MRI OF THE

HOSSAM MOUSSA SAKR

❑ Indications.
❑ Contra indications.
❑ Equipment.
❑ Patient preparation
❑ Protocol (sequences , planes, …)
❑ Pain.
❑ Swelling.
❑ Limitation of function:
▪ Limited movement.
▪ Instability
❑ Cardiac pacemaker
❑ Artificial cardiac valves.
❑ Cerebral artery coils & clips.
❑ Cochlear implant.
❑ Insulin pump.
❑ Metallic FB in the eye
❑ Machine:
▪ Closed
▪ Open
▪ Extremity.
❑ Coil:
▪ Surface coil
Closed MRI
Open MRI
Extremity MRI
 Closed MRI Open MRI Extremity MRI

• Suitable for • Cheap

• Higher resolution
claustrophobics • Less noise
• Shorter acquisition time
• Suitable for muscular • Smaller space needed
patients • More comfortable

• Smaller pore
• Lower resolution • Lower resolution
• Not suitable for
• Longer acquisition time • Longer acquisition time
claustrophobics
Surface coil
 Imaging planes

Coronal Sagittal
Axial
oblique oblique
Parallel to long Perpendicular to Parallel to long
axis of calcaneus axial plane axis of talus
 Protocol

T1WI, T2*WI

T1WI, STIR

T1WI, T2*WI
 Indications for IV contrast

❑ Inflammatory conditions: synovitis.

❑ Neoplastic conditions.
 EHL TP

ED

TP
FD
PL
PB FHL

ACH