MSK MRI PROTOCOLS

Updated
10/11/2019

Routine Knee Pubalgia – Pelvis Achilles Tendon Wrist Arthrogram

MOM Knee 1.5T Sciatic Nerve Routine Ankle Routine Wrist
Knee Arthrogram 3T SI Joints Tumor Infection RA Hand 3T
Hip Labrum 3T Routine Shoulder 3T Tumor Infection WO MCP-Finger
Hip AVN Shoulder Arthrogram 3T Non-Contrast Foot Pelvis – Routine
MOM Hip 1.5T Pectoralis Lis Franc Dynamic Tumor – Bone
Hip Arthrogram Myositis 1.5T Morton’s Neuroma Dynamic Tumor – Soft Tissue
Neurography Extremity Stress Fracture Leg Elbow Arthrogram Lumbosacral Plexus
Routine Elbow
ROUTINE KNEE
SAGITTAL PD FSE
SAGITTAL PD FSE fs
CORONAL PD FSE
CORONAL T2 FSE fs
AXIAL T2 FSE fs
AXIAL T1 FSE
OPTIONAL
SAGITTAL 3D T2 CUBE/DESS FS
If Post OP ACL REPAIR- AXIAL T2 OBLIQUE

AXIAL Oblique
(Image to the right)
Perpendicular to the
ACL repair

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAGITTAL PD 3600 36 16 100 3 0.5 314 448 H/F 2 L->R
SAGITTAL PD FS 3000 40 16 100 3 0.5 240 320 H/F 1 L->R
CORONAL PD 3000 25 16 100 3 0.6 384 512 L/R 1 P->A
CORONAL T2 FS 4000 75 16 100 3 0.6 384 512 L/R 2 P->A
AXIAL T2 FS 4300 77 16 100 3 0.6 240 320 L/R 2 P->A
AXIAL T1 510 10 16 100 4 1 240 320 L/R 1 S->I
AXIAL OBL T2 2000 70 16 100 3 0.6 320 320 L/R 2 S->I IF POST ACL REPAIR
SAG 3D DESS ETL=80,BW 41.6,
1500 60 16 100 1.2 0 224 224 H/F 1 L->R
/CUBE FS EDR,FAST,ZIP512,ZIP2,FR,MF
METAL ON METAL 1.5T for (GE WITH MAVRIC)

3PLANE LOC
SAG 3D PD MAVRIC SL
SAG 3D PD MAVRIC STIR
SAG PD FSE
COR PD FSE
AX PD FS

COVER ENTIRE PROSTHESIS

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG 3D EDR,FAST,ARC,MRF,ETL-24,36-loc
6000 8.8 24 100 3.6 256 512 H/F 1 L->R
MAVRICSL per slab
SAG 3D EDR,FAST,ARC,MRF,Irp,36-loc per
5000 8.3 24 100 3.6 256 512 H/F 1 L->R
MAVRIC STIR slab,ETL-24,Inv time-150
FC,NPW,EDR,TRF,FAST,ARC,MRF,ETL-
SAG PD FSE 5000 30 24 100 2.5 0 320 512 H->F 4 L->R
16
FC,NPW,EDR,TRF,FAST,ARC,MRF,ETL-
COR PD FSE 5000 30 24 100 2.5 0 320 512 H->F 4 P->A
16
FC,NPW,EDR,TRF,FAST,ARC,MRF,ETL-
AX PD FSE 5000 30 16 100 3 0 320 512 L/R 4 H->F
16
METAL ON METAL KNEE 1.5T ONLY
CORONAL STIR
CORONAL T2
SAGITTAL STIR
SAGITTAL T1
AXIAL T1
AXIAL STIR
AXIAL T2

COVER ENTIRE PROSTHESIS

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL STIR 50/130
4000 180 100 4 .8 192 256 H/F 3 P->A
TI
CORONAL T2 3000 80 18 100 4 .8 410 512 H/F 3 P->A
SAGITTAL STIR 4000 50 180 100 3 1 192 256 H/F 3 L->R
SAGITTAL T1 600 9 180 100 3 1 256 512 H/F 3 L->R
AXIAL T1 600 9 180 100 4 2 256 512 H/F 3 L->R
AXIAL STIR 50/130
4000 180 100 4 2 192 256 L/R 3 H->F
TI
AXIAL T2 3000 80 180 100 4 2 410 512 L/R 3 F->H
KNEE ARTHROGRAM
SAGITTAL T2 FS
SAGITTAL T1
CORONAL PD FS
CORONAL T1
AXIAL PD FS

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAGITTAL T2 FS 4000 75 160 100 3 .5 224 320 H/F 2 L->R
SAGITTAL T1 600 10 160 100 3 .5 240 320 H/F 1 L->R
CORONAL PD FS 3000 41 160 100 3 .5 384 384 L/R 1 P->A
CORONAL T1 600 10 160 100 3 .5 240 320 L/R 1 P->A
AXIAL PD FS 3000 41 120 100 4 1 256 320 L/R 1 H->F
HIP LABRUM (3T ONLY)
CORONAL T1 PELVIS
AXIAL T2 FS PELVIS
CORONAL PD
CORONAL T2 FS
SAGITTAL PD
SAGITTAL T2 FS
AXIAL PD OBLIQ
AXIAL T2 FS

