brain — Clinical MRI

10 Years of Clinical Experience of MRI in Radiotherapy Treatment Planning: The Newcastle upon Tyne Story

October 2, 2019 by Hazel McCallum, Ph.D

On the basis of nearly ten years’ experience, the evolution and development of MRI in radiotherapy planning at an early site is described. [...]

Filed Under: Clinical Imaging, Clinical Methods & Techniques, whole body
Tagged With: brain, prostate

Assessing Brain Volumes Using MorphoBox Prototype

June 12, 2017 by Alexis Roche

This review focuses on 8 critical questions regarding gadolinium deposition in the brain and body, with the answers and discussion therein important for future regulatory decisions and clinical practice. [...]

Filed Under: brain, Clinical Imaging, Clinical Methods & Techniques, Clinical Updates
Tagged With: brain, tissue volume

Overview of Magnetic Resonance Fingerprinting

April 28, 2016 by Vikas Gulani

This overview of Magnetic Resonance Fingerprinting describes the basic concepts of MRF and illustrates some clinical applications. [...]

Filed Under: brain, Clinical Imaging, Clinical Methods & Techniques, Clinical Updates, New Technologies & Advances, the joints
Tagged With: 7T, brain, musculoskeletal

New ‘ADC & b-value’ Tool in syngo.via

April 28, 2016 by Julien Gervais

This article describes the feature ‘ADC & computed b-value’ available on Siemens’ syngo.via VB10. This new tool provides an increased degree of freedom in the choice of the b-value for disease detection and characterization. [...]

Filed Under: brain, Clinical Imaging, Clinical Methods & Techniques, Clinical Updates, New Technologies & Advances, the joints
Tagged With: 7T, brain, musculoskeletal

Pediatric Pathologies that have Leukocoria as Presenting Sign: the Podium

January 31, 2016 by Paolo Galluzzi

The article features the clinical and imaging signs and differential diagnosis of Retinoblastoma, persistent fetal vasculature and Coats’ disease. View/Download [...]

Filed Under: brain, Clinical Imaging, Clinical Methods & Techniques, Clinical Updates, New Technologies & Advances, the joints
Tagged With: 7T, brain, musculoskeletal

Safety of the Gadolinium-Based Contrast Agents for Magnetic Resonance Imaging, Focusing in Part on Their Accumulation in the Brain and Especially the Dentate Nucleus

March 26, 2016 by Val M. Runge, MD

The established class of intravenous contrast media for magnetic resonance imaging is the gadolinium chelates, more generally referred to as the gadolinium-based contrast agents (GBCAs). [...]

Filed Under: brain, Clinical Imaging, Clinical Methods & Techniques, Clinical Updates, Contrast Media Updates
Tagged With: brain, CLINICAL IMAGING, CLINICAL METHODS & TECHNIQUES, CLINICAL UPDATES, NEW TECHNOLOGIES & ADVANCES

Case Report: Clinical Usability of MyoMaps in Myocardial Infarction

February 29, 2016 by Masashi Nakamura, M.D.

These case reports show that current advances in T1 and T2 mapping and ECV quantification might have the potential to improve the diagnosis of cardiovascular disease, refine myocardial risk stratification and guide patient personalized therapeutic strategies. View/Download [...]

Filed Under: Cases, Clinical Imaging, Clinical Methods & Techniques, Clinical Updates, heart, New Technologies & Advances, Vessels
Tagged With: 7T, brain, musculoskeletal

Launch of the world’s first 7 T MR platform intended for clinical use (Siemens)

June 22, 2015 by MRI

Erlangen, Germany, May 31, 2015 — Siemens announced at the Toronto ISMRM (International Society for Magnetic Resonance in Medicine) meeting the launch of the world’s first 7 T MR platform intended for clinical use. Important advances include a new, light, actively shielded magnet with zero helium boil-off and dual operating modes, enabling rapid switching between research […] [...]

Filed Under: brain, Clinical Imaging, Clinical Methods & Techniques, Clinical Updates, New Technologies & Advances, the joints
Tagged With: 7T, brain, musculoskeletal

First Clinical Experiences with Simultaneous Multi-Slice Accelerated Diffusion-Weighted Imaging Throughout the Body

December 2, 2016 by Valentin Tissot, M.D.

