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| | | | | | | Searchterm 'MRI' was also found in the following services: | | | | |
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(MR mammography) Magnetic resonance imaging of the breast is particularly useful in evaluation of newly diagnosed breast cancer, in women whose breast tissue is mammographically very dense and for screening in women with a high lifetime risk of breast cancer because of their family history or genetic disposition.
Breast MRI can be performed on all standard whole body magnets at a field strength of 0.5 T - 1.5 Tesla. Powerful gradient strengths over 15 mT/m will help to improve the balance between spatial resolution, scanning speed, and volume coverage. The use of a dedicated bilateral breast coil is obligatory.
Malignant lesions release angiogenic factors that increase local vessel density and vessel permeability. Breast cancer is detectable due to the strong enhancement in dynamic breast imaging that peaks early (about 1-2 min.) after contrast medium injection. If breast cancer is suspected, a breast biopsy may be necessary to secure the diagnosis. See also Magnetic Resonance Imaging MRI, Biopsy and MR Guided Interventions.
Requirements in breast MRI procedures:
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Both breasts must be measured without gaps.
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For the best possible detection of enhancement fat signal should be eliminated either by image subtraction or by
spectrally selective fat saturation.
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Thin slices are necessary to assure absence of partial
volume effects.
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Imaging should be performed with a spatial
resolution in plane less than 1 mm.
For Ultrasound Imaging (USI) see Breast Ultrasound at Medical-Ultrasound-Imaging.com.
See also the related poll result: ' MRI will have replaced 50% of x-ray exams by' | | | | | | | | | | | | | | | | Further Reading: | | Basics:
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Technology advances in breast cancer screenings lead to early diagnosis Friday, 6 October 2023 by ksltv.com | | |
Are synthetic contrast-enhanced breast MRI images as good as the real thing? Friday, 18 November 2022 by healthimaging.com | | |
Abbreviated breast MRI protocols not as cost-effective as promised, new study shows Wednesday, 20 July 2022 by healthimaging.com | | |
Deep learning poised to improve breast cancer imaging Thursday, 24 February 2022 by www.eurekalert.org | | |
Pre-Operative Breast MRI Can Help Identify Patients Likely to Experience Nipple-Sparing Mastectomy Risks Wednesday, 7 April 2021 by www.diagnosticimaging.com | | |
Breast cancer screening recalls: simple MRI measurement could avoid 30% of biopsies Monday, 1 March 2021 by www.eurekalert.org | | |
A Comparison of Methods for High-Spatial-Resolution Diffusion-weighted Imaging in Breast MRI Tuesday, 25 August 2020 by pubs.rsna.org | | |
Pre-Operative Breast MRI Diagnoses More Cancers in Women with DCIS Thursday, 9 July 2020 by www.diagnosticimaging.com | | |
Breast MRI and tumour biology predict axillary lymph node response to neoadjuvant chemotherapy for breast cancer Thursday, 26 December 2019 by cancerimagingjournal.biomedcentral.com | | |
Breast MRI Coding Gets an Overhaul in 2019 Wednesday, 9 January 2019 by www.aapc.com | | |
How accurate are volumetric software programs when compared to breast MRI? Thursday, 27 July 2017 by www.radiologybusiness.com | | |
Additional Breast Cancer Tumors Found on MRI After Mammography May Be Larger, More Aggressive Wednesday, 9 December 2015 by www.oncologynurseadvisor.com | | |
Preoperative MRI May Overdiagnose Contralateral Breast Cancer Wednesday, 2 December 2015 by www.cancertherapyadvisor.com | | |
BI-RADS and breast MRI useful in predicting malignancy Wednesday, 30 May 2012 by www.oncologynurseadvisor.com |
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It is important to remember when working around a superconducting magnet that the magnetic field is always on. Under usual working conditions the field is never turned off. Attention must be paid to keep all ferromagnetic items at an adequate distance from the magnet. Ferromagnetic objects which came accidentally under the influence of these strong magnets can injure or kill individuals in or nearby the magnet, or can seriously damage every hardware, the magnet itself, the cooling system, etc..
See MRI resources Accidents.
The doors leading to a magnet room should be closed at all times except when entering or exiting the room. Every person working in or entering the magnet room or adjacent rooms with a magnetic field has to be instructed about the dangers. This should include the patient, intensive-care staff, and maintenance-, service- and cleaning personnel, etc..
The 5 Gauss limit defines the 'safe' level of static magnetic field exposure. The value of the absorbed dose is fixed by the authorities to avoid heating of the patient's tissue and is defined by the specific absorption rate.
