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Final MRI protocols 2 Flashcards

1
Q

Routine brain protocol?

A

3 plane localiser
Sag T1
Ax T2
Ax FLAIR
Ax DWI
Ax GRE
Axials: superior skin edge to foramen magnum, 2D, 4-5mm thick
Optional: TOF MRA and MRV

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2
Q

tumour brain protocol

A

Routine brain
3 plane localiser
Sag T1
Ax T2
Ax FLAIR
Ax DWI
Ax GRE
Axials: superior skin edge to foramen magnum, 2D, 4-5mm thick
—–
Ax T1+C
Cor T1+C
Optional: 3D T1+C

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3
Q

IAMs protocol

A

Routine brain
3 plane localiser
Sag T1
Ax T2
Ax FLAIR
Ax DWI
Ax GRE
Axials: superior skin edge to foramen magnum, 2D, 4-5mm thick
—–
Cor T2

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4
Q

Pituitary

A

Routine brain
3 plane localiser
Sag T1
Ax T2
Ax FLAIR
Ax DWI
Ax GRE
Axials: superior skin edge to foramen magnum, 2D, 4-5mm thick
—–
Cor and Sag T1
Cor and Sag T2
Cor and Sag T1+C

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5
Q

Pituitary ?microadenoma

A

Routine brain
3 plane localiser
Sag T1
Ax T2
Ax FLAIR
Ax DWI
Ax GRE
Axials: superior skin edge to foramen magnum, 2D, 4-5mm thick
—–
Pituitary
Cor and Sag T1
Cor and Sag T2
Cor and Sag T1+C
—-
Cor dynamic +C

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6
Q

C spine

A

3 plane localiser
Sag T2
Sag STIR (or T2FS)
Sag T1
Ax T2
Ax T1

Sagittal: just lateral of vertebral bodies, to T2, 11-13 slices, 3mm thick, 10-20% gap
Axial: angled perp. To cord
Sat band anterior to spine

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7
Q

L spine

A

3 plane localiser
Sag T2
Sag STIR (or T2FS)
Sag T1
Ax T2
Ax T1

Sag: T11-conus, 13-15 slices
Ax: L3 to S1, 19-30 slices
Sat band anterior to spine
4mm thick, 10-20% gap

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8
Q

T spine

A

3 plane localiser
Sag T2
Sag STIR (or T2FS)
Sag T1
Ax T2
Ax T1

Include C6-L2
Sat band anterior to spine
13-15 slices, 3-4mm thick, 10-20% gap

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9
Q

Full spine

A

Sag T1/T2/STIR upper and lower

15-17 slices, 4mm thick, 10-20% gap

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10
Q

spine tumour

A

Routine spine
3 plane localiser
Sag T2
Sag STIR (or T2FS)
Sag T1
Ax T2
Ax T1
—
Ax and sag T1 or T1FS
Ax and sag T1FS+C

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11
Q

Trauma/AVM spine

A

Routine spine
3 plane localiser
Sag T2
Sag STIR (or T2FS)
Sag T1
Ax T2
Ax T1
—-
Sag GRE

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12
Q

? cord infarct

A

Routine spine
3 plane localiser
Sag T2
Sag STIR (or T2FS)
Sag T1
Ax T2
Ax T1
—-
Ax and sag DWI

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13
Q

Knee

A

Ax localiser, 2/3 localiser
Ax PDFS
Cor and sag PD
Cor and sag PDFS or T2FS
Optional:
T1, T1+C, GRE

Axial: FOV = 140-160mm, 24-25 slice, 3mm
Coronal: FOV 140-160, 19-35 slices, 3mm thick

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14
Q

? ACL tear

A

Routine knee
Ax localiser, 2/3 localiser
Ax PDFS
Cor and sag PD
Cor and sag PDFS or T2FS
Optional:
T1, T1+C, GRE

Axial: FOV = 140-160mm, 24-25 slice, 3mm
Coronal: FOV 140-160, 19-35 slices, 3mm thick
—-
sag obl T2, 3mm thick

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15
Q

[knee] ?#, ?osteochondromal defect, ?tumour

A

Routine knee
Ax localiser, 2/3 localiser
Ax PDFS
Cor and sag PD
Cor and sag PDFS or T2FS
Optional:
T1, T1+C, GRE

Axial: FOV = 140-160mm, 24-25 slice, 3mm
Coronal: FOV 140-160, 19-35 slices, 3mm thick
—–
Cor T1, 160mm FOV, 3mm thick

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16
Q

Shoulder

A

3 plane localiser
Ax, Cor, Sag PDFS
Cor PD
Sag PD/T2
Optional: T1, GRE

FOV: 160mm, 300mm for loc
Sat band

17
Q

[shoulder] ?labral tear

A

MRA:
3 plane T1FS
Cor T2
Cor T1

18
Q

Wrist

A

loc
2/3 plane PD
2/3 plan FS
T1 for tumour/infection
80-130mm FOV

19
Q

Hand

A

loc
Ax, cor, sag T2 STIR
Ax, cor T1
150-180mm FOV

20
Q

Hip

A

Ax, cor, sag PD
Cor, sag T2FS
FOV: 160-180mm

Addtional: Pelvis Ax or Cor STIR for both hips

May use MRA

21
Q

Ankle/foot

A

Sag PD
Cor T1

22
Q

Elbow

A

Sag and cor PD
Sag T2FS

23
Q

SIJ

A

Ax ob, cor ob T1 STIR

24
Q

Routine liver

A

2/3 localiser
Axial T2/T2FS
Cor T2
Ax T1 in/out phase
Ax DWI
T1 FS
T1FS+C 3D
Ax, cor T1FS+C
2hr delay, ax, cor, T1FS 2D/3D

25
Q

Primovist liver

A

2/3 plane localiser
Ax R1 in/out phase
T1FS 2D/3D
T1FS+C 3D
Ax, cor T1FS+C
T2/T2FS+C
Cor T2+C
Ax DWI+C (0, 400, 800)
20min delay, ax, cor, T1FS 2D/3D
5-8mm thick, 20% gap, 340-500mm FOV

26
Q

Pancreas

A

6hr fast
Axial/ax ob T2, T2FS, T1, T1FS, T1FS+C
MRCP 3D

27
Q

Renal/adrenal

A

Ax and co T1,T2, T1FS, ax dynamic or ax T1FS+C, CorT1FS

Additional:
Ax/cor T1FS+C

3mm thick

28
Q

MRE

A

3 plane loc
2D and 3D ax and cor, T1, T1FS, T2, T2FS, DWI, T1FS+C
4-8mm thick

29
Q

Pelvis

A

3plane loc
Ax T1

FOV: 2400mm

30
Q

Prostate

A

2/3 loc
Ax, cor, sag T2
Ax DWI
Ax T1
T1FS/vibe
Perfusion+C
Ax and cor T1FS+C 2D
T1FS+C pelvis

31
Q

Gynae and foetal

A

Ax, sag T2

32
Q

Breast

A

Ax T2FS
Ax T1
Ax T1FS
Ax T1 Dynamic +C (3-7 phases)
T1FS+C
Sag T2

3mm thick

Optional: for silicone implants
Post processing of dynamic. Enhancement curves examined for ROI

RAD4 (3 decks)

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