MRI Upper Limb PROTOCOLS &TECHNIQUE

 

Shoulder:

Position of patient: Supine 

Fix the head by soft pad in the head or Shoulder  coil.

Supporting pad fix just below the legs.

Centering on glabella

Offer the patient ear plugs & ear protector or Music.

Sequence- Survey three planes

Coronal plane:

Position Supine

Centering: Glenohumeral joint

Block parallel to supraspinatus muscles.

Sequence: pd fat sat, PD TSE, T1 & 3D GRE.

Coronal PD Fat Sat scan parameters

FOV -140-150	TE – 90- 120	TR 3500-5000	Matrix 384X384
Flip angle80-90	Slice thickness 3 mm	Gap -10 % of slice thickness	Fold over Direction – FH
NEX 2	Saturation band parallel to the slice		IR delay -100

 

Coronal PD scan parameters

FOV -140-150	TE – 15	TR 3000-3500	Matrix 384X224
Flip angle-90	Slice thickness 3 mm	Gap -10 % of slice thickness	Fold over Direction – FH
NEX 2	Saturation band parallel to the slice

 

Coronal T1 scan parameters

FOV -140-150	TE – 15	TR 400-700	Matrix 288X244
Flip angle-90	Slice thickness 3 mm	Gap -10 % of slice thickness	Fold over Direction – FH
NEX 2	Saturation band parallel to the slice

 

Coronal 3D P D Fat Sat scan parameters

FOV -140-150	TE – 40	TR 1200	Matrix 230X230
Flip angle-90	Slice thickness 0.5 mm	Gap -0	Fold over Direction – RL
NEX 1	Saturation band parallel to the slice

 

Sagittal plane

Position Supine

Block perpendicular to supraspinatus muscles

Sequence: pd fat sat, PD TSE, T1 & 3D GRE.

Sagittal PD Fat Sat scan parameters

FOV -140-150	TE – 90- 120	TR 3500-5000	Matrix 384X384
Flip angle80-90	Slice thickness 3 mm	Gap -10 % of slice thickness	Fold over Direction – FH
NEX 2	Saturation band parallel to the slice		IR delay -100

 

Axial:

Block Position: Perpendicular   to Glenohumeral joint.

Check the position of block other two plane in appropriate angle.

PD fat sat, PD TSE, T1, GRE

Transverse PD Fat Sat scan parameters

FOV -140-150	TE – 90- 120	TR 3500-5000	Matrix 384X384
Flip angle80-90	Slice thickness 3 mm	Gap -10 % of slice thickness	Fold over Direction – RL
NEX 2	Saturation band parallel to the slice		IR delay -100

 

Transverse PD scan parameters

FOV -140-150	TE – 90- 120	TR 3500-5000	Matrix 384X320
Flip angle80-90	Slice thickness 3 mm	Gap -10 % of slice thickness	Fold over Direction – RL
NEX 2	Saturation band parallel to the slice

 

Transverse GRE scan parameters

FOV -140-150	TE1 – 40 TE2- 100	TR 600-800	Matrix 384X384
Flip angle-28	Slice thickness 3 mm	Gap -10 % of slice thickness	Fold over Direction – RL
NEX 2	Saturation band parallel to the slice

ARM:

Position of patient: Supine headfirst.

Supporting pad fix just below the legs.

Centering mid shaft of   humerus.

Offer the patient ear plugs & ear protector or Music.

Sequence- Survey three planes

Sequence

Coronal-T2, STIR, T1

Sagittal – STIR, T1

AXIAL- T2 FS, T1

Transverse plan: on coronal or sagittal images plan block perpendicular to humerus and check the other plane appropriate angle. 

