Upper Extremity Page Lower Extremity Special Cases
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1 MSK MRI PROTOCOLS
2 Contents Upper Extremity Page Shoulder Elbow Wrist Finger Thumb Lower Extremity Hip Pelvis Thigh Knee Lower Extremity/Shin Ankle Foot Special Cases Soft Tissue Mass Metal Protocol
3 MSK CHEST
4 MR MSK Chest Indications: Pectoralis Major Indications: Pec tear Sternum / SC joints Indications: Tumor, infection, arthritis, trauma Chest wall Indications: Trauma, tumor
5 Use large FOV Pectoralis Major Medial-lateral: cover to midline chest Superior-inferior: cover down to mid-humeral shaft FOV
6 Pectoralis Major Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Axial T x / min Axial FSTIR x 19 4/0.5 > T: T: T T: Axial T FSE x 56 4/0.5 > Cor Obl FSTIR x 19 4/0.5 > T: T: T T: Sag Oblique T FSE Fat Sat x 19 4/1 >
7 Sternum Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Axial T x / min Axial FSTIR 4 56 x 19 4/0.5 > T: T: T T: Sag T x 56 4/ min Sag FSTIR x 19 4/0.5 > T: T: T T: Cor oblique T FSE x 19 4/1 >
8 Coronal: oblique along sternum Planned from sagittal images
9 Sternoclavicular joints Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Axial T x / min Axial FSTIR x 19 4/0.5 > T: T: T T: Sag T x 56 4/ min Sag FSTIR x 19 4/0.5 > T: T: T T: Cor T FSE x 19 4/1 >
10 Smaller FOV for SC joints Otherwise protocol is similar to Sternum
11 MSK - Chest Wall
12 UPPER EXTREMITY
13 MR Shoulder Indications: Routine Shoulder Indications: Rotator Cuff Pathology/Evaluation MR Arthrogram Indications: Labrum Pathology/Tear Post Gadolinium Shoulder (Indirect MR Arthrogram) Indications: Labral Pathology/Instability without ability to do a direct arthrogram
14 Shoulder-Routine Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Axial PD FSE x 56 4/ Cor Oblique FSTIR x 19 4/0.5 > T: T: T T: Cor Oblique T1 SE Non Sag Oblique T FSE Non Fat Sat x x / minimum /1 >
15 MR Arthrogram Shoulder Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Axial T1 SE x 19 3/ minimum 16 Cor Oblique T1 SE Cor Oblique PD FSE Sag Oblique T1 SE Non ABER T1 SE Fat Sat x x x x 19 3/ minimum 16 3/0.5 > / minimum 16 3/ minimum 16
16 Shoulder-Post Gadolinium (Indirect MR Arthrogram) **Inject standard dose of IV contrast and wait 0 minutes before scanning** Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Axial T1 SE x 19 3/ minimum 16 Axial PD FSE x 19 3/ Cor Oblique T1 SE x 19 3/ minimum 16 Sagittal PD FSE x 19 4/ Cor Oblique FSTIR x 19 4/0.5 > T: T: T T:
17 Shoulder Axial Imaging Plane coracoid AC Joint The Axial imaging plane is slightly oblique (30 degrees): please prescribe off the sagittal plane and angle approximately 30 degrees to horizontal line as shown here (dashed line): Cover from top of AC joint through proximal humeral diaphysis. Bony Glenoid
18 Shoulder-Coronal Imaging Plane Relevant Anatomy Coronal Imaging Plane Prescribe coronal plane off of axial images parallel to supraspinatus muscle
19 Shoulder-Sagittal Imaging Plane Relevant Anatomy Sagittal Imaging Plane Prescribe sagittal plane off axial images with line parallel to bony glenoid. Image from mid-scapula through deltoid muscle. Deltoid Muscle Cartilaginous Labrum Ant. and Post. Humeral Head Bony Glenoid Labrum
20 MR Elbow Indications: Routine Elbow Indications: Biceps/Triceps tear Medial/Lateral collateral ligament tear Common Flexor/Common extensor tendon pathology MR Arthrogram Elbow Indications: Intra articular body evaluation Medial/Lateral Collateral Ligament Evaluation Osteochondral defect (OCD) Post Gadolinium Elbow (Indirect MR arthrogram) Indications: IA body OCD
21 Elbow-Routine* Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Axial T x / minimum 16 Axial FSTIR Coronal T x x /1 > T: T: T T: / minimum 16 Coronal PD FSE x 56 3/0.5 > Sag PD FSE x 56 3/ *for Biceps pathology perform FABS sequence; follow this link.
