Mri case study- scleroderma
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Transcript of Mri case study- scleroderma
Presented by:Shatha J. Al Mushayt
MRI Case Study 2010KKUH
CAMS,KSU
OUTLINEDate & PlacePatient InformationProcedure Purpose & TypeMRI Scanner SystemMRI Protocol & SequencesFinding & ImagesAbout the disease(finding).
Date & PlaceDate: 10-10-2010
Place: King Khalid University Hospital, Riyadh, Saudi Arabia.
Patient InformationPatient History:
21 yrs old female with scleroderma of the LT side of the face.
Weight: 61 kg
Procedure Purpose & TypePurpose of MRI:
For soft tissue & bone assessment in face & upper neck.
Procedure: MRI specify area (others) MRI of the face & upper neck Multi-planar, multi-sequence Head first into the bore.
MRI Scanner SystemSiemens CompanySuperconducting closed MRI system 3 Tesla strength
RF Coils: Head &neck coil (phased-array coils)
Closed MRI scanner
Head coil
MRI Protocol & Sequences
Tumor protocol (suggested by the radiologist) Step Sequence TE & TR Other parameters
1 Localizer (axial, coronal and sagital) - FOV: 250 mmNEX: 1
S. Thickness: 10 mm2 cor-localizer-T2-haste TE: 93
ms ,TR: 1500 ms
BW: 20 cmFOV: 200 mm
NEX: 1S. Thickness: 4 mm
-3 cor-T2-tse-FS TE: 114 ms, TR: 3682 ms
BW: 15 cmecho train:17FOV: 220 mm
NEX: 3S. Thickness: 3.5 mm
4 sag-T1-mpr-ns TE: 2.44 ms, TR: 1430 ms
BW: 20 cmFOV: 250 mm
NEX: 1S. Thickness: 1.04 mm
5 AX-T2-tse FS TE: 114 ms, TR: 3682 ms
BW: 15 cmecho train:17FOV: 210 mm
NEX: 3S. Thickness: 4 mm
Cont.step Sequence TE & TR Other parameters
6 AX-T1-se TE: 9.4 ms, TR: 400 ms
BW: 20 cmFOV: 210 mm
NEX: 1S. Thickness: 4 mm
7 COR-T1-se TE: 9.4 ms, TR: 400 ms
BW: 20 cmFOV: 210 mm
NEX: 1S. Thickness: 3.5 mm
8 CM(Gadolinium), manual injection,12 ml.
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9 AX-T1-se-FS+C TE: 10 ms, TR: 413 ms
BW: 15 cmFOV: 210 mm
NEX: 1S. Thickness: 4 mm
10 COR-T1-se -FS +c TE: 10 ms, TR: 472 ms
BW: 15 cmFOV: 210 mm
NEX: 1S. Thickness: 3.5 mm
11 SAG-T1-mpr-fs+c TE: 3.67 ms, TR: 1610 ms
BW: 15 cmFOV: 250 mm
NEX: 1S. Thickness: 1.04 mm
Findings & ImagesLoss of the
subcutaneous fat on the LT side over the mandible.
T1
Findings & ImagesAbnormal soft
tissue mass lesion seen overlying the LT masseter muscle
Appears high signal intensity in T2WI
T2
Findings & ImagesPost contrast images
show:
Mild enhancement of the soft tissue mass
T1
Findings & ImagesLT masseter muscle
is slightly smaller than the RT one
T2
Findings & ImagesAbnormal signal
intensity of the superficial part of LT parotid gland
T1
Findings & ImagesPost contrast images
show:
Abnormal enhancement of
the superficial part of the LT parotid gland
T1
Findings & ImagesBilateral cervical
lymph node noted the largest one on the LT side measuring approx 2.5 x 1 cm
T2
Findings & ImagesNo clear evidence of abnormal signal
intensity within the visualized bone specially on the LT side.
ConclusionK/C of scleroderma with possible
infiltration of the masseter muscle.
Similar area of signal alteration seen within the superficial part of the parotid gland
Possibility of neoplastic lesion cannot be rule out.
No abnormal signal intensity or enhancement within the underlying bone.
Scleroderma Scleroderma is a disease that can cause
thickening, hardening, or tightening of the skin, BV’s and internal organs.F>M
Types Localized: usually only affects the skin on the
hands and face. Systemic: more serious and affects connective
tissue in many body parts, including internal organs.
Scleroderma Cause:
Considered as an auto-immune disease.
Symptoms: like, Hardening and thickening of the affected skin Loss of hair over affected area Change in skin color Ulcers or sores on fingers Telangiectasia Muscle weakness Dryness of eyes/mouth Digestive, Kidney, Heart and lung problems
Hardening and color change
Scleroderma Treatment:
No cure for scleroderma. Medication treat symptoms + prevent
complications. Lifestyle changes help in coping with the
disease e.g.(exercise, skin creams, no smoking, no exposure to cold or stress).
Diagnosis: Medical history, physical exam, lab tests, and
radiologic imaging
THANKYOU
ReferencesAbout scleroderma : http://www.umm.edu/altmed/articles/scleroderma-000147.htm
http://www.housing.k-state.edu/dining/FitCourse/toyourhealth/06-sclerodermaawareness.html
KKUH