Wrist w w/o

MR Adult Wrist W/WO Protocol

Created – 2/1/2014                                                                                                                              

Indication: Tumor, Osteomyelitis, evaluate. Scaphoid Nonunion/Avascular necrosis

Wrist/ Flex Coil

Localizer
(REF scan)

Mode

Slice

Gap

FAT SAT

FOV

Scan Range

AXIAL

T1

TSE

2-3mm

0.5mm

None

12cm

3cm Above/Below Wrist

AXIAL

T1 Fat Sat

TSE

2-3 mm

0.5

 

12 cm

3cm Above/Below Wrist

AXIAL

 T2 Fat Sat TE 40-50

TSE

2-3mm

0.5mm

SPAIR

12cm

3cm Above/Below Wrist

COR

PD

TSE

2-3mm

0.5mm

None

12cm

Angle Relative to Radio-Ulnar Joint

COR

T2 Fat Sat TE40-50

TSE

2-3mm

0.5mm

SPAIR

12cm

Angle Relative to Radio-Ulnar Joint

SAG

T2 Fat Sat TE 40-50

TSE

2-3mm

0.5mm

SPAIR

12cm

Angle Relative to Radio-Ulnar Joint

Contrast Injection

AXIAL

T1 Fat Sat

TSE

2-3mm

0.5mm

SPIR

12cm

3cm Above/Below Wrist

COR

T1 Fat Sat

TSE

2-3mm

0.5mm

SPIR

12cm

Angle Relative to Radio-Ulnar Joint

SAG

T1 Fat Sat

TSE

2-3mm

0.5mm

SPIR

12cm

Optional

Notes: if vascular malformation suspected do GRE cor.

If done Avascular necrosis: Cor Fat Sat pre and post contrast

If hardware is present: Do STIR instead of fat-sat mid-TE  Do non-fat-sat T1 post-contrast


 



Place marker at the point of max tenderness or above and below region of interest.
Back to Top