MR Routine Total Spine WO

Common Indications:

Degenerative disease. Back/neck pain or radiculopathy with no red flags. 

Can the sagittal oblique sequences be omitted?

The cervical sagittal oblique sequences are only needed for nonspecific neck pain, radiculopathy and degenerative disease. Do not run these if the indication is tumor, infection or demyelinating disease/MS.

Coverage of sagittal oblique sequences:

Mid-clivus to mid T1 vertebral body. 4 cm thick. Perpendicular to upper neural foramina, 45º off of true sagittal.

Other coverage:

Sagittals: L-R coverage must include all of the vertebral bodies.

Axial SS-T2: T11-T12 disc to S2-S3 'disc'. 

Other notes:

Last updated: 4/14/22
Charge as: Total Spine WO
Scanner preference: 1.5T or 3T preferred. Avoid MR1.
Coil: On all of our systems except MR1: Add the torso coil anteriorly in combination with the table top and/or NV array coils.

Plane Weighting Mode Slice (mm) Gap (mm) FAT SAT FOV (cm) MPR (mm) Notes
Upper Station
SAG T2 3D TSE 1 ? 0 no AXIAL 1/0
SAG T2 2D TSE 3 0.3 Dixon: InPhase & Water only no
SAG T1 FLAIR 2D IR-TSE 3 0.3 no no
Cervical only - Optional
R SAG OBL T1 VIBE/THRIVE 2 -1 no 18 cm no Optional. See notes above for indications and coverage.
L SAG OBL T1 VIBE/THRIVE 2 -1 no 18 cm no Optional. See notes above for indications and coverage.
Lower Station
SAG T2 3D TSE 1 ? 0 no AXIAL 1/0
SAG T2 2D TSE 3 0.3 Dixon: InPhase & Water only no
SAG T1 FLAIR 2D IR-TSE 3 0.3 no no
Lumbar only
AXIAL SS-T2 Single shot 3 0 no 20 x 20 no No sat band.