This paper shows how the simultaneous use of multipurpose loop coils in MRI allows high-resolution musculoskeletal studies with increased contrast and specificity for assessing muscles, tendons, ligaments, joints, and cartilage. Dr. Ferrer presents a number of different daily patient routine examinations, including specifically evaluation of the carpal bones, the thumb metacarpals, the metacarpals, the distal inter-phalangeal joints, the elbow and ankle.
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This 63-year-old man presented with a longstanding history of peripheral arterial occlusive disease, hypertension, diabetes, coronary artery disease, prior myocardial infarction, crossover bypass, and renal artery stenosis with increasing leg pain.
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This 76-year-old man presented for diagnostic angiography with a longstanding history of dilatative and occlusive arteriopathy, hypertension, coronary artery disease and a popliteal aneurysm. Clinically an occlusion of the femoral-popliteal bypass to the right PIII segment was known.
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This 36-year-old patient presented in December 2006 with a suspicious mole on the right lower leg which was surgically removed. Histopathology demonstrated a malignant melanoma.
2.5 years later the patient presented with an inguinal lymph node metastasis on the right side detected on lymph node dissection. MRI was ordered to further evaluate the right leg on which additional cutaneous lesions were noted.
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NATIVE enables excellent non-contrast MR angiographic imaging, with reproducible results. This new software/scan approach is particularly important given that the use of intravenous contrast media has come under recent increased scrutiny. Of relevance, the gadolinium chelates (and specifically the less stable agents in this class), which are used as MR contrast agents, have been linked to a condition called Nephrogenic Systemic Fibrosis (NSF) that can occur in patients with renal insufficiency.
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With the need to carefully consider the risk versus benefit of contrast agent administration, following the advent of Nephrogenic Systemic Fibrosis (NSF), as well as the need to perform cost effective MR studies, there is a demand for improved methods for performing MR angiography using intrinsic rather than extrinsic contrast mechanisms.
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Studies at the University Medical Center in Mannheim, Germany show that the continuous moving table MRA approach is a major improvement in imaging the lower extremities in a clinical setting as it combines an easy, fast and robust workflow with good clinical results and is applicable to a broad range of patients.
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Ulrike I Attenberger, MD Department of Clinical Radiology and Nuclear Medicine University Medical Center Mannheim Mannheim, Germany View Presentation
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