22 MR Arthrogram Elbow Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Axial T1 Non Axial PD FSE x x 56 4/ minimum 16 4/1 > Coronal T1 Coronal PD FSE x x 56 3/ minimum 16 3/0.5 > Sag T1 SE x 56 3/ minimum 16
23 Elbow-Axial Imaging Plane Relevant Anatomy Axial Imaging Plane *Prescribe plane perpendicular to coronal plane ( ). Scan from humeral metaphysis through radial tuberosity. Lateral and Medial Humeral Condyles * Radial Tuberosity (bump on medial radius) Radius Ulna Radial tuberosity *
24 Elbow-Coronal Imaging Plane Relevant Anatomy Coronal Imaging Plane *Prescribe plane parallel to medial and lateral epicondyles. Lateral Epicondyle * Olecranon process of Ulna Medial Epicondyle *
25 Elbow-Sagittal Imaging Plane Relevant Anatomy Sagittal Imaging Plane *Prescribe plane perpendicular to coronal plane ( ). Scan through entire elbow. Lateral Humeral Condyle * Medial Humeral Condyle * Olecranon process of Ulna
26 For Biceps pathology FABS Sequence Acquire T1 and T FS
27 Wrist Indications: Routine Wrist Indications: TFCC, Lunotriquetral, Scapholunate tear Flexor Tendon/Carpal Tunnel/ Extensor Tendon Pathology Evaluation for Occult fracture MR Wrist Arthrogram Indications: TFCC/LT/SL ligament tears Dynamic Enhanced Wrist (Post Gad Images) Indications: Evaluation of Scaphoid Nonunion/Avascular Necrosis Exam: IMPORTANT: **Perform routine wrist PLUS Pre/Post Gadolinium images through carpal bones in coronal plane**
28 Wrist-Routine Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Coronal T x / minimum 16 Coronal PD FSE Coronal D or 3D GRE x x 19 3/0.5 > /0 60 minimum Axial PD FSE Fat Sat x 56 3/ Sag FSTIR x 19 3/1 > T: T: T T:
29 MR Arthrogram Wrist (direct or indirect) Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Coronal T1 SE x 56 3/ minimum 16 Coronal PD FSE x 56 3/0.5 > Coronal D or 3D GRE Axial PD FSE Axial T1 Non x x x /0 60 minimum /1 > / minimum 16 Sag PD FSE /1 >
30 Wrist-Axial Imaging Plane ***IMAGE WRIST IN PRONATED POSITION! SUPINATED PRONATED Relevant Anatomy Axial Imaging Plane Prescribe plane parallel to distal radius. Scan from proximal metacarpals through distal radial/ulnar metaphysis. trapm trapz cap ham Dist radius Distal ulna
31 Wrist-Coronal Imaging Plane Remember to pronate the wrist! Relevant Anatomy Coronal Imaging Plane *Prescribe plane along line drawn from ulnar styloid through radial styloid. Scan through entire wrist. Ulnar Styloid Radial Styloid * *
32 Wrist-Coronal Imaging Plane Ulnar Styloid Radial Styloid Relevant Anatomy: See on the left, another example for the correct plane for coronal images with the plane prescribed off the axials and through both the ulnar and radial styloid
33 Wrist-Sagittal Imaging Plane Relevant Anatomy Sagittal Imaging Plane *Prescribe plane perpendicular to coronal plane ( ). Scan through entire wrist. Ulnar Styloid Radial Styloid * *
34 Hint: if the ulnar styloid is poking out to the side, the wrist is in pronated position
35 Thumb Indications: Routine Thumb Indications: Gamekeeper s thumb (Ulnar Collateral Ligament tear) Flexor/Extensor Tendon Tear R/O Occult Fracture
36 Thumb Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Coronal PD FSE x 56 3/0.3 > Coronal T FSE Fat Sat x 19 3/ Sag FSE STIR x 19 3/0.3 > T: T: T T: Axial T1 SE x / minimal Axial T FSE Fat Sat x 19 3/
37 Thumb-Axial Imaging Plane Relevant Anatomy Axial Imaging Plane Prescribe plane perpendicular to midshaft of proximal 1 st phalanx. Scan from CMC joint through thumb.
