36594
36608
MR Arthrogram Shoulder Direct After FL IMG12958
Machine Model: Ortho Titan, OSMI Sola
Generated:
2023-08-23 09:26:07
1
2 *
3 **
4 **
5
Plane Axial Coronal Oblique Sagittal Oblique Sagittal Oblique Sagittal Oblique
Sequence IW FS TSE IW FS TSE IW FS TSE T1 TSE Fast T1 TSE
Timing --- --- --- --- ---
Thickness - Spacing 3 mm - 0.6 mm 3 mm - 0.6 mm 3 mm - 0.6 mm 4 mm - 1 mm 5 mm - 2 mm
FOV approx. 160-180mm approx. 160-180mm approx. 160-180mm approx. 160-180mm approx. 160-180mm
6
IF ARTHROGRAM IS DONE WITH GAD
7
8 ***
9 ****
Plane Radial (24 slices) Coronal Oblique Axial Sagittal Oblique
Sequence IW FS TSE T1 TSE FS T1 FS TSE T1 TSE FS
Timing --- --- --- ---
Thickness - Spacing 1.7 mm - mm 3 mm - 0.6 mm 3 mm - 0.6 mm 4 mm - 1 mm
FOV approx.140-160mm approx. 160-180mm approx. 160-180mm approx. 160-180mm
Special Instructions:

* Align coronal oblique series parallel with distal supraspinatus tendon
** Align sagittal oblique series perpendicular to distal supraspinatus tendon
*** include for Labral tear
**** Include for Post OP
Indications: dislocation , limited range of motion , shoulder crepitus , shoulder pain

If metal is in the area of interest or near enough for artifact to effect it:

- if option is available, use WARP option with VAT @ at least 50% (can go higher for larger implants)

- Use a high receiver bandwidth (approx. 500 Hz/pixel)

- for T1 or PD-weighted fat-saturated sequences, turn off all fat-saturation

- for T2-weighted fat-saturated sequences, substitute in STIR sequences with the same geometric parameters; STIR sequences must be performed pre-contrast due to the possibility of contrast-enhancing areas being nulled due to the short inversion time

To prescribe series #6, set up 24 evenly angled slices perpendicular to and centerd on image of acetabulum from series #5 (above)
#1
#3
#4
All IW FS sequences should have a TR=3000-3500ms and a TE=34-36ms
Supraspinatus tendon
#4
#3
#2
#2
#5
Align (using axial image) series #5 parallel with glenoid fossa
#6
Series #4 to cover from outer humerus to where scapula thins out proximal to glenohumeral joint (from greater tubercle of humerus to lateral border of scapular spine)
Series #3 only needs to cover through glenohumeral joint capsule