MRI Extremities Coil

MRI:EXTREMITY SCANNING
AGRAVANTE, CABASAN, DE LEON, ESCANER, MACO, PARASDAS, PORTILLO, TELMOSO 53A

MRI:EXTREMITY SCANNING
Extremity MRI (magnetic resonance
imaging) is a precise and extremely
comfortable imaging exam for the arm, leg,
hand, or foot, using radio waves and a
magnetic field to produce computer-
generated images of the inside of an area of
the body to diagnose illnesses or injuries in
the muscles, bones, joints, blood vessels, or
nerves in an extremity of the body.
MRI - EXTREMITY SCANNING:
HAND
Patient Preparation: The technologist will ask you to lie in a
certain position for the examination, and will use a coil around
the area of interest. This is what will create the images needed by
the radiologists to provide you with an excellent examination.
Sometimes the technologist will ask you to lie in a position that is
uncomfortable for you. If you are unable to lie in the position
requested then simply let the technologist know before starting
the examination. The technologist may be able to make
adjustments to still be able to perform the examination properly.
HAND
For most of the upper extremity studies we will not be

using contrast (dye). If contrast is used, the contrast in MRI
is very different than other parts of Radiology. The MRI
contrast does not contain Iodine, which is what a lot of
patients are allergic to with CT or IVP contrast.
Once you are ready for the examination, the study will
take approximately 30 minutes.
HAND
MRI image -Pathology
HAND
HAND
ELBOW
Patient Preparation
A satisfactory written consent form must be taken from
the patient before entering the scanner room.
Ask the patient to remove all metal objects including
keys, coins, wallet, cards with magnetic strips,
jewellery, hearing aid and hairpins
If possible provide a chaperone for claustrophobic
patients (e.g. relative or staff )
ELBOW
Patient Preparation
Offer earplugs or headphones, possibly with music for
extra comfort.
Explain the procedure to the patient
Instruct the patient to keep still
ELBOW
Positioning
Position the patient in supine position with head
pointing towards the magnet (head first supine).
Position the elbow in small flex coil and immobilize
with sand bags.
Centre the laser beam localiser over the elbow joint.
Register the patient on the scanner as 'head first
supine.
ELBOW
Positioning
Position the patient in supine position with head
pointing towards the magnet (head first supine).
Position the elbow in small flex coil and immobilize
with sand bags.
Centre the laser beam localiser over the elbow joint.
Register the patient on the scanner as 'head first
supine.
ELBOW
Positioning
ELBOW
Coil used
ELBOW
MRI image
ELBOW
MRI image - Pathology
THE TENSION ON THE MEDIAL

