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Published byPercival McKinney Modified over 9 years ago
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CT v. MRI Part 2 Body Imaging
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Pelvis ▪MR and CT both have roles in pelvic imaging ▪CT allows for bony info and some smaller structures ▪MR is very good for uterine anatomy and has no ionizing radiation
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Endometriosis ▪MR allows for visualization of all the layers of the uterus.
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Bladder cancer ▪Both MR and CT can be used
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Prostate cancer ▪Endo coils have increased the utility of MR in prostate imaging ▪CT is useful in staging bony involvement
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Colon mets ▪Frequently seen as liver mets; however, intestinal lesions can met locally
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Liver ▪CT is very good for most abnormalities ▸ Spiral has improved the efficacy of CT ▪MR has application, especially in mets ▸ Iron chelate contrast media
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Hemangioma ▪Questionable low density areas can be evaluated with spiral techniques and power injectors; thereby, increasing the overall diagnostic ability of the exam
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Liver mets ▪For accurate diagnosis contrast is a must ▪Some lesions are difficult to adequately visualize ▪MR has serious application in liver mets
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Lungs ▪As a rule the chest is the purview of CT ▪MR as some use in the mediastineum and chest wall
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Abdomen ▪Both CT and MR work in the abdomen ▪The key is the appropriate modality for the diagnosis
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Pancreatitis
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Herniations ▪Omacele
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Kidney ▪Renal artery ▪Renal tumors
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Neuroblastoma ▪Wilm’s tumor
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Appendicitis ▪Big increase in use since the middle 90s.
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Adrenal ▪MR is great for adrenal abnormalities because of it’s multiplanar capabilities ▪Can use surface coils to increase image quality
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Flow Without contrast ▪A variety of fluids move within the abdomen and MR techniques have been developed or are being developed for all of them
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Organ Lacerations ▪Most of the structures are at risk for traumatic laceration resulting in a multitude of outcomes
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Conclusion
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