Shoulder wo

MR Adult Shoulder WO Protocol

Created – 2/1/2014(GD)
Indication: Rotator cuff Tear, Labral Injury, Fracture, Instability, Dislocation

Shoulder Coil

Localizer
(REF scan)

Mode

Slice

Gap

FAT SAT

FOV

Scan Range

AXIAL

PD  FAT SAT

TSE

4 mm

0.4 mm

288x256/ 4

14-16cm

Entire Shoulder (Include A/C Joint)

COR

T2

TSE

4 mm

0.4mm

288x256/ 4

16cm

Parallel to Supraspinatus

COR

T2 FAT SAT

TSE

4 mm

0.4 mm

288x256/ 4

    16cm

Parallel to Supraspinatus

SAG

T1 (Nex=1)

TSE

4 mm

1 mm

288x224/ 1

16 cm

Perpendicular to Supraspinatus
Cover medially to include spinoglenoid notch

SAG

T2 FAT SAT

TSE

4 mm

1 mm

288x224/ 2

16 cm

Perpendicular to Supraspinatus
Cover medially to include spinoglenoid notch

Notes: IF FAT SAT FAILS… USE SPAIR INSTEAD… IF STILL POOR… USE LONG TE (80+MS) WITHOUT FAT SAT

If hardware is present: Arthroplasty : Axial, sagittal, and coronal STIR

Do usual sagittal T1 and coronal non-fat-sat PD                

Other Hardware: (If necessary)   Do non-fat-sat mid-TE (axial, sagittal, coronal) instead of fat-sat

·         Add a sagittal STIR

·         Do usual coronal non-fat-sat PD and sagittal T1

 

               Place marker at point of max tenderness or below and above.

 

Anatomy  Axial Imaging plane     Coronal Imaging plane                   Sagittal Imaging plane
Prescribe parallel to humeral shaft                       Prescribe off axial parallel to supraspinatus          Prescribe off axial parallel to bony   glenoid

                                          

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