MRI CONSULTANTS
The First State's First 3T Scanner!
Top Quality since 2007

Caring, Quality and Safest Contrast is our motto.  We use the safest MRI contrast concept because we care.  Ask your own doctor if they understand the dangers of certain MR contrasts.  Do they know which ones are safe?  Do they know which MRI providers use safe contrast?  You might be surprised.  Some providers in Delaware still use the LEAST safe contrasts and hope that you as a patient do not find out about this.  We have been actively trying to get the word out for years.  Safe contrast should be a key issue for every patient!  Call us if you have any questions regarding contrast safety. 

Our 32-channel 3T system, with its 32-channel head coil and advanced software (used for DTI and Spectroscopy), is among the finest most advanced MRI scanners in the country.  www.lewesmr.com  We are delighted that other MRI providers have followed our lead and installed 3T systems, but to the best of our knowledge, none have opted for the 32-channel head coil technology, which is key for all brain imaging. 

We have an innovative approach.  We started with the best technology and have been able to expand using that same approach.  For our new company in Lewes, we bought a short bore 60 cm 32-channel Philips Achieva.  Our commitment to quality imaging has made us the only company in Delaware with two 3T MRI systems.  Both are superb but the 32-channel 3T head coil on our Lewes MR site makes it the best in Delaware.  Our commitment to patient care resulted in our purchase of an 18-channel 70 cm short bore 1.5T scanner, the Siemens Espree located in New Castle.  It is the least claustrophic, most spacious scanner made today.   There are providers in Delaware that use 70 cm technology but not many that have as short a magnet, or as many channels.  And few (if any) radiologists in the State have 28 years experience in MRI and/or a double fellowhip in BODY MRI and neuroradiology.  The training and experience of the radiologist interpreting your MRI matters.  Find out who is reading your study, before you have your MRI done.

In today's rapidly moving MR landscape, scanners with a 70cm scanner are rated most highly for patiet comfort.  Hitachi recently announced an oval 73cm wide system.  It will be interested to see how this new model performs.  At the moment, there are no such units in Delaware.   Siemens combines the wider bore of a 70 cm (OPEN BORE) magnet at 1.5T with a bore length of only 1.2 meters long.  It is the shortest 1.5T magnet and comes in a variety of  channels.   OPEN 1.5T technology is superior OPEN MRI.  Patient comfort with no loss of image quality.  The Siemens Espree is preferred by 94% of patients who have scans on other machines.  It is that much better!  Come and see it for yourself.  Ours even has a TV installed in the ceiling you can watch during your studies.  www.bestopenmri.net

We care about the patients and also are kind and compassionate.  We offer IV sedation for free.  We offer free creatinine serum tests using a 2 min ISTAT-1.  Other facilities may charge you for this test.  We do it for free.  This test of a patient's kidney function is routine for patients over the age of 60.  If you are younger and want your kidney function tested, we are happy to do so -- at no additional charge.

The Siemens technology - OPEN BORE MRI - is preferred by 94% of patients.   At our Newark facility, you can watch TV during most scans.  Our scan room is the most innovative in the world.  No other 1.5T Espree site has a TV you can watch in the ceiling during your scan.  If you ever have had an uncormfortable MRI exam you should look into the widest MRI scanners in the world.  Yale University has just announced they are buying three 3T Verio scanners.  They, Johns Hopkins and Temple University have all settled on the 3T Verio as being the best MRI scanner available.  Another good scanner is the Philip 3T Achieva with 32 channels.  We have one in our new office in Lewes - call us to inquire about it 302-827-4251.

Our unique service has established our place in Delaware.  We only do MRI and our office, perhaps the only in the State, was designed to comply with the new ACR Guidelines for MRI.  It has huge home theatre screens in the waiting room to calm down pediatric patients.  We also offer conscious sedation for both children and adults.  For children, we prefer chloral hydrate prescribed by the pediatrician.  For adults, we offer IV valium sedation.  There is no additional charge for valium sedation.   

Our offices combine the best in 3T MRI technology with the best in 1.5T MRI technology.  Our 1.5T Espree has B17 software which is the latest that the Siemens corporation offers.  It has many new capabilities.  One of those is a special MR angiography sequence called NATIVE. This allows us to make MRI angiograms without any contrast injection and substantially makes the process of an MR angiogram safer for our clients.   SWI imaging makes the 1.5T scan much more sensitive for patients with head trauma.  This is absolutely crucial for patients returning from a war zone who have been exposed to severe trauma or patients in auto accidents who also experience trauma.  Your physician should know about this advance but I would guess that if you asked him or her about the benefits of SWI - they might not know.  Google it.  SWI is the best way to find hemorrhage in the brain at 1.5T.  It is truly remarkable.

We believe that investing in our technology benefits our patients.  pMRI (perfusion MRI) is a new technique in MRI - most doctors are unaware how this helps.  I was talking to a prominent oncologist the other day and he did not know about REVEAL or breathold abdominal MRI or BLADE.  I doubt he would know about SWI and endometriosis.   We have SWI and multiVANE which is the name Philips gives these special software sequences and we have other special non contrast sequences such as diffusion tensor imaging for brain trauma. DTI is advanced technology.  So is proton spectroscopy.   If you do a web search you will find this is the most promising way to document brain trauma which can not be seen with other imaging technology.

