MRI Protocols
This page is for OHSU's MRI technologists and physicians. It outlines all sequences and protocols currently applied in our MRI section. Our radiologists work closely with OHSU MRI technologists in the art of creating optimal images using current technology. Protocols listed have been reviewed and approved by a radiologist.
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Body imaging protocols currently applied in our MRI section. Radiologists work closely with OHSU MRI techs in the art of creating optimal images from current technology. Dr. Alice Fung has approved the protocols below. All body protocols for pediatric patients are under Pediatric Protocols.
Technologist Tips
- Page the Body Radiologist to check images if you have any questions regarding the exam.
- For all Pelvic MRI studies except the Bladder Protocol or the MR Urogram: Please have the patient void their bladder prior to exam to improve image quality.
ABDOMEN and PELVIS W/WO
ABDOMEN/PELVIS APPENDICITIS WO
ADRENAL MASS W/WO
DEFECOGRAPHY WO- updated 12/8/2023
ELASTOGRAPHY WO - updated 10/13/2023
ENTEROGRAPHY W/WO - updated 5/11/2022
FEMALE PELVIS BRACHYTHERAPY PLANNING WWO - updated 5/11/2022
FEMALE PELVIS FAST BRACHYTHERAPY PLANNING WO - updated 5/11/2022
FEMALE PELVIS CERVICAL CANCER STAGING W/WO - updated 12/8/2023
FEMALE PELVIS CONGENITAL WO - added 10/30/2023
FEMALE PELVIS FOR ENDOMETRIOSIS W/WO - updated 3/25/2021
FEMALE PELVIS UTERINE CANCER STAGING W/WO - updated 12/8/2023
FEMALE PELVIS / SOFT TISSUE PELVIS W/WO - updated 9/8/20
FEMALE PELVIS UAE W/WO
FULL BODY WO - added 4/28/2023
FULL BODY WWO - added 4/28/2023
LIVER MASS W/WO - updated 1/31/2024
LIVER MASS WO & MRCP - updated 1/31/2024
LIVER MASS W/WO & MRCP with EOVIST - updated 1/31/2024
LIVER MASS W/WO & MRCP - updated 1/31/2024
LIVER MASS W/WO EOVIST - updated 1/31/2024
LIVER MASS WO IRON (Fe) QUANTIFICATION - updated 1/31/2024
LIVER MASS W/WO IRON (Fe) QUANTIFICATION - updated 1/31/2024
PANCREAS W/WO MRCP - updated 1/31/2024
PANCREAS W/WO SECRETIN - updated 1/31/2024
PELVIMETRY WO
PERIANAL FISTULA W/WO -Updated 10/12/2021
PLACENTA WO
PROSTATE W/WO
RECTUM/RECTAL CA W/WO -Updated 9/20/2021
RENAL DONOR W/WO -Added 6/13/2022
RENAL MASS W/WO
RENAL ARTERIAL SCLEROSIS W/WO
SCROTUM W/WO
UROGRAM W/WO -Updated 10/3/2023
MRA MESENTERIC VESSELS - Added 4/28/2023
MRA RENAL ARTERIES - Added 4/28/2023
MRA ABDOMEN PELVIS AAA WO - Added 4/28/2023
MRA ABDOMEN WO - Added 4/28/2023
MRA PELVIS VENOUS CONGESTION - Added 4/28/2023
MRA MRV ABDOMEN PELVIS - Added 4/28/2023
Breast Imaging protocols currently applied in our MRI section. Radiologists work closely with OHSU MRI techs in the art of creating optimal images from current technology. Dr. Karen Oh has approved the protocols below.
MR Bilateral Breasts WWO Protocol
MR ISPY Breast Protocol
MR Breast Biopsy - Protocol for Technologists
MR Breast Biopsy - Post & Pillar Biopsy Method
MR Breast - Guided Wire Localization
MSK protocols currently applied in our MRI section. Radiologists work closely with OHSU MRI techs in the art of creating optimal images from current technology. Dr. Barry Hansford has approved the protocols below. All MSK protocols for pediatric patients are under Pediatric Protocols.