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL T1
500 10 400 100 4 .5 384 512 L/R 1 P->A
PELVIS
AXIAL T2 FS PELVIS 4000 67 400 100 4 .5 269 384 L/R 2 H->F
CORONAL PD 2300 44 180 100 3 .5 269 384 H/F 1 P->A
CORONAL T2 FS 3600 69 180 100 3 .5 240 320 H/F 2 P->A
SAGITTAL PD 2300 44 180 100 3 .5 269 384 H/F 1 L->R
SAGITTAL T2 FS 3600 69 180 100 3 .5 240 320 H/F 2 L->R
ANGLE PARALLEL
AXIAL PD OBLIQ 2300 44 180 100 3 .5 269 384 A/P 1 H->F TO THE NECK OF
THE HIP
AXIAL T2 FS 5700 69 180 100 3 .5 240 320 A/P 2 H->F STRAIGHT AXIAL
HIP AVN
CORONAL T1 PELVIS
CORONAL T2 FS PELVIS
AXIAL T2 FS PELVIS
SAGITTAL T1 LT & RT
SAGITTAL T2 FS LT & RT

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL T1
500 10 400 100 3 1 346 512 L/R 1 P->A
PELVIS
CORONAL T2 FS
4300 81 400 100 3 1 384 512 L/R 2 P->A
PELVIS
AXIAL T2 FS PELVIS 3600 86 400 100 4 1 188 320 L/R 2 H->F
SAGITTAL T1 LT &
500 8 180 100 3 .3 307 384 L/R 2 L->R
RT
SAGITTAL T2 FS LT
3600 86 180 100 3 .3 307 384 L/R 2 L->R
& RT
Metal on Metal Hip 1.5T Only
*Scan bilaterally and Include entire hip replacement
CORONAL STIR FSE
CORONAL T2 FSE
SAGITTAL STIR FSE
AXIAL T2 FSE
AXIAL STIR FSE
AXIAL T1 FSE

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL STIR
4000 50/130TI 42 100 4 0.8 192 256 L/R 2 P->A
FSE
CORONAL T2 FSE 4000 70 42 100 4 0.8 410 256 L/R 2 P->A
SAGITTAL STIR
4000 50/130TI 42 42 4 0.8 192 256 A/P 2 L->R
FSE
AXIAL T2 FSE 4000 70 42 40 4 2 410 512 A/P 2 S->I
AXIAL STIR FSE 4000 50/130TI 42 40 4 2 192 256 A/P 2 S->I
AXIAL T1 FSE 500 8 42 40 4 2 256 512 A/P 2 S->I
Metal on Metal Hip (New)(GE SCANNER 1.5T)
*Include entire hip replacement
AXIAL T2 FSE (Whole Pelvis)
AXIAL T2 FSE Small FOV (Hip arthroplasty)
CORONAL T2 FSE Small FOV (Hip arthroplasty)
SAGITTAL T2 FSE Small FOV (Hip arthroplasty)
CORONAL T2 MAVRIC
CORONAL STIR MAVRIC

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
4000-
AXIAL T2 FSE 34 360 100% 5 0 256 512 A/P S->I Whole pelvis
5000
4000- Hip
AXIAL T2 FSE 34 260 100% 4 0 256 512 A/P S->I
5000 arthroplasty
4000- Hip
CORONAL T2 FSE 34 260 100% 4 0 320 512 S/I P->A
5000 arthroplasty
4000- Hip
SAGITTAL T2 FSE 34 260 100% 2.5 0 320 512 S/I L->R
5000 arthroplasty
CORONAL T2 4000-
40 440 100% 3.6 0 256 512 S/I P->A Whole pelvis
MAVRIC 5000
CORONAL STIR 4000-
40 440 100% 3.6 0 256 512 S/I P->A Whole pelvis
MAVRIC 5000
Hip Arthrogram-3T
CORONAL STIR PELVIS
CORONAL T1 PELVIS
AXIAL PD Hip
CORONAL PD Hip
CORONAL T1 FS Hip
AXIAL T1 FS OBLIQ Hip
SAGITTAL PD FS Hip
*place small flex coil*
CORONAL VIBE FS Hip
- Radial hip reformat

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL STIR Pelvis 3830 29 400 360 3 1 320 208 S/I 1 P->A
CORONAL T1 Pelvis 600 20 400 360 3 1 512 346 S/I 1 P->A
AXIAL PD Hip 2800 35 180 180 2.5 0.3 320 288 A/P 1 S->I
CORONAL PD Hip 2300 35 180 180 2.5 0.3 320 288 S/I 1 P->A
CORONAL T1 FS Hip 470 23 180 180 2.5 0.3 256 256 S/I 2 P->A
ANGLE PARALLEL
AXIAL T1 FS OBL Hip 700 23 180 180 2.5 0.3 256 256 A/P 2 S->I TO THE NECK OF
THE HIP
SAGITTAL PD FS Hip 2600 40 180 180 3 0.5 320 256 S/I 1 L->R
CORONAL VIBE FS Straight Coronal
12.30 7.38 200 200 0.80 0 256 256 S/I 1 P->A and reformat
Hip
Neurography Extremity (3T-SIEMENS SCANNER ONLY)
*Set angle and coverage to specified anatomy
CORONAL STIR Space
CORONAL STIR
AXIAL T1
AXIAL T2 FS
SAGITTAL T2 FS
CORONAL T2 Space

