HandandWrist

MRIProtocolsoftheESSRArthri8sSubcommi<ee

Recommenda8onsoftheESSRArthri8sSubcommi<eefortheUseofMagne8cResonanceImaginginMusculoskeletalRheuma8cDiseases.SeminMusculoskeletRadiol2015;19:396–411

Ax=axial

Cor=coronal

FOV=fieldofview

FS=fatsuppressed

PD=protondensity

Sag=sagi<al

STIR=shorttauinversionrecovery

TE=echo8me(ms)

TIRM=turboinversionrecoverymagnitude

TR=repe88on8me(ms)

Acronyms

MRIscan•  Pa8entheadfirst,pronewitharmup(e.g.,Supermanposi8on)

•  Wrist/handatthecentreoftheboretoensurefieldhomogeneity

•  Coils:dedicatedwrist/handcoil

•  Immobilisa8on:tapehandtomaintainposi8on

Localizerwrist

Axialplane:from3-4cmproximaltotheradiocarpaljointto2cmdistaltothecarpometacarpaljoint

Coronalplane:skintoskintraversingthejointanteriorlytoposteriorlytoincludethesamefieldofviewastheaxialimages

Sagi2alplane:skintoskinperpendiculartothecoronal

LocalizerHand

Axialplane:from2cmproximaltothemostproximaljointto2cmdistallytothemostdistaljointofinterest

Coronalplane:skintoskintraversingthejointanteriorlytoposteriorlytoincludethesamefieldofviewastheaxialimages

Sagi2alplane:skintoskinperpendiculartothecoronalplane,toincludethesamefieldofviewastheaxialimages

Recommendedsequences-Wrist

AxT1wCorSTIR(orTIRMorT2FS)

AxPDFS(orSTIR/TIRMorT2FS)

CorT1w

CET1FSAx

Recommendedsequences-Hand

AxT1w

CorSTIR(orTIRMorT2FS) CorT1w CET1FSCor SagSTIR

(orTIRMorT2FS)

CET1FSAx

MRIprotocols

RecommendedSequences

FOV(cm)

Slicethickness(mm)

TR(ms)

TE(ms)

Matrix

CorSTIRorT2FS 8-10 3/3D# 1800 25 320x240

CorT1 8-10 3/3D# 400 15 320x240

AxPDFSorSTIRorT2FS

8-10 3/3D# 3500 40 320x240/320x450

AxT1 8-10 3/3D# 400 15 320x240/320x450

SagPDFS 8-10 3/3D# 3500 40 320x240/320x450

CET1FS* 8-10

3/3D# 400 15

320x240/320x450

*ifop8malassessmentofsynovi8s/ostei8sisneeded

#3Dsequencesareperformedtoallowtheevalua8onofsmall(<3mm)and/orobliquestructures

Contributors

ProjectCoordinators

•  ChiaraGiraudo,Italy•  HannesPlatzgummer,Austria

•  AmandaIsaac,UnitedKingdom•  MarioMaas,TheNetherlands•  MikkelØstergaard,Denmark