Ankle MR arthrogram MRI protocol


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 Indications: assess for intra-articular bodies, ligamentous injuries.

Sequences: place fiducial over symptomatic site
·        Sagittal T1 SE
·        Sagittal T1 SE with fat saturation
·        Axial T1 FSE with fat saturation
·        Axial T2 FSE with fat saturation
·        Coronal T1 SE with fat saturation
·        Coronal ‘gray’ STIR

Comments:
·        Contrast injection into the tibiotalar joint capsule.
·        T2 fast spin echo with fat saturation: adjust TE to 40 msec (+/-5 msec).

Dictation template:
After the administration of 5 mL of dilute intra-articular Gadolinium contrast into the tibiotalar joint, sagittal T1 spin echo with and without fat saturation, axial T1 spin echo with fat saturation and T2 fast spin echo with fat saturation, coronal T1 spin echo with fat saturation and STIR through the ankle. 

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