Welcome to the Fonar UPRIGHT® Multi–Position™ MRI. Don't settle for a partial view of your patient's spine. See the view in which your patient experiences the problem -- sitting, standing, bending, or lying down.

LANDMARK STUDY BY UCLA SCHOOL OF MEDICINE OF OVER 1,000 PATIENTS (1,302)

QUANTIFIES THE "MISS RATE" OF STATIC MRI* COMPARED TO "DYNAMIC" UPRIGHT MRI The Findings Could Substantially Improve Surgical Outcomes L4-5 is the area of the lumbar spine, or lower back, where most back problems occur (“Miss Rate” 35.1%). L3-4 is the second most frequent location of back problems (“Miss Rate 38.7%). Table 1 % Spondylolistheses " Missed" by Static MRI

40° Flexion Overall "Miss Rate"

40° Flexion Minimum Slip L2-3 L3-4 L4-5 L5-S1 L1-2 to L5-S1 3mm 30.8% 38.7% 35.1% 4% 18.1% 4mm 33.3% 53.8% 17.9% 3.5% 12.3% 10° Extension 10° Extension L2-3 L3-4 L4-5 L5-S1 L1-2 to L5-S1 3mm 25% 20.8% 14% 3.2% 8.9% 4mm 33.3% 25% 4.2% 2.4% 5.0% Table 2 Position Eliciting Disc Bulge % Cervical Disc Bulges Greater Than or Equal to 2mm "Missed" in the Neutral Sit Position But Seen on Flexion or Extension Flexion 18.18% Extension 23.75% Two Fonar Case Studies That Illustrate Problems "Missed" with Static MRI but Detected With Dynamic Upright MRI. Two Fonar Case Studies That Illustrate Problems "Missed" with Static MRI but Detected With Dynamic Upright MRI.

To schedule your patient's scan or to learn more,

call 1-888-NEEDMRI (1-888-633-3674) WHY A CONVENTIONAL MRI IS NOT “GOOD ENOUGH” Given the “miss rate” of static MRI reported by UCLA, a conventional static MRI is obviously not good enough. Only the Fonar UPRIGHT® Multi–Position MRI can see your patient’s problem in the position he or she experiences it. VISUAL PROOF THAT FONAR UPRIGHT® MRI IMAGES ARE AS GOOD AS IMAGES MADE WITH A 1.5T MRI

Fonar images are indistinguishable from images made with conventional MRIs. Here’s proof. View these side-by-side images and determine which ones were made with the Fonar UPRIGHT® and which ones were made with a 1.5 Tesla MRI. We have yet to meet a radiologist who got them right. To learn the correct answers, you’re invited to call us toll-free at 1-888-NEEDMRI. Advantages of The Fonar Upright® Multi-Position MRI 1. Symptom-Specific Positional Scanning—Only With The Fonar UPRIGHT® Multi–Position™ MRI

Advanced design allows the FONAR UPRIGHT® MRI to scan your patients in the positions they experience their problems—sitting, standing, bending, leaning, as well as lying down. All other MRIs can only scan them while they’re lying down. 2. Scanning With The Weight Of The Body On The Spine And Other Joints

The Upright™ MRI allows all parts of the body to be imaged with the normal weight of your body on the spine and other joints—an advantage that leads to a more accurate diagnosis. Imaging your spine when it is fully loaded with the weight of your body, as compared to unloaded in a conventional lie–down MRI, is critical to an accurate diagnosis. As you can see by the following images, many back problems are “missed” when the spine is not bearing the weight of the body and not imaged in the positions the spine normally occupies. 3. Unrivaled Comfort; Your Patients Watch TV During Their Scan

The patient simply walks in, sits down, and watches TV during the scan. They are not slid into the usual tube. This open comfort is especially good for people who are claustrophobic. 4. World’s First Radiation-Free Diagnosis and Evaluation of Scoliosis

The National Cancer Institute reports a 70% higher incidence of breast cancer among women who had scoliosis as children and were scanned multiple times a year to evaluate the condition. The Fonar Upright® MRI offers the first radiation-free monitoring and the end of later-life breast cancer due to overexposure to spine x–rays. 5. Scans Children, Who Sit In Their Mother’s Lap; Usually Requires No Anesthesia And Avoids Exposure Of Children To X-Rays 6.Scans Overweight Patients 7. Fonar Magnet Maximizing Technology

Fonar technology makes more efficient use of Tesla power. Here’s how. The Fonar UPRIGHT® MRI’s Unique horizontal–transverse magnetic field allows use of high-field spine coil, and Fonar’s Upright® open configuration allows the use of symptom–specific coils. Result: Fonar UPRIGHT® MRI images at 0.6T are indistinguishable from those taken with a 1.5T recumbent MRI. See the side-by-side cases below.

8. THE PROOF IS IN THE PICTURE™

More Cases Where the Patient’s Problem was “Missed” Lying Down But Seen UPRIGHT®

Case 1

Here are two scans of a patient with low back pain. The patient had surgery but the pain and symptoms continued to get worse. The image on the left was made with the patient lying down. It shows a normal alignment of the vertebrae. The image on the right, which was done Upright®, revealed that the patient had a dramatic spinal instability that the lying–down scan did not reveal and that the first surgery did not address. Following visualization of the spinal dislocation seen by the UPRIGHT® MRI, the patient underwent surgery a second time. The patient has been pain free ever since.

9. Unique Patient-Handling System

The Fonar UPRIGHT® MRI is equipped with our unique MRI–compatible motorized patient handling system that can move the patient into the magnet and place the anatomy of interest into the center of the magnet gap. It also can rotate the vertically–oriented patient into a horizontal position so the patient can be scanned lying down, as in a conventional MRI. 10. More Fonar UPRIGHT® Multi–Position MRI Benefits Scans patients in flexion, extension, rotation and lateral bending

Scans patients with the weight of the body on the spine and other supporting joints

Scans patients in sitting positions

Scans patients lying down

Scans cardiovascular patients upright in their position of symptoms

Scan patients with cerebrovascular insufficiency in the upright position of symptoms

An unobstructed view from inside the magnet. There is nothing in front of the patient's face. To schedule a patient, call 1-888-NEEDMRI. You may also schedule a patient scan by contacting HMCA, the imaging-center management division of Fonar. HMCA - Health Management Corporation of America

HMCA specializing in the management of MRI scanning centers, including Upright® MRI facilities. HMCA is a wholly-owned subsidiary of FONAR Corporation. Health Management Corporation of America

6 Corporate Center Drive

Melville, NY 11747

http://www.hmca.com 631-694-2816 phone

631-694-4051 fax

info@hmca.com

Related Links:

Landmark Study by UCLA School of Medicine (Proceedings of NASS 22nd Annual Meeting / Spine Journal 7 (2007) 1S-163S Review of UCLA Study UCLA Study Advertisement

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