Leads or wires that are used in the magnet bore during imaging procedures, should not form large-radius wire loops. Leg-to-leg and leg-to-arm skin contact should be prevented in order to avoid the risk of burning due to the generation of high current loops if the legs or arms are allowed to touch. The patient's skin should not be in contact with the inner bore of the magnet.
The outflow from cryogens like liquid helium is improbable during normal operation and not a real danger for patients.
The safety of MRI contrast agents is tested in drug trials and they have a high compatibility with very few side effects. The variations of the side effects and possible contraindications are similar to X-ray contrast medium, but very rare. In general, an adverse reaction increases with the quantity of the MRI contrast medium and also with the osmolarity of the compound.
See also 5 Gauss Fringe Field, 5 Gauss Line, Cardiac Risks, Cardiac Stent, dB/dt, Legal Requirements, Low Field MRI, Magnetohydrodynamic Effect, MR Compatibility, MR Guided Interventions, Claustrophobia, MRI Risks and Shielding. | | | | | | | | | • View the DATABASE results for 'MRI Safety' (42).
| | | • View the NEWS results for 'MRI Safety' (13).
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In the last years, cardiac MRI techniques have progressively improved. No other noninvasive imaging modality provides the same degree of contrast and temporal resolution for the assessment of cardiovascular anatomy and pathology. Contraindications MRI are the same as for other magnetic resonance techniques.
The primary advantage of MRI is extremely high contrast resolution between different tissue types, including blood. Moreover, MRI is a true 3 dimensional imaging modality and images can be obtained in any oblique plane along the true cardiac axes while preserving high temporal and spatial resolution with precise demonstration of cardiac anatomy without the administration of contrast media.
Due to these properties, MRI can precisely characterize cardiac function and quantify cavity volumes, ejection fraction, and left ventricular mass. In addition, cardiac MRI has the ability to quantify flow (see flow quantification), including bulk flow in vessels, pressure gradients across stenosis, regurgitant fractions and shunt fractions. Valve morphology and area can be determined and the severity of stenosis quantified. In certain disease states, such as myocardial infarction, the contrast resolution of MRI is further improved by the addition of extrinsic contrast agents (see myocardial late enhancement).
A dedicated cardiac coil, and a field strength higher than 1 Tesla is recommended to have sufficient signal. Cardiac MRI acquires ECG gating. Cardiac gating (ECGs) obtained within the MRI scanner, can be degraded by the superimposed electrical potential of flowing blood in the magnetic field. Therefore, excellent contact between the skin and ECG leads is necessary. For male patients, the skin at the lead sites can be shaved. A good cooperation of the patient is necessary because breath holding at the end of expiration is practiced during the most sequences.
See also Displacement Encoding with Stimulated Echoes.
For Ultrasound Imaging (USI) see Cardiac Ultrasound at Medical-Ultrasound-Imaging.com.
See also the related poll results: ' In 2010 your scanner will probably work with a field strength of' and ' MRI will have replaced 50% of x-ray exams by' | | | | | | • View the DATABASE results for 'Cardiac MRI' (15).
| | | • View the NEWS results for 'Cardiac MRI' (15).
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MRI technology visualizes heart metabolism in real time Friday, 18 November 2022 by medicalxpress.com | | |
Even early forms of liver disease affect heart health, Cedars-Sinai study finds Thursday, 8 December 2022 by www.eurekalert.org | | |
MRI sheds light on COVID vaccine-associated heart muscle injury Tuesday, 15 February 2022 by www.sciencedaily.com | | |
Radiologists must master cardiac CT, MRI to keep pace with demand: The heart is not a magical organ Monday, 1 March 2021 by www.radiologybusiness.com | | |
Diffusion weighted imaging (DWI) and diffusion tensor imaging (DTI) in the heart (myocardium) Sunday, 30 August 2020 by github.com | | |
Non-invasive diagnostic procedures for suspected CHD: Search reveals informative evidence Wednesday, 8 July 2020 by medicalxpress.co | | |
Cardiac MRI Becoming More Widely Available Thanks to AI and Reduced Exam Times Wednesday, 19 February 2020 by www.dicardiology.com | | |
Controlling patient's breathing makes cardiac MRI more accurate Friday, 13 May 2016 by www.upi.com | | |
Precise visualization of myocardial injury: World's first patient-based cardiac MRI study using 7T MRI Wednesday, 10 February 2016 by medicalxpress.com | | |
New technique could allow for safer, more accurate heart scans Thursday, 10 December 2015 by www.gizmag.com |
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In the 1930's, Isidor Isaac Rabi (Columbia University) succeeded in detecting and measuring single states of rotation of atoms and molecules, and in determining the mechanical and magnetic moments of the nuclei.
