We are open from 8AM to 5PM every day except Friday when we close at 4 PM. We offer the finest quality MRI with the fastest scanning and most detailed images in Delaware. The ability to scan at triple to quadruple the resolution of other scanners has allowed us to pick up many abnormalities missed by other MRI units. Such as missed fractures, small para rectal tumors, small prostate cancers and breast cancer satellites adjacent to the main cancer. It is actually frightening to note some of the things missed by other scanners. Trabecular detail is heightened at 3T.
We have picked up shoulder avascular necrosis, many knee and foot fractures, and a 5mm cerebral aneurysm which was missed by OPEN MRI. Never use low field OPEN MRI. INstead think about our new WIDE OPEN 1.5T high field OPEN MRI the BEST OPEN MRI in Delaware.
We picked up 35 small enhancing brain lesions missed by 1.5 T MRI. This caused the patient to fall several times. When the study was repeated at 1.5T they did not see the lesions. They thought that they were not real and then they operated on the patient. The lesions bled and the patient eventually died. This is a failure fo the doctor to understand that 3T is more sensitive than 1.5T.
We picked up a huge basketball sized aortic aneurysm missed by CT scan. This was missed by 5 years of serial CT which not only was inaccurate but also subjected the patient to uneccessary radiation. 10 CT scans is equivelant to the average does of exposure to the Hiroshima atomic bomb. I think that CT scans should be carefully used especially in children who are twice as sensitive to the radiation. The surgeons did not even understand the gravity of this huge pseudoaneurysm. Even when their own director of radiology called them the vascular surgeons refused to believe the results. At least the patient and his own family doctors understands and this lesion is inoperable. So... sometimes knowledge is not always the cure. But... I do believe that accurate knowledge about ones condition helps us.
We have picked up innumerable liver lesions and hepatomas missed by CT scan and other MRI scans. The other day we picked up 4 liver lesions in a patient that the CT scan only picked up 1 of the lesions and in fact did not pick up the suspcious lesion MRI is better than CT in many cases because we can separate the benign from malignant appearing lesions. We also do not even have to use contrast to see most of the lesions. The speed of the scanner and the contrast of MRI allows us to detect subtle liver lesions and even lung lesions. We have many exams of hepatomas and liver tumors which we have carefully staged. For hepatoma or cirrhosis we should use contrast to pick up early lesions. The use of diffusion weighted imaging also helps us to detect small GI tumors of the pancreas and liver and of the small bowel. REVEAL is a new technique qhich helps with breast cancer and liver and GI cancers. It is sad that most providers in Delaware do NOT use this advanced new technique.
We picked up a small dermoid tumor of the brain missed by 1.0T MRI.
In general the exquisite sharp and detailed images we can get at 3T have helped many patients. The images from this scanner are extraordinary! We also are the only MRI providers to take extra care to use the safest contrast for MRI for our patients. This is because our patients are number one. Prohance (tm) is the safest contrast in MRI and costs more money but we feel the extra safety is worth our making a little less money on every contrast study. Gadoteridol is the most stable contrast and therefore has never been associated by itself to causing nephrogenic systemic fibrosis. This crippling skin disorder usually happens to patients with renal failure so we screen for poor renal function. I monitor a yahoo group which discusses patients with NSF. YOu can easily find this on the internet. Perhaps it makes me more sensitive to the plight of these patients. There are 2 patients with NSF in Delaware at the current time. Both cases could have been prevented if their doctor has used Prohance. Recently new information has suggested (although still not proven) that patients with normal renal function can get similar effects in their skin. If you should get a rash after gadolinium - please report this to your doctor and the FDA. At 3T we are lucky because we can use the contrast at half dose to further protect the patients.
Monday, Tuesday,Thursday 8-5PM and Friday 8-4PM.
Wednesday 10:30-6:30 PM