Adult MSK MRI Protocols

INFECTION CASES:
1. If infection/osteo is a diagnostic consideration, please run 3 PLANES T1 without FS.
2. 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)

DIFFICULT PATIENT:
Start exams with AX T1 non-fat sat sequences in case the exam is terminated early for difficult patients.

HARDWARE:

1. 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).
3. 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

2. Try a fat-sat mid-TE sequence- is there too much susceptibility artifact and/or inhomogeneous fat suppression? (discuss with radiologist if needed)

All MSK protocols for pediatric patients are on the Pediatric Protocol page.