Transverse PD Fat Sat scan parameters

FOV -140-200	TE – 90- 120	TR 3500-5000	Matrix 384X384
Flip angle-90	Slice thickness 5 mm	Gap -10 % of slice thickness	Fold over Direction – RL
NEX 2	Saturation band parallel to the slice		IR delay -100

 

Transverse GRE scan parameters

FOV -140-150	TE1 – 40 TE2- 100	TR 600-800	Matrix 320X298
Flip angle-28	Slice thickness 3 mm	Gap -10 % of slice thickness	Fold over Direction – RL
NEX 2	Saturation band parallel to the slice

 

Coronal plan: on sagittal image plan block parallel to humerus and check the other two planes with appropriate angle.

Coronal PD Fat Sat scan parameters

FOV -300-350	TE – 90- 120	TR 3500-5000	Matrix 384X384
Flip angle-90	Slice thickness 3 mm	Gap -10 % of slice thickness	Fold over Direction – FH
NEX 2	Saturation band parallel to the slice		IR delay -100

 

 

Sagittal plan: on Coronal image plan block parallel to humerus and check the other two planes with appropriate angle.

Elbow:

Position of patient: Supine headfirst.

Supporting pad fix just below the legs.

Centering mid elbow joint.

Offer the patient ear plugs & ear protector or Music.

Sequence- Survey three planes

 

Transverse plan: on coronal image plan block parallel to medial and lateral epicondyles of humerus and check the other plane appropriate angle. 

Transverse PD Fat Sat scan parameters

FOV -140-150	TE – 90- 120	TR 3500-5000	Matrix 384X320
Flip angle-90	Slice thickness 2.5 mm	Gap -0 % of slice thickness	Fold over Direction – RL
NEX 2	Saturation band parallel to the slice		IR delay -100

 

Transverse GRE scan parameters

FOV -140-150	TE1 – 40 TE2- 100	TR 600-800	Matrix 384X384
Flip angle-28	Slice thickness 2.5mm	Gap -0 % of slice thickness	Fold over Direction – RL
NEX 2	Saturation band parallel to the slice

 

Coronal plan: on transverse image plan block parallel to medial and lateral epicondyles of humerus and check the position of block on another plane with appropriate angle. 

Coronal PD Fat Sat scan parameters

FOV -120-140	TE – 90- 120	TR 3500-5000	Matrix 384X384
Flip angle80-90	Slice thickness 3 mm	Gap -10 % of slice thickness	Fold over Direction – FH
NEX 2	Saturation band parallel to the slice		IR delay -100

 

Coronal T1 scan parameters

FOV -120-140	TE – 15	TR 400-700	Matrix 288X244
Flip angle-90	Slice thickness 2 mm	Gap -0	Fold over Direction – FH
NEX 2	Saturation band parallel to the slice

 

Sagittal plan: on transverse image plan block perpendicular to medial and lateral epicondyles of humerus and check the position of block on another plane with appropriate angle.

Sagittal PD Fat Sat scan parameters

FOV -130-140	TE – 90- 120	TR 3500-5000	Matrix 384X384
Flip angle-90	Slice thickness 3 mm	Gap -10 % of slice thickness	Fold over Direction – FH
NEX 2	Saturation band parallel to the slice		IR delay -100

 

Forearm 

Position of patient: Supine headfirst.

Supporting pad fix just below the legs.

Centering mid shaft of   Radius Ulna.

Offer the patient ear plugs & ear protector or Music.

Sequence- Survey three planes

Transverse plan: on coronal or sagittal images plan block perpendicular to radius or ulna and check the other plane appropriate angle. 

Transverse PD Fat Sat scan parameters

FOV -120-140	TE – 90- 120	TR 3500-5000	Matrix 384X320
Flip angle-90	Slice thickness 2.5 mm	Gap -0 % of slice thickness	Fold over Direction – RL
NEX 2	Saturation band parallel to the slice		IR delay -100

 

Transverse GRE scan parameters

FOV -120-140	TE1 – 40 TE2- 100	TR 600-800	Matrix 384X384
Flip angle-28	Slice thickness 2.5mm	Gap -0 % of slice thickness	Fold over Direction – RL
NEX 2	Saturation band parallel to the slice

 

Sagittal plan: on coronal image plan block parallel to radius or ulna and check the other plane appropriate angle. 

