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MRI of the spine

the best MRI department

Back pain is one of the most common complaints of patients. This is facilitated by a sedentary lifestyle, overweight, unreasonable physical activity, and sometimes a hereditary predisposition. The most accurate and safe method of diagnosing spinal problems is magnetic resonance imaging (MRI) .

Magnetic resonance imaging of the spine is a highly informative and safe diagnostic method. To put it simply, an MRI scanner is a large magnet, and the principle of obtaining images of internal organs is based on the use of a magnetic field.

MRI is widely used in neurology, oncology, and neurosurgery to diagnose and stage diseases of the spine and spinal cord, address the need for surgical intervention, and monitor its effectiveness.

Do an MRI scan of the spine

Advantages of MRI of the spine over CT of the spine

Patients from other clinics often come to the EMC with a referral for a CT scan of the spine.  However, computed tomography is not the method of choice for the primary diagnosis of spinal diseases. CT can be used for traumatic spinal injury as an adjunct to MR examination.

MRI of the spine CT scan of the spine
There is no radiation load at all There is a radiation load due to the use of X-rays
Possibility of visualization of soft tissue structures of the spine (intervertebral discs, ligamentous apparatus of the spine, spinal cord) Detailed visualization of the soft tissue structures of the spine is impossible
The possibility of a detailed assessment of soft tissue structures surrounding the spine (muscles and partially organs, for example, lungs at the thoracic level) A detailed assessment of the soft tissue structures surrounding the spine is limited
The possibility of diagnosing vertebral fractures, including compression and stress fractures Limited ability to visualize fractures, especially compression and stress fractures
The use of small volumes of contrast agents (no more than 15-20 ml) Contrast agents are used in a volume of about 100 ml
Contrast media do not contain iodine, which makes them less allergenic Contrast media contain iodine and may cause allergic reactions.

Indications

  • spinal injuries;
  • dislocations and subluxations of the vertebrae;
  • intervertebral disc protrusion and herniation;
  • tumor, inflammatory and infectious processes in the spine and spinal cord;
  • degenerative changes (osteochondrosis, etc.);
  • vascular pathology of the spinal cord;
  • deformities of the spinal column;
  • narrowing of the spinal canal, compression of the spinal cord or nerve roots;
  • congenital disorders of vertebral and spinal cord development.

Contraindications

MRI of the spine

An absolute contraindication to MRI of the spine is the presence of metal elements in the body, such as pacemakers, ferromagnetic implants, and vascular clips.

Be sure to consult with an EMC radiologist before performing an MRI of the spine if the pain syndrome does not allow you to remain stationary for a long time, you have heart failure, or if you are pregnant. All these are relative contraindications. Depending on the clinical situation, our specialist can offer you:

  • postpone the study,
  • to conduct a study using a different diagnostic method,
  • to conduct the examination under anesthesia, accompanied by an experienced anesthesiologist,
  • to perform anesthesia before the study.

How is the study going

Before the procedure, the assistant will ask you to fill out a questionnaire to identify possible contraindications. This is important for your safety. Next, you will be taken to the locker room and asked to remove all metal objects and jewelry. After that, you will need to lie down on the CT scanner table. The study can last up to 1 hour, so we make sure that you are as comfortable as possible. Pillows and cushions help to ensure a comfortable position. Since any movement you make during the examination can negatively affect the quality of the images obtained, the X-ray technician will fix your position using special devices. If contrast is intended to be used, a contrast agent will be injected into your vein through a catheter. You can signal any changes in your condition by squeezing a special warning bag and contacting an X-ray technician over the speakerphone.

MRI of the spine for children

In the European Medical Center, MRI is performed for both adults and children, including newborns. The study can be performed under medical sleep - experienced anesthesiologists work in the clinic.

Equipment

A magnetic resonance imaging (MRI) scanner has been installed at the EMC clinic on Shchepkina Street The Siemens MAGNETOM Aera 1.5 T is a new–generation high-tech medical device with a wide tunnel, which makes the study comfortable for the patient.