ANY INFECTION/OSTEO CASE REGARDLESS OF BODY PART:
- If infection/osteo is a diagnostic consideration, please run 3 PLANES T1 without FS. (Infection cases aren't always ordered with contrast).
- If for infection/osteo and is ordered with GAD, always run 3 PLANES T1 without FS PRE contrast. (Infection cases aren't always ordered with contrast).
- If GAD is administered, all the post contrast imaging must be fat sat, there is zero value in non fat sat post contrast imaging for MSK.
- DIFFICULT PATIENTS: Start exams with AX T1 non-fat sat sequences in case the exam is terminated early for difficult patients.
IF HARDWARE IS PRESENT IN THE AREA OF INTEREST:
- Try to assess beforehand whether or not hardware will interfere with protocol. Hardware doesn't necessarily mean you have to change the protocol. If available, Check an X-ray. You may be able to decide before hand (discuss with radiologist if needed).
- Try a fat-sat mid-TE sequence- is there too much susceptibility artifact and/or inhomogeneous fat suppression? (discuss with radiologist if needed)
- If the protocol needs to be modified:
- Perform on 1.5T
- Increase Bandwidth if possible
- Run non-fat-sat mid-TE sequences or STIR instead of fat-sat mid-TE
- If post-contrast, do non-fat-sat T1 instead of fat-sat T1
Upper extremities
ELBOW WO
ELBOW W/WO
ELBOW ARTHROGRAM WO
FINGER (not thumb) WO or W/WO
FOREARM WO or WWO
FULL BODY (MSK) - updated 4/28/2023
HAND WO or WWO
HAND RHEUMATOLOGY W/WO
HUMERUS WO or W/WO
SCAPULA WO or W/WO
SHOULDER WO
SHOULDER W/WO
SHOULDER ARTHROGRAM WO
THUMB WO or W/WO
WRIST WO
WRIST W/WO
WRIST ARTHROGRAM WO
WRIST RHEUMATOLOGY (wrist thru MCP)
Lower extremities
ANKLE WO
ANKLE W/WO
ANKLE R/O AVN – BILATERAL
ANKLE PLANTAR FLEXION WO
ANKLE ACHILLES TENDON WO
FEMUR WO or W/WO
FOOT- FOREFOOT WO or W/WO
FOOT- HINDFOOT WO or W/WO
FOOT- ENTIRE FOOT WO or W/WO
HIP WO – ROUTINE
HIP WO – ORTHO DETAIL
HIP W/WO – (Unilateral or Bilateral)
HIP WO FOR AVN – UNILATERAL OR BILATERAL
HIP ARTHROGRAM WO - UNILATERAL
HIP SHRINERS – BILATERAL
KNEE ROUTINE WO
KNEE W/WO
KNEE ROUTINE WO + FEMORAL ANTEVERSION
KNEE ARTHROGRAM WO
KNEE QUAD RUPTURE WO
KNEE MATERIALISE WO - added 9/25/19
KNEE OSTEOCHONDRAL PLANNING WO - added 9/27/19
LUMBOSACRAL PLEXUS WO or W/WO
PELVIS WO
PELVIS WO (Fast Fracture Evaluation)
PELVIS W/WO
PELVIS HAMSTRING WO
PELVIS SPORTS HERNIA WO
PELVIS PIRIFORMIS WO
PELVIS SACROILIITIS / SI JOINTS / SACRUM WO OR WWO
TIB/FIB WO or W/WO
TOE WO OR W/WO
Neuroradiology protocols currently applied in our MRI section. Radiologists work closely with OHSU MRI techs in the art of creating optimal images from current technology. Dr. David Pettersson has approved the protocols below.