Sagittal PD Fat Sat scan parameters

FOV -200-250	TE – 90- 120	TR 3500-5000	Matrix 384X384
Flip angle-90	Slice thickness 3 mm	Gap -10 % of slice thickness	Fold over Direction – FH
NEX 2	Saturation band parallel to the slice		IR delay -100

 

 

Coronal plan: on transverse or sagittal images plan block parallel to radius or ulna and check the other plane appropriate angle.

Coronal PD Fat Sat scan parameters

FOV -200-250	TE – 90- 120	TR 3500-5000	Matrix 384X384
Flip angle80-90	Slice thickness 3 mm	Gap -10 % of slice thickness	Fold over Direction – FH
NEX 2	Saturation band parallel to the slice		IR delay -100

Coronal T1 scan parameters

FOV -200-250	TE – 15	TR 400-700	Matrix 288X244
Flip angle-90	Slice thickness 3 mm	Gap -0	Fold over Direction – FH
NEX 2	Saturation band blow the slice.

WRIST

Position of patient: Supine feet first. /Headfirst

Supporting pad fix just below the FA.

Centering on mid joint.

Offer the patient ear plugs & ear protector or Music.

Sequence- Survey three planes

                                               

Sequence

Sagittal –PDFD, PD1, GRE,3DPDFS, T2

COR PDFS, PD, T1

TRANSVERSE –PDFS, PD, T1

Transverse plan: on coronal image plan block perpendicular to wrist joint and check the other plane appropriate angle.

 

Transverse PD Fat Sat scan parameters

FOV -80-100	TE – 90- 120	TR 2500-5000	Matrix 320X298
Flip angle-90	Slice thickness 2 mm	Gap -0	Fold over Direction – RL
NEX 2	Saturation band parallel to the slice		IR delay -80

Transverse PD scan parameters

FOV -80-100	TE – 90- 120	TR 3500-5000	Matrix 384X320
Flip angle80-90	Slice thickness 2 mm	Gap -10 % of slice thickness	Fold over Direction – RL
NEX 2	Saturation band parallel to the slice

 

Coronal plan: on transverse image plan block parallel to radius ulna joint and check the other planes with appropriate angle. 

Coronal PD Fat Sat scan parameters

FOV -80-100	TE – 90- 120	TR 2500-5000	Matrix 384X324
Flip angle-90	Slice thickness 2 mm	Gap -0	Fold over Direction – FH
NEX 2	Saturation band parallel to the slice		IR deley -80

Scan Parameters Coronal PD TSE

FOV -80-100	TE-Shortest	TR 2500-5000	Matrix 320X292
Flip angle-90	Slice thickness 2 mm	Gap -0	Fold over Direction – FH
NEX 2	Saturation band parallel to the slice

Coronal GRE scan parameters

FOV -80-100	TE1 – 40 TE2- 100	TR 600-800	Matrix 384X320
Flip angle-28	Slice thickness 2mm	Gap -0 % of slice thickness	Fold over Direction – FH
NEX 2	Saturation band parallel to the slice

Coronal T1 scan parameters

FOV -80-100	TE – 15	TR 400-700	Matrix 288X244
Flip angle-90	Slice thickness 2 mm	Gap -0	Fold over Direction – FH
NEX 2	Saturation band parallel to the slice

Coronal 3D P D Fat Sat scan parameters

FOV -100-120	TE – 40	TR 1200	Matrix 230X230
Flip angle-90	Slice thickness 0.5 mm	Gap -0	Fold over Direction – FH
NEX 1	Saturation band parallel to the slice

Sagittal plan: on transverse image plan block perpendicular to distal radius or ulna and check the other plane appropriate angle. 

Sagittal PD Fat Sat scan parameters

FOV -80-100	TE – 90- 120	TR 2500-5000	Matrix 384X324
Flip angle-90	Slice thickness 2 mm	Gap -0	Fold over Direction – FH
NEX 2	Saturation band Blow the slice.		IR delay -80