Dr. Valentin Tissot (CHRU, Brest, France) presents cases throughout the whole body that demonstrate that Simultaneous Multi-Slice (SMS) helps to accelerate diffusion-weighted imaging in almost all clinical cases where DWI is commonly applied. Robust results and good image quality can be achieved with an SMS factor of 2, which allows one to achieve near 2-fold acceleration. He also shows that ADC values are highly reproducible between the conventional and the accelerated technique. [...]

Filed Under: Clinical Imaging, Clinical Methods & Techniques, Clinical Updates
Tagged With: body imaging, brain, breast, neck, prostate

syngo MR XA10 – Your New Work Environment for More Comfortable Scanning and Intuitive Image Processing

March 8, 2017 by Alexander Aulesjord

In this article we share some of our experiences over the last few years with MR upgrades. [...]

Filed Under: Anatomic Regions, brain, Clinical Imaging, Software & Hardware Updates
Tagged With: abdomen, bones, brain, heart, spine

Case Series: Utilization of the Pediatric 16 Coil for 1.5T and 3T Systems

March 8, 2017 by Miriam R. Keil, Ph.D.

In this article we share some of our experiences over the last few years with MR upgrades. [...]

Filed Under: Clinical Imaging, diffusion-weighted imaging, fat saturation, soft tissues, Software & Hardware Updates
Tagged With: abdomen, bones, brain, heart, spine

Case Series: Utilization of the Pediatric 16 Coil for 1.5T and 3T Systems

February 3, 2017 by Bac Nguyen, RT

In this article we share some of our experiences over the last few years with MR upgrades. [...]

Filed Under: abdomen, Anatomic Regions, bones, brain, Clinical Imaging, Clinical Updates, heart, Software & Hardware Updates, spine
Tagged With: abdomen, bones, brain, heart, spine

Long-term Experience with MR Upgrades

November 23, 2016 by Christos Loupatatzis, M.D.

In this article we share some of our experiences over the last few years with MR upgrades. [...]

Filed Under: brain, Clinical Imaging, Clinical Updates, Software & Hardware Updates
Tagged With: abdomen, brain, the joints, vessels

Rapid Estimation of Myelin for Diagnostic Imaging (REMyDI)

November 23, 2016 by Tobias Granberg

The article describes a new MRI myelin detection model to measure the presence of myelin by its effect on the surrounding cellular water, and discusses clinical applications of this technique. Download/View PDF [...]

Filed Under: brain, Clinical Imaging, Clinical Methods & Techniques, Clinical Updates, New Technologies & Advances
Tagged With: brain

Brain abscess

June 30, 2014 by Tao Ai MD, PhD

Clinical History: This 5-year old boy presented with an acute headache and vomiting for 12 hours. The patient had a clinical history of cholesteatoma surgery in the recent past, involving the right mastoid. Diagnosis: Brain abscess MR Technique: Contrast-enhanced brain MR imaging was performed on a 3T system following an unenhanced CT scan […] [...]

Filed Under: Anatomic Regions, brain, Cases, Clinical Imaging, Meet The Experts, Xiaoming Li
Tagged With: 3T, brain, CE-MRI, Infection

Oligodendroglioma (WHO grade II)

July 8, 2013 by Val M. Runge, MD

A 30 year old man referred to Neurosurgery for a mass lesion (of the brain) revealed by imaging at an outside hospital. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Brain neoplasm, Supratentorial Brain Neoplasm

Medulloblastoma (posterior fossa PNET)

July 8, 2013 by Val M. Runge, MD

A 7 year-old boy who presents with nausea and vomiting. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Brain neoplasm, Infratentorial Brain Neoplasm

Metastasis (breast carcinoma)

July 8, 2013 by Val M. Runge, MD

A 64 year-old woman with a history of breast cancer, presenting with weakness [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Brain neoplasm, metastasis, supratentorial

Pituitary microadenoma (prolactinoma, treated)

July 8, 2013 by Val M. Runge, MD

A 31 year-old woman with long-standing infertility, who prior to treatment presented with galactorrhea, now on cabergoline. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Brain neoplasm, pituitary, Sellar Neoplasm

