Welcome to the Fonar UPRIGHT® Multi–Position™ MRI.
Don't settle for a partial
view of your patient's spine.
See the view in which your
patient experiences the problem -- sitting, standing, bending,
or lying down.
LANDMARK STUDY BY UCLA SCHOOL OF MEDICINE
OF OVER 1,000 PATIENTS (1,302)
QUANTIFIES THE "MISS RATE" OF STATIC MRI* COMPARED TO "DYNAMIC" UPRIGHT
MRI
(Static MRI is defined by UCLA as
being scanned in one position, sitting straight up. It
does not include being scanned in multiple positions,
such as flexion (bending forward), extension (bending
backward), lateral bending, or rotation.)
The Findings Could Substantially
Improve Surgical Outcomes
L4-5 is the area of the lumbar spine,
or lower back, where most back problems occur (“Miss
Rate” 35.1%). L3-4 is the second most frequent
location of back problems (“Miss Rate 38.7%).
Table 1
% Spondylolistheses " Missed" by
Static MRI
40° Flexion
Overall "Miss
Rate"
40° Flexion
Minimum
Slip
L2-3
L3-4
L4-5
L5-S1
L1-2
to L5-S1
3mm
30.8%
38.7%
35.1%
4%
18.1%
4mm
33.3%
53.8%
17.9%
3.5%
12.3%
10° Extension
10° Extension
L2-3
L3-4
L4-5
L5-S1
L1-2
to L5-S1
3mm
25%
20.8%
14%
3.2%
8.9%
4mm
33.3%
25%
4.2%
2.4%
5.0%
Table 2
Position Eliciting Disc Bulge
% Cervical Disc Bulges Greater Than or
Equal to 2mm "Missed" in
the Neutral Sit Position But Seen on Flexion or Extension
Two Fonar Case Studies That Illustrate Problems "Missed" with
Static MRI but Detected With Dynamic Upright MRI.
Recumbent
(Static)
Upright
(Dynamic)
Recumbent
(Static)
Standing
Flexion
(Dynamic)
To schedule your patient's scan or
to learn more,
call 1-888-NEEDMRI (1-888-633-3674)
WHY
A CONVENTIONAL MRI IS NOT “GOOD ENOUGH”
Given
the “miss rate” of static MRI reported
by UCLA, a conventional static MRI is obviously not
good enough. Only the Fonar UPRIGHT® Multi–Position
MRI can see your patient’s problem in the position
he or she experiences it.
VISUAL PROOF THAT
FONAR UPRIGHT® MRI IMAGES ARE AS
GOOD AS IMAGES MADE WITH A 1.5T MRI Fonar images are indistinguishable
from images made with conventional MRIs.
Here’s proof. View these
side-by-side images and determine which
ones were made with the Fonar UPRIGHT® and
which ones were made with a 1.5 Tesla MRI.
We have yet to meet a radiologist who got
them right. To learnthe
correct answers, you’re invited to
call us toll-free at 1-888-NEEDMRI.
Advantages
of The Fonar Upright® Multi-Position MRI
1. Symptom-Specific Positional
Scanning—Only With The Fonar UPRIGHT® Multi–Position™ MRI
Advanced design allows the
FONAR UPRIGHT® MRI to scan your patients
in the positions they experience their problems—sitting,
standing, bending, leaning, as well as lying
down. All other MRIs can only scan them while
they’re lying down.
2. Scanning With The
Weight Of The Body On The Spine And Other
Joints
The Upright™ MRI allows all parts of the body to be imaged
with the normal weight of your body on the spine and other joints—an
advantage that leads to a more accurate diagnosis. Imaging your
spine when it is fully loaded with the weight of your body, as
compared to unloaded in a conventional lie–down MRI, is
critical to an accurate diagnosis. As you can see by the following
images, many back problems are “missed” when the
spine is not bearing the weight of the body and not imaged in
the positions the spine normally occupies.
3.
Unrivaled Comfort; Your Patients Watch TV During
Their Scan The patient simply walks in, sits down, and
watches TV during the scan. They are not slid into
the usual tube. This open comfort is especially good
for people who are claustrophobic.
4. World’s
First Radiation-Free Diagnosis and Evaluation of
Scoliosis The National Cancer Institute reports a 70%
higher incidence of breast cancer among women who had
scoliosis as children and were scanned multiple times
a year to evaluate the condition. The Fonar Upright® MRI
offers the first radiation-free monitoring and the
end of later-life breast cancer due to overexposure
to spine x–rays.
5. Scans Children, Who
Sit In Their Mother’s Lap; Usually Requires No
Anesthesia And Avoids Exposure Of Children To X-Rays
6.Scans Overweight Patients
7. Fonar Magnet
Maximizing Technology Fonar technology makes more efficient use of
Tesla power. Here’s how. The Fonar UPRIGHT® MRI’s
Unique horizontal–transverse magnetic field allows
use of high-field spine coil, and Fonar’s Upright® open
configuration allows the use of symptom–specific
coils. Result: Fonar UPRIGHT® MRI images at 0.6T
are indistinguishable from those taken with a 1.5T
recumbent MRI. See the side-by-side cases below.
8. THE PROOF IS IN THE PICTURE™
More Cases Where the Patient’s Problem was “Missed” Lying
Down But Seen UPRIGHT®
Case 1
Here are two scans of a patient
with low back pain. The patient had surgery but the
pain and symptoms continued to get worse. The image
on the left was made with the patient lying down.
It shows a normal alignment of the vertebrae. The
image on the right, which was done Upright®,
revealed that the patient had a dramatic spinal instability
that the lying–down scan did not reveal and
that the first surgery did not address. Following
visualization of the spinal dislocation seen by the
UPRIGHT® MRI, the patient underwent surgery a
second time. The patient has been pain free ever
since.
(Images courtesy of M.
Rose, MD; Rose Radiology Centers)
9.
Unique Patient-Handling System The Fonar UPRIGHT® MRI is equipped with
our unique MRI–compatible motorized patient handling
system that can move the patient into the magnet and
place the anatomy of interest into the center of the
magnet gap. It also can rotate the vertically–oriented
patient into a horizontal position so the patient can
be scanned lying down, as in a conventional MRI.
10.
More Fonar UPRIGHT® Multi–Position MRI Benefits
Scans patients in flexion, extension, rotation
and lateral bending
Scans patients with the weight of the body on
the spine and other supporting joints
Scans patients in sitting positions
Scans patients lying down
Scans cardiovascular patients upright in their
position of symptoms
Scan patients with cerebrovascular insufficiency
in the upright position of symptoms
An unobstructed view from inside the magnet.
There is nothing in front of the patient's face.
To schedule a patient,
call 1-888-NEEDMRI.
You may also schedule a patient scan by contacting
HMCA, the imaging-center management division of Fonar.
HMCA
- Health Management Corporation of America
HMCA specializing in the management of MRI scanning centers, including
Upright® MRI facilities. HMCA is a wholly-owned subsidiary
of FONAR Corporation.
Health Management Corporation
of America
6 Corporate Center Drive
Melville, NY 11747 http://www.hmca.com
*22nd Annual Meeting of the North American
Spine Society (NASS), the University of California, Los Angeles,
(UCLA) School of Medicine, results of a study of 1,302 patients
imaged in the FONAR UPRIGHT® Multi-Position™ MRI
[The Spine Journal 7(2007) 1S-163S, October 23-27, 2007,
Austin, Texas].
To order the UPRIGHT® MRI, call Fonar Corporation at 631-694-2929 ext.306 or email sales@fonar.com