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Felix Bloch (Stanford University) and Edward Purcell (Harvard University) developed instruments, which could measure the magnetic resonance in bulk material such as liquids and solids. (Both honored with the Nobel Prize for Physics in 1952.) [The birth of the NMR spectroscopy]
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In the early 70's, Raymond Damadian (State University of New York) demonstrated with his NMR device, that there are different T1 relaxation times between normal and abnormal tissues of the same type, as well as between different types of normal tissues.
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In 1973, Paul Lauterbur (State University of New York) described a new imaging technique that he termed Zeugmatography. By utilizing gradients in the magnetic field, this technique was able to produce a two-dimensional image (back-projection). (Through analysis of the characteristics of the emitted radio waves, their origin could be determined.) Peter Mansfield further developed the utilization of gradients in the magnetic field and the mathematically analysis of these signals for a more useful imaging technique. (Paul C Lauterbur and Peter Mansfield were awarded with the 2003 Nobel Prize in Medicine.)
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1977/78: First images could be presented.
A cross section through a finger by Peter Mansfield and Andrew A. Maudsley.
Peter Mansfield also could present the first image through the abdomen.
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In 1977, Raymond Damadian completed (after 7 years) the first MR scanner (Indomitable). In 1978, he founded the FONAR Corporation, which manufactured the first commercial MRI scanner in 1980. Fonar went public in 1981.
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1981: Schering submitted a patent application for Gd-DTPA dimeglumine.
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1982: The first 'magnetization-transfer' imaging by Robert N. Muller.
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In 1983, Toshiba obtained approval from the Ministry of Health and Welfare in Japan for the first commercial MRI system.
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1986: Jürgen Hennig, A. Nauerth, and Hartmut Friedburg (University of Freiburg) introduced RARE (rapid acquisition with relaxation enhancement) imaging. Axel Haase, Jens Frahm, Dieter Matthaei, Wolfgang Haenicke, and Dietmar K. Merboldt (Max-Planck-Institute, Göttingen) developed the FLASH ( fast low angle shot) sequence.
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1988: Schering's MAGNEVIST gets its first approval by the FDA.
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In 1991, fMRI was developed independently by the University of Minnesota's Center for Magnetic Resonance Research (CMRR) and Massachusetts General Hospital's (MGH) MR Center.
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From 1992 to 1997 Fonar was paid for the infringement of it's patents from 'nearly every one of its competitors in the MRI industry including giant multi-nationals as Toshiba, Siemens, Shimadzu, Philips and GE'.
| | | | | | • View the DATABASE results for 'MRI History' (6).
| | | • View the NEWS results for 'MRI History' (1).
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| | | Searchterm 'MRI' was also found in the following services: | | | | |
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MRI of the shoulder with its excellent soft tissue discrimination, and high spatial resolution offers the best noninvasive way to study the shoulder. MRI images of the bone, muscles and tendons of the glenohumeral joint can be obtained in any oblique planes and projections. MRI gives excellent depiction of rotator cuff tears, injuries to the biceps tendon and damage to the glenoid labrum. Shoulder MRI is better than ultrasound imaging at depicting structural changes such as osteophytic spurs, ligament thickening, and acromial shape that may have predisposed to tendon degeneration.
A dedicated shoulder coil and careful patient positioning in external rotation with the shoulder as close as reasonably possible to the center of the magnet is necessary for a good image quality. If possible, the opposite shoulder should be lifted up, so that the patient lies on the imaged shoulder in order to rotate and fix this shoulder to reduce motion during breathing.
Axial, coronal oblique, and sagittal oblique proton density with fat suppression, T2 and T1 provide an assessment of the rotator cuff, biceps, deltoid, acromio-clavicular joint, the glenohumeral joint and surrounding large structures. If a labral injury is suspected, a Fat Sat gradient echo sequence is recommended. In some cases, a direct MR shoulder arthrogram with intra-articular injection of dilute gadolinium or an indirect arthrogram with imaging 20 min. after intravenous injection may be helpful. See also Imaging of the Extremities. | | | | | | | | | | | • View the DATABASE results for 'Shoulder MRI' (3).
| | | • View the NEWS results for 'Shoulder MRI' (1).
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