Week 10 Flashcards
spine imaging is done mainly __
sagittal & axial
when is coronal plane used for spinal imaging
if patient has moderate to severe scoliosis / lesion
what is best used for anatomical detail
T1w
fat is bright on __
T1, T2 and PD
fluid is brightest in __
T2
what is good for screening fluid & pathology
STIR & T2 FS
what is PD FSE used for
meniscal tears, tendinopathy, labral tears
what are used for pathological processes
T2W FSE
T2W FSE + FS
STIR
T1W FS + C
MRI cervical spine patient positioning
- Headfirst supine
- Position head in birdcage coil & immobilized with cushions
- Cushion under legs for extra comfort
- Laser target over mid neck (2.5 cm below chin in chin-down position)
MRI cervical spine axial scan range is __
- Positioning block perpendicular to spinal cord
- Parallel to IV disc space
- Range = Mid C2 to Mid T2 vertebral body
MRI cervical spine sagittal scan range is __
- Positioning block parallel to spinal cord
- Parallel to line along center of vertebral body through length of spinous process, right to left transverse process
- Range = Brain stem to mid T2
MRI thoracic spine axial scan range is __
- Positioning block perpendicular to spinal cord
- Parallel to IV disc space
MRI thoracic spine patient positioning
- Headfirst supine
- Position head in birdcage coil & immobilized with cushions
- Cushion under legs for extra comfort
- Laser target over mid sternum (T4/5)
MRI thoracic spine sagittal scan range is __
- Positioning block parallel to spinal cord
- Parallel to line along center of vertebral body through length of spinous process, right to left transverse process
- Range = Mid C7 – Mid L2
MRI thoracic spine SAG STIR used for
detecting spinal metastasis
MRI lumbar spine patient positioning
Headfirst supine
Position head in birdcage coil & immobilized with cushions
Cushion under legs for extra comfort
Laser target over mid abdomen
MRI lumbar spine axial scan range is __
Positioning block perpendicular to spinal cord
Parallel to IV disc space
Range = mid T11 – S3
MRI lumbar spine sagittal scan range is __
Positioning block parallel to spinal cord
Parallel to line along center of vertebral body through length of spinous process, right to left transverse process
FOV = entire lumbar & sacral spine from T11 to coccyx
MRI shoulder patient positioning
Supine with head towards magnet (headfirst supine)
Shoulder in shoulder coil & immobilized using sandbags
Centre laser over shoulder joint or midline of coil
MRI shoulder sagittal scan range is __
Angle position block perpendicular to supraspinatus tendon
Parallel to humerus
Range = entire shoulder joint from deltoid muscle to scapular notch
MRI shoulder axial scan range is __
Position block perpendicular to glenohumeral joint
Perpendicular to humeral head
Range = Top of AC joint to just below glenohumeral joint below axilla
MRI shoulder coronal scan range is __
Position block parallel to supraspinatus tendon
Parallel to humeral head
Range = cover entire shoulder joint
MRI wrist patient positioning
Head first prone with arm up (superman)
Position wrist in wrist coil or small flex coil & immobilized with cushions
Cushion under chest for extra comfort
Center laser beam localizer over wrist joint
MRI wrist coronal scan range is __
Position block horizontally across carpal bones
Covers wrist joint from dorsal to palmar aspect