To increase the MR value of spinal imaging in patients with suspected or known malignant disease, we propose the use of sagittal diffusion weighted imaging as replacement for traditional image types such as STIR and T2W TSE. The impact of this protocol is threefold. Scan times are reduced from potentially 50 minutes to 15 minutes for the whole spine; making scans more tolerable for patients with back pain, reducing cost and increasing scanner capacity. Reader confidence is increased in detecting malignant infiltration especially when diffuse. Finally, read times are reduced as there are fewer images to review.
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