Thumb wo and w/wo

MR Adult Thumb WO or  W/WO Protocol

Created – 2/1/2014(GD)
Indication: Gamekeeper’s thumb (UCL tear), Flexor/Extensor tendon tear, R/O occult fracture

                                        Flex/ Head Coil       

Localizer
(REF scan)

Mode

Slice

Gap

Matrix

Nex

FOV

Scan Range

AXIAL

T1

TSE

3mm

1 mm

256x224/2

10cm

Cover Area of Interest

AXIAL

Mid TE (40-50) T2 Fat Sat

TSE

3mm

1 mm

256x224/2

10cm

Cover Area of Interest

COR

T1

TSE

3mm

0.3mm

256x224/2

10cm

Angle Relative to Radio-Ulnar Joint

COR

Mid TE (40-50) T2 Fat Sat

TSE

3mm

0.3mm

256x224/2

10cm

Angle Relative to Radio-Ulnar Joint

SAG

Mid TE (40-50) T2 Fat Sat

TSE

3mm

0.5mm

256x224/2

10cm

Angle Relative to Radio-Ulnar Joint

If W/WO, Contrast Injection

AXIALpre

T1 Fat Sat

TSE

3mm

1 mm

256x224/2

10cm

Cover Area of Interest

AXIALpost

COR

T1 Fat Sat

TSE

3mm

0.3mm

256x224/2

10cm

Angle Relative to Radio-Ulnar Joint

SAG

T1 Fat Sat

TSE

3mm

1 mm

256x224/2

10cm

Angle Relative to Radio-Ulnar Joint

Notes: USE REST SLAB PROXIMAL TO WRIST TO REDUCE FLOW AND PULSITILE MOTION.

Axial –perpendicular to midshaft   Coronal- line bisects sesamoids    Sagittal prox 1st phalanx

           

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