MR Ankle WO MSK Protocol

 Scan notes:

For Ligament Tear, Trauma, AVN, Stress F/x, Plantar Fasciitis: 
If sag T2 Fat Sat has poor fat suppression, consider STIR (TE=40) instead. 

If hardware is present:

  • Do AX non-fat-sat mid-TE instead of fat-sat
  • Keep SAG STIR
  • Do COR STIR instead of fat-sat mid-TE
  • If ordered with Contrast, do non-fat-sat T1 post-contrast
     

Last updated: 4/8/19
Charge as: Ankle WO
Scanner preference: 3T only
Coil: Ankle Coil

Plane Weighting Mode Slice Gap FAT SAT FOV Notes
AXIAL T2 SPAIR TSE 4mm 1mm SPAIR 15cm Bottom of heel to above malleolus
SAG T2 STIR TSE 3mm 1mm STIR 15cm Angle to Calcaneus
SAG T1 TSE 3mm 1mm None 15cm Angle to Calcaneus
COR T1 TSE 3mm 1mm None 15cm Include Tarsals
COR T2 SPAIR TSE 3mm 1mm SPAIR 15cm Include Tarsals
OptionalAxial ObliquePlantar Flexion T2 SPAIR TSE 4mm 1mm SPAIR 15cm Performed if requested.Angle to short axis of tarsals. Cover entire tarsals.
OptionalAxial ObliquePlantar Flexion PD TSE 4mm 1mm None 15cm Perform if requested.Angle to short axis of tarsals. Cover entire tarsals.
MR Ankle WO Radiology Protocol image 1
MR Ankle WO Radiology Protocol image 2