Reducing MRI waiting lists: Aperto Lucent Affordable open ... · -PhD.-Quantitative MRI in...

© Hitachi Medical Systems Europe 2015. All rights reserved. Hitachi Medical Systems America, Inc. 2014 97334v1

Mihály Aradi MD., Ph.D

Reducing MRI waiting lists:

Aperto Lucent

Affordable open MRI

under diagnostic pressure


Introduction: the speaker

Me and the MRI:

-MD., radiologist fellow in County Hospital Of Zala (Hungary)

-PhD.-Quantitative MRI in experimental and applied clinical research

-operator level experience with 0.3T-9.4T MR machines

-most publications on 3T, Matlab® software basic level programming

-recently using 0.4T(Aperto Lucent) and 1.5T on daily basis

-head of a small private Diagnostic Center -Integrity MRI :

Aperto Lucent 0.4T MRI, Arietta V70 US, XGEO GU60 Xray


Myriad tissue contrast variations

Structural, functional and metabolical information

High resolution 2/3D

Non ionizing -”nil nocere”

Expensive Not enough capacity Long waiting lists Missed timeframe Missed diagnosis

Possibilities vs. reality

Advanced therapies need advanced diagnostics

The most advanced Imaging tool: MRI

More MRI capacity needed more MRI machine

The problem of the 21st century medicine


Balancing cost, quality, reality

More MRI machines, how?

open

closed

0,2T

superconducting

permanent magnet

gradient system

coils

1,5T

3T

noise

comfort

maintenance

DTI

money

etc.

fMRI


- What do I want/have to do?

NHS/private, expected patient number

special imaging purposes,image quality etc.

Buying MRI:

the money I have / will have

the reputation I have / will have

- What can I do?

Think! The decision is yours

and so are the consequences


A feasible alternative

Aperto Lucent: Balanced cost and quality in reality.


The balance of Aperto Lucent

Comfort Cost Quality

- 320°open gentry - low noise - motorized patient table - friendly GUI

- permanent magnet - no helium - no water cooling - low intallation and maintenance cost - low power consumption

- 0.4T advanced magnet - powerful gradient system - superShim - dedicated coils - dedicated sequences - advanced signal processing


Easy installation,easy maintenance. .

Low running costs

230V power line

Permanent magnet technology

No helium – cryogen free

No extended building works needed


Return on investment.

NHS patients

Scan 14 patients per day and yield

a return of £ 310,000 profit a year

Example based on APERTO Lucent: calculated on 220 working days with a reimbursement fee of £145 per patient

(includes capital costs, electricity, service costs and 1 FTE radiographer)


Return on investment.

NHS + private patients

Scan 14 patients per day and yield

a return of £ 750,000 profit a year

Example based on APERTO Lucent: calculated on 220 working days with a reimbursement fee of £250 per patient

(includes capital costs, electricity, service costs and 1 FTE radiographer)


Reality

How does Aperto Lucent perform in real practice?

Can image quality really live up to the mark?

Was it for worth for Integrity MRI to buy an Aperto Lucent? (If we could go back in time would we buy it again?)

Ok, enough of the money,

but:


Image quality

1,5T or 0,4T Which one?

? T ? T 1.5T 0.4 T


Brain 5mm gapless protocol- The Hitachi 0.4T Aperto Lucent in action

T2 w T1 w FLAIR

DWI TOF PC


Brain coronal 3D T1 w contrast - The Hitachi 0.4T Aperto Lucent in action

After Multi Planar reconstruction

Coronal 2mm


T2 w FLAIR

DWI

Brain: White matter lesion- The Hitachi 0.4T Aperto Lucent in action


Neck – Retropharyngeal abscess (4y)- The Hitachi 0.4T Aperto Lucent in action

T2w -RADAR STIR-RADAR STIR-RADAR

DWI –ADC map


Cervical spine - The Hitachi 0.4T Aperto Lucent in action

T2w T1w

STIR

GRE –T2(*)w


Thoraco-Lumbar spine The Hitachi 0.4T Aperto Lucent in action

T2w T1w T2w

T2w

STIR


Knee – LCL lesion - The Hitachi 0.4T Aperto Lucent in action

T1w STIR PD FS


Shoulder – Supra/infraspinatal tear- The Hitachi 0.4T Aperto Lucent in action

STIR

T2w

T1w

STIR

PD FS


Wrist –SLD (scapholunate dissociation) -The Hitachi 0.4T Aperto Lucent in action

T2*w T2w

STIR T1w


Hip, ankle,elbow The Hitachi 0.4T Aperto Lucent in action

T2w

PD FS

T2*


Tibia – Non ossifying fibroma (9y)- The Hitachi 0.4T Aperto Lucent in action

T1 w PD FS

PD FS T1 w


STIR

DWI-ADC

Prostate - The Hitachi 0.4T Aperto Lucent in action

T2w T2w

T1w WFS T1 ce.


Female pelvis- The Hitachi 0.4T Aperto Lucent in action

T2w T2w

STIR


Rectal cancer –gel distension The Hitachi 0.4T Aperto Lucent in action

STIR

T2w

STIR

WFS T1 ce.


Abdomen /Liver- The Hitachi 0.4T Aperto Lucent in action

T1w T2w T1w

WFS T1w MRCP MRCP


Breast implant The Hitachi 0.4T Aperto Lucent in action

T2w - normal STIR- 1mm rupture


Breast – Fibroadenomatosis - The Hitachi 0.4T Aperto Lucent in action

Type I enhancement

Dynamic contrast enhanced T1w


All the MR images presented were obtained on our 0.4 T Aperto Lucent at the Integrity MRI Diagnostic Center in Hungary. It reflects one year experience with the machine. Protocols were fine tuned by us, and still advancing.

Integrity MRI Hungary - The Hitachi 0.4T Aperto Lucent in action

Does image quality of 0.4T Aperto Lucent live up to the mark or not?


Thank you for your kind attention!

Reducing MRI waiting lists: Aperto Lucent Affordable open ... · -PhD.-Quantitative MRI in...

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