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Road to RSNA 2011: MRI Preview
By Wayne Forrest, AuntMinnie.com staff writer
November 15, 2011

MRI's ability to positively affect so many different clinical areas will be on display at the RSNA 2011 meeting in Chicago. From pediatric and breast imaging to high-field techniques for assessing mild traumatic brain injury and compact technology in the operating suite, scientific paper presentations, refresher courses, and education exhibits will show how the modality continues to expand its utility.

One of the novel advances in MRI technology is the subject of a Sunday presentation by researchers from NTT Medical Center in Tokyo, who have developed a new compact intraoperative MRI system for use in surgical suites (November 27, 11:15 a.m.-11:25 a.m., SSA15-04, Room N229).

The issue of MRI contrast agents is up for review in two informative scientific paper presentations. One will show how gadobutrol and gadofosveset contribute to contrast-enhanced MRI results (Monday, November 28, 10:40 a.m.-10:50 a.m., SSC12-02, Room N226), while another will detail how a single dose of the MRI contrast agent gadobutrol may be just as effective as a double dose of gadopentetate dimeglumine in cardiac MR images(Tuesday, November 29, 3:20 p.m.-3:30 p.m., SSJ04-03, Room S503AB).

Road to RSNA 2011: MRI Preview One of the more worthwhile refresher courses will discuss MRI safety (Sunday, November 27, 2:00 p.m.-3:30 p.m., RC129, Room S103AB). Dr. Emanuel Kanal, director of MR services and professor of radiology and neuroradiology at the University of Pittsburgh Medical Center, and Craig Frischman, an attorney with the law firm Raizman, Frischman & Matzus, will detail case studies on the issue. The course will focus on the most common MRI safety issues and how accidents can result in both patient injury and legal action. Attendees will earn continuing medical education credits for learning how to decrease or eliminate adverse MRI incidents and avoid potentially costly lawsuits.

A hands-on workshop on MRI-guided breast biopsy will also take place on Sunday (2:00 p.m.-3:30 p.m., RC150, Room E260). The need for MRI-guided breast biopsy and needle localization for abnormalities is increasing, as is MRI's prowess in identifying masses. The course will cover optimal positioning for biopsy, target selection and confirmation, various biopsy techniques, and potential problems.

At the Lakeside Learning Center, a multitude of education exhibits will focus on breast MRI. "3-Tesla MRI Mammography: Experience and Challenges" (LL-BRE4339) will present the advantages and challenges of 3-tesla compared with 1.5-tesla for breast MRI, techniques to achieve high-quality breast images, and necessary precautions when performing postprocessing breast MRI.

"A Resident's Guide to Magnetic Resonance (MR) Spectroscopy of the Breast" (LL-BRE4364) will give radiology residents information on a modality that can be challenging to learn, as it involves complicated biochemistry and physics. The session is designed help residents understand the molecular basis of breast cancer and the potential applications for MR spectroscopy.

Also at the Lakeside Learning Center will be an education exhibit on the use of MR angiography (MRA) to investigate vascular disease. "Magnetic Resonance Angiography of the Aorta: Overview of Current Imaging Techniques, Clinical Utilization, and Future Advances" (LL-VIE4463) will explore both contrast-enhanced and noncontrast MRA for imaging the aorta, as well as the modality's role in interventional planning and disease surveillance, among other topics.

Below are just a few of the highlights from a multitude of MRI scientific papers scheduled for presentation at RSNA 2011.

To view the complete RSNA scientific program and abstracts directly, visit the conference's website.

