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Clinical WB case with X-tend table. Erik Morre Pedersen Aarhus University Hospital Denmark. Clinical case.
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Clinical WB case with X-tend table Erik Morre Pedersen Aarhus University Hospital Denmark
Clinical case • Critically ill patient with severe streptococcus infektion and no improvement despite surgical resection of abscesses in right shoulder and left knee Further abscesses that need surgical treatment? • Wholebody scanning with X-tend table including postcontrast mDIXON water performed in 4 min total • Thigh/ankle station scanned without sense and TX, as refscans not possible (no extended keystroke for refscans and B1 calibration scans)
STIR • Bright subcutaneous fat because of severe edema and not because of insufficient fat suppression
T1-VISTA • 18 sec breathheld 3D isotropic 1.6 mm scans for bonemarrow evaluation
mDIXON water postkontrast • Post contrast, appr 1.6mm isotropic • 18 sec pr station • Transversal stacks • Total scan time including moving the table etc: 4 min • Needs to be done within 5 min after contrast injection before contrast leaks through the synovia of the joints
Abscess in left shoulder and left thigh (already had abscess surgically resected in right shoulder region) Zoomed coronal reconstructions 83552599 Transversal raw data before coronal MPR
Left psoas abscess Transversal raw data before coronal MPR