MR Thumb WO and W/WO Protocol

Revised - 2/22/19

  • 3T scanner only
  • Use flex or head coil
  • Use rest slab proximal to wrist to reduce flow and pulsatile motion
  • If hardware is present:
    • Do STIR instead of fat-sat mid-TE
    • If with contrast, do non-fat-sat T1 post-contrast
Plane Weighting Mode Slice Gap FAT SAT FOV Scan Range
AXIAL T1 TSE 3mm 0.5mm None 12cm Cover area of interest
AXIAL Mid TE (40-50) T2 Fat Sat TSE 3mm 0.5mm SPAIR 12cm Cover area of interest
COR T1 TSE 3mm 0.5mm None 12cm Angle relative to Radio-Ulnar joint
COR Mid TE (40-50) T2 Fat Sat TSE 3mm 0.5mm SPAIR 12cm Angle relative to Radio-Ulnar joint
SAG Mid TE (40-50) T2 Fat sat TSE 3mm 0.5mm SPAIR 12cm Angle relative to Radio-Ulnar joint
SAG PRE(if giving gad for infection/osteo) T1 TSE 3mm 0.5mm None 12cm Angle relative to Radio-Ulnar joint
POST CONTRAST
AXIAL T1 Fat Sat TSE 3mm 0.5mm SPIR 12cm same as pre
COR T1 Fat Sat TSE 3mm 0.5mm SPIR 12cm same as pre
SAG T1 Fat Sat TSE 3mm 0.5mm SPIR 12cm same as pre
MR Thumb Image
MR Thumb Image
MR Thumb Image