Scientific and Educational Presentations
Can MRI help diagnose acute Guillain-Barré syndrome in kids?
Sunday, November 27 | 11:05 a.m.-11:15 a.m. | SSA17-03 | Room N228
Focusing on the terminal end of the spinal cord, known as the medullary conus, the combination of plain MRI and contrast-enhanced, T1-weighted MR imaging can be very sensitive in diagnosing acute Guillain-Barré syndrome in children.
Interpretation error rate in screening US comparable to mammo, MRI
Sunday, November 27 | 11:05 a.m.-11:15 a.m. | SSA01-03 | Arie Crown Theater
In this scientific paper presentation, University of Pittsburgh researchers will discuss how interpretation errors in screening ultrasound are similar in frequency to interpretation errors in mammography and MRI.
Japanese researchers create new compact intraoperative MRI system
Sunday, November 27 | 11:15 a.m.-11:25 a.m. | SSA15-04 | Room N229
Researchers from NTT Medical Center in Tokyo have developed a new compact intraoperative MRI system to provide high-quality images in the surgical suite.
7T MRI techniques show microstructural changes in mild traumatic brain injury
Sunday, November 27 | 12:05 p.m.-12:15 p.m. | SSA15-09 | Room N229
Researchers from Ohio State University Medical Center have concluded that a combination of MRI techniques -- diffusion-tensor imaging and susceptibility-weighted imaging -- at a 7-tesla field strength could improve the clinical diagnosis of chronic mild traumatic brain injury and provide additional information on underlying tissue microstructure.
Endorectal MRI provides predictive biomarker for prostate cancer patients
Monday, November 28 | 10:40 a.m.-10:50 a.m. | SSC06-02 | Room E353B
Endorectal MRI can serve as a predictive biomarker for biochemical relapse in patients undergoing combination brachytherapy and intensity-modulated radiation therapy, according to a new study by researchers at Memorial Sloan-Kettering Cancer Center.
Gadobutrol and gadofosveset contribute to contrast-enhanced MRI results
Monday, November 28 | 10:40 a.m.-10:50 a.m. | SSC12-02 | Room N226
In patients with glioblastoma, the MRI contrast agent gadobutrol provides "significant tumor enhancement" in early postcontrast imaging, but gadofosveset offers significantly greater diagnostic information and lesion enhancement after six hours.
New MRI technique helps detect left ventricular myocardial scars
Monday, November 28 | 11:20 a.m.-11:30 a.m. | SSC01-06 | Room S502AB
Chinese researchers are giving high marks to a new free-breathing 3D phase-sensitive inversion recovery turbo FLASH pulse sequence for detecting left ventricular myocardial scars in patients with coronary artery disease.
MRI estimates dominant tumor volume for prostate cancer therapy
Monday, November 28 | 11:30 a.m.-11:40 a.m. | SSC06-07 | Room E353B
MRI can accurately estimate the dominant tumor volume and provides greater accuracy in distinguishing tumors larger than 0.5 cm compared with serum prostate-specific antigen and patient age, according to a new study from the U.S. National Cancer Institute.
fMRI reveals altered language function in brain tumor patients
Monday, November 28 | 11:50 a.m.-12:00 p.m. | SSC12-09 | Room N226
With the help of functional MRI (fMRI), Swiss researchers have found evidence of how patients can maintain their language function despite a tumor in the corresponding area of the brain.
3D XETA MRI trumps conventional MRI in knee imaging
Monday, November 28 | 3:00 p.m.-3:10 p.m. | SSE15-01 | Room E451B
A new study has concluded that isotropic extended echo-train (XETA) MRI provides more information than conventional MRI on the location and stability of meniscal tears, a finding that can aid presurgical planning.
Preoperative MRI benefits surgical outcomes for breast cancer patients
Monday, November 28 | 3:10 p.m.-3:20 p.m. | SSE01-02 | Arie Crown Theater
The appropriate use of preoperative MRI in selected breast cancer patients can achieve a statistically significant improvement in surgical outcome, according to a new study from researchers at Yale University School of Medicine.
Diffusion-tensor MR helps assess transplanted kidneys
Monday, November 28 | 3:40 p.m.-3:50 p.m. | SSE09-05 | Room E351
German researchers have collected evidence that 3-tesla MR with diffusion-tensor imaging is feasible and beneficial for functionally assessing transplanted kidneys.
Biological liver phantom allows CT and MRA perfusion comparison
Tuesday, November 29 | 10:30 a.m.-10:40 a.m. | SSG05-01 | Room E353C
Researchers at the Mayo Clinic have developed a biological liver phantom for comparing perfusion imaging with contrast-enhanced CT and MR angiography (MRA).
Single dose of gadobutrol may be enough for cardiac MRI
Tuesday, November 29 | 3:20 p.m.-3:30 p.m. | SSJ04-03 | Room S503AB
A study by Italian researchers suggests that a single dose of the MRI contrast agent gadobutrol is just as effective as a double dose of gadopentetate dimeglumine in cardiac MR imaging.
Study finds gadolinium-enhanced cardiac MRI often exceeded FDA guidelines
Tuesday, November 29 | 3:30 p.m.-3:40 p.m. | SSJ04-04 | Room S503AB
A review of research from 2004 to 2010 has found that cardiac MRI studies routinely use higher gadolinium doses than recommended by the U.S. Food and Drug Administration (FDA) and clinical trials should be conducted to determine the appropriate doses of gadolinium enhancement of the myocardium.
CBCT comparable to MRI in classifying breast lesions
Wednesday, November 30 | 3:40 p.m.-3:50 p.m. | SSM01-05 | Arie Crown Theater
Researchers at the University of Pittsburgh have found that conebeam CT (CBCT) and MRI are comparable in their ability to classify breast lesions as benign or malignant.
3T breast MRI bests 1.5T in detecting additional cancer
Thursday, December 1 | 9:20 a.m.-9:30 a.m. | MSVB51-05 | Room E451B
Three-tesla breast MRI appears slightly better than 1.5-tesla in detecting suspicious lesions in patients with newly diagnosed breast cancer, according to researchers at Yale University.

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