Pituitary macroadenoma, with invasion of the left cavernous sinus

July 6, 2013 by Val M. Runge, MD

A 58 year old woman presenting with a visual field defect (bitemporal hemianopsia) [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Sellar Neoplasm

Parenchymal hemorrhage, late subacute

July 8, 2013 by Val M. Runge, MD

A 68 year-old woman several weeks following a stroke. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Intraparenchymal Hemorrhage, supratentorial

Periventricular leukomalacia

July 8, 2013 by Val M. Runge, MD

A 3 year-old girl, product of in vitro fertilization (with a normal twin), delivered by c-section at 30 weeks. She is mildly developmentally delayed, with spastic diplegic/triplegic cerebral palsy. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Ischemia, supratentorial

Cavernous malformation

July 8, 2013 by Val M. Runge, MD

A 60 year-old woman with myelopathic symptoms, status/post cervical decompression, with follow-up cervical MR revealing a lesion in the pons. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, brainstem, Gradient Echo, Vascular Malformation

Standardized Quality and Process Efficiency with High-Throughput MR Exams

January 30, 2015 by Val M. Runge, MD

Standardized Quality and Process Efficiency with High-Throughput MR Exams. MR 2015 Garmisch (Germany), 16th International MRI Symposium. January 30, 2015. [...]

Filed Under: brain, Clinical Imaging, Clinical Methods & Techniques, Clinical Updates, spine, Val M. Runge
Tagged With: brain, spine

MAGNETOM Aera – Combining Throughput and Highest Quality MRI in an Optimized Clinical Workflow

March 6, 2014 by MRI

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. [...]

Filed Under: abdomen, Anatomic Regions, brain, Clinical Imaging, Clinical Methods & Techniques, the joints
Tagged With: abdomen, brain, musculoskeletal system

Toxoplasmosis

July 8, 2013 by Val M. Runge, MD

A 30 year-old woman with HIV [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Immunocompromise, Infection, supratentorial

Brain Perfusion; How & Why

July 6, 2013 by Nader Binesh, Ph.D.

Pathologic perfusion is sometimes the reason and often the consequence of brain pathologies. Evaluation of perfusion with dynamic susceptibility-weighted imaging is a well understood and established method to evaluate these changes. In this article, Binesh et al. (Cedars Sinai Medical Center, Los Angeles) show step-by-step how they apply this method and present four case reports illustrating the usefulness of perfusion imaging in clinical practice. [...]

Filed Under: Clinical Imaging, Clinical Methods & Techniques, Clinical Updates
Tagged With: brain, perfusion

Introduction to Advanced Techniques in MR Neuroimaging

July 6, 2013 by Bernhard Schuknecht

Neurology is the largest field of application for MRI. In their article the authors give a comprehensive introduction to advanced techniques in neuroimaging. Learn more about fMRI, DTI, DWI, ASL, SWI and many other techniques that go beyond standard imaging. [...]

Filed Under: Clinical Imaging, Clinical Methods & Techniques
Tagged With: brain, diffusion, diffusion tensor imaging, susceptibility

Cerebral Amyloid Angiopathy (CAA) using Susceptibility-Weighted Imaging (syngo SWI)

July 6, 2013 by Markus Lentschig, MD

Susceptibility weighted imaging well demonstrates microhemorrhages within the brain. In CAA, these involve the cortex and subcortical white matter within the frontal and parietal lobes. This is in distinction to hypertensive microangiopathy, where microhemorrhages occur in deep white matter as well as infratentorially. [...]

Filed Under: Clinical Imaging, Clinical Methods & Techniques, Clinical Updates
Tagged With: brain, Intraparenchymal Hemorrhage, susceptibility

Susceptibility-Weighted Imaging (syngo SWI) at 3T.

July 6, 2013 by Peter Brotchie

This is a pictorial review of susceptibility- weighted imaging (syngo SWI) using a MAGNETOM Trio system with software version syngo MR B15 and a 32-channel head coil at The Geelong Hospital, Victoria, Australia. syngo SWI is a 3D FLASH sequence that is flow compensated in slice, read and phase directions. [...]

