighSNRandlargesignalpenetrationdepth

•MultiTransmitadaptstheRFsignalstoeachpatientleadingtosuperbimageuniformityandfasterimaging

Description:IntegrateddStreamPosteriorFlexCoveragecoilreducespatientsetuptimeandprovideshighSNRandlargesignalpenetrationdepth

Lumbar Spine - dStream Posterior FlexCoverage coilSagittal T2w TSE and T1w

TSE pre and post Gd

Resolution 0.8 x 1.0 x

4.0 mm. Scan time 3:23

(T2w) and 2:19 (T1w)

Courtesy: Krankenhaus

der Barmherzigen Brüder,

Trier, Germany

Lumbar Spine - dStream Posterior FlexCoverage coilCoronal STIR, radial M2D

myelo, axial T2w and T1w TSE

Resolution 0.9 x 1.3 x 4.0

mm (STIR), 0.5 x 1.6 x

40.0 mm (myelo), 0.7 x

0.8 x 4.0 mm (axials).

Scan time 3:23 (STIR), 2:40

(myelo), 3:21 (axial T2w TSE)

and 5:09 (axial T1w TSE)

Courtesy: Krankenhaus

der Barmherzigen Brüder,

Trier, Germany

Clinical Cases Ingenia 3.0T 7Clinical Cases Ingenia 3.0T6

©2012KoninklijkePhilipsElectronicsN.V.Allrightsarereserved.

PhilipsHealthcarereservestherighttomakechangesinspecificationsand/ortodiscontinueanyproductatanytimewithoutnoticeorobligationandwillnotbeliableforanyconsequencesresultingfromtheuseofthispublication.

PrintedinTheNetherlands.NOV2012

Please visit www.philips.com/mri

Philips Healthcare is part of Royal Philips Electronics

Howtoreachuswww.philips.com/healthcarehealthcare@philips.com

Asia+4970314632254

Europe,MiddleEast,Africa+4970314632254

LatinAmerica+551121250744

NorthAmerica+142548770008002855585(tollfree,USonly)

Imaging 2.0 – Transforming care, together.

AtPhilips,werecognizethatradiologyisthecornerstoneofdiagnosisandtreatment.Andthatclinicalintegrationandcollaborationarekeytomorepersonalcare,betterpatientoutcomes,andlowercosts.Imaging2.0signalsourendlessquesttoraisethebaronclinicalexcellence–byworkingwithyoutodevelopinnovationsthatenableyoutocollaboratefreely,diagnoseconfidently,andcarepassionately.Together,wewillcontinuetosparkarevolutioninimagingsciencewithadvancedtechnologiesdesignedtodelivergreatercollaborationandintegration,increasedpatientfocus,andimprovedeconomicvalue.Learnmoreatwww.philips.com/imaging2.0