MR Adult Hip WO Ortho Detail Protocol

Revised - 4/5/2012
Charge as Hip WO

Hip protocol for patients from orthopedic surgery or sports medicine physicians: Drs: Herzka, Crawford, Orfaly, Schabel, Chesnutt, Petering, Webb
Use XL Torso Coil
Localizer
(REF scan)
Mode Slice Gap FAT SAT FOV Scan Range
AXIAL Mid TE (50-60) T2 Fat Sat TSE 3mm 0.5mm SPAIR 18cm Unilateral: Acetabulum to Less Trochanter
AXIAL OBL PD Fat Sat TSE 3mm 0.5mm SPIR 18cm Angle Long Axis of Femoral Neck-->-->
SAG PD Fat Sat TSE 3mm 0.5mm SPIR 18cm Unilateral: Acetabulum to Greater Trochanter
COR T1 TSE 3mm 0.5mm None 18cm Unilateral: Sacrum to Pubic Symphysis
COR Mid TE (50-60) T2 Fat Sat TSE 3mm 0.5mm SPAIR 18cm Unilateral: Sacrum to Pubic Symphysis
AXIAL Mid TE (50-60) T2 Fat Sat TSE 3mm 0.5mm SPAIR 35cm Bilateral for Comparison
Notes:
Note that the OBL AXIAL and SAG sequences are PD Fat Sat, not mid-TE T2 Fat Sat.
If bilateral hips are ordered, do separate unilateral OBL AXIAL PD Fat Sat, SAG PD Fat Sat, and COR Mid-TE T2 Fat Sat.
Skip unilateral AXIAL Mid-TE T2 Fat Sat and COR T1, and instead do BILAT AXIAL Mid-TE T2 Fat Sat and BILAT Cor T1.

If hardware is present:

  • Do Axial and Coronal STIR instead of fat-sat mid-TE
  • If with Contrast, do non-fat-sat T1 post-contrast

MR Hip CoronalMR Hip Axial Bi
MR Hip Axial UniMR Hip Coronal GT