Crime Scene Investigation: Clinical Application of Chemical Shift Imaging as a Problem Solving Tool
959 CSPS/SGVT Lackland United States
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Utilization of magnetic resonance imaging has significantly increased in the United States. The latest technological advances and the absence of ionizing radiation make this modality an attractive choice for imaging diagnosis. Whether or not the focus of the study, osseous structures are present on nearly all images body part therefore, inadvertent evaluation of the bone marrow is an intrinsic component of all MRI studies. Furthermore, during diagnostic evaluation of patients with known malignancy, bone marrow signal abnormalities are commonly encountered. Distinguishing between benign and malignant etiologies can sometimes be problematic. In the past management of such indeterminate lesions included biopsy versus short-term follow up imaging. Chemical shift imaging CSI, an MR technique commonly used in body imaging, can be helpful in evaluating these indeterminate lesions, potentially eliminating the need for biopsy in some cases.