MRI Upper Limb PROTOCOLS &TECHNIQUE
Shoulder:
Position of
patient: Supine
Fix the head
by soft pad in the head or Shoulder
Supporting
pad fix just below the legs.
Centering on
glabella
Offer the
patient ear plugs & ear protector or
Sequence-
Survey three
Coronal plane:
Position Supine
Centering:
Block parallel to
supraspinatus
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
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
Sequence-
Survey three
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
Sequence-
Survey three
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
Offer the
patient ear plugs & ear protector or
Sequence-
Survey three
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
Centering on
mid joint.
Offer the
patient ear plugs & ear protector or
Sequence-
Survey three
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
|
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