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@antjehellwich.bsky.social Oct 11, 2026, 12:07 PM

Explore the #ISS2026 edition of MAGNETOM Flash.
Featuring an Editorial Comment by Prof. Reto Sutter, MD Sutterbalgrist.bsky.social

Download the new issue here: marketing.webassets.siemens-healthineers.com/417df44a5828...

A huge THANK YOU to all authors and co-authors!
#MRI #RadSky #MSKSky #MSKRad

Musculoskeletal MRI has never offered better images than it does today. High-field systems, optimized sequences, 3D acquisitions, and advanced acceleration and reconstruction techniques allow structures to be visualized with remarkable clarity, shorten examinations, and help recover diagnostic information even in the presence of orthopedic hardware.
But better images are only the starting point. The real question is what they add to clinical practice.
This year’s International Skeletal Society (ISS) edition of MAGNETOM Flash highlights the remarkable progress of musculoskeletal MRI while keeping the focus on what ultimately matters: translating technological advances into clinical value.

- From Better Images to Better Decisions: The Next Step for MSK MRI by Reto Sutter (Balgrist University Hospital, Zurich, Switzerland)
- One Sequence, Multiple Contrasts: Toward a Simplified Knee MRI Protocol with 3D PD TSE nDixon by Romain Gillet, MD, PhD.; et al. (Hôpital Central – CHRU Nancy, France)
- How to Measure Tibial Tuberosity to Trochlear Groove Distance in MRI by Marcelo Fernandes Arêas (Siemens Healthineers, Erlangen, Germany)
- Integrated 3D MRN: Innovations for Plexus and Peripheral Nerve Imaging by Joon-Yong Jung, MD, PhD; et al. (Seoul St. Mary’s Hospital, Seoul, Republic of Korea)
- Combined Compressed Sensing-CAIPIRINHA DESS with Deep Learning Reconstruction for Highly Accelerated 7T MR Neurography by
Frederik Abel, MD, EdiR; Reto Sutter, MD; et al. (Balgrist University Hospital, Zurich, Switzerland)
- Radial UTE MRI in Musculoskeletal Diseases: Current Clinical Applications and Future Perspectives by Yun Sun Choi, MD, PhD; et al. (Nowon Eulji Medical Center, Seoul, Korea)
- Meet Siemens Healthineers
Introducing Muhammed Labeeb Kozhikkavil, senior protocol developer musculoskeletal imaging

@antjehellwich.bsky.social Oct 8, 2026, 9:15 AM

Integrated 3D MR #Neurography: Innovations for Plexus and Peripheral Nerve Imaging by Dr. Joon-Yong Jung, et al. (Seoul St. Mary’s Hospital).

Adressing 3D MRN techniques and technical challenges:
🔗 marketing.webassets.siemens-healthineers.com/7c5c468cba3a...

#RadSky #MRI #Neurosky #Radiology

Integrated Three-Dimensional MR Neurography: Innovations for Plexus and Peripheral Nerve Imaging by Seungeun Lee, MD; Joon-Yong Jung, MD, PhD; et al. (Department of Radiology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea).

Magnetic resonance neurography (MRN) has become an important imaging technique for the comprehensive evaluation of plexus and peripheral nerve disorders.
The clinical utility of MRN depends on three fundamental technical requirements:
(1) high spatial resolution,
(2) homogeneous fat suppression, and
(3) effective vascular suppression.

This article reviews integrated 3D MR neurography techniques and addresses technical challenges.
The SPACE sequence incorporates advanced acceleration (DL CS CAIPI), fat suppression (C-FOCI, f-Dixon), and vascular suppression (MSDE, DANTE).
In addition, DESS with deep learning reconstruction provides complementary imaging capabilities.
The authors present practical protocol implementations and clinical applications designed to optimize imaging quality for plexus and peripheral nerve evaluation.

A special shout-out to Hyun-Soo Lee (MR Research Collaboration, Siemens Healthineers, Seoul, Republic of Korea) for supporting this work.

@antjehellwich.bsky.social Oct 6, 2026, 7:59 AM

Dr Sebastian Altmann, et al. (@unimainz.bsky.social) share their workflow for 6-months to 6-year-old patients, practical recommendations, and their 1.5T & 3T protocols (exar1 & PDF).

www.magnetomworld.siemens-healthineers.com/clinical-cor...

#NeuroSky #RadSky #Pediatrics #AI #MRI

@antjehellwich.bsky.social Oct 1, 2026, 7:08 AM

Practical abbreviated breast #MRI for screening by Prof Ritse Mann.
At @radboudumc.bsky.social the ~ 8-minute abMRI protocol enables 3 patients/hour — or 4 if DWI is omitted.

