Examinations of the knees of obese patients are challenging; most dedicated knee coils are optimized to offer a comfortable positioning and optimal coil load for a wide range of patients. However, some patients require special coil setups and cannot be examined with a conventional closed knee coil. In their case report Garmer et al. from Grönemeyer Institute of Microtherapy, Bochum, Germany, demonstrate how a flexible coil setup with Tim coil technology combined with fast imaging protocols can assist in the diagnoses of knee pain in obese patients.
 
At the European Congress of Radiology (ECR) in Vienna, diagnostic performance of diffusion-weighted imaging (DWI) gained special attention. DWI compared to PET/CT was in the focus of a variety of scientific presentations. While the exact future role of this imaging technique is still topic of scientific debate, its clinical value in a variety of indications is unquestionable. In their case report, Klumpp et al. from the University Hospital of Tuebingen (Germany) demonstrate how DWI is used to enhance the diagnoses of liver metastases in a case of a neuroendocrine tumor compared to conventional MRI and PET/CT examinations.
 
For diagnoses and follow-up of cerebrovascular diseases the accurate evaluation of brain perfusion including temporal information of blood flow is essential. In this case report Drs. Panasci and Mendelsohn from Zwanger-Pesiri Radiology, Smithtown, NY, USA demonstrate how this data can also be derived from non-contrast enhanced PWI measurements. By using syngo.ASL, they were able to evaluate a post procedure study following angioplasty and stenting of a right internal carotid artery and angioplasty of a right A1 segment.
 
Join us for the 7th MAGNETOM World Summit where you will discover new techniques and methods to maximize your MAGNETOM systems.This interesting and challenging program will feature 33 international luminary speakers and will offer you important networking opportunities with your colleagues and peers.
 
To diagnose peripheral neurological deficiencies imaging of the vertebral disks is not enough. Depending on the clinical symptoms also the nerve roots and myelon have to be evaluated in detail. In the presented case of a traumatic lesion of the left brachial plexus Markus Lentschig (MR and PET/CT Center Bremen, Germany) shows his MAGNETOM Espree imaging protocol for the evaluation of the brachiocervical plexus.
 
A key factor in determining the patient’s operative treatment in case of complex tear of the labrum is the confident diagnosis of the integrity of adjacent articular cartilage.
Prof. Recht (NYU) describes in his case report how optimized imaging at 3T helps to assess these complex pathologies and shares his imaging protocols used in such a clinical setting.
 
To optimize surgical procedures of mediastinal masses, cardiac MRI with high temoral resolution has already proven its clinical value.
In this case of a 24-year-old male with suspicion of cardiac angiosarcoma Dr. Murray et al. (Mater Misericordiae University Hospital, Dublin, Ireland) present how cardiac MRI and syngo TWIST were able to characterize the tumor and its relationship to coronary vasculature in detail.
 
The evaluation of peritoneal metastatic spread is still a domain of computed tomography. But evolving MR techniques including continuous table move (syngo TimCT) allow the comprehensive evaluation of large parts of the body with MRI and can now be considered an alternative to CT in daily clinical practice. Henrik J. Michaely, M.D. from Mannheim University, Germany, demonstrates the clinical value of these refined MR techniques in a case of a rare metastatic hepatoid carcinoma of the prostate.
 
MR angiography plays an important role in the diagnostic work-up of peripheral vessel diseases. With recent concerns regarding the risk of NSF and also demands to reduce contrast media usage not only for renally impaired patients, the clinical need for non-contrast MR angiography has increased.
Holden et al. from the Centre for Advanced MRI, University of Auckland, New Zealand, compare in a case of right leg calf claudication the results of non-contrast MRA (syngo NATIVE) with conventional MR angiography and DSA.
 
Functional parameters and especially information on brain tissue perfusion is gaining importance in lesion characterisation. With the arterial spin labelling technique (syngo ASL), a non-contrast based method for the evaluation of brain perfusion is now clinically widely applicable and is potentially influencing imaging protocols. Oleaga et al. (case: Astrocytoma), Matsuda et al. (case: Alzheimer´s disease) and Rovira et al. (case: ITD) demonstrate in their case reports how syngo ASL is supporting the detection and characterisation of brain pathologies.
 
The early and correct estimation of metastatic spread is essential for an efficient therapy regime. Since cancer is often characterized by higher cellularity and therefore restriction of water diffusion, Diffusion-weighted imaging (DWI) with high b-values has been applied for imaging metastasis and therefore improve the diagnostic accuracy of MRI.
The working-group of Schlemmer et al. from the Department of Radiology, University of Tuebingen, Germany, show in a case of melanoma and non-Hodgkin lymphoma the potential of DWI to enhance staging and compared the findings with results of 18F-FDG PET/CT exams.
 
The differential diagnosis based upon conventional MR imaging would suggest a primary glial neoplasm. But displacement, rather than disruption of the fiber bundles at Diffusion Tensor Imaging (DTI) is suggestive of a lower grade neoplasm, confirmed at pathology to be a dysembryoplastic neuroepithelial tumor.
 
Diffusion Tensor Imaging (syngo DTI) adds clinical value to numerous indications for brain MRI within the daily clinical routine. In her talk at the 6th MAGNETOM World Summit in Munich, Dr. Tammie Benzinger shows how syngo DTI is integrated in the daily clinical routine at the Washington University School of Medicine (St. Louis, MO, USA).