
MSK: Making the Basics Look Good - Part III
MSK: Making the Basics Look Good - Part III is organized by International Center for Postgraduate Medical Education (ICPME) and will be held from Dec 18, 2019 - Dec 31, 2024.
Educational Objectives:
At the conclusion of this activity, the learner should be better able to:
• Discuss the applications and protocols of Musculo-Skeletal MRI in an effort to improve diagnosis
• Understand the use of RF Coils
• Understand the importance of having a good working relationship and communication with the radiologist
• Discuss patient positioning to optimize imaging and avoid artifacts
Outline:
Review Patient Positioning
• Ideal/Standard positions
• Patient limitations
• Alternate positions
Review Scouts
• How many do you really need?
• Do you run more or reposition the pt?
• Is it bad positioning (wrist flexed or extended)
• Is it something that can be fixed by rotating the FOV?
Review Incidental findings
• Do you follow them or not?
Common Tendon/Ligament tears
• Common tears
• Knee vs. Thigh (quad tendon)
• Pectoralis (MRCP sequences)
• Achilles
• Knee ACL/Planning sag.
How do you prepare for the exam
• Iso vs. Fixed table position
• How to position and plan for the worst
• Will the patient position and coil choice give you the coverage you need or might need?
Which plane is best
• What part of the body are you imaging?
• What is the pathology/injury?
• Where is the pathology/injury?
Optimizing Sequences
• Changing the order of your sequences
• FOV Phase, Use it
• Decrease it
• Helps with time
• Lose signal
• Find a balance,
• increase averages
• increase phase oversampling
Phase Direction
• When should you change it?
• Wrist anatomy and phase direction
• Wrist next to body, how to change phase direction
• Foot, phase direction H-F or R-L
• Radiologist Relationship
• Building a good working relationship is key to knowing and even anticipating what the doctor wants.
• Checking your schedule ahead of time and looking for unique dx or msk injuries will allow you and your radiologist time for proper planning and a better outcome.
Additional details will be posted as soon as information is available.