1.5T MRI scanners are maintaining their foothold, supported by imaging enhancements and more powerful gradients that are helping to decrease exam time, streamline department workflow and improve image resolution across a wide spectrum of neurological, cardiovascular, musculoskeletal and oncological imaging.
Within the University of Michigan Health System (UMHS), no stranger to cutting edge technology and research, 1.5T MRI is a tried-and-true imaging technique for a variety of applications. UMHS has an Achieva 1.5T MRI from Philips Healthcare installed at its East Ann Arbor offsite facility as well as at the C.S. Mott Children’s Hospital. And the reason they stick with 1.5T rather than making a switch to 3T is based on flexibility, says Suresh K. Mukherji, MD, chief of neuroradiology and head & neck radiology.
“1.5T gives us the flexibility to image all types of patients who come in, including cardiac, neuro, musculoskeletal and abdomen cases,” he says. UMHS had the option to purchase a 3T, but since, in those two areas it would be the only magnet, it made more sense to install a 1.5T, since 3T has more inherent artifacts than conventional 1.5T scanners.
“Before you spend the money on an MRI [system], and it’s going to be your only magnet, make sure it has the type of diagnostic information for all types of studies you want to perform,” says Mukherji. As the historical workhorse, 1.5T is “the tried and true magnet for MRI.”
Expanded imaging options
In Northwestern Kansas, Hays Medical Center (HMC) is focused on being the best tertiary care center in the United States. The 194-bed hospital is moving closer toward its goal with the GE Signa HDxt 1.5T MRI. Each year, HMC performs approximately 2,600 MRI exams.
The hospital upgraded in March 2008 from 9.0 to 14.0 HDx software, which meant they went from a basic MR scanner to a high definition (HD) scanner. Just a few weeks ago, the t software release was added that included new sequences which enable a single 3D volume scan as well as fat suppression, according to Christy Gillogly MRI supervisor. “We went pretty quickly from not having too many options to having a lot,” she says.
One expanded capability with the new software is Bravo, a 3D brain volume sequence that creates images in 3 to 4 minutes. Additionally, they can perform diffusion weighted imaging (DWI) on all brain sequences, typically for stroke detection.
“So along with mapping provided in back parameters in post processing in DWI, you can stage the age of the stroke, whether old, new or evolving and that helps in treating a patient within a three-hour window,” Gillogly says.
One new feature that radiologists really like is the 8-channel body coil because it has improved images for abdomen work. “Previously, we had a smaller torso array coil but in comparison to this channel, the wow factor is more information and better resolution,” she adds.
HMC is just scratching the surface of the potential applications of the Cube and Ideal sequences, Gillogly says she knows the potential they hold. Ideal is designed to help overcome fat saturation failures by providing a typical water saturation image, fat saturation image and an in-phase and out of phase sequence all in one four minute acquisition. “This will help reduce artifact and help characterize tissues better,” she says.
Cube replaces several slice-by-slice, plane-after-plane 2D acquisitions with a single 3D volume scan, to give a plethora of information for evaluating even the smallest lesions. “You can easily reconstruct high-definition, sub-millimeter-resolution images from a single acquisition into any plane you desire—without gaps and with the same resolution as the original plane in which it was acquired,” she concludes.
Here to stay
As MRI manufacturers continue to improve upon the design and features of 1.5T scanners, adding new coil technology, faster sequences and new gradients, the clinical workhorse will continue to maintain its standard of care, even as 3T comes galloping in from behind.
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