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

 

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