MSK MR
| Indication | Brief description | Sequences and planes | Reason for each sequence - what is it good for? | Sequence parameters | ||||
|---|---|---|---|---|---|---|---|---|
| NEX | FOV and matrix size | TR | TE | TI | ||||
| Routine knee | Axial T2 TSE FSat
Coronal PD TSE FSat Coronal T1 Sagittal PD CSE FS Sagittal T2 TSE FS |
For bursa and surrounding tendons, patellofemoral articulation
Cartilage Marrow Meniscus Cartilage, marrow oedema |
N.B. Sagittal PD is conventional spin echo | |||||
| Routine shoulder | Axial T2 TSE FS
Coronal T2 TSE FS Coronal PD TSE FS Sagittal T2 TSE FS Sagittal T1 TSE |
For Rotator cuff, labrum and glenohumeral articular surfaces
Marrow |
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| Routine Wrist | Coronal STIR
Coronal T1 Axial T2FS Sagittal T2 FS FSE Volumetric GRE |
Marrow Oedema, TFCC
Marrow Flexor and extensor tendons Carpal alignment, TFCC Intrinsic ligaments |
Volumetric GRE sequence is optional and currently under review | |||||
| Routine Elbow | Coronal T2 TSE FS
Coronal T1 TSE Axial T2 TSE FS Axial T1 TSE Sagittal T2 TSE FS |
Articular surfaces
Marrow Tendons and ligaments Marrow Tendons and ligaments, Loose bodies |
Axial images must include the radial tuberosity
Sagittal images should have a large FOV to evaluate a possibly retracted biceps tendon | |||||
| Routine ankle | Axial T2 TSE
Axial T2 TSE FS Sagittal T2 TSE FS Sagittal T1 TSE Coronal PD TSE FS Coronal T1 FS (post Gad) Axial T1 FS (Post Gad) |
Post Gad sequences if suspected soft tissue infection / osteomyelitis | ||||||
| Routine Hip | Axial T1 TSE
Axial T2 TSE FS Coronal T1 TSE Coronal T2 TSE FS Sagittal PD TSE FS Coronal PD TSE FS Axial PD TSE FS |
Affected Hip (Small FOV) Affected Hip (Small FOV) |
PD FS FSE images in coronal and axial and sagital planes are used to identify anterior and lateral acetabular labral tears | |||||
| Routine Foot | Axial PD TSE
Axial T2 TSE Coronal PD TSE FS Coronal T1 TSE Sagittal T1 TSE Sagittal T1 TIRM Axial T1 FS (Post Gad) Coronal T1 FS (Post Gad) |
Post Gad sequences if suspected soft tissue infection / osteomyelitis | ||||||
| Routine Upper or lower limb myositis | Coronal T1
Coronal T2 TIRM Axial T1 Axial T2 TIRM |
For anatomy, Marrow and fatty infiltration of muscle
Muscle oedema For anatomy, Marrow and fatty infiltration of muscle Muscle oedema |
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| MSK MR contributed by Sophie West | ||||||||