MR Adult Elbow WO Protocol

Scan notes:

  • Add FABS sequences if clinical question is biceps pathology
  • USE REST SLAB PROXIMAL TO ELBOW TO REDUCE FLOW AND PULSITILE MOTION
  • If hardware is present:
    • Do STIR instead of fat-sat mid-TE.
    • If WITH CONTRAST, do non-fat-sat T1 post-contrast

Revised 11/21/2018
Charge as: Elbow WO
Scanner: 3T Only
Coil: Knee/Flex

Plane Weighting Mode Slice Gap FAT SAT FOV Scan Range
AXIAL PD TSE 3mm 0.5mm None 14cm 4cm Above/ Below Elbow Joint
AXIAL Mid TE=40 T2 FAT SAT TSE 3mm 0.5mm SPAIR 14cm 4cm Above/ Below Elbow Joint
COR T1 TSE 3mm 0.5mm None 14cm Angle to Distal Humeral Condyles
COR T2 STIR (TE=40) TSE 3mm 0.5mm STIR 14cm Angle to Distal Humeral Condyles
SAG Mid TE=40 T2 FAT SAT TSE 3mm 0.5mm SPAIR 14cm Angle to Distal Humeral Condyles
Optional FABS Mid TE=40 T2 FAT SAT TSE 3mm 0.5mm SPAIR 14cm Perform if requested or if clinical question is biceps pathology.See info below for sequence set up. Call rad with questions.
Optional FABS T1 TSE 3mm 0.5mm None 14cm Perform if requested or if clinical question is biceps pathology. See info below for sequence set up. Call rad with questions.
MR Elbow Image

Optional FABS elbow sequences

MR Elbow FABS positioning Image for techs
  • Flexion, Abduction, Supination
  • For better visualization of distal biceps tendon
  • After usual sequences, place arm as shown (supination of wrist is important!)
  • Images are oriented perpendicular to radius
    • Images will be coronal to humerus but sagittal to rest of body