What can be determined by MRI of the spine

MRI of the spine in Moscow

An MRI scan of the spine allows you to visualize not only the vertebrae, but also the intervertebral discs, nerves, blood vessels, joints, and spinal cord.

Using MRI of the spine, doctors can diagnose narrowing of the spinal canal and identify its cause, assess the condition of the intervertebral joints and amniotic tissues, and identify areas of the spinal cord with impaired blood supply at an early stage. In addition, MRI of the spine helps to simulate surgical procedures and evaluate their outcome.

7 reasons to have an MRI scan of the spine at the European Medical Center in Moscow

  1. At the EMC, you can have an MRI scan at any convenient time, around the clock, on weekends and holidays.
  2. The Aera magnetic resonance imaging scanner from Siemens, installed at the EMC clinic on Shchepkina St., has a wide aperture ("tunnel") of 70 cm, the largest in this class of devices. This allows MRI scans to be performed on patients with large bodies (up to 150 kg) and makes the study more comfortable for patients with a fear of confined spaces.
  3. EMC doctors are specialists with extensive work experience who regularly upgrade their skills during internships abroad. The head of the EMC Radiation Diagnostics Department is Professor Evgeny Isaakovich Libson from Israel, formerly the head of the Radiation Diagnostics Department at Hadassah University Hospital (Hadassah).
  4. If necessary, the results of an MRI scan of the spine are evaluated by two radiologists (one of whom is a specialist in a specific anatomical area), after which the patients are given a final conclusion. Complex diagnostic cases are discussed in interdisciplinary consultations (with the participation of doctors of different specialties).
  5. EMC doctors use the PACS medical information system, in which the data of all studies are archived for at least 10 years. For patients, this is an opportunity not to worry about the safety of the images, and for their attending physicians, to view the images remotely and monitor the patient's condition over time during repeated visits.
  6. The EMC uses the most modern equipment. Maintenance of our CT scanners and software updates are carried out only by technical services authorized by the manufacturer.
  7. The impeccably polite EMC administrative staff does everything to make patients feel comfortable throughout their stay in the clinics.

Where can I get an MRI scan of the spine

MRI of the spine is performed in the clinics of the European Medical Center, located at the following addresses:

  • St. Shchepkina, 35;
  • Orlovsky Lane, 7.