Filed Under: brain, Clinical Imaging, Clinical Methods & Techniques
Tagged With: brain, susceptibility

AVM (within the third ventricle)

July 6, 2013 by Val M. Runge, MD

A 21 year-old man, presenting with syncope [...]

Filed Under: Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: Arteriovenous Malformation, brain

Germinoma

July 6, 2013 by Val M. Runge, MD

A 22 year-old woman presents with a suprasellar mass on CT [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Brain neoplasm, Supratentorial Brain Neoplasm

Oligoastrocytoma (WHO grade 2)

July 6, 2013 by Val M. Runge, MD

A 23 year old man presenting with a mass lesion on CT [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Brain neoplasm, supratentorial, Supratentorial Brain Neoplasm

Posterior reversible encephalopathy syndrome (PRES), also known as acute hypertensive encephalopathy

July 6, 2013 by Val M. Runge, MD

A 25 year-old woman on chemotherapy, with hypertension and visual symptoms [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Ischemia

Septo-optic dysplasia

July 6, 2013 by Val M. Runge, MD

A five year-old boy with hydrocephalus and pituitary dysfunction [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Congenital Abnormalities, supratentorial

Left temporal lobe arteriovenous malformation (AVM)

July 6, 2013 by Val M. Runge, MD

A 31 year old woman [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: Arteriovenous Malformation, brain, MRA, non-contrast MRA, supratentorial

Glioblastoma Multiforme (left parietal)

July 6, 2013 by Val M. Runge, MD

A 57 year old man presents with a mass lesion on CT, with MR performed for differential diagnosis and better delineation of the lesion. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Brain tumor, supratentorial, Supratentorial Brain Neoplasm

Posterior cerebral artery infarct (early subacute)

July 6, 2013 by Val M. Runge, MD

A 79 year old man presents with symptoms of a cerebrovascular accident [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, diffusion, Ischemia, supratentorial

Multiple sclerosis (cervical spinal cord)

July 6, 2013 by Val M. Runge, MD

A 28 year old woman [...]

Filed Under: brain, Cases, cervical, Clinical Imaging, Meet The Experts, spine, Val M. Runge, Xiaoming Li
Tagged With: brain, cervical spine, Inflammatory disease, Multiple Sclerosis

Left MCA trifurcation aneurysm

July 6, 2013 by Val M. Runge, MD

A 45 year old man with end-stage renal disease and a history of polycystic kidney disease [...]

Filed Under: arteries of the brain, brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: Aneurysm, arteries of the brain, brain, MRA, non-contrast MRA

Left middle cranial fossa arachnoid cyst

July 6, 2013 by Val M. Runge, MD

An incidental finding in a 46 year old man being evaluated for possible recent cerebral infarction (the brain MR was otherwise normal) [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, congenital abnormality, supratentorial, Trauma

Glioblastoma (WHO grade 4 astrocytoma), recurrent

July 6, 2013 by Val M. Runge, MD

A 55 year old man, with a previous partial tumor resection [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Brain tumor, supratentorial, Supratentorial Brain Neoplasm

Meningioma

July 6, 2013 by Dr. Adel Salehi, MD

An 87 year old male with anosmia and known diagnosis of meningioma. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: brain, Brain neoplasm, meningioma, Supratentorial Brain Neoplasm

Right cerebellar hemangioblastoma

July 6, 2013 by Dr Harisha Kommana, MD

A 49 year old male with worsening headache, mostly in the posterior neck, and vertigo. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: brain, Brain neoplasm, infratentorial, Infratentorial Brain Neoplasm

Melanoma with brain metastases

July 6, 2013 by Dr Nathan Priddy, MD

A 77 year-old male with history of melanoma. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: brain, metastases, supratentorial, Supratentorial Brain Neoplasm

Active Multiple Sclerosis

July 6, 2013 by Dr Benny Tran, MD

This is a 24-year-old male with left-sided weakness and numbness, headaches, and a clinical question of a recent stroke. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: brain, Multiple Sclerosis

Low Grade Astrocytoma

July 6, 2013 by John N. Morelli, MD

78 year old woman with symptoms of memory loss and dizziness for the past 6 months. She also has chronic headaches, confusion and ataxia. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: brain, Brain neoplasm, supratentorial, Supratentorial Brain Neoplasm