38 Thumb-Coronal Imaging Plane Relevant Anatomy Coronal Imaging Plane *Prescribe plane along line bisecting sesamoid bones or if sesamoids are not well seen along line bisecting the 1 st metatarsal head (red lines through the yellow square shown below). Scan through entire thumb. * Sesamoids Thumb
39 Thumb-Sagittal Imaging Plane Relevant Anatomy Sagittal Imaging Plane *Prescribe plane perpendicular to coronal imaging plane ( ). Scan through entire thumb. Sesamoids * Thumb
40 Finger Indications: Routine Finger Indications: Pulley rupture/flexor or Extensor Tendon Injury Post Gadolinium Finger Indications: Mass **Perform routine finger plus Axial and either Coronal or Sagittal (whichever plane mass best seen) pre/post gadolinium fast GRE or T1 SE images. See mass protocol and adjust FOV and other parameters as needed.
41 Finger-Routine Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Sag T1 SE x / minimum 16 Sag T FSE x 19 3/ Axial T1 SE x 19 3/ minimum 16 Axial PD FSE x56 3/ Coronal STIR x56 3/0.3 > T: T: T T:
42 Finger-Axial Imaging Plane Relevant Anatomy Distal Phalanx Mid Phalanx Proximal Phalanx Axial Imaging Plane Prescribe best fit line. Scan from proximal metacarpal through entire finger. Metacarpal
43 Finger-Coronal Imaging Plane Relevant Anatomy Extensor Tendon Coronal Imaging Plane *Prescribe plane parallel to anterior metacarpal head. Scan through entire finger. Include adjacent fingers. * Thumb
44 Finger-Sagittal Imaging Plane Relevant Anatomy Extensor Tendon Sagittal Imaging Plane *Prescribe plane perpendicular to coronal plane ( ). Scan through entire finger. Include adjacent fingers. Thumb *
45 LOWER EXTREMITY
46 Bony pelvis Indication: AVN, Mets, transient osteoporosis, bursitis, arthritis, tendonitis, hip pain over age 50 PA Torso Coil is 1 st choice Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Coronal FSE-STIR x19-3 4/1 > Axial T FSE Coronal T1 SE Non x x / / Minimum 16 Sag T FSE (Hip to Hip) Coronal in/ out of phase T1 GRE x /1 >
47 ER Hip (Hip fracture screening) Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Coronal FSE-STIR x19 4/1 > T: T: T T: Coronal T1 SE Non Axial T FSE x x 56 4/ Minimum 16 4/1 >
48 Direct arthrogram hip Indication: hip labrum tear, FAI or dysplasia, hip pain under age 50 PA Torso coil is 1 st choice Prescribe obliques along femoral neck from coronal localizer Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Coronal (PELVIS) T1 SE Non Coronal (PELVIS) FSE-STIR Axial (PELVIS) T FSE Ax oblique (HIP) T1 Coronal (HIP) T1 Sag (HIP) T x x x x x x 56 4/ Minimum 16 4/1 > T: T: T T: /1 > / Minimum 16 4/ Minimum 16 4/ Minimum 16
49 Noncontrast hip Indication: Unilateral hip pain PA Torso coil is 1 st choice Prescribe ax obliques along femoral neck from coronal localizer Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Coronal (PELVIS) T1 SE Non Coronal (PELVIS) FSE-STIR Axial (PELVIS) T FSE Ax oblique (HIP) PD FSE Coronal (HIP) PD FSE Sag (HIP) PD FSE x x x x x x 56 4/ Minimum 16 4/1 > T: T: T T: /1 > /1 > /1 > /1 >
50 Metal Protocol general recommendations Use FSE instead of conventional SE Maximize BW (bandwidth) Lower TE for T and STIR Remove fat suppression Avoid GRE Use STIR instead of Tw fat sat