⬇️ Protocol (exar1): www.magnetomworld.siemens-healthineers.com/clinical-cor...

#EUSOBI2026 #BreastMRI #abMRI #RadSky

With EUSOBI bringing the breast imaging community together in Maastricht, here is a practical abbreviated breast MRI protocol from the Radboud University Medical Center, shared by Ritse Mann and Lejla Kočo (Radboudumc Nijmegen, The Netherlands / Netherlands Cancer Institute (Antoni van Leeuwenhoek), Amsterdam, The Netherlands).

At the Radboud University Medical Center, different MRI protocols are used for breast imaging depending on the purpose:
🕒 ~ 20-minute MRI protocol for diagnostic imaging
⏱️ ~ 8-minute abbreviated MRI (abMRI) protocol for screening

The motivation for implementing abbreviated breast MR imaging (abMRI) at the Radboud was to increase cost-effectiveness.
The aim was to scan more women within the same timeframe with MRI, potentially increasing access to MRI screening while reducing the time women had to spend inside the MRI scanner. Which may be particularly relevant for women experiencing anxiety or claustrophobia or having difficulty lying still.

With the abbreviated MRI protocol, three patients can be scanned per hour. If DWI is omitted, four patients per hour are possible.
Another important benefit is that the MRI scanner is almost continuously in use.

⬇️ Download the imaging protocol (.exar1 and PDF) for 3T MAGNETOM Prisma fit and 3T MAGNETOM Vida Fit and
💡 read tips & tricks here: https://www.magnetomworld.siemens-healthineers.com/clinical-corner/protocols/breast-mri/abbreviated-breast-mr-protocol

@lancetimaging.bsky.social Sep 30, 2026, 3:21 PM

🔦2nd highlight from our Sept issue

A Chirindel & coll from University hospital of Basel report on the evaluation of the safety and clinical activity of [177Lu]Lu-PSMA-I&T in routine practice.

Read their study 🔓
bit.ly/4AApMAi

#medsky #radsky #prostatecancer

@antjehellwich.bsky.social Sep 29, 2026, 7:52 AM

FAPI PET/MRI in #Endometriosis: A Practical Approach to Mapping Complex Disease Beyond Standard Pelvic #MRI by Philipp Schindler, MD; et al. (University Hospital Münster, Germany).

marketing.webassets.siemens-healthineers.com/cf033a2cd7b6...

#PETMRI #MolecularImaging #RadSky #WomensHealth

Although endometriosis is often described as a pelvic disease, daily practice shows that the questions relevant to patients and surgeons are broader:
- Where is the active disease?
- Which organs or compartments are involved?
- Which lesions could change the operative strategy?

The authors share their experience with fibroblast activation protein (FAP)-targeted PET/MRI, showing how molecular information can provide a practical guide for MRI interpretation, particularly in anatomically challenging areas.

Clinical benefit:
Better visualization of complex, multifocal, peritoneal, tubo-ovarian, and extrapelvic diseases, which may improve preoperative planning and patient counseling.

Operational benefit:
An MRI-first, PET-guided second read can translate molecular hot spots into a structured, #Enzian-based map for the multidisciplinary team.

Financial and societal perspective:
Earlier and more targeted diagnoses could reduce the need for repeated consultations, duplicate tests, unnecessary procedures, and lost productivity in a disease that is often not diagnosed until years after the onset of symptoms.

Images: Patient presenting with menstrual cycle-dependent right shoulder pain.
(2A) MIP PET images demonstrate abnormal tracer uptake in the right diaphragm, bilateral round ligaments, the peritoneum surrounding both ovaries, and the left fallopian tube (indicated by arrows).
On fused PET/MRI, a T2-hyperintense lesion with focal tracer uptake is identified inferior to the right hemidiaphragm, consistent with diaphragmatic endometriosis (arrows, 2B).
Subsequent laparoscopy confirmed extensive pelvic endometriosis and diaphragmatic implants (2C).

@lancetimaging.bsky.social Sep 28, 2026, 6:40 PM

🎉Our September issue is now live

Prostate cancer, brain tumor, HiP-CT and more...

Read it all here ➡️ www.thelancet.com/journals/lan...

As a gold open access journal, our content is free to read by everyone, always. #OA

#MedSky #RadSky

Cinematic rendering of a HiP-CT scan at Beamline BM18 (European Synchrotron Radiation Facility, France), showing the bronchial and vascular system of a human lung (Cinematic Anatomy, Siemens Healthineers, Germany).

