Final MRI protocols 2

Question 1

Routine brain protocol?

Answer 1

3 plane localiser
Sag T1
Ax T2
Ax FLAIR
Ax DWI
Ax GRE
Axials: superior skin edge to foramen magnum, 2D, 4-5mm thick
Optional: TOF MRA and MRV

Question 2

tumour brain protocol

Answer 2

Routine brain
3 plane localiser
Sag T1
Ax T2
Ax FLAIR
Ax DWI
Ax GRE
Axials: superior skin edge to foramen magnum, 2D, 4-5mm thick
—–
Ax T1+C
Cor T1+C
Optional: 3D T1+C

Question 3

IAMs protocol

Answer 3

Routine brain
3 plane localiser
Sag T1
Ax T2
Ax FLAIR
Ax DWI
Ax GRE
Axials: superior skin edge to foramen magnum, 2D, 4-5mm thick
—–
Cor T2

Question 4

Pituitary

Answer 4

Routine brain
3 plane localiser
Sag T1
Ax T2
Ax FLAIR
Ax DWI
Ax GRE
Axials: superior skin edge to foramen magnum, 2D, 4-5mm thick
—–
Cor and Sag T1
Cor and Sag T2
Cor and Sag T1+C

Question 5

Pituitary ?microadenoma

Answer 5

Routine brain
3 plane localiser
Sag T1
Ax T2
Ax FLAIR
Ax DWI
Ax GRE
Axials: superior skin edge to foramen magnum, 2D, 4-5mm thick
—–
Pituitary
Cor and Sag T1
Cor and Sag T2
Cor and Sag T1+C
—-
Cor dynamic +C

Question 6

C spine

Answer 6

3 plane localiser
Sag T2
Sag STIR (or T2FS)
Sag T1
Ax T2
Ax T1

Sagittal: just lateral of vertebral bodies, to T2, 11-13 slices, 3mm thick, 10-20% gap
Axial: angled perp. To cord
Sat band anterior to spine

Question 7

L spine

Answer 7

3 plane localiser
Sag T2
Sag STIR (or T2FS)
Sag T1
Ax T2
Ax T1

Sag: T11-conus, 13-15 slices
Ax: L3 to S1, 19-30 slices
Sat band anterior to spine
4mm thick, 10-20% gap

Question 8

T spine

Answer 8

3 plane localiser
Sag T2
Sag STIR (or T2FS)
Sag T1
Ax T2
Ax T1

Include C6-L2
Sat band anterior to spine
13-15 slices, 3-4mm thick, 10-20% gap

Question 9

Full spine

Answer 9

Sag T1/T2/STIR upper and lower

15-17 slices, 4mm thick, 10-20% gap

Question 10

spine tumour

Answer 10

Routine spine
3 plane localiser
Sag T2
Sag STIR (or T2FS)
Sag T1
Ax T2
Ax T1
—
Ax and sag T1 or T1FS
Ax and sag T1FS+C

Question 11

Trauma/AVM spine

Answer 11

Routine spine
3 plane localiser
Sag T2
Sag STIR (or T2FS)
Sag T1
Ax T2
Ax T1
—-
Sag GRE

Question 12

? cord infarct

Answer 12

Routine spine
3 plane localiser
Sag T2
Sag STIR (or T2FS)
Sag T1
Ax T2
Ax T1
—-
Ax and sag DWI

Question 13

Knee

Answer 13

Ax localiser, 2/3 localiser
Ax PDFS
Cor and sag PD
Cor and sag PDFS or T2FS
Optional:
T1, T1+C, GRE

Axial: FOV = 140-160mm, 24-25 slice, 3mm
Coronal: FOV 140-160, 19-35 slices, 3mm thick

Question 14

? ACL tear

Answer 14

Routine knee
Ax localiser, 2/3 localiser
Ax PDFS
Cor and sag PD
Cor and sag PDFS or T2FS
Optional:
T1, T1+C, GRE

Axial: FOV = 140-160mm, 24-25 slice, 3mm
Coronal: FOV 140-160, 19-35 slices, 3mm thick
—-
sag obl T2, 3mm thick

Question 15

[knee] ?#, ?osteochondromal defect, ?tumour

Answer 15

Routine knee
Ax localiser, 2/3 localiser
Ax PDFS
Cor and sag PD
Cor and sag PDFS or T2FS
Optional:
T1, T1+C, GRE

Axial: FOV = 140-160mm, 24-25 slice, 3mm
Coronal: FOV 140-160, 19-35 slices, 3mm thick
—–
Cor T1, 160mm FOV, 3mm thick

Question 16

Shoulder

Answer 16

3 plane localiser
Ax, Cor, Sag PDFS
Cor PD
Sag PD/T2
Optional: T1, GRE

FOV: 160mm, 300mm for loc
Sat band

Question 17

[shoulder] ?labral tear

Answer 17

MRA:
3 plane T1FS
Cor T2
Cor T1

Question 18

Wrist

Answer 18

loc
2/3 plane PD
2/3 plan FS
T1 for tumour/infection
80-130mm FOV

Question 19

Hand

Answer 19

loc
Ax, cor, sag T2 STIR
Ax, cor T1
150-180mm FOV

Question 20

Hip

Answer 20

Ax, cor, sag PD
Cor, sag T2FS
FOV: 160-180mm

Addtional: Pelvis Ax or Cor STIR for both hips

May use MRA

Question 21

Ankle/foot

Answer 21

Sag PD
Cor T1

Question 22

Elbow

Answer 22

Sag and cor PD
Sag T2FS

Question 23

SIJ

Answer 23

Ax ob, cor ob T1 STIR

Question 24

Routine liver

Answer 24

2/3 localiser
Axial T2/T2FS
Cor T2
Ax T1 in/out phase
Ax DWI
T1 FS
T1FS+C 3D
Ax, cor T1FS+C
2hr delay, ax, cor, T1FS 2D/3D

Question 25

Primovist liver

Answer 25

2/3 plane localiser Ax R1 in/out phase T1FS 2D/3D T1FS+C 3D Ax, cor T1FS+C T2/T2FS+C Cor T2+C Ax DWI+C (0, 400, 800) 20min delay, ax, cor, T1FS 2D/3D 5-8mm thick, 20% gap, 340-500mm FOV

Question 26

Pancreas

Answer 26

6hr fast Axial/ax ob T2, T2FS, T1, T1FS, T1FS+C MRCP 3D

Question 27

Renal/adrenal

Answer 27

Ax and co T1,T2, T1FS, ax dynamic or ax T1FS+C, CorT1FS Additional: Ax/cor T1FS+C 3mm thick

Question 28

MRE

Answer 28

3 plane loc 2D and 3D ax and cor, T1, T1FS, T2, T2FS, DWI, T1FS+C 4-8mm thick

Question 29

Pelvis

Answer 29

3plane loc Ax T1 FOV: 2400mm

Question 30

Prostate

Answer 30

2/3 loc Ax, cor, sag T2 Ax DWI Ax T1 T1FS/vibe Perfusion+C Ax and cor T1FS+C 2D T1FS+C pelvis

Question 31

Gynae and foetal

Answer 31

Ax, sag T2

Question 32

Breast

Answer 32

Ax T2FS Ax T1 Ax T1FS Ax T1 Dynamic +C (3-7 phases) T1FS+C Sag T2 3mm thick Optional: for silicone implants Post processing of dynamic. Enhancement curves examined for ROI