Ask your MRI Provider if they can do some of the following:

  • DTI fiber tracking with a 32-channel head coil.
  • 1mm thick contiguous FLAIR imaging for Multiple Sclerosis - without contrast.(At 3T)
  • 2mm thick contiguous T2W imaging in the musculoskeletal system and spine which means we can pick up much more subtle lesions. 
  • Prostate MRI can be done at 3T without an endorectal coil.  It's more comfortable and just as accurate.
  • Is your magnet strength 3T or 1.5T or less.  3T is better.  1.5T is standard.  Anything less is not optimal.  If you need a brain MRI, ask how many chanels their head coil has.  16 or less is not as good as 32 channel.  Even if the scanner has 32 channels, the scans it performs are only as good as the head coil used. 
  • Does their scanner have 32 channels of signal allowing clearer images in less time? 
  • Does your Provider's scanner have BLADE or MULTIVANE or PROPELLER - the newest advance in MRI technology.  If a patient is moving on a routine scan we just add BLADE which takes images in a different way to freeze patient motion.  Each blade has motion correction built into it.  So you get sharp pictures even in uncooperative patients.  It truly is amazing.  It is a new revolution in MRI.
  • NATIVE is a pulse gated angiography sequence that gives remarkable image of the vascular system without any injections.  It uses the fact your blood is moving to make an image.  Again this is a significant change in the detail we can see - all from advances in MRI software.  We also have ASL which is a way to do perfusion imaging without injecting contrast.
  • REVEAL is the latest advance.  A recent paper from John's Hopkins suggests it could revolutionaize breast imaging.  We use it to detect small or subtle pancreatic cancers.  It is useful for characerization of GI and liver tumors.  It also is a huge advance in oncologic imaging.  REVEAL shows your peripheral and central arteries without any injection at all. It just uses your own flowing blood to make the contrast.
  • SWI revolutionizes the way we can see hemorrhage in the brain.  It is particularly useful for MS imaging and also for brain trauma but many people have hypertension or seizures.  In these patients it can explain the seizures because it detects microscopic hemorrhages missed by other MRI scanners.  I recently went to the 2012 ESNR meeting which showed that SWI is necessary to detect hemorrhage and calcification.  This is not standard on many scanners.  ASK - does the facility have SWI?

3T MRI is safe.  It is able to see 40%-300%  more lesions in patients with MS.  With new software MRI is entering a new phase of competition with other imaging tests. It simply is better and does not cost that much more.  Get the best!

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lewesmr.com

I wish to quote an article from the NY Times about the dangers of CT over radiation:
(I added a little about the safety of MRI versus CT)

October 1, 2010
California Tightens Oversight of CT Scans
By WALT BOGDANICH

California’s governor has signed tough new legislation tightening oversight of diagnostic CT scans, largely in response to the overdosing of hundreds of patients who underwent brain scans for stroke in 2008 and 2009.

Gov. Arnold Schwarzenegger signed a bill on Wednesday that will require hospitals and clinics to record radiation doses for CT scans and to report any overdoses to patients and their doctors.  The brain scan overdoses surfaced last year at Cedars-Sinai Medical Center in Los Angeles, where 269 patients received up to eight times the radiation that was expected. The overdoses continued for 18 months before the hospital discovered them.  So far, higher than expected radiation doses have been uncovered at eight hospitals, six in California. The New York Times reported in August that excessive radiation doses had been given to more than 400 patients, including some at Huntsville Hospital in Alabama who received up to 13 times the expected amount.

In response to the Times report, the Food and Drug Administration expanded its investigation to include the overdoses in Huntsville. The agency is expected to release the results of its inquiry soon.

Patients who received the high doses reported symptoms ranging from hair loss to mental confusion, headaches and memory loss. Those patients also face a higher risk of brain damage and cancer, experts say.  The overdoses came at a time when patients are getting more medical radiation, a result of new technology that improves diagnosis. The stroke tests, called a CT brain perfusion scan, deliver the equivalent of about 200 X-rays of the skull, even when done properly.

Radiation experts have expressed concern that spotty government oversight of diagnostic radiation has put patients at risk. The F.D.A., for example, regulates radiation equipment, but each individual state is responsible for how those machines are used and who is qualified to use them.  Some states provide little or no regulation of medical radiation. Alabama, where the biggest overdoses occurred, took no action against Huntsville Hospital because there were no state standards defining what constitutes an overdose.  Delaware has no inspection of CT scanners when installed.  They do not rquire a medical physiciat to check the scanner.  As a result you could be getting much higher doses of radiation than anyone could suspect.

Eight states allow technologists to perform medical imaging other than mammographies with no credentials or educational requirements.  This is a major problem.  Ask for an MRI instead - because it does not use any ionizing radiation.  In many cases it can be the equivelant or better than CT scan.

“There is an urgent need for protocols and safeguards,” said Alex Padilla, a California state senator. “The bill will provide physicians the information they need to track dosage levels, identify errors and prevent patients from receiving overdoses.”