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL STIR
3500 194 320 100 1.2 0 256 243 S/I 1.4 P->A TI: 220
Space
CORONAL STIR 4000 50 340 100 2 0.4 256 192 S/I 2 P->A TI: 220
AXIAL T1 700 10 150 100 2 0.4 512 512 A/P 1 S->I
AXIAL T2 FS 3860 57 150 100 2 0.4 448 448 A/P 1 S->I
SAGITTAL T2 FS 3100 46 170 100 3 0.5 384 361 S/I 2 L->R
CORONAL T2
1500 140 320 100 1.3 0 256 230 R/L 1.4 P->A
Space
Pubalgia – Pelvis
CORONAL STIR FSE
CORONAL T1 SE
AXIAL T2 FS FSE
SAGITTAL T2 FS FSE
AXIAL OBLIQUE T2 FS FSE
AXIAL OBLIQUE PD FSE
Coronal Axial Oblique (angle parallel to
(full pelvis)
anterior iliac crest – scan across
pubic symphysis at midline)

Sagittal (cover anterior pelvis)

Axial (full pelvis)

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL STIR FSE 4000 32/130TI 28 100 4 1 205 320 L/R 1 P->A
CORONAL T1 500 21 28 100 4 1 256 320 L/R 2 P->A
AXIAL T2 FSE FS 3000 70 20 100 4 1 192 256 A/P 2 S->I
SAGITTAL T2 FS FSE 4000 70 20 100 4 1 192 256 A/P 2 L->R
AXIAL OBL T2 FS FSE 4000 70 20 100 4 1 192 256 A/P 2 S->I
AXIAL OBL PD FSE 2000 28 20 100 4 1 224 320 A/P 2 S->I
Sciatic Nerve Pelvis
*L3 through ischial tuberosity
COR STIR SPACE
COR STIR
AX T1
AX T2 FS FSE
SAG T2 FS
COR T2 SPACE

Axial/Sag Coronal

SIEMENS 5or6, 3 if 1.5T needed

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL STIR
3500 194 320 100 1.2 0 256 243 S/I 1.4 P->A TI: 220
Space
CORONAL STIR 4000 50 340 100 2 0.4 256 192 S/I 2 P->A TI: 220
AXIAL T1 700 10 150 100 2 0.4 512 512 A/P 1 S->I
AXIAL T2 FS 3860 57 150 100 2 0.4 448 448 A/P 1 S->I
SAGITTAL T2
3100 46 170 100 3 0.5 384 361 S/I 2 L->R
FS
CORONAL T2
1500 140 320 100 1.3 0 256 230 R/L 1.4 P->A
Space
SI JOINTS
CORONAL STIR FSE
AXIAL OBL T2 FS FSE
CORONAL OBL T2 FS FSE
CORONAL OBL T1 FSE
AXIAL OBL T1 FSE

Coronal Oblique SI Joints Axial Oblique SI Joints

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL STIR 4000 50/130TI 36 100 4 1 256 320 L/R 2 P->A Large FOV Pelvis
AXIAL OBL T2 FS 4000 60 20 100 3 0.3 240 320 L/R 4 S->I
CORONAL OBL T2
4000 60 20 100 3 0.3 240 320 L/R 4 P->A
FS
CORONAL OBL T1 500 8 20 100 3 0.3 307 384 A/P 4 S->I
AXIAL OBL T1 500 8 36 100 4 1 358 448 L/R 2 S->I
Routine Shoulder
CORONAL OBL T2 FS FSE
CORONAL OBL PD FS FSE
SAGITTAL OBL T1 FSE
SAGITTAL OBL T2 FS FSE
SAGITTAL OBL CUFF T2 FS FSE
AXIAL OBL PD FS FSE
Coronal Shoulder Sagittal Shoulder

Sagittal Oblique Cuff Shoulder Axial Oblique Shoulder

FOV MATRIX PHASE

Sequence TR TE SLICE GAP NEX SCAN DIR OTHER
FREQ PHASE PHASE FREQ DIR
CORONAL OBL T2 FS 5000 60 15 100 3 0.3 384 384 R/L 2 P->A
CORONAL OBL PD FS 2400 26 15 100 3 0.3 384 384 R/L 2 P->A
SAGITTAL OBL T1 533 12 15 100 3 0.3 288 320 A/P 2 L->R
SAGITTAL OBL T2 FS 300 60 15 100 3 0.3 384 384 A/P 2 L->R
SAGITTAL OBL CUFF
300 60 15 100 3 0.3 384 384 A/P 2 L->R
T2 FS
AXIAL OBL PD FS 2600 26 15 100 3 0.3 384 384 R/L 2 S->I
Shoulder Arthrogram 3T
CORONAL OBL T2 FS FSE
CORONAL OBL T1 FS FSE
SAGITTAL OBL T2 FSE
AXIAL OBL PD FS FSE
*reposition patient with arm up;
Remove shoulder coil and place
small flex coil over the shoulder
SAGITTAL OBL ABER PD FSE Coronal Shoulder Sagittal Shoulder

