Magnetic Resonance
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| Magnetic Resonance is a modern investigation method which allows the acquisition of human body images without using X-rays (Roentgen), making the diagnosis of numerous diseases possible. |
DTI (diffusion tensor imaging)
The MRI investigation is able to measure water restrictions in the tissues; the main application is in the imagism of the white matter, where the localization, orientation and tracts’ anizotropy can be measured; white matter tracts’ architecture facilitates the difusion of water molecules along their main trajectory; DTI applications are useful in localizing tumours, in the relationship with the white matter’s tracts (infiltration, deviation), in localizing the main white matter tracts for the neurosurgical planification and white matter evaluation in the case of degenerative cerebral diseases.
Spectroscopy
Used to measure different levels of the metabolits in the tissues. The MRI signal produces different resonance spectrums that correspond to different molecular patterns. A spectrum is obtained having 2 components: a scale of the resonant frequencies and an amplitude (metabolits’ concentration). There are applications at the cerebral, breast and prostate level. At the cerebral level the molecular compounds identified are: NAA (N-acetil asparat-neuronal marker), Cholina (marker of the turn-over through the cellular membrane), creatinina (marker of the energetic metabolism), lacteous (marker of the anaerobic metabolism). Spectrum evaluation allows the nosological framing (tumour, inflammation, infection, ischemia). The evaluation of the lesional constitutes for the tumoral grading is also possible. Pre and post surgery evaluation is performed, with the oncological follow-up of the treatment, and also the post surgery result of the adjuvant therapy.
SWI (Susceptibility weighted imaging)
A new sequence in imagism; it evaluates and uses the magnetic properties of blood, ferrum and other structures; used to detect cerebral microhaemorrhages, cavernomas, venous anginomas, arterial-venous malformations and venous anomalies with slow flow, cerebral traumatisms, vascular dementia, tumoural vascularization, epilepsy, calcium differentiation, Stuge Weber disease, mineralization, haemorrhage and ferrum deposits in the basic nucleus.
Special sequencies to trace LCR fistula
Colangiography
Magnetic resonance of the heart and large vessels
| Indications: |
 Congenital cardiac diseases |
| Segmentary description of anomalies |
| The evaluation of cono-truncal malformations and complex anomalies |
| The detection and non-invasive cuantification of sunts, stenosis and regurgitations |
| The identification of pulmonary and systemic venous anomalies |
| Cardiac or large vessels’ tumours-election investigations for the differentiation of cardiac and pericardium masses |
| Aneurism/aorta disections |
| The evaluation of the arteries and thoracic vessels in order to trace their anomalies |
| The trace of morphological and anatomic cardiac anomalies |
| The evaluation of the cardiac function |
| The evaluation of the left ventricle and of some parametres of its activities like: ejection fraction, telesistolical volume, telediastolic volume, interventricular septum and the kinetics of the ventricle walls (useful in the aneurism of the ventricular wall), the evaluation of the walve kinetics |
| The quantitative evaluation of the hemodynamic changes |
| The investigation of complex anomalies |
| The pre and post surgery evaluation of the cardiac patient (with the detection of residual deffects and surgical complications) |
TIM (Total Imaging Matrix)
The scan of the entire body in a short time; useful at oncological patients for the determination of the secondary lesions dissemination.
