Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 60 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time.

"The Problem with .3 Tesla Magnets"

Please take a careful look at both the sagittal and axial views below. You will notice on the sagittal view at the T1 – T2 junction where the reference line points, there is clearly disc pathology and apparent cord involvement as sequella. If you take a careful look on both the anterior and posterior sides of the spine on the sagittal view, you will see a significant amount of adipose tissue indicating the person is very heavy.

As a result, the image on the sagittal was barely sufficient, but the axial images will NEVER be clear and you will be hard pressed to get a clear image of the region. Historically, when a .3 tesla was the standard in MRI, most radiologists and neuroradiologists guessed based upon the image in front of them.  That happened on too many images as that was the standard "back in the day."

With today's technology, guessing is no longer required and is also the reason why I will never recommend a low field open MRI. The following 2 images underscore this issue. If you have a difficult time interpreting the pathology in the sagittal view or do not understand the explanation about the poor quality on the axial view, you must take the MRI Spine Certification course. That is now nonnegotiable.

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