Introducing 3T MR Imaging with the New MAGNETOM Vida

Dr. Mohammad Hiari
Head of Radiology Department

|

Jordan Hospital, Amman, Jordan

|2020-01-02

Jordan Hospital is a medical center in Jordan, one of the first clinical and research facilities to install the MAGNETOM Vida 3T MRI. The primary rationale to invest in the new technology platform is the system specifications and the clinical capabilities of the state-of-the-art 3T platform.

The Head/Neck 64 channel coil, with its anthropomorphic geometry, accommodates a large variety of patients while providing highest SNR for extreme iPAT performance with full coverage of the head and neck and seamless integration with the spine and body coils.

For every patient with white matter lesions, the Head/Neck 64 channel coil was used to detect central venous signs(cvs) to confirm or rule out multiple sclerosis.

MAGNETOM VIda system with Head_Neck-64-channel

The images below show a 44-year-old male patient(on the MAGNETOM Vida system with Head/Neck 64 channel coil) which showed dilatation of the ventricular system (Quadri-Ventricular Hydrocephalus) with lack of CSF in the cisterna magna, secondary to obstruction at the level of the foramen of Magendie.

Brain_MRI_MAGNETOM Vida

The below images show a brain MRI done on a 55-year-old male patient (not immunocompromised) showing a large enhancing butterfly lesion in the splenium of the corpus callosum and another lesion in the left cerebellar hemisphere which turned out to be Lymphoma Metastases.

Siemens-Healthineers_MAGNETOM Vida

Brain MRI was done for a female patient complaining of vague neurological symptoms including headache, vomiting and fever. Midbrain and hind-brain hyperintense signal is well appreciated on T2 and FLAIR sequences done on VIDA and the diagnosis of rhombencephalitis was highly suggested.

Siemens-Healthineers_IVC_thrombus

This is a 32-year-old female patient transferred to our hospital after a caesarian section with suspicion of intra-abdominal vascular injury.

Aortic CTA (not shown) was normal with no vascular injury. Abdominal MRV without any contrast on MAGNETOM Vida system has been performed and showed a long thrombus in the IVC. Subsequently, pulmonary CTA showed multiple emboli in the pulmonary artery branches.

Siemens Healthineers_prostrate_MRI

Efficient MR imaging performed with no endorectal coil in less than 15 minutes serves a triage test to avoid unnecessary biopsies.

A core prostate imaging protocol typically involves T2-weighted scans in at least two planes, diffusion weighted imaging, and dynamic contrast-enhanced imaging. As shown above, all relevant contrasts can be acquired in about 15 minutes acquisition time. You can therefore examine a patient in a slot lasting between 20 and 25 minutes.

Siemens Healthineers-whole body MRI

30 channel body coil was used for prostate imaging which is showing a signal drop on T2 for the whole gland as well as signal drop in the ADC map with diffuse restriction in 1200 b-value and is showing right seminal vesicles invasion as well as enlarged lymph nodes in the deep inguinal region and in the mesorectum indicating advanced prostate cancer PIRAD 5.

Siemens_Healthineers-Urinary_bladder_MRI

A urinary bladder MRI was performed on a 62-year-old female patient, demonstrating an exophytic mass growing from the right vesicoureteric junction invading the urinary bladder wall and showing strong diffusion restriction on 1200 b-value DWI indicating its malignant behavior in keeping with transitional urothelial cell carcinoma (TCC).

Based on the images and similar images of the pelvic urinary tumours a VI-RADS (V is for vesico-) should be implemented from now on whenever there is bladder tumor, for better staging like prostate tumours.

Siemens Healthineers Pelvic MRI

A young athletic lady complaining of right hip pain. Pelvic MRI has been performed on MAGNETOM Vida 3T system and clearly showed muscle contusion in the right gluteus medius.

Siemens Healthineers_Cardiac-MRI

30-year-old male patient complaining of shortness of breath and the cardiologist suspected myocardial disease on echo. Cardiac MRI was performed in both cine and static mode (short axis, long axis and two-chambers view) and showed hypertrophic myocardium without any infiltration of the myocardium. Hence, hypertropic cardiomyopathy [HOCM] has been suggested.