Axial Oblique Shoulder Sagittal Oblique Aber Shoulder

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL OBL T2 FS 2500 74 14 100 2 0.5 224 320 S/I 2 P->A
CORONAL OBL T1 FS 600 21 14 100 2 0.5 224 320 S/I 2 P->A
SAGITTAL OBL T2 2500 60 14 100 2 1 224 320 A/P 2 L->R
AXIAL OBL PD FS 2800 28 14 100 3 0.5 269 384 A/P 2 S->I
SAGITTAL OBL ABER PD 2000 28 14 100 3 0.5 240 256 A/P 2 L->R
Pectoralis Coronal (parallel to
*FOV to include sternum, clavicle, the line connecting
humeral head, and humerus
the sternum to the
through the deltoid tuberosity.
*Arm in external rotation anterior humerus)
AXIAL PD FS FSE
AXIAL T2 FS FSE
CORONAL OBL T1 FSE Sagittal
CORONAL OBL T2 FS FSE (perpendicular to the
SAGITTAL T1 FSE line connecting the
SAGITTAL STIR FSE sternum and the
Axial (superior humeral head anterior humerus –
through xiphoid process and scan from the
sternum to humeral shaft) sternum to the
lateral humerus)

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
AXIAL PD FS 3000 30 20 100 5 1 224 288 L/R 3 S->I
AXIAL T2 FS 4000 40 20 100 5 1 224 288 L/R 3 S->I
CORONAL OBL T1 500 10 20 100 3 1 224 288 L/R 4 P->A
CORONAL OBL T2
4000 40 20 100 3 1 224 288 L/R 4 P->A
FS
SAGITTAL T1 500 10 20 100 5 1 224 320 A/P 2 L->R
SAGITTAL STIR 4000 50/170TI 20 100 5 1 192 256 A/P 2 L->R
Myositis (1.5T Only)
*Scan bilateral legs in
two parts:
Hip to Knee:
CORONAL STIR FSE
AXIAL STIR FSE
AXIAL T1 FSE Coronal (Hip to knee)
Knee to Ankle:
CORONAL STIR FSE
AXIAL STIR FSE
AXIAL T1 FSE
Axial (Hip to knee) Axial (Knee to ankle)

Coronal (knee to ankle)

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL STIR x2 4000 50/130TI 42 100 5 1 192 320 L/R 2 P->A
AXIAL STIR x2 4000 50/130TI 42 100 7 2 192 320 A/P 2 S->I
AXIAL T1 x2 600 9 42 100 7 2 240 320 A/P 2 S->I
Stress Fracture Leg
*Scan bilateral lower legs together for Coronal and Axial images
CORONAL T1 FSE
CORONAL STIR FSE
AXIAL T1 FSE
AXIAL STIR FSE
SAGITTAL T2 FS FSE (of the affected leg)

Axial (knee to ankle) Sagittal

Coronal (knee to ankle)

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL T1 500 9 40 100 4 1 512 512 L/R 1 P->A Bilateral
CORONAL STIR 4000 80/130TI 40 100 4 1 224 320 L/R 2 P->A Bilateral
AXIAL T1 500 9 40 100 4 1 512 512 L/R 1 S->I Bilateral
AXIAL STIR 4000 80/130TI 40 100 4 1 224 320 L/R 2 S->I Bilateral
Affected
SAGITTAL T2 FS 3000 50 18 100 4 1 224 320 A/P 2 L->R
leg only
Achilles Tendon
SAGITTAL T1 FSE
SAGITTAL T2 FS
AXIAL T2 FS FSE
AXIAL T1 FSE
AXIAL OBL T2 FS FSE
Coverage up into calf for tendon insertion is sometimes needed if pain and swelling extends into calf.

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAGITTAL T1 400 8.6 20 100 3 1 320 384 A/P 1 L->R
SAGITTAL T2 FS 3000 50 20 100 3 1 307 384 A/P 2 L->R
AXIAL T2 FS 4000 50 12 100 4 1 307 384 L/R 2 S->I
AXIAL T1 500 8.6 12 100 4 1 307 384 L/R 1 S->I
AXIAL OBL T2 FS 2500 60 14 100 4 1 307 384 L/R 2 S->I
Routine Ankle
SAGITTAL T1 FSE
SAGITTAL STIR FSE
AXIAL T1 FSE
AXIAL T2 FS FSE
CORONAL T2 FS FSE
CORONAL OBL PD FSE
*SAGITTAL 3D T2 CUBE FS/DESS Coronal Ankle Sagittal Ankle
*For DHMC only