Uro MRI
Entero MRI
MRI Angiography
Cerebral Magnetic Resonance:
| Useful at: |
| 1. Tumourous pathology: |
| Cerebral or meninx tumours, especially small ones (ex.: acoustic neurinomus, hypophyzar, microadenomas, etc) |
| Special sequencies: cerebral tractography, cerebral spectroscopy, cerebral diffusion, cerebral perfusion, cerebral angiography with contrast substance injection on automatic syringe |
| Posterior fosses or orbitary tumours |
| Secondary determination at the oncological patients |
| Neuro-ectodermal tumours |
| 2. Vascular pathology: |
| Vascular cerebral accidents |
| Arterial-venous congenital malformations |
| Trombosis of the venous sinus |
| 3. Malformational pathology: |
| • Brain congenital malformation |
| • Meninx congenital malformation |
| 4. Degenarative pathology: |
| Internal hydrocephalitis |
| Cerebral atrophy |
| Epilepsy |
| 5. The pathology of the internal ear (inflammational, tumoural, malformational) |
| 6. The pathology of the orbit, ocular globe, optical nerves, ocular globe muscles (tumours, inflammations or neuroendocrinal disorders, dyplopia) |
| 7. Inflammatory pathology |
| Encephalitis |
| Meningitis |
| Face sinuses |
Encephalophalitis
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| Leucodistrophies |
| Lesions or demielinating lesion (multiple sclerosis)- size, number, distribution of lesions, as well as their state of activity |
| 8. Cerebral pathology in certain systemic diseases (HIV-AIDS, limphoma, leukaemia) |
| 9. Post traumatic cerebral pathology: |
| LCR Fistula |
| Subdural empiema |
| Cerebral abcess |
| Cardio-cavernous fistula |
| Hygroma |
| Regional cerebral atrophy |
| One of the main advantages is the screening of the cerebral aneurism at patients with high risk: |
| With a positive family history, defined by the presence of two or more first degree relatives with subarachnoidian haemorrhage |
| patients known as having a policystic renal disease |
Magnetic Resonance of the Spinal Column Pathology:
| Useful at: |
| Tumourous pathology: |
| Tumours of the nervous system or of the meninx |
| Intramedullary tumours (primary or secondary) |
| Extramedullary tumours (primary or secondary) |
| Infectious and inflammatory pathology |
| Diagnosis of the demielinating lesions |
| Spondylitis |
| Paravertebral abcess |
| Arthritis |
| Post surgical changes |
| Acute medullary compressions |
| Cervical, thoracal or lumbary radiculopathy with or without neurological signs |
| Congenital or gained syringomyelia |
| Stenosis of the medular channel |
| Degenerative pathology: thoracal, lumbary or cervical disk hernia |
| Spinal column traumatisms |
| Vertebral fractures |
| Haematomas |
| Posttraumatic disk hernia |
| Spinal column settles |
| Malformative pathology |
| Of the medular cords |
| Of the meninx |
| The investigation of any spinal disease caused during the pregnancy |
| Before any vertebral-medular surgical move |
Magnetic resonance of the muscle-skeleton diseases:
| Useful at: |
| 1. 1. Bone and ligament diseases: |
| Primitive or secondary osseous tumours |
| Septical or aseptical osteocrenosis, osteocondritis |
| Ligament, sinovial, tendinous diseases of the knee, shoulder, ankle, radio-carpian articulations, sacre-iliac articulations (archilopoetic spondilitis, arthrosis) |
| Traumatisms |
| 2. 2. Soft parts pathology |
| Useful at: |
| Juvenile dermatomyositis |
| Gaucher disease |
| Postinflammations or posttraumas at children under 16 |
Magnetic Resonance in the diseases of the anteriour cervical region
| Pathology |
| Degenerative, traumatic, neoplastic, postterapy afections of the hypopharynx, larynx, cervical trachea |
| Afections of the mouth cavity: congenital, infectious, iflammatory |
| Parathyroidian affections |
| Thyroidian afections: malignant or belign tumours, inflammatory, degenerative |
| Retropharynx affections |
The diagnosis of the inflammatory, infectious or tumourous adenophaties (limphoma, metastasis)
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Magnetic Resonance of breast diseases:
| The dynamic evaluation of the lesions |
| Benign lesion diagnosis: fibroadenomas, cysts, ductal ectasias, abcesses, fibrosis, ductal hyperplasia |
| Malignant lesions’ diagnosis or tumour localisation, its distribution, standardisation, secondary determination diagnosis. |
Magnetic Resonance of abdominal-pelvine diseases:
Computer Tomography
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| The quick scanning and aquisition of a large number of data, considerably grows the patient’s confort, especially in the case that a forced breath in - breath out blocking is necessary, the possibility to scan the organs in move, especially the heart, image acquisition being made in diastola, monitored ECG.
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CT Angiocoronarography
Low cardiac frequency, use of care-dose 4D (power modulation in the tube according to the thickness of the examined area), use of modulated ECG scan (the scan with 120 kV or 100 kV at weak patients in the 60%-70% interval of the heart cycle, in rest, the scan with 20% of the tube power) and FOV limitation at 12-14 cm allows the CT angiocoronarographic acquisition with a 6-8 mS doses (content radiation, natural is of 2,5 mS/year in Europe).
