MSK MRI Protools

Do you have latest Musculoskeletal MRI protocols in your Department?

or

Are you happy with quality and performance of your current MRI protocols?

Or

Would you like to update your current protocols to more standard and internationally used protocols

 

Why so:

Did you know that a correct MRI protocol can significantly increase the chances of picking up abnormality?

 

Did you know that a standard and short MRI protocol completes MRI examination in time and reduced chances of movement artefact and uncompleted scans.

 

All of us see scans with movement artefact or incomplete sequences where patient could not complete the scan due to pain, claustrophonia or both. This is why we must prepare robust and high-yield examination prptocols which can answer most questions with minimal information. A standard protocol for radiologists also helps with faster patient turnover and makes it easy for radiographers to scan patients.

 

Long term benefits:

Once you adapt standard protocls, then it will be easier for you modify these later date and focus on particular pathology and associated scans.

It ensure that you are one step ahead of everyone else. You provide the best possible patient care and your radiology reports are one the best and most reliable in the town.

 

MSK MRI Protocols:

Here are some of the protocols used by us with reference to ESSR protocols:

 

Section 1: Shoulder MRI Protocols

Shoulder MRI, ESSR guidelines
(Ref ESSR)
Shoulder MRI, ESSR guidelines, Scan Protocols
Shoulder MRI, ESSR guidelines, Scan Protocols

SEQUENCES

USES:

T1W

·       Anatomical Details.

·       Marrow signal

·       Fractures

·       AVN

·       Tumours

 

PDW

·       Anatomical details.

·       Cartilage assessment.

 

Fat Suppressed T2 or PD

·       Tendinopathy

·       Tendon tears.

·       Bone Bruising

·       Muscle oedema

·       Effusion.

·       Cystic lesions

o      Ganglion cyst

o      Muscles cysts

o      Para labral cysts

 

 

Arthrograms

·       Labral tears

·       SLAP tears

·       HAGL lesion.

 

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Section 2: Elbow MRI Protocols:

 

SEQUENCES

USES:

T1W

·       Anatomical Details.

·       Fractures.

PDW

·       Anatomical details.

·       Cartilage assessment.

Fat Suppressed T2 or PD

·       Oedema.

·       Effusion.

·       Bruising.

T2* weighted

·       Collateral ligaments

·       Cartilage

Arthrograms

·       Loose Bodies.

·       OCD.

·       Deep? Undersurface ligamentous tears.

·       Synovial Plicae

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Section 3: Wrist/Hand MRI Protocols:

MRI WRIST PROTOCOL

  • Coronal T1W
  • Coronal STIR /PD FS
  • Axial T2 fat sat
  • Sagittal PD fat sat
  • Cr T2W volume sequences for TFCC evaluation

SEQUENCES:

USES:

T1W

Anatomical Details

Fractures

Marrow pattern

AVN

T1W (Post Contrast - Fat Suppressed)

Synovium in arthritis.

Enhancement in tumours.

Gout Tophi

 

PD/ T2W Fat suppressed/ STIR

Anatomical details

Cartilage assessment

Soft tissue/ marrow oedema

 

T2* weighted (coronal volume sequences)

 

TFCC/ Collateral ligaments

Arthrograms

Loose Bodies.

OCD.

Deep ligamentous/ TFCC tears.

 

Scan Planes:

wrist mri, MRI protcols, MRI checklist, MSK MRI

Wrist scan Protocol sequences with planes:

Wrist mri, MSK MRI, MRI protocols, MRI check lists

Finger Scan Sequences with Planes:

Wrist mri, MSK MRI, MRI protocols, MRI check lists

Thumb scan protocols and Planes:

Wrist mri, MSK MRI, MRI protocols, MRI check lists

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Section 4: Hip MRI Protocols:

SEQUENCES

USES:

T1W

·       Anatomical Details.

·       Marrow signal

o Fractures

o AVN

o Tumours

PDW

·      Anatomical details.

·      Cartilage assessment.

 

Fat Suppressed T2 or PD

·      Gluteal Tendinopathy

·      Tendon tears.

·      Bone Bruising

·      Muscle oedema

·      (Q.Femoris in Ischiofemoral impingement)

·      Effusion.

·      Labral tears

·      Para labral cysts

 

Arthrograms

·      Labral tears

·      FAI

·      Cartilage Assessment

 

Hip MRI Planes:

Hip MRI protocols, Hip MRI sequences, MSK MRI,

Hip MRI sequences/protocols:

Hip MRI protocols, Hip MRI sequences, MSK MRI,

Hip MRI protocols, Hip MRI sequences, MSK MRI,

Thigh MRI protocols, Thigh MRI sequences, MSK MRI,

 

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Section 5: Knee MRI Protocols: 

  1. Axial PD/ T2 fat sat
  2. Sagittal T1
  3. Sagittal PD fat sat
  4. Coronal PD fat sat

knee mri planes, knee mri protocols, knee mri checklists

knee mri protcols, knee mri planes, Msk Mri lists,

Menisci

Cruciate ligaments

·      Meniscal tear (Morphology: Vertical,  Horizontal, Radial, Longitudinal, Flap, Bucket handle, Displaced fragment)

·      Meniscal root tear

·      Parameniscal cyst

·      Meniscal ossicle

·      Discoid meniscus

 

 

·    ACL tear

·    (Midsubstance; Avulsion from femoral/tibial attachment)

·    PCL tear

·    ACL ganglion cyst/mucoid degeneration

·    ACL reconstruction

·    Cyclops lesion after ACL graft.

 

 

Collateral ligaments

Patellofemoral Joint

·      Pellegrini steida lesion

·      Segond or reverse avulsion

·      Arcuate fracture

·      ITB friction

·      Pes anserine bursitis

·      Tear

·      Posterolateral corner injury

·      Posteromedial corner injury

 

·    Lateral patellar dislocation

·    Lateral patellar tracking

·    Trochlear dysplasia

·    Patellar chondromalacia

·    Patellofemoral ligaments

·    Hoffa fat pad impingement

·    Abnormal TTTG

 

Various

Patellar tendon

·      Pes anserine bursitis

·      Baker’s cyst

·      Osteochondral lesions

·      Hoffa’s ganglion cysts

·      Marrow oedema

·      Loose bodies

·      Intra-osseous ganglion cysts

 

·    Proximal patellar tendinosis/ Jumper’s knee

·    Patellar tendon-lateral femoral condyle impingement/ friction

·    Patella alta/ baja

·    Osgood Schlatter disease.

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Section 6: Ankle/Foot MRI Protocols:

ankle MRI report, ankle MRI checklist, ankle mri protocol ankle Mri, ankle mr protcols, mri checklists, msk mri

Foot MRI Planes:

foor Mri, foot mr protcols, mri checklists, msk mri

foot Mri, foot mr protcols, mri checklists, msk mri

 

If you like to add a sequence, please write to us on info@radiologycoures.org

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