Axial Ankle Coronal Oblique Ankle]

FOV MATRIX PHASE SCAN
Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAGITTAL T1 400 8.6 18 100 3 1 358 448 A/P 1 L->R
SAGITTAL STIR 4000 47 18 100 3 1 192 256 A/P 2 L->R
AXIAL T1 600 12 16 100 4 1 358 448 A/P 1 S->I
AXIAL T2 FS 4000 50 16 100 4 1 256 320 A/P 1 S->I
CORONAL T2 FS 2500 25 15 100 3 1 358 448 R/L 1 P->A
CORONAL OBL PD 2500 43 15 100 3 1 384 384 A/P 1 S->I
*SAGITTAL DESS FS 13.48 5 18 100 1 0.2 275 320 A/P 1 L->R GE 3D Cube T2 fs
Tumor Infection with Contrast
*Adjust FOV and slice coverage to the area of interest
CORONAL STIR FSE
AXIAL T2 FS FSE
AXIAL T1 FSE
AXIAL VIBE WE
AXIAL VIBE WE POST
*with axial subtractions
SAGITTAL VIBE WE POST
CORONAL VIBE WE POST

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL STIR 4000 47 40 100 4 1 192 256 L/R 1 P->A
AXIAL T2 FS 4000 47 40 100 4 1 307 384 L/R 2 S->I
AXIAL T1 665 8.6 40 100 4 1 307 384 L/R 2 S->I
AXIAL VIBE 1/80 Include
12.3 7.8 40 100 0 256 256 L/R 2 S->I
PRE/POST slab subtractions
SAGITTAL VIBE 1/80
12.3 7.8 40 100 0 256 256 L/R P->A
POST slab
CORONAL VIBE 1/80
12.3 7.8 40 100 0 256 256 A/P L->R
POST slab
Tumor Infection without Contrast
*Cover area of interest - adjust coverage, slice thickness/spacing, and FOV as necessary
*Start with a LARGE FOV STIR to see the affected area and cover anatomy as is necessary

SAGITTAL T1
SAGITTAL STIR
AXIAL T1
AXIAL STIR
CORONAL T1
CORONAL STIR

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAGITTAL T1 400 8 18 100 3 0.3 307 384 A/P 2 L->R
SAGITTAL STIR 4000 50 18 100 3 0.3 192 256 A/P 2 L->R
AXIAL T1 500 8 14 100 3 1 307 384 L/R 2 S->I
AXIAL STIR 4000 50 14 100 3 1 307 384 A/P 2 S->I
CORONAL T1 400 8 14 100 3 0.3 307 384 L/R 2 P->A
CORONAL STIR 4000 50 14 100 3 0.3 192 256 L/R 2 P->A
Non-Contrast Foot/Osteomyelitis
*Cover area of interest-adjust coverage as necessary
SAGITTAL T1 FSE
SAGITTAL STIR FSE
AXIAL T1 FSE
AXIAL STIR FSE
CORONAL T1 FSE
CORONAL STIR FSE

Sagittal Foot Coronal Foot Axial Foot

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAGITTAL T1 400 8 18 100 3 0.3 307 384 A/P 2 L->R
SAGITTAL STIR 4000 50 18 100 3 0.3 192 256 A/P 2 L->R
AXIAL T1 500 8 14 100 3 1 307 384 L/R 2 S->I
AXIAL STIR 4000 50/130TI 14 100 3 1 307 384 A/P 2 S->I
CORONAL T1 400 8 14 100 3 0.3 307 384 L/R 2 P->A
CORONAL STIR 4000 50 14 100 3 0.3 192 256 L/R 2 P->A
Lis Franc
*Cover anterior talus to mid-metatarsal
SAGITTAL PD FSE
AXIAL PD FSE
AXIAL T2 FS FSE
CORONAL T2 FS FSE
CORONAL T1 FSE

Axial (Short Axis) Coronal (Long Axis) Sagittal

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAGITTAL PD 2000 34 14 100 3 0.3 307 384 A/P 2 L->R
AXIAL PD 3000 34 14 100 4 0.4 307 384 L/R 2 S->I
AXIAL T2 FS 4000 70 14 100 4 0.4 307 384 L/R 2 S->I
CORONAL T2 FS 4000 70 14 40 3 0.3 307 384 L/R 2 P->A
CORONAL T1 400 8 14 40 3 0.3 307 384 L/R 1 P->A
Morton’s Neuroma
..\Morton.docx <- additional information
CORONAL T1 FSE
AXIAL T1 FSE
SAGITTAL PD FSE
SAGITTAL STIR FSE
AXIAL T2 FS FSE
CORONAL T2 FS FSE
*OPTIONAL CORONAL DESS ON SEIMENS