Right-sided vestibular schwannoma

July 6, 2013 by Andreas Von Ritschl, MD

This is a 46-year-old female who presented with a history of right ear tinnitus and right ear sensorineural hearing loss. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: brain, Brain neoplasm, internal auditory canal, Internal Auditory Canal Neoplasm

Arachnoid Cyst

July 6, 2013 by Nirav A. Patel, MD, MBA

49 year old man with lung cancer for evaluation of metastatic disease after chemotherapy and radiation. No neurological symptoms. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: Arachnoid Cyst, brain, infratentorial

Vestibular Schwannoma

July 6, 2013 by Dr Murali Surnedi, MD

68 year old man with bilateral hearing loss. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: brain, internal auditory canal, Internal Auditory Canal Neoplasm

Chiari I Malformation

July 6, 2013 by John N. Morelli, MD

This is a 21-year-old male with recent headaches. The headaches are described as intermittent throbbing and result in numbness, tingling, and blurred vision. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: brain, congenital abnormality, posterior fossa, Posterior Fossa Congenital Malformation

Chiari II Malformation

July 6, 2013 by Dr Harnoor Singh, MD

This is an 11-year-old male being followed for loss of cognitive abilities and facial paralysis. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: brain, congenital abnormality

Arteriovenous malformation

July 6, 2013 by Dr Snehal R More MD

22 year old man with left sided sensory seizures. The seizures are of focal onset, typically affecting the left arm and shoulder, with radiation to the entire left side within 2-3 seconds. He describes the seizures as an electric burning feeling that “is not pain”. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: Arteriovenous Malformation, brain, non-contrast MRA, supratentorial

Cavernous malformation or a “Cavernoma”

July 6, 2013 by Kristen Casey, MD

This is a 43 year old male with chronic headaches in the occipital region with nausea, visual disturbances, tinnitus, and vertigo. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: brain, infratentorial, posterior fossa, Vascular abnormality

Capillary telangiectasia

July 6, 2013 by Sankaman N. Praisoody, MD

27 yr old woman presented with sudden onset of hearing loss in the right ear, severe headache, dizziness, double vision six years ago. MRI of the brain at that time revealed an incidental finding of capillary telangiectasia in the right pons. During recent visit to the hospital follow up MRI was performed. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: brain, brainstem, Vascular abnormality

Vestibular Schwannoma

July 6, 2013 by Sankaman N. Praisoody, MD

57 year old man with progressive hearing loss on the left side and sensory loss of cranial nerves V2 and V3. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: brain, infratentorial, Infratentorial Brain Neoplasm, internal auditory canal, Internal Auditory Canal Neoplasm, posterior fossa

Arteriovenous Malformation

July 6, 2013 by Fei Ai, MD

This 43-year-old female presented to clinic with a severe headache and neck neck pain for the last two weeks. This was associated with intermittent mental status changes. [...]

Filed Under: Anatomic Regions, arteries of the brain, brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: Arteriovenous Malformation, brain, MRA, non-contrast MRA

Meningioma

July 6, 2013 by Fei Ai, MD

This 62-year-old woman presented with a six month history of nausea and vomiting. Recently, the woman complains of dysosmia, experiencing the smell of ammonia. These dysosmiac episodes last for several minutes but have recently increased in frequency. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Brain neoplasm, supratentorial, Supratentorial Brain Neoplasm

Optic Sheath Meningioma

July 6, 2013 by Tobias Saam, MD

This 54 year old female patient presented with subtle, progressive, partial loss of sight involving the left eye. Clinical exam showed papilledema and atrophy of the optic nerve on the left. [...]