SIDE CAUSES A TEAR OF THE
ULNAR COLLATERAL LIGAMENT.
COMPRESSION ON THE LATERAL
SIDE CAUSES AN OSTEOCHONDRAL
LESION OF THE CAPITELLUM.
THE SHEAR FORCES ON THE
POSTERIOR SIDE CAUSE
ARTHROSIS.
ELBOW
ELBOW
MRI image Pathology OC lesion of capitellum
ELBOW
MRI image Pathology OATS procedure
HIP
Patient Preparation
You may be asked not to eat or drink anything for 4 - 6 hours before the
scan.
Before the test, tell the radiologist if you are currently receiving dialysis, as
this may affect whether you can have IV contrast.
If you fear confined spaces (have claustrophobia), tell your doctor before the
exam. You may be given a medicine to help you feel sleepy and less anxious,
or your doctor may recommend an "open" MRI, in which the machine is not
as close to the body. The strong magnetic fields created during an MRI
can interfere with certain implants, particularly pacemakers. Persons
with cardiac pacemakers cannot have an MRI and should not enter an
MRI area.
HIP
Test is Performed
You may be asked to wear a hospital gown or clothing without metal
fasteners (such as sweatpants and a t-shirt). Certain types of metal can
cause inaccurate images.
You will lie on your back on a narrow table, which slides into the middle
of the MRI machine.
Small devices, called coils, may be placed around the hip area. These
devices help send and receive the radio waves, and improve the quality
of the images. If pictures of the prostate and rectum are needed, a small
coil will be placed into your rectum. This coil must stay in place for about
30 minutes while the images are taken.
ELBOW
MRI image
ELBOW
MRI image
ELBOW
MRI image
ELBOW
MRI image
KNEE
Patient Preparation
NPO for 4 to 6 hours before the
scan.
If the patient is claustrophobic
they must tell the health care
provider, they may given
medications or request for open
MRI
KNEE
Patient Preparation Inner ear implants
Things that are not Kidney disease or dialysis
allowed: Recently placed artificial
Brain aneurysm clips joints
Artificial heart valves Certain types of
Heart defibrillator or vascular stents
pacemaker Worked with sheet metal
in the past
KNEE
Positioning
Feet first supine
Position the knee on the knee coil
and immobilize with cushions
Give cushion under the ankle for
extra comfort
Centre the laser beam localizer
over the lower border of the patella
KNEE
COIL USED
Knee MRI coils are usually volume
coils; multi channel coils are
designed for high SNR and parallel
imaging; transmit
receive quadrature coils are also
available.
Paired-saddle coil
KNEE
MRI image
KNEE
MRI image IN THE AXIAL PLANE THERE IS AN
EMPTY NOTCH SIGN (YELLOW
ARROWS) WHERE THERE SHOULD BE
ACL ATTACHED TO THE CONDYLE. AT
A LOWER LEVEL (GOING RIGHT) THE
TORN ACL IS SCARRED TO THE PCL
(GREEN ARROWS)
KNEE
ANTERIOR CRUCIATE LIGAMENT TEAR
MRI image with pathology
IS THE MOST COMMONLY DISRUPTED
LIGAMENT OF THE KNEE, ESPECIALLY
IN ATHLETES WHO PARTICIPATE IN
SPORTS THAT INVOLVE RAPID
STARTING, STOPPING, AND PIVOTING
(E.G. SOCCER, BASKETBALL, TENNIS,
NETBALL AND SNOW SKIING).
KNEE
MRI image
with pathology
MENISCUS TEA
ANKLE
Patient Preparation
A satisfactory written consent form must be taken from
the patient before entering the scanner room
Ask the patient to remove all metal objects including keys,
coins, wallet, cards with magnetic strips, jewellery,
hearing aid and hairpins
If possible provide a chaperone for claustrophobic
patients (e.g. relative or staff )
ANKLE
Patient Preparation
Offer earplugs or headphones, possibly with music for
extra comfort
Explain the procedure to the patient
Instruct the patient to keep still
Note the weight of the patient
ANKLE
Positioning
Position the patient in supine position with feet pointing towards
the magnet (feet first supine)
Position the ankle in the foot and ankle coil (use knee coil if ankle
coil is not available) and lock it properly (Ankle should be at 90
position)
Securely tighten the foot using cushions to prevent movement
Give a pillow under the head for extra comfort
Centre the laser beam localiser over ankle joint
ANKLE
COIL USED
16 channel coil for high-
resolution foot and ankle
imaging. Foot/Ankle 16
provides a boot-like design
and Direct Connect for easy
set-up.
ANKLE
MRI image
ANKLE
ANKLE
ANKLE
FOOT
Positioning
Position the patient in supine position with
feet pointing towards the magnet (feet first
supine)
Position the ankle over the foot and ankle
coil (use knee coil if ankle coil is not
available) and lock it properly foot should
be flexed 90 and flatten to get good scans.
Securely tighten the foot using cushions to
prevent movement
FOOT
MRI image
THANK YOU!
TO GOD BE ALL THE GLORY!
FT. #RG

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MRI Extremities Coil

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MRI:EXTREMITY SCANNING

AGRAVANTE, CABASAN, DE LEON, ESCANER, MACO, PARASDAS, PORTILLO, TELMOSO 53A

For most of the upper extremity studies we will not be

THE TENSION ON THE MEDIAL

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