Sagittal (parallel to lesser metatarsals) Coronal (parallel to lesser metatarsals) Axial (perpendicular to
lesser metatarsals)
FOV MATRIX PHASE SCAN
Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL T1 400 8 14 100 3 0.3 192 256 L/R 3 L->R
AXIAL T1 400 8 10 100 3 0.3 307 384 L/R 2 S->I
SAGITTAL PD 2000 20 14 100 3 0 307 384 A/P 2 L->R
SAGITTAL STIR 4000 50 14 100 3 0.3 192 256 A/P 2 L->R
AXIAL T2 FS 4000 58 10 100 3 0.3 307 384 L/R 2 S->I
CORONAL T2 FS 2300 58 14 40 3 0.3 307 384 L/R 2 P->A
Elbow Arthrogram
AXIAL PD FS FSE
CORONAL PD FS FSE
CORONAL PD FSE
CORONAL T1 FS SE
SAGITTAL T1 FS SE
SAGITTAL PD FSE

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
AXIAL PD FS 3000 43 12 100 3 1 256 256 L/R 2 S->I
CORONAL PD FS 3000 43 14 100 3 1 256 256 L/R 2 P->A
CORONAL PD 3000 25 14 100 2 0 224 256 L/R 2 P->A
CORONAL T1 FS 500 12 14 100 3 0.5 224 320 L/R 2 P->A
SAGITTAL T1 FS 500 12 14 100 3 0.5 224 320 S/I 2 L->R
SAGITTAL PD 3000 30 14 100 3 0.5 224 320 S/I 2 L->R
Routine Elbow
AXIAL T1 SE
AXIAL PD FS FSE
CORONAL PD FSE
CORONAL PD FS FSE
SAGITTAL PD FS FSE
SAGITTAL PD FSE

Coronal Elbow Sagittal Elbow Axial Elbow

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
AXIAL T1 500 8 12 100 3 1 224 320 L/R 2 S->I
AXIAL PD FS 3000 40 12 100 3 1 256 256 L/R 2 S->I
CORONAL PD 3000 35 14 100 3 0.3 224 320 L/R 2 P->A
CORONAL PD FS 3000 40 14 100 3 0.3 256 256 L/R 2 P->A
SAGITTAL PD FS 3000 40 14 100 3 0.5 256 256 S/I 2 L->R
SAGITTAL PD 3000 35 14 100 3 0.5 224 224 S/I 1 L->R
Wrist Arthrogram
AXIAL PD FSE
AXIAL T1 FS
CORONAL T1 FS
CORONAL T2 FS
CORONAL PD
SAGITTAL T1

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
Axial PD 2800 25 8 100 2 0.2 320 320 L/R 2 S->I
Axial T1 FS 500 8 8 100 2 0.2 320 320 L/R 2 S->I
Coronal T1 FS 500 8 8 100 2 0.2 320 320 S/I 2 P->A
Coronal T2 FS 2500 60 8 100 2 0.2 320 320 S/I 2 P->A
Coronal PD 2200 25 8 100 2 0.2 320 320 S/I 2 P->A
Sagittal T1 500 8 8 100 2 0.3 512 512 A/P 2 L->R
Routine Wrist
AXIAL PD FSE
AXIAL PD FS FSE
CORONAL PD FSE
CORONAL PD FS FSE
SAGITTAL PD FS SE
SAGITTAL T1 FSE

Coronal Wrist Sagittal Wrist Axial Wrist

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
AXIAL PD 2800 25 8 100 2 0.2 320 320 L/R 2 S->I
AXIAL PD FS 3000 40 8 100 2 0.2 320 320 L/R 2 S->I
CORONAL PD 2800 25 8 100 2 0.2 320 320 S/I 2 P->A
CORONAL PD FS 3000 40 8 100 2 0.2 320 320 S/I 2 P->A
SAGITTAL PD FS 3000 40 8 100 2 0.3 256 256 A/P 2 L->R
SAGITTAL T1 500 8 8 100 2 0.3 512 512 A/P 2 L->R
RA HAND 3T
CORONAL T1 SE
CORONAL STIR FSE
AXIAL T2 FS DIXON
CORONAL VIBE FS WE
CORONAL VIBE FS WE POST
SAGITTAL VIBE FS WE POST
AXIAL VIBE WE FS POST

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL T1 500 30 20 100 3 0.3 250 384 L/R 4 L->R
CORONAL STIR 4000 45 20 100 3 0.3 192 256 L/R 2 L->R
AXIAL T2 FS DIXON 3000 70 13 100 3 1 182 320 A/P 2 S->I
CORONAL VIBE FS 0.7/80
12.3 7.38 22 100 0 256 256 L/R 1 S->I
PRE/POST slab
SAGITTAL VIBE FS 0.7/80
12.3 7.38 22 100 0 256 256 L/R 1 L->R
POST slab
1/80
AXIAL VIBE FS POST 12.3 7.38 13 100 0 256 256 A/P 1 S->I
slab
MCP FINGER
AXIAL PD FSE
AXIAL PD FS FSE
CORONAL PD FSE
CORONAL PD FS FSE
SAGITTAL PD FS FSE
SAGITTAL T1 FSE