Filed Under: brain, Cases, Clinical Imaging, Maximilian Reiser, Meet The Experts
Tagged With: brain, meningioma, orbit

Suprasellar Germinoma

July 6, 2013 by Fei Ai, MD

This 24-year-old woman presented clinically with ongoing intermittent headaches most severe in the frontal region. On physical exam, she was found to have bilateral optic atrophy and a right homonymous hemianopia. The patient was noted to have a mass on subsequent CT and MRI examinations. She underwent a frontal temporal biospy of the mass which pathologically confirmed the presence of a germinoma. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, parasellar neoplasm, sella

Metastatic Pituitary Disease

July 6, 2013 by Fei Ai, MD

This 53-year-old woman presented to oncology clinic complaining of new-onset headaches over the last week. In particular, these occurred intermittently, involving the region of her right eye. She also reported new-onset diplopia. The patient had a history of cervical cancer with metastatic lesions to her lungs, which were found 6 months previous. The patient’s MR examination is given, and endoscopic transnasal tumor resection was subsequently performed. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, metastasis, sella, Sellar Neoplasm

Pituitary Macroadenoma

July 6, 2013 by Val M. Runge, MD

This 64-year-old man presented clinically with a complaint of vision loss over the last year. Ophthalmologic exam revealed a bitemporal hemianopsia and the patient was referred for MRI. A prolactin level was normal. The lesion was subsequently resected via an intranasal approach. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge
Tagged With: brain, pituitary, sella, Sellar Neoplasm

Oligoastrocytoma

July 6, 2013 by Fei Ai, MD

This 23-year-old male presented to the emergency room complaining of new-onset seizures. A subsequent MR examination revealed intra-axial large brain mass. This was found to be a low-grade glioma. This mass was biopsied and found to represent a low-grade oligo-astrocytoma. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Brain neoplasm, Supratentorial Brain Neoplasm

Astrocytoma

July 6, 2013 by Wei Zhang, MD

This 31-year-old man presented to the neurology department with progressive dizziness for two months along with new-onset seizures, vomiting, and weakness. He reported no history of fever or traumatic head injury. An MRI was performed for further assessment. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Brain neoplasm, supratentorial, Supratentorial Brain Neoplasm

Cavernoma

July 6, 2013 by Wei Zhang, MD

This 35-year-old woman presented to neurology clinic with a one week history of increasing confusion and new-onset seizures. Following MRI illustrated here, the patient underwent surgical treatment for the lesion illustrated herein. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Intraparenchymal Hemorrhage, supratentorial, Vascular Malformation

Brain Abscess

July 6, 2013 by Fei Ai, MD

This 35-year-old man presented to the emergency department complaining of intermittent headaches, paresthesias, and weakness of his left thumb for nine days. The patient reported a history of fever along with these symptoms. After the MRI examination illustrated herein, the patient underwent successful surgical treatment. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Infection, supratentorial

Cerebellar glioma

July 6, 2013 by Fei Ai, MD

This 4-year-old boy presented to his pediatrician with ataxia and vomiting for several months. After undergoing the MRI, images from which are displayed below, the child was diagnosed with a cerebellar glioma. A VP shunt was placed emergently, although the tumor was not removed secondary to its location. The child underwent radiation therapy with modest improvement. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Brain neoplasm, posterior fossa

Thalamic glioma

July 6, 2013 by Wei Zhang, MD

This 67-year-old man presented to the neurology department with increasing dizzy and weakness for approximately six months, together with restricted movements of the left upper and lower extremity. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Xiaoming Li
Tagged With: brain, Brain neoplasm, supratentorial, Supratentorial Brain Neoplasm

Arachnoid cyst

July 6, 2013 by Fei Ai, MD

This 23 year old female, 21 weeks into pregnancy, complained of a history of headaches over the past several years. In the past 2 weeks, however, the headaches had worsened significantly in severity and the patient had experienced associated nausea, vomiting, photophobia, right-sided temporal and retro-orbital pain. Following the MR examination presented below, the patient underwent a right parietal craniotomy with fenestration of CSF arachnoid cyst, connecting it with the right lateral ventricle. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: Arachnoid Cyst, brain

Chiari I malformation

July 6, 2013 by Fei Ai, MD

This 50-year-old female, who reported a history of being in a motorcycle accident approximately two years ago, complained of a one year history of severe headaches and neck pain. An MR examination revealed degenerative disease in the cervical spine associated with a Type 1 Chiari Malformation. [...]

Filed Under: brain, Cases, Clinical Imaging, Meet The Experts, Val M. Runge, Xiaoming Li
Tagged With: brain, Congenital Malformation, posterior fossa, Posterior Fossa Congenital Malformation