This 64 year old male patient attended for an MRI examination of his prostate gland, as investigation of a fluctuating and rising PSA level. As he is claustrophobic, he was unable to undergo a conventional closed MRI examination. The peripheral zone is clearly visualised distinct from the transitional zone, which has the characteristic appearances of […]
Clinical Cases
Neutral seated This patient’s lumbar spine has a grade one anterolisthesis at the L4-5 level that is minimally unstable, and shows a reduction in annular height anteriorly on forward flexion, which increases when the spine is extended. Weight-bearing and variable patient positioning enables a more precise diagnosis. The Medserena open Upright MRI system permits scanning […]
Sagittal T2 This claustrophobic patient was referred to Medserena after refusing an MRI in a “conventional” closed scanner. The examination of his left elbow demonstrates a large haematoma within the proximal common flexor group following trauma.
Neutral position: retroversion of odontoid peg This 37 year old patient has a history of neck pain, headaches and dizziness. There is retroversion of the odontoid peg and in the neutral position the cervical spine angle measures 0°, with a large range of movement into flexion, and evidence of spinal instability as manifest by anterolisthesis […]
We are all aware that people are getting larger. Often accessing diagnostic imaging can be a challenge for larger patients as MRI scanners, for example, have a limit to the weight and size of person that can be accommodated. This patient was unable to be scanned in a conventional tunnel scanner due to their size. […]
Open Upright MRI of the brain This examination of an 85 year old male patient demonstrated multiple cerebral metastases surrounded by a moderate amount of cerebral oedema. He was scanned at Medserena Upright MRI Centre as he was severely claustrophobic and had previously failed to complete a scan in a “conventional” closed tunnel scanner. Medserena […]
This case demonstrates the difference in diagnostic information yielded by performing an Upright seated examination in a 0.6Tesla MRIScanner, compared to the supine examination, performed on a conventional 1.5 Tesla scanner. This 74 year old lady had a lamenectomy 7 years ago. She now has severe low back pain and is unable to walk without pain. […]
This elderly lady presented with very low back pain. Upright positional MRI was performed in a seated neutral position, flexion and extension. The selected T2 images show the fact that there is mobile subluxation of the coccyx at the sacro-coccygeal junction, with posterior movement of the coccygeal segments in both neutral (Fig1) and extension views. […]
We are the only Upright MRI facility in Europe to offer this important imaging technique which is useful in the evaluation of CSF flow in patients with abnormal CSF flow dynamics. It is of use in the management of patients with Chiari malformation, syringomyelia, hydrocephalus, aquaduct stenosis and following whiplash injury. The advantage of the […]
This patient being investigated to find a cause for their claustrophobia was imaged sitting in our upright MRI scanner. This section shows normal 8th (Hearing) nerves and semi-circular canals as well as showing the normal air sinuses around the nose. An arachnoid cyst is also demonstrated, which is not clinically significant.
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