Useful through the details it offers at:
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The evaluation of the coronary arteries and stenosis determination |
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By-pass evaluation |
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Stents’ evaluation |
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The visualization of the vascular walls and their changes during the pathologic process of pozitive reshaping that involves the presence of the ateroma plaque without a decresing effect on the lumen, but with an unforseeable evolution potential |
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The study of atheromatous plaques, with the differentiation of the fibrous plaques from those with a rich lipid content |
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The evaluation of the left ventricle function: ejection fraction, telesistolic volume, interventricular septum and ventricular walls kinetics |
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Highlighting the pacemaker sound position, cine reconstructions (movie) to study ventricular walls kinetics (useful in ventricular wall aneurisms) |
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The investigation of congenital cardiac diseases, cardiac formations and valvular diseases |
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The morphological evaluation of an organ with a complex anatomy |
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The evaluation of the coronarian calcifications (Agatston calcium score), decelerating the presence of valvular calcifications and the evaluation of small vessels |
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The evaluation of the pulmonary and systemic circulation |
CT Angiography
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Cerebral angiography with osseous substraction (Neuro-DSA)-for the arterial-venous malformation diagnosis, aneurisms |
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Carotidian angiography-with stenosis highlight, determination and details regarding the ateroma plaque |
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Thoracic aorta angiography-for aneurism, disection and coarctation diagnosis |
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Large pulmonary vessels’ angiography for embolism evidentiation |
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Abdominal aorta angiography and large arterial trunk angiography |
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Renal arteries angiography |
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Superior or inferior members’ angiography |
Neuro Perfusion
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Useful at strokes, the evaluation of tumouros formations |
The examination of the internal ear, mastoid evaluation, face sinuses with 3D reconstructions
Dental CT
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Dental examination (paraxial reconstructions, panorama) |
Lung CARE
Acqusition dedicated to the detection and evaluation of the pulmonary nodules (volumetric, dimensions between the three axes, medium densities, hystogram) and the follow-up of these (reevaluation after 3-6 months)
Virtual Bronchoscophy
It allows the navigation through the bronchic tree and the detection of stenosis lesions, bronchic polypus and precise localisation of the lesion
Osseous cave reconstruction
For traumatic lesions at the thorax, stern and thoracal spinal column scan, including the patients that have osteosynthesis materials (CAGE, screw plaques)
Volumetry
For tumouros formations and mediastynal adenopathies and those of the pulmonary parenchima
Body Perfusion
Perfusion study of the parenchimos organs for highlighting the vascularisation of the tumourous formations (flow, volume, ALP-arterial liver perfusion, PVP-portal venous liver perfusion, HPI-hepatic perfusion index)
Uro-CT
Highlighting the ureter’s trajectory and the urinary vesicle (virtual cystoscopy)
Virtual colonoscopy
It allows the detection of polypus, exo and endocolic tumoral formations and diverticulosis with the possibility of precise localisation of the lesions and their relation with the near organs
Traumathology
Including at patients on which osteosynthesis materials have been used, at which material fracture can be detected from the osteosynthesis
Special traumathology protocols which offer the posibility to scan 5 segments in maximum 2 minutes from the moment that the patient is introduced into the device
Hip prosthesis
Pediatric protocols
Pediatric protocols that besides CARE DOSE (modulation program of the radiation doses according to the scanned area) uses low kilovoltage and miliamperaje
Cerebral Computer Tomography
| Cerebral routine examination, native and with contrast substance (SDC) for the diagnosis of: |
| Ischemic or haemorrhagic vascular cerebral accidents |
| • Cerebral tumours |
| In case of cranium-cerebral traumatisms: |
| The evaluation of the medium line move |
| The evaluation of the perimezencephalical cistern |
| Diagnosis of cerebral oedema, cerebral contusion, difuse aedematous/haemorrrhagic axonal lesions, cerebral dilaceration, posttrauma intraparenchimatos haematomas, subdural/extradural (acute, subacute, chronical), intraventricular haemorrhage, subarahnoidian haemorrhage |
| The diagnosis of cranium based traumatisms |
| LCR fistula diagnosis |
| Cerebral hernia diagnosis |
| Fracture diagnosis: |
| Unique |
| Multiple |
| With a stop up |
| Cranium-sinus complexes |
| Cranium-etmoidal complexes |
| Cranium-orbitary complexes |
| Cranium-facial complexes |
| Ischemic or haemorrhagic vascular cerebral accidents |
| Cerebral tumours |
| Subdural empiema |
| Cerebral abcess |
| Carotidian-cavernous fistula |
| Hygroma |
| Regional cerebral atrophy |
Spinal Column Computer Tomography (cervical, thoracal, lumbary)
Anterior Cervival Region Computer Tomography:
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Infectious or inflammatory pathology |
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Tumoral pathology: pharinx, larynx, glomic, secondary determinations |
Thorax Computer Tomography:
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Pulmonary pathology |
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Pleural pathology |
Abdomen and pelvis Computer Tomography
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