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Division of Diagnostics - Expertise

Diagnostic Expertise at Riverhills

The unique set of images produced as a result of your scan will be interpreted by one of our neuroradiologists who is specially trained in MR interpretation. These results will be directly communicated to your physician within 24 hours, at which time he/she can discuss the results with you.

   
 

 
Magnetic Resonance Imaging (MRI):
MRI is an advanced, modern technology that produces unparalleled, detailed pictures of the inside of the human body. MRI detects subtle differences between healthy and diseased tissues that cannot be visualized on a normal x-ray examination. By using a large magnet, radio waves and a highly sophisticated computer, your doctor can see inside your body. MRI is normally a non-invasive test. Sometime, however, an injected contrast material is required.

Magnetic Resonance Angiography (MRA) and Magnetic Resonance Venography (MRV):
This procedure utilizes MRI technology to detect, diagnose and aid in the treatment of stroke and blood vessel diseases. The procedure is painless and images can be obtained without using any contrast material, although a special form of contrast agent is often given to make the MRI images even clearer.

MRA/MRV scans use a magnetic field and pulses of radio wave energy to provide detailed images of arteries & veins. These images are evaluated for stenosis (abnormal narrowing), aneurysms (vessel wall dilatations at risk of rupture), or venous thrombosis (the formation of a clot within a vessel).

   
 

 
Magnetic Resonance Spectroscopy (MRS):
This is an MRI technique that is utilized to measure the chemical composition of diseased tissue within the brain without removing tissue or blood samples and without using dangerous radiation. MRS is a unique imaging sequence ordered to complement standard MRI imaging to evaluate damaged brain tissue under special circumstances. It uses the fact that different chemicals vibrate at different frequencies (like a tuning fork) when stimulated by a magnet. The MRI machine develops a graph displaying what chemicals are present in the brain and in what amounts.

   
 

 
Diffusion Weighted Imaging (DWI) and Diffusion Tensor Imaging (DTI):
Diffusion MRI measures the diffusion of water molecules in biological tissues. DWI is highly sensitive to the changes that occur in many types of lesions/damage in the brain. DWI enhancement can appear within 5-10 minutes of the onset of stroke symptoms on an MRI scan and can remain for up to two weeks.

Diffusion Tensor Imaging enables water molecule diffusion to be measured in multiple directions. This allows for the development of brain maps of white matter fiber directions to examine areas of neural degeneration and demyelination in diseases like Multiple Sclerosis.

Apparent Diffusion Coefficient Mapping (ADC):
ADC Mapping is a functional tool applied to a Diffusion Weighted MR image to help differentiate MRI artifacts from real brain ischemic lesions/stroke. This function is a sensitive indicator for staging and determining what brain tissue is still potentially salvageable after an ischemic stroke.
   

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