Brain
1/12/2021: Urgent note for technologists: for pre-op stereotactic and stealth exams with motion, notifyNavTeam@ohsu.edu of the issue.
DIAGNOSITC BRAIN AND PITUITARY IMAGING:
- DEMENTIA BRAIN WO - updated 4/15/2022
- DEMENTIA BRAIN WWO - updated 4/15/2022
- EPILEPSY BRAIN WO - updated 4/15/22
- EPILEPSY BRAIN W/WO - updated 4/15/22
- MULTIPLE SCLEROSIS BRAIN WO - updated 10/18/23
- MULTIPLE SCLEROSIS BRAIN WWO - updated 10/18/23
- PEDS ACUTE STROKE BRAIN WO (Rapid Swift)
- PEDS STROKE BRAIN WO
- PEDS INFANT HIE COOL BRAIN WO - updated 11/29/23
- PEDS TRAUMA QUICK BRAIN WO - updated 2/4/22
- PITUITARY WO - new 1/21/22
- PITUITARY W/WO - updated 1/21/22
- PITUITARY & BRAIN W/WO - new 1/21/22
- QUICK BRAIN WO - updated 1/21/22
- ROUTINE BRAIN WO - updated 1/21/2022
- ROUTINE BRAIN W/WO - updated 1/21/2022
- STROKE BRAIN WO - updated 6/30/23
- TRAUMA BRAIN WO - retired 2/2/22
- TUMOR BRAIN W/WO - updated 1/21/2022
SURGICAL & RADIATION PLANNING:
- EVT WO (THIRD TENTRICULOSTOMY)
- fMRI BRAIN -Updated 8/23/2023
- STEREOTACTIC BRAIN WO, W/WO OR W/CONTRAST - updated 6/19/2023
- PRE DBS - GPI - updated 6/13/2022
- PRE DBS - STN - updated 6/13/2022
- PRE DBS - VIM AND THALAMOTOMY - updated 6/13/2022
- HIFU ESSENTIAL TREMOR WO OR W/WO - updated 6/6/23
- RADIATION THERAPY BRAIN W/WO - updated 2/2/22
- LIMITED RADIATION THERAPY BRAIN W ONLY - added 5/24/2024
VASCULAR IMAGING:
- MRA BRAIN WO or WWO - updated 3/19/2021
- MRA NECK WO or WWO - updated 3/5/2021
- MRV BRAIN - updated 9/26/22
- VASCULITIS BRAIN WWO (Vessel Wall Imaging with black blood; Includes MRA WO) - updated 9/26/22
- TEMPORAL ARTERITIS BRAIN W/WO - new 11/11/23
ADD-ON SEQUENCES:
- CINE (for Brain or Spine)
- DTI (Brain) - updated 10/13/2023
- SPECTROSCOPY- Single
- SPECTROSCOPY- Multi
ENT
- BRAIN & ORBITS WO -updated 3/18/22
- BRAIN & ORBITS W/WO -updated 3/18/22
- ORBITS WO -updated 3/18/22
- ORBITS W/WO -updated 3/18/22
- ORBITS WO + CINE
- ORBITS WO - LIMITED -updated 3/8/22
- IAC WO -updated 7/26/22
- IAC W/WO -updated 7/26/22
- IAC & BRAIN WWO - new 1/25/22
- IAC PRE COCHLEAR IMPLANT WO -updated 1/21/22
- FACE, SINUS, OR SKULL BASE WO - updated 1/21/22
- FACE, SINUS, OR SKULL BASE W/WO - updated 1/21/22
- TRIGEMINAL NEURALGIA WO - updated 1/21/22
- TRIGEMINAL NEURALGIA W/WO -updated 1/21/22
- SOFT TISSUE NECK WO - updated 1/21/22
- SOFT TISSUE NECK W/WO - updated 1/21/22
- SOFT TISSUE NECK WO - SLEEP APNEA -updated 3/8/22
- FACE & NECK WO - updated 7/27/22
- FACE & NECK WWO - updated 7/27/22
- HORNERS SYNDROME WWO - 2/26/24 work in progress
Spine
CERVICAL SPINE:
- ROUTINE CERVICAL SPINE WO - updated 9/26/22
