MR Norvartis Cain 457F2302 Research Study Protocol

Revised - 9/16/2014
Charge as MRI Hand & Wrist W/WO, "NO READ"

What Would Joe Do? (WWJD)
This is a research study to look at the hand and wrist in patients with RA. The study has provided us with a “M-Frame Positioner” which we use to stabilize the hand and wrist for consistent positioning. It is in the Research Phantom Drawer in MR1 (shared with the XOMA study). Use the SENSE Small Extremity 8-channel coil for this study, with the patient positioned comfortably (either superman or with hand down by the side).
See attached diagrams for hand positioning with the M-Frame and for coverage.
This is a NO READ study.

RM 2 - SENSE Small Extremity 8 Coil
Sequence Change Parameters? Change # slices? Coverage/ Angulation Notes
Wrist LOC     Position the coil and M-Frame so that the wrist is well centered in the coil.
Wrist COR STIR NO NO Angle to the flattest surface of the palm and to MCP-3. Center FOV on carpal bones and distal radius/ulna
Wrist COR 3D T1 NO NO Angle to the flattest surface of the palm and to MCP-3. Center FOV on carpal bones and distal radius/ulna
MCP LOC     You may need to reposition the coil to make sure the MCP is getting enough signal
MCP COR STIR NO NO Angle to the flattest surface of the palm and to MCP-3. Center FOV on MCP and PIP
MCP COR 3D T1 NO NO Angle to the flattest surface of the palm and to MCP-3. Center FOV on MCP and PIP
POST MCP COR 3D T1 NO NO Angle to the flattest surface of the palm and to MCP-3. Center FOV on MCP and PIP Do not reposition patient from pre-contrast imaging of the hand
Wrist LOC You may need to reposition the coil to cover the wrist after having moved to cover the MCP
POST WRIST COR 3D T1 NO NO Angle to the flattest surface of the palm and to MCP-3. Center FOV on carpal bones and distal radius/ulna

 M-Frame Positionerhand position