BODY MRI GALLERY
c/o Deranged liver function.
MRI is emerging as the prior imaging modality for abdominal and pelvic organs like liver, pancreas and retroperitoneum. State-of-the-art MRI sequence CAIPIRNHA ® (Controlled Aliasing in Parallel Imaging Results in Higher Acceleration) allows acquisition of the whole liver within 12 seconds with excellent image quality. These images show extensive liver metastasis in this young female patient with breast cancer. Note that two metastatic nodules are found in the L1 vertebral body.
Body MRI Gallery
Magnetic resonance cholangiopancreatography (MRCP) is a non-invasive technique to evaluate gallbladder, biliary tree, and pancreatic duct. This robust technique usually takes 5 minutes in conventional MRI sequence. With Turbo Excelerate Suite® combined with Sola® 1.5T MRI scanner, the scan time could be drastically reduced to 30 seconds with excellent details.
M/31 c/o anal discharge
MRI is highly accurate to delineate the extent of fistula-in-ano and any associated complications such as ischiorectal abscess. Detailed classification is essential for surgical planning in order to achieve optimal outcome. These images vividly demonstrate a long linear inter-sphincteric fistulous track, positioned posteriorly to the gluteal fat.
c/o marginally increased PSA level.
Multi-parametric MRI with T2W, Diffusion (DWI) and dynamic contrast enhanced (DCE) sequence is a promising approach to evaluate the prostate. This has improved detection, characterization and staging of focal prostate cancer. Examination could be done comfortably using light-weight coil within 30 minutes without putting in distressing rectal instrument. The case at right side is a normal health prostate. The case at left side shows early tumour in the left transitional zone. The revised version of the Prostate Imaging Reporting and Data System (PIRADS) classification for prostate MR provides conglomerate guideline for clinical management.
F/42 c/o painless nodule at medial side of breast implant.
The new prevailing Abbreviated Breast MRI protocol substantially reduces the scanning time down to 17 minutes, achieving similar cancer yield and diagnostic accuracy. While mammogram and ultrasound remain to be the core of breast imaging, MR breast is emerging as an alternative screening tool without using harmful radiation. The left side photo shows a normal post-contrast breast image. The right side photos shows an irregular lesion at medial aspect of left breast prosthesis, which is cytologically confirmed to be a second tumour after previous resection and reconstruction of left breast.