51 MARS (Metal Artifact Reduction Sequences) Hip Exam Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Coronal FSE-STIR Coronal T1 SE Non Axial T FSE x x x 56 4/1 > T: T: T T: / Minimum 64 4/1 > Axial (HIP) PD FSE x 56 4/1 > max Coronal (HIP) PD FSE Non x 56 4/1 > max Sag (HIP) PD FSE Non x 56 4/1 > max
52 Hip-Axial Imaging Plane Relevant Anatomy Axial Imaging Plane Prescribe plane parallel line bisecting lesser trochanters and/or acetabular roofs. Scan from iliac crests through lesser trochanter. Ilium Acetabular Roof Greater Trochanter Lesser Trochanter
53 Hip-Coronal Imaging Plane Relevant Anatomy Coronal Imaging Plane *Prescribe plane parallel femoral heads. Scan from ischium through pubic symphyses. Femoral Neck Superior Pubic Ramus * Femoral Head Ischium Greater Trochanter
54 Hip-Sagittal Imaging Plane Relevant Anatomy Sagittal Imaging Plane *Prescribe plane perpendicular to coronal plane. Scan from acetabulum through greater trochanter. Femoral Neck Superior Pubic Ramus * Femoral Head Ischium Greater Trochanter
55 Axial Oblique Imaging Plane (For Femoracetabular Impingement Patients Only) Relevant Anatomy Axial Oblique Plane Prescribe plane parallel to femoral neck. Scan through entire femoral neck. Femoral Neck Femoral Head
56 TJUH Athletic Pubalgia MR Protocol Indication: Athletic Pubalgia, Sports Hernia, Sportsman s Hernia, Adductor tear/ strain, Rectus Abdominis Injury PA Torso coil is 1 st choice Prescribe obliques along anterior iliac crest from sagittal localizer Seq. FOV Matrix/NEX Slice TR TE TI ETL BW Coronal STIR 8-36 (Both hips) 56x19-3 4/1 > Coronal T1 SE 8 (Both hips) 56x56 1-4/ minimum 16 Axial T FSE Fat Sat 8 (Both hips) 56x56-3 5/1 > Axial Obl PD FSE Nonfatsat 0 56x19 1-4/ (max) Axial Obl T FSE Fat Sat Sag T FSE Fat Sat Sag PD FSE Nonfatsat (optional) 0 56x x x56-3 4/.5 > /.5 > /.5 >
57 Axial Oblique Imaging Plane (Adductor unfolding plane) Relevant Anatomy Axial Oblique Imaging Plane *Prescribe plane to line paralleling anterior Iliac crest*. Be sure to scan across pubic symphysis at midline * Hip joint *
58 Axial Oblique Imaging Plane (Adductor unfolding plane)
59 Bony Pelvis (Special Cases) *Follow Hip Planes* Post Gadolinium Pelvis Indications: Osteomylitis IMPORTANT: Same as Routine Hip Protocol but perform axial and coronal images on both sides. In addition, perform FMPSPGR fat saturated images pre/post in both axial and coronal planes. In/Out of Phase Pelvis Indications: Possible Bony Metastases IMPORTANT: Perform In/Out of Phase images in Coronal Plane
60 Bony Pelvis Osteo pre/post option Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Coronal T1 Non x 19 4/ minimal 16 Coronal STIR Axial T1 Non x 19 4/1 > x 19 4/ minimal 16 Axial T FSE x 56 4/ Sag T FSE 0 56 x 56 4/ ? (60-70) 8 16 Axial/Cor FMPSPGR Pre/Post 1 56 x 19 3/
61 Coronal STIR Sacrum Sacroiliac joints Indications: Possible Sacroileitis (Septic/Rheumatoid or Rheumatoid Variant Seq. Arthritis) FOV Matrix/ Slice TR TE TI Flip ETL BW Nex x 19 4/1 > Axial T FSE x 56 4/1 > Cor Oblique T1 SE Non x 56 3/ minimal Cor Oblique T FSE x 56 3/.5 > Sag T FSE x 56 3/.5 > Axial T1 SE Non x 56 3/ minimal