- ROUTINE CERVICAL SPINE W/WO - updated 9/26/22
- PEDS CERVICAL SPINE WO - updated 3/18/22
- PEDS CERVICAL SPINE WWO - updated 1/24/22
- PEDS TRAUMA CERVICAL SPINE WO - updated 11/3/20
- MULTIPLE SCLEROSIS / CORD LESION - CERVICAL SPINE WWO - new 1/21/22
- MULTIPLE SCLEROSIS / CORD LESION - CERVICAL SPINE WO - new 1/21/22
- TRAUMA CERVICAL SPINE WO - updated 10/16/2020
- FLEX/EXT CERVICAL SPINE WO - updated 10/16/2020
- HADWARE CERVICAL SPINE WO or WWO - new 10/02/22
THORACIC SPINE:
- ROUTINE THORACIC SPINE WO - updated 1/24/22
- ROUTINE THORACIC SPINE W/WO - updated 1/24/22
- PEDS THORACIC SPINE WO - updated 1/24/22
- PEDS THORACIC SPINE WWO - updated 1/24/22
- MULTIPLE SCLEROSIS / CORD LESION - THORACIC SPINE WO - new 1/21/22
- MULTIPLE SCLEROSIS / CORD LESION - THORACIC SPINE WWO - new 1/21/22
- HADWARE THORACIC SPINE WO or WWO - new 10/02/22
LUMBAR SPINE:
- ROUTINE LUMBAR SPINE WO - updated 7/27/22
- ROUTINE LUMBAR SPINE WWO - updated 7/27/22
- PEDS LUMBAR SPINE WO - updated 1/24/22
- PEDS LUMBAR SPINE WWO - updated 1/24/22
- HADWARE LUMBAR SPINE WO or WWO - new 10/02/22
TOTAL SPINE:
- ROUTINE TOTAL SPINE WO - updated 9/26/22
- ROUTINE TOTAL SPINE WWO - updated 9/26/22
- ED CORD/CAUDA IMPINGEMENT SCREENING - TOTAL SPINE WO - new 1/21/22
- ED INFECTION SCREENING - TOTAL SPINE W - updated 1/31/24
- MULTIPLE SCLEROSIS / CORD LESION - TOTAL SPINE WWO - new 1/21/22
- MULTIPLE SCLEROSIS / CORD LESION - TOTAL SPINE WO - new 1/21/22
- SPINAL VASCULAR MALFORMATION - MRA/MRI TOTAL SPINE WWO - new 9/26/22
- PEDS TOTAL SPINE WO - DOUBLE JUMP - updated 1/25/22
- PEDS TOTAL SPINE WO - SINGLE JUMP - updated 1/25/22
- PEDS TOTAL SPINE WWO - DOUBLE JUMP - updated 1/25/22
- PEDS TOTAL SPINE WWO - SINGLE JUMP - updated 1/25/22
- PEDS TOTAL SPINE W ONLY - DOUBLE JUMP - updated 1/31/24
- PEDS TOTAL SPINE W ONLY - SINGLE JUMP - updated 1/25/22
- HADWARE TOTAL SPINE WO or WWO - new 10/02/22
Pediatric imaging protocols currently applied in our MRI section. Radiologists work closely with OHSU MRI techs in the art of creating optimal images from current technology. Dr. Andrew Phelps has approved the protocols below. The pediatric radiologists will usually protocol specific sequences they need in RIS. If not, follow the adult protocol, but make changes to the slice, gap, and FOV as needed.
Sedated Children and Checking Images
- As of 5/13/2021 for sedated children only: Pediatric Radiologist must check images before giving contrast and prior to letting the patient off the table unless otherwise stated in the protocol. No need to have images checked on non-sedated children unless there is a question or a concern.