@hcacademicacademy.bsky.social Sep 25, 2026, 10:18 AM

👋 New to Bluesky! I’m Hannah — Diagnostic Radiographer, Mammographer & former university lecturer.

This year I swapped UK university life for Portugal 🇬🇧➡️🇵🇹 and launched Healthcare Academic Academy 🎓🩻

Here to talk radiography, education & supporting the next generation!

#MedSky #RadSky #Radiography

@antjehellwich.bsky.social Sep 13, 2026, 2:46 PM

One Sequence, Multiple Contrasts: Toward a Simplified Knee #MRI Protocol with 3D PD TSE nDixon by Dr Romain Gillet, et al. (Service d’Imagerie Guilloz, Hôpital Central, CHRU Nancy, France).

marketing.webassets.siemens-healthineers.com/5b698a4697b5...

#RadSky #MSK #KneeMRI #MusculoskeletalRadiology

$The 3D PD TSE nDixon sequence is acquired in under six minutes and combines three complementary technologies: - isotropic 3D proton-density turbo spin-echo imaging, - Dixon fat–water separation, and - deep-learning-based image reconstruction. Unlike conventional 3D fat-suppressed TSE sequences that rely on spectral attenuated inversion recovery (SPAIR), Dixon-based reconstruction performs intrinsic fat–water separation and is considerably less sensitive to B0 field inhomogeneities. This advantage is particularly relevant in peripheral musculoskeletal imaging, where complex anatomy and off-center positioning frequently compromise conventional fat suppression. From a single acquisition, Dixon reconstruction simultaneously provides water-only images comparable to conventional PD fat-suppressed imaging together with fat-only, in-phase, and opposed-phase reconstructions. Multiple clinically useful image contrasts are therefore generated without increasing acquisition time. The availability of fat-only images is particularly valuable because they reproduce much of the information traditionally obtained from a dedicated T1-weighted sequence. Bone marrow composition, fatty replacement, marrow reconversion, incidental marrow lesions, fractures, and many bone abnormalities can therefore be evaluated without requiring an additional acquisition. Together, isotropic imaging and Dixon reconstruction create the possibility of performing a comprehensive routine knee examination using a single volumetric acquisition. Key benefits of 3D PD TSE nDixon • One acquisition, four image contrasts • Potential replacement of dedicated T1 imaging • ~ 50% shorter examination time • Isotropic multiplanar reformations • Robust Dixon fat suppression • Deep-learning reconstruction • Motion-resistant workflow • Potential extension to hand, wrist, ankle, and foot imaging WIP. Please note that 3D PD TSE nDixon is Work in Progress.$

@antjehellwich.bsky.social Sep 8, 2026, 6:10 AM

🦴🧲 Radial UTE #MRI in Musculoskeletal Diseases by Dr. Yun Sun Choi, et al. (Nowon Eulji Medical Center, Eulji University, Seoul, Korea)

marketing.webassets.siemens-healthineers.com/9bc0da7a4dcc...

#RadSky #MSK #BoneImaging

$MRI is the modality of choice for evaluating most soft-tissue structures in the musculoskeletal system because of its excellent soft-tissue contrast and lack of ionizing radiation. However, conventional MRI sequences typically use echo times longer than one millisecond and therefore fail to capture signal from tissues with ultrashort transverse relaxation times, such as cortical bone, calcified cartilage, fibrocartilage, the deep or enthesial portions of tendons and ligaments, and cartilaginous endplate at the discovertebral junction. Because these short-T2 tissues are frequently involved in musculoskeletal disease, conventional MRI leaves a diagnostic gap that has traditionally been addressed by radiography or CT. 3D radial ultrashort echo time (UTE)* MRI helps bridge this gap by sampling the free induction decay within tens of microseconds after nonselective excitation, using a center-out radial k-space trajectory. This technique enables visualization of tissues that are normally signal-void on conventional MRI, and can provide CT-like contrast for cortical bone and mineralized tissue while preserving the soft-tissue advantages of MRI. UTE MRI can complement standard MRI in the evaluation of bone morphology, fractures, focal bone lesions, joint disease, soft-tissue calcification or ossification, and postoperative changes. At present, radial UTE MRI is best regarded as a powerful adjunct to, rather than a replacement for, CT or conventional MRI. Its clinical role is partially limited by longer acquisition times, sequence-specific artifacts, the magic-angle effect, and lower spatial resolution compared with CT. Nevertheless, continuing advances in acquisition and reconstruction are likely to expand the role of radial UTE MRI in comprehensive, radiation-free musculoskeletal imaging. Shoutout to the co-authors: Stefan Sommer, Ph.D. and Jaekon Sung (Siemens Healthineers)$