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GE Healthcare SIGNA Pioneer: A system designed with the user in mind Dan Johnson, Senior Radiographer, Gympie Radiology, Australia Gympie is a semi-rural town located two hours north of Queensland. The population is 50,000 excluding a large catchment area. At the start of 2016 Gympie Radiology opened a new, fully comprehensive multi-modality practice. Gympie already had two 1.5T MRI scanners, therefore the decision to install 3.0T was simple. The SIGNA Pioneer was the system of choice based on the new TDI RF Technology platform and many other clinical features available to our patients and referring physicians. For us, it has meant we are the preferred option for MR Imaging in Gympie. The opportunity to work in a brand new department with all of the latest imaging technology including the SIGNA Pioneer 3.0T was exciting albeit a little daunting. Not having worked in MRI for quite a long time nor having 3.0T experience, I thought it would be a challenging transition, however my fears were alleviated. The user interface of the SIGNA Pioneer was easy to navigate, it even has some similarities to GE CT and the support from the GE Applications team was excellent making a seemingly difficult transition very, very easy! At Gympie Radiology we perform a variety of examinations on our SIGNA Pioneer including MSK, Neuro/Spine, vascular, prostate and breast imaging . The technology on the SIGNA Pioneer has delivered an improvement of signal and resolution across all areas. For example the SIGNA Pioneer has Digital surround technology (DST) which delivers an additional boost in signal which is particularly helpful when imaging the lumbar spine area. DST uses both the body and integrated spine coils to boost signal, in addition to the extra signal we get for being at 3.0T. Clinically what this means is that patients of all shapes and sizes get the best imaging possible. GE Healthcare The MRI technology both from a workflow and coil perspective has been improved with the SIGNA Pioneer to enable technologists to deliver better experience for patients. For instance maintaining patient interaction from the point they enter the scan room and are positioned on the scanner is important so they feel comfortable. A fantastic feature on the SIGNA Pioneer is the Intellitouch strip located along the length of the table, providing your landmark reference by simply touching the strip. This feature may seem simple, but this has negated the extra step of moving the table partway into the gantry to landmark, then proceeding to scan position. Intellitouch means that I am able to get the patient to scanning positon with maximal ease while maintaining contact with them. The advances in coil technology not only from an image quality point of view, but also from a patient comfort perspective has been particularly impressive. We purchased the SIGNA Pioneer with an 18 channel knee coil, that has a large aperture ensuring a comfortable fit for all patients; and a head/neck coil with comfort tilt offering up to 29 channels in combination with the Posterior Array. Patients who may have difficulty lying flat will have no issue in this coil as it is tilted to match the positon of the patient. The system also comes with extremely versatile 16 channel flex coils. The improvement in flex coil technology means we now use them as our primary tool for imaging distal extremities and shoulders. These coils are also complemented with positioners that secure/support the coil while also immobilising the patient during scanning. Developments in sequence technology have provided us with innovations like MAGiC which delivers multiple contrasts in a single acquisition and Silent Scan. When scanning with Silent Scan the noise level drops to the point where staff not accustomed to working in MRI can’t tell if the sequence is running! The applications of this apply very directly to the patient who may have otherwise terminated the examination due to anxiety. MSK imaging has also changed with the improvement in volumetric imaging (CUBE). We now use CUBE PD sequences as part of our routine protocols providing our radiologists with multiple planes from one sequence. I am extremely happy that we went with the SIGNA Pioneer. It provides excellent image quality, while improving patient comfort. GE Healthcare Dan Johnson Senior Radiographer After completing my training at QUT Brisbane, I began my career at the Princess Alexandria Hospital in ‘95 with further training in CT, Interventional Angiography, and MRI. In more recent times, I have been enjoying the country lifestyle in Gympie, Queensland. General Electric Company reserves the right to make changes in specifications and features shown herein, or discontinue any products described at any time without notice or obligation. Please contact your GE representative for the most current information. © 2016 General Electric Company-All rights reserved. GE, GE Monogram and imagination at work are trademarks of General Electric Company. GE Healthcare, a division of General Electric Company. GE Healthcare 3000 North Grandview Blvd Waukesha, WI 53188 U.S.A JB44954XX