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Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 · 2019-04-02 · Amie Leon DO1, D....

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Amie Leon DO 1 , D. Kanmaniraja MD 2 , Chandana Lall MD, MBA 1 1 University of Florida - Jacksonville, 2 Montefiore Medical Center
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Page 1: Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 · 2019-04-02 · Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 1University of Florida - Jacksonville, 2Montefiore

Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1

1University of Florida - Jacksonville, 2Montefiore Medical Center

Page 2: Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 · 2019-04-02 · Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 1University of Florida - Jacksonville, 2Montefiore

67 year old male with rectal pain following hydrogel spacer placement prior to Proton Rx

Axial and Sagittal T2 weighted MRI of the pelvis demonstrates the hyperintense hydrogel spacer (arrows) between the prostate and rectum but extending into a wedge shaped defect in the anterior rectal wall, an uncommon complication.

Axial T2 Sagittal T2

Page 3: Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 · 2019-04-02 · Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 1University of Florida - Jacksonville, 2Montefiore
Page 4: Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 · 2019-04-02 · Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 1University of Florida - Jacksonville, 2Montefiore

Source: BJU International

Page 5: Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 · 2019-04-02 · Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 1University of Florida - Jacksonville, 2Montefiore

Axial T2 weighted MRI image of the prostate in a different patient, demonstrates the T2 hyperintense spacer (arrow) displacing the space between the rectum and prostate by 1cm, confirming normal hydrogel spacer placement

Axial T2

Page 6: Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 · 2019-04-02 · Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 1University of Florida - Jacksonville, 2Montefiore
Page 7: Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 · 2019-04-02 · Amie Leon DO1, D. Kanmaniraja MD2, Chandana Lall MD, MBA1 1University of Florida - Jacksonville, 2Montefiore

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