62 Sacrum Sacroiliac joints Prescribing the coronal oblique plane: parallel the sacrum on a sagittal localizer
63 Routine Thigh (Follow Hip Imaging Planes) Routine Thigh Indications: Polymyositis/Diabetic Myonecrosis
64 Thigh-Routine Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Coronal T1 SE Non Coronal T FSE x 19 4/ minimal x 56 4/1 > Sag STIR 6 56 x 19 4/1 > Axial SE T1 Non Axial T FSE 6 56 x 19 4/ minimal x 56 4/1 >
65 Knee Indications Routine Knee Indications: Meniscal Tear/Medial or Lateral Ligament Tear/ACL/PCL Direct Arthrogram Indications: Meniscal Re-tear Intra articular Body Post Gadolinium Knee Indications Meniscal Re-tear IMPORTANT: Image 0 minutes post gadolinium
66 Knee-Routine Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Sag PD FSE Non x 56 4/ Sag T FSE x 56 4/ Cor T1 SE Non x / Minimal 16 Coronal T FSE Fat Sat x 56 3/0.5 > Axial T FSE x 56 3/0.5 >
67 MR Arthrogram Knee (dir or ind) Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Sag T1 Se x 19 4/ Minimal 16 Sag PD FSE Non Coronal T FSE Coronal T1 SE x x x / /1 > / Minimal 16 Axial T FSE Axial T1 SE x 56 4/1 > x 19 4/ Minimal 16
68 Knee-Axial Imaging Plane Relevant Anatomy Axial Imaging Plane Image from distal quad tendon through patellar tendon insertion Distal Quadriceps tendon P A T Femur Patellar Tendon Insertion Tibia
69 Knee-Coronal Imaging Relevant Anatomy Coronal Imaging Plane Prescribe plane with line parallel to femoral condyles. Image entire knee. Patella Med Fem Condyle Lat Fem Condyle
70 Knee-Sagittal Imaging Plane Relevant Anatomy Sagittal Imaging Plane *Prescribe plane perpendicular to coronal plane ( ). Scan from the medial to the lateral femoral condyle. Patella Med Fem Condyle Lat Fem Condyle * *
71 Lower Extremity/Shin Indication: Shin Splints IMPORTANT: Acquire coronal and axial (STIR) sequences covering both shins, but sagittal and axial (t only of side in question Place a marker on pain / tenderness
72 Lower Extremity/Shin Area Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Coronal T1 SE Non Coronal STIR x 56 4/ minimal x 19 4/1 > Axial STIR Axial T FSE (through marker region) Sag T FSE x 19 4/1 > x 56 4/1 > x 56 4/1 >
73 Ankle Indications Routine Ankle Ligament Sprain/Tendon pathology/tarsal Tunnel/Sinus Tarsi/Occult fracture, PTT, Plantar fasciitis Ankle Arthrogram Indications: Intra-articular Body Post Gadolinium Ankle
74 Ankle-Routine Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Sag T1 SE Non Sag STIR x x / Minimal 16 3/1 > Axial PD FSE Non Axial T FSE x x 56 4/ /1 > Coronal T FSE x /1 >
75 MR Arthrogram Ankle (dir or ind) Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Sag T1 SE Sag STIR x 19 4/ minimal x 19 4/1 > Axial T1 SE x 56 4/1 800 min 16 Axial PD FSE Non x 56 4/ Coronal T1 SE Coronal T FSE x 19 4/ minimal x 56 4/1 >
76 Ankle-Post Contrast Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Axial FMPSPGR Pre/Post Sag T1 SE Non Axial T1 SE x XX 00? 4? x 19 4/ minimal x 56 4/1?800 Minimal 16 Axial PD FSE x 56 4/1 > Cor T1 SE x 56 4/ minimal 16