Coronal MCP Sagittal MCP Axial MCP

Thumb - Coronal MCP Thumb - Sagittal MCP Thumb - Axial MCP

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
AXIAL PD 2200 25 8 100 2 1 224 244 L/R 2 S->I
AXIAL PD FS 2800 40 8 100 2 1 256 256 L/R 2 S->I
CORONAL PD 2800 25 8 100 2 0.3 224 224 L/R 2 P->A
CORONAL PD FS 3000 40 8 100 2 0.3 256 256 L/R 2 P->A
SAGITTAL PD FS 3000 40 8 100 2 0.3 256 256 A/P 2 L->R
SAGITTAL T1 500 8 8 100 2 0.3 224 320 A/P 2 L->R
Pelvis Routine
*Cover from the crest through greater trochanter on all sequences
* SAGITTAL PD FS should be scanned with Left and Right separate
CORONAL T1 FSE PELVIS
CORONAL STIR FSE
AXIAL T2 FS FSE PELVIS
SAGITTAL PD FSE WHOLE PELVIS Coronal Pelvis
SAGITTAL PD FS FSE LEFT/RIGHT

Axial Pelvis Sagittal Pelvis Sagittal Left Sagittal Right

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL T1 700 20 40 100 4 1 346 512 S/I 1 P->A
CORONAL STIR 4000 50/130TI 42 100 4 1 192 256 L/R 2 P->A
AXIAL T2 FS 3600 86 40 100 4 1 188 320 A/P 2 S->I
SAGITTAL PD 3000 20 40 100 4 1 384 384 A/P 2 L->R
SAGITTAL PD FS 3600 40 18 100 3 0.3 307 384 A/P 2 L->R
Dynamic Tumor Soft Tissue 3T SIEMENS
*Set angle and coverage to specified anatomy/Axials only need to cover the tumor
CORONAL STIR-BIG FOV-Should be run first to see extent of mass.
AXIAL T2 FS
AXIAL T1
AXIAL In/Out Phase (1st)
AXIAL In/Out Phase (2nd)
AXIAL DWI Echo
AXIAL T1 VIBE Pre
DCE 1 Measurement Pre
DCE 20 Measurements Increase slice thickness for larger tumors. 3mm for
AXIAL T1 VIBE Post Vibes. 5mm skip 1mm for T2’s,STIR and T1.
*with subtractions CORONAL T1 VIBE Post
SAGITTAL T1 VIBE Post
Dynamic Tumor Soft Tissue (continued)

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL STIR 4010 46 180 100 3 0.5 192 256 R/L 2 P->A
AXIAL T2 FS 5280 48 150 100 3 0.5 307 384 R/L 2 S->I Tumor Only
AXIAL T1 486 9.3 150 100 3 0.5 307 384 R/L 2 S->I Tumor Only
AXIAL In/Out Phase 349
2.26/3.90 277 100 3 0.5 224 224 R/L 1 S->I Tumor Only
(1st)
AXIAL In/Out Phase 430 4.92/6.35 277 100 3 0.5 192 192 R/L 1 S->I Tumor Only
(2nd)
AXIAL DWI Echo 1080 82 384 100 3 0.5 140 140 A/P 1 S->I Tumor Only
0
AXIAL T1 VIBE Pre 16.3 9.54 150 100 1 0.2 256 256 R/L 1 S->I Tumor Only
DCE 1 Measurement 2.68 1.07 256 100 3 0.5 192 192 R/L 1 P->A
DCE 20 2.68 1.07 256 100 3 0.5 192 192 R/L 1 P->A
Measurements
AXIAL T1 VIBE Post 16.3 9.54 150 100 1 0.2 256 256 R/L 1 S->I Tumor Only
*Include
subtractions
CORONAL T1 VIBE 15.9 9.54 220 100 1 0.2 256 256 R/L 1 P->A
Post
SAGITTAL T1 VIBE 16.0 9.54 200 100 1 0.2 256 256 H/F 1 L->R
Post
Dynamic Tumor Bone 3T SIEMENS
*Set angle and coverage to specified anatomy/Axials only need to cover the tumor
CORONAL T1 – joint to joint
CORONAL STIR- joint to joint
AXIAL T2 FS
AXIAL T1
AXIAL In/Out Phase (1st)
AXIAL In/Out Phase (2nd)
AXIAL DWI Echo
AXIAL T1 VIBE Pre
DCE 1 Measurement Pre
DCE 20 Measurements
AXIAL T1 VIBE Post
*with subtractions
CORONAL T1 VIBE Post
SAGITTAL T1 VIBE Post
Dynamic Tumor Bone (continued)