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Questions and answers

Lump in my breast
I have noted the lump in my breast periodically appeared following breastfeeding my first child (as a result of plugged duct). I did an ultrasound, but it revealed nothing, as if everything was normal. I knead my breast periodically and feel pain at those moments. Now I am pregnant, due date is on 20th. What should I
do?? When to examine my breasts, is it possible to perform the examination during pregnancy and lactation?
...more
The "lump" in the breast cannot occur after feeding, even if it was the plugged duct. You should not "knead" the breasts. If there is a problem or even if you think it is – the breast should be examined. Pregnancy and breastfeeding are not contraindications for this. Under normal conditions for pregnant women we
recommend a breast examination during 1 and 3 trimester (before childbirth). There are no contraindications for breast examination in your case. You are welcome at any convenient time for examination and advice on breastfeeding.
...more
Benign disease
I have a benign lump in one breast size of 12.0*9.9 mm. Puncture or a biopsy will be done next week. I was told by mammologist that surgery is needed. As far as I know, concerning the surgery, axillary lymph nodes are to be removed together with the tumor. I also know that in Europe lymph nodes are testes for
specific markers and only affected ones should be removed; if lymph nodes are no affected, they are not to be dissected and the surgery is minimally invasive. So what is your approach? Does it make sense to do it or you have the same methods and the same equipment?
...more
If histological examination of the sample reveals fibroadenoma of basic type or tissue hyperplasia without atypia, or nodular type fibrocystic condition of the breast tissue, the question of surgical treatment should not arise. If biopsy reveals giant fibroadenoma sectoral resection is indicated, i.e. mass excision
within the healthy tissues and lymph nodes will be removed. In case of non- benign histological result, i.e. carcinoma is detected, subsequent immunohistochemical examination is required as well as a clinical oncologist and surgeon consultation; and the decision on complex treatment will be taken by case management team. With regard to the diagnosis and treatment methods in our center, each case is addressed individually. Sometimes we remove a benign area (for example, the area of hyperplasia with atypia) using the vacuum-needle technique through 3-4 mm incision. As for the surgical procedure protocols for benign breast tumors, benign simple fibroadenoma is not removed in America, Europe, Israel, etc. I would like to discuss your case with you in more details and perform some additional tests if needed, so I would be glad to see you at EMC’s Breast center.
...more
Melanoma
My mom had a mole (suspected for melanoma) removed in November 2015. Histology revealed lentigo melanoma in situ. We checked the slides back in the Netherlands, and the diagnosis was a superficial spreading melanoma of Clark 3 Т1а Beslow 0,8 stage; re-excision with capture of 1 cm of healthy skin is recommended. Is
it possible to make re-excision and subsequent histology in your hospital? If so, how soon?
...more
We absolutely agree with the opinion of the European colleagues: re-excision with a wider offset is required; according to the Russian Protocol it is necessary to move 2 cm from the peripheral edge. This is for counter insurance, as lentigo-melanoma is a favorable type, and previous surgery is likely to put an end to
this story and the forecast is favorable. All the necessary manipulations for the study are possible in our Clinic; we have our own well-equipped laboratory with the possibility to ask the advice concerning the sample in Germany and Israel. You should make an appointment with the surgeon-oncologist (Marina Bissessar) in the nearest time to conduct the diagnostic re-excision. Hope to help!
...more
A spot on the back and chest
I have a spot on the back and chest, what could it be?
A spot on the skin is one of the most common symptoms of various skin diseases. Infectious (viral, bacterial or fungal) as well as noninfectious skin including serious diseases and nevi (moles or birthmarks) can manifest as spots on the skin. You should go to the dermatologist for accurate diagnosis. The doctor will
examine you and, if necessary, a special instrument (Dermatoscope, wood lamp) will be used. A skin scraping can also be done in the lesion for microscopy, cytology or culture. A treatment will be prescribed after diagnosis.
...more
Batkaeva Nadezhda
07 September 2016
Uterine cancer
My mom was diagnosed with the uterine cancer. She is 68 years of age and has an obesity of 4th grade (the growth of 166 cm, weight 135 kg) and hypertension. Admission to the radiology department was recommended. What should we do? As far as I know the surgery is the only method for cancer of the uterus to be removed.
Is it really so that this surgery is only possible for young and relatively healthy persons?
...more
It is not quite so. We can operate on any patient, but the issue is which complications can lead to patient’s death and which of them can just delay the recovery. From the anesthesiologist’s point of view, it is a major challenge to intubate patients with 4th degree obesity; the abdominal section is also possible,
but there is a 100% risk of suture line disruption and inflammation, let alone the postoperative pneumonia, venous thrombosis, etc. There is another option such as vaginal hysterectomy which is more acceptable and relatively safe in obese patients. It is not a «treatment standard», however, as it allows not obtaining pelvic washings, but still there is a possibility of complete cure. Anesthesia remains a problem - both general and spinal. Radiation therapy without surgery is another acceptable treatment option besides vaginal hysterectomy. A chance of complete cure is still exists, but the survival rate is on average lower than in surgical treatment
...more
Vladimir Nosov
07 September 2016

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I reiterate my gratitud
I reiterate my gratitud for the kindness and excelent professional services of Dr. Oxana Levkina and her team.

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I feel much better now
Thank you so much for all doctors , nurses, helpers for helping me when i got hospitalized 3 weeks ago. I feel much better now.

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Thanks to Dr. Oxana Levkina
Thanks to Dr. Oxana Levkina and her teams. Excellent as always.