- Neuro exams do not need to be checked unless there is a question or a concern.
- Pediatric Sedation charge nurse: xt 81904
- Pediatric Radiology pager: 15816
Body, MSK & Chest
- Upper extremities from finger to shoulder: use adult MSK protocols with FOV/Slice/Gap adjustments for patient size.
- Lower extremities NOT listed below: use adult protocols with FOV/Slice/Gap adjustments for patient size.
- Please run AX T1 FS PRE GAD for all MSK WWO exams.
APPENDICITIS WO - Updated 10/13/2023
ABDOMEN WO or W/WO
ABDOMEN/PELVIS ROUTINE WO
ABDOMEN/PELVIS ROUTINE W/WO
ENTEROGRAPHY W/WO - Updated 1/13/2022
LIVER MASS W/WO
LIVER MASS with MRCP WO
LIVER MASS with MRCP W/WO
MRCP WO
PANCREAS W/WO with MRCP
PANCREAS W/WO with MRCP and SECRETIN
RENAL MASS W/WO
RENAL ARTERY STENOSIS W/WO
SCROTUM WO or W/WO - Updated 1/13/2022
UROGRAM in progress 1/12/2022
CHEST/ABDOMEN/PELVIS WO or W/WO - Updated 1/13/2022
CHEST WO or W/WO - Updated 1/13/2022
CHEST WO (PECTUS/HALLER INDEX)
HIPS BILATERAL POST-REDUCTION WO - Updated 1/13/2022
HIPS PERTHES WWO
PELVIS ROUTINE W/WO - Updated 1/13/2022
PELVIS RECTOPLASTY WO - Updated 1/13/2022
PELVIS (FEMALE) WO or W/WO - Updated 1/13/2022
PHYSEAL BAR WO
SI JOINTS WO OR W/WO
MRV VASCULAR ACCESS NECK CHEST - Updated 1/13/2022
MRA NECK/CHEST W
MRA UPPER EXTREMITY W/WO
MRA LOWER EXTREMITY BILATERAL (RUN-OFF) W/WO
MRI/MRV LE KLIPPEL-TRENAUNAY W/WO - Updated 1/13/2022
MSK SUBTRACTION W/WO
VASCULAR MALFORMATION WWO - Updated 1/13/2022
WHOLE BODY WO or WWO - Updated 1/12/2022
Important notes -updated 12/2/19
- Do NOT change any study parameters to reduce scan times, especially if it states in multiple places not to change parameters.
- Some exams are NO READ. Be sure to select the appropriate box in EPIC if the exam is not to be read by a radiologist.
- Do NOT add a screen capture note to the study, as this will capture PHI on the images which will negate the anonymity requirement for the research study.
A4
ADNI 2 /ADNI GO
Athersys B01
Bayer Asteroid
BIOGEN IDEC
Biogen- Ascend
CSOM230C - Acromegaly
DeNovo Knee
EISAI
Focus FH/MIPO
Games- RP
Gaucher
Histogenic Knee (MR3)
INCB
INI (Insulin)
ISIS
Kinespring
Meeker Achilles - new 9/2020
Norvartis Cain 457F2302
Novartis CCNP520A2202J (5175) (Subject)
Novartis CLCI699
Pfizer A3921119
PPMI
Roche Scarlet Road AD Study
SMM3001 Total Spine and Pelvis WO
Springworks NIR-DT-301
T2 PROTECT AD
Virtual Scopics
Vitamin D- MS Study
XOMA
Post Processing Brain Perfusion on Philips Portal
Post Processing Brain Perfusion on EWS workstation
Spectroscopy Post Processing Steps
How to obtain actual numeric ADC values (rather than a map) for a ROI
pCasl Post Processing Instructions
Multivoxel post processing - Spectroview with Gausian Filter