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL T1 566 12 380 80 4 1 520 640 R/L 2 P->A
CORONAL STIR 4010 46 180 100 3 0.5 192 256 R/L 2 P->A
AXIAL T2 FS 5280 48 150 100 3 0.5 307 384 R/L 2 S->I Tumor Only
AXIAL T1 486 9.3 150 100 3 0.5 307 384 R/L 2 S->I Tumor Only
AXIAL In/Out Phase 349
2.26/3.90 300 100 6 1.5 192 192 A/P 1 S->I Tumor Only
(1st)
AXIAL In/Out Phase 430 4.92/6.35 300 100 6 1.5 192 192 A/P 1 S->I Tumor Only
(2nd)
AXIAL DWI Echo 10800 82 384 100 6 1.5 140 140 A/P 1 S->I Tumor Only
AXIAL T1 VIBE Pre 16.3 9.54 150 100 1 0.2 256 256 R/L 1 S->I Tumor Only
DCE 1 Measurement 2.68 1.07 256 100 3 0.5 192 192 R/L 1 P->A
DCE 20 Measurements 2.68 1.07 256 100 3 0.5 192 192 R/L 1 P->A
AXIAL T1 VIBE Post 16.3 9.54 150 100 1 0.2 256 256 R/L 1 S->I Tumor Only
CORONAL T1 VIBE 15.9 9.54 220 100 1 0.2 256 256 R/L 1 P->A
Post
SAGITTAL T1 VIBE 16.0 9.54 200 100 1 0.2 256 256 H/F 1 L->R
Post
Lumbosacral Plexus 3T Siemens preferred
*L1 through lesser trochanter
Coronal 3D Space
Coronal T1
Axial T1
Axial T2 FS
Sagittal 3D Space
Coronal PD SPAIR
Coronal 3D Vibe

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL 3D
1500 102 360 360 1.4 0 256 256 R/L 1.4 P->A
Space
CORONAL T1 525 6.8 360 360 2 0 384 308 R/L 2 P->A
AXIAL T1 525 11 330 330 4 1 256 205 A/P 3 S->I
AXIAL T2 FS 4880 87 330 330 4 1 320 256 A/P 3 S->I
SAGITTAL 3D
1000 96 300 300 1.45 0 320 304 S/I 1.4 L->R
Space
CORONAL PD
3030 33 360 360 2 0 384 384 R/L 1 P->A
SPAIR
CORONAL 3D Vibe 5.78 2.01 360 360 0.92 0 256 248 R/L 1 P->A
Sciatic Neurogram 3T Siemens preferred
* Superior margin of L4 extending to below the ischial tuberosity
Coronal 3D Space
Coronal T1
Axial T1
Axial T2 FS
Sagittal 3D Space
Coronal PD SPAIR
Coronal 3D Vibe

Axial: L4 → Ischial Tuberosity Sagittal: Cover laterally to Coronal: Posterior spine/sacrum

each femur shaft → Anterior Ischial tuberosity

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
CORONAL 3D Space 1500 102 300 300 1.4 0 256 256 R/L 1.4 P->A
CORONAL T1 525 6.8 300 300 2 0 384 308 R/L 2 P->A
AXIAL T1 525 11 300 300 4 1 256 205 A/P 3 S->I
AXIAL T2 FS 4880 87 300 300 4 1 320 256 A/P 3 S->I
SAGITTAL 3D Space 1000 96 300 300 1.45 0 320 304 S/I 1.4 L->R
CORONAL PD SPAIR 3030 33 300 300 2 0 384 384 R/L 1 P->A
CORONAL 3D Vibe 5.78 2.01 300 300 0.92 0 256 248 R/L 1 P->A
Inguinal Neurogram
**Patient Prone, if possible**
The goal is to provide high special resolution
images of the anterior pelvis, focused between
the iliac wings and from the anterior
superior iliac spine to just below the symphysis
pubis.

Sagittal PD
Axial T1
Coronal STIR SPACE
Coronal Oblique PD SPAIR Coronal (above): 2cm anterior to the Axial (above): Top of iliac wings to lesser
Coronal Oblique T1 symphysis to the level of the sacral trochanters
promontory (anterior margin of the LS Sagittal (above): Include the widest margins of
Axial Oblique PD SPAIR the bony pelvis
junction)
Axial Oblique T1
Oblique Axial and Coronal:

Tilted approximately 45° from the axial plane

(perpendicular and parallel to the orientation of the
symphysis pubis (S) at midline.

FOV: Scan from L5-S1 to the inferior margin of the

symphysis pubis at midline.

Anterior border: 2cm anterior to the Symphysis

Posterior border: middle of the pelvis

Lateral borders: the width of the bony pelvis

Axial Oblique Coronal Oblique

Inguinal Neurogram Continued

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG PD 2770 27 300 100 4 1 320* 320* S/I 2 L -> R
Orthogonal
AX T1 500 22 300 100 4 1 320* 320* R/L 2 S -> I
to the body
COR SPACE STIR 1500 91 300 100 1.3 0 256 256 R/L 1 P -> A
COR OBL PD Parallel to
2330 35 240 100 2 0 320* 320* R/L 1 P -> A
SPAIR** the
symphysis
COR OBL T1 500 9.3 240 100 2 0 320* 320* R/L 1 P -> A
pubis
AX OBL PD Perpendicular
2330 35 240 100 2 0 320* 320* R/L 1 S -> I
SPAIR** to the
symphysis
AX OBL T1 500 9.3 240 100 2 0 320* 320* R/L 1 S -> I
pubis

*Matrix is interpolated x2
**SPAIR is the method of fat saturation used

Tips to reduce breathing motion:

Place patient prone if they are able.
Keep the phase direction R/L when possible