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Many thanks to all medical staff and especially Dr. Alexey Afanasyev
Many thanks to all medical staff and especially Dr. Alexey Afanasyev for the professional treatment. This was my second visit, in 2015 I had a successful knee surgery done in ECSTO. Thank you and best regards, Mirza Petrus Auraha

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I am very grateful to Evgeniya Kondrashova for her excellent care while I was a patient in the hospital.Throughout my stay she monitored and cared for me with noteworthy professionalism and was readily available if I had questions or needed reassurance.

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Highly recommended
I recently had a cardioverter defibrillator implanted by EMC surgeon-arrythmologist Dr Oleg Evgenievich Sukhorukov. I spent five days in the hospital and I cannot praise this wonderful Doctor enough for the skill, care and attention he provided. I can confidently recommend him and
the excellent team of cardiologists. They are thoroughly professional, immensely skilled and dedicated to producing the best outcome for their patients.
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Thanks very much to Dr. Oxana Levkina
Thanks very much to Dr. Oxana Levkina. As always professional and human.

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I wish you all good health and professional success
Many thanks to the doctors Moskalets E. R. and Penkova O. V., who described my pictures on the day of the study, as well as to the staff of the PET CT department Nikolay, nurse Ekaterina, laboratory assistants Eduard and Nikolay, who were with me from the beginning and until the
end of the study, we worked in a coordinated, professional and friendly manner.
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My child was in the very best hands
From the cloakroom attendant to the doctors— we felt warmly welcome. We had a close supervision by the assistants. And the doctors took plenty of time for the patient and examined utmost empathetic.

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I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko
I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko for his high professionalism, high efficiency and sensitive attitude to patients. The doctor performed the most difficult operation for me, and at all stages of preoperative preparation During my
postoperative rehabilitation, I felt his professional and emotional support.I very much hope that the EMC management appreciates such highly professional specialists as A. V. Kovalenko, and my highly positive feedback on his work will be taken into account when determining his KPIs.
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I express my gratitude for the treatment!
He came back with severe pain in the neck. The diagnosis revealed an intervertebral hernia. The very next day, the operation was carried out, everything was very fast. After the operation, he was surrounded by nurses. I would especially like to express my gratitude to:
Krivoshapkin Alexey Leonidovich, Yulia Markina, Vladimir Klimov, Orkhan Abdullayev, Gleb Sergeevich Sergeev, and Alexander Loginov.
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Thanks to Dr. N. Samokhina
All consultations and prescribed treatment are always positive.

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Thanks to dr. Oxana Lepkkina
Her colleagues and her teams. As always, perfect.

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Many thanks to Dr. Samokhina Nadezhda Ildarovna!
She is the most reliable ambulance for our family, which has helped out in critical situations more than once. At the same time, Nadezhda Ildarovna is distinguished by her great friendliness and ability to calm the patient and not get depressed.

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We thank all the staff of the clinic for saving our lives
We thank Alexey Leonidovich Krivoshapkin, Alexey Sergeevich Gaitan, Orkhan Abdullayev and all the clinic staff for saving our lives.

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Thanks to Dr. Makarov V. K.
I express my gratitude to Dr. Makarov V. K.

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Thanks
Everyone was very kind and helpful, thanks.

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Endless gratitude
Endless thanks to my dear Dr. Pavel Koposov.

City: Tyumen
Gratitude
Alexey Kovalenko is a sensitive, attentive doctor, a surgeon from God. He gave me an operation to remove the affected prostate, all very carefully. I am grateful to him!!!

City: Tiburon, California
Huge thank you to Dr. Marina & team to help us deliver our first born!
Dr. Marina Sharova = A+++++! Highlights => super knowledgeable! Confident! Professional! Mother-type! Truly terrific bedside manner! Spends endless time with moms! A wonderful choice for all, especially first time moms and foreigners who only speak English! Special thank you to
midwife Svetlana Kirsanova and anesthesiologist Vladislav Stanivlavovich! Great team! Great work!
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