77 Ankle-Axial Imaging Plane Relevant Anatomy Axial Imaging Plane Prescribe plane parallel to axis of calcaneus. Scan ankle from distal tibia through subcutaneous soft tissues (include plantar fascia). Tibia Talus Calcaneus Black band is plantar fascia
78 Ankle-Coronal Imaging Plane Relevant Anatomy Coronal Imaging Plane Prescribe plane perpendicular to axial imaging plane. Scan ankle from calcaneus through metatarsal bases. Talus Cuboid Calcaneus
79 Ankle-Sagittal Imaging Plane Relevant Anatomy Sagittal Imaging Plane Prescribe plane with line parallel to talus. Cover ankle from medial through lateral malleolus. Talus
80 Midfoot
81 Forefoot
82 Foot-Indications Routine Foot Indications Plantar Plate Injury, R/O fracture, Lisfranc injury, tarsal/ metatarsal fracture Post Gadolinium Foot Indications: Morton s Neuroma Osteomyelitis IMPORTANT: Perform routine foot plus coronal FMPSPGR fat saturated pre and post gad images and axial POST gad FMPSPGR fat saturated images.
83 Coronal (short axis) T1 Non x 56 1 Foot-Routine Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Coronal (short axis) T FSE Sag STIR x x / minimal 16 3/0.5 > /0.5 > Sag T1 Non Axial (long axis) PD FSE Non Axial (long axis) T FSE x x x 56 3/ minimal 16 3/0.5 > /0.5 >
84 Coronal T1 SE Non Foot-Mass/Osteomyelitis Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Coronal T FSE Sag STIR x x x 19 3/ minimal 16 3/0.5 > /0.5 > Sag T1 Non Coronal FMPSPGR Pre/Post Axial FMPSPGR Post x x x 19 3/ minimal 16 3/ /
85 Foot-Axial Imaging Plane Relevant Anatomy Axial Imaging Plane Prescribe plane parallel to rd or 3rd metatarsal. Scan foot from navicular through phalanges. N A Phalanges V
86 Foot-Coronal Imaging Plane Relevant Anatomy Coronal Plane *Prescribe plane parallel to 1 st and 5th metatarsal Shafts. Scan through entire foot. Metatarsals 1 3 * 4 5
87 Foot-Sagittal Imaging Plane Relevant Anatomy Sagittal Plane *Prescribe plane perpendicular to coronal Plane ( ). Scan through entire foot. Metatarsals * 1 3 * 4 5 *
88 Soft Tissue Mass Protocol General Recommendations Place Vitamin E capsule LIGHTLY on skin (do not depress skin with capsule) If post-operative: place markers at each end of surgical scar FOV determined by mass size / location Try to include adjacent joint for reference Axial always; Sag or Cor depending on location of mass (speak with radiologist)
89 Soft Tissue Mass Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Axial T1 SE Non Axial T FSE Sag or Cor T1 SE Non Sag or Cor STIR 56 x 19 5/ minimum x 19 5/1 > x 19 5/ minimum x 19 5/1 > Axial T1 GRE or SE Pre/Post Gd 56 x 19 5/ minimum Sag or Cor T1 GRE or SE Pre/Post Gd 56 x 19 5/ minimum
90 MR Neurography Pelvis Seq. FOV Matrix/ Slice TR TE TI Flip ETL BW Nex Coronal (PELVIS) T1 SE Non x / Minimum 16 Coronal (PELVIS) FSE-STIR x19 4/1 > T: T: Axial (PELVIS) T FSE 4 (hip to hip) 56 x /1 > >8 16 Coronal T vista (or equivalent) x345 1 / Axial T1 3D FFE 4 76 x76 1 Axial M FFE 4 40x / / Sagittal PD SPAIR 4-8 8x /1 Max >8
91 Marrow Survey
92 ER / Inpatient Protocols Hip / pelvis fracture Joint: survey exam Non-contrast R/O osteomyelitis Chest wall / Abdominal wall Spine survey
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