Pelvis MRI with or without contrast (scrotal MRI protocol)


-->  Indications: testicular masses or infection.

 Sequences: patient supine.

  • Coronal HASTE (iliac crests through perineum)
  • Axial T1 FSE (small FOV)
  • Axial T2 FSE (small FOV)
  • Coronal T1 FSE (small FOV)
  • Coronal T2 FSE (small FOV)
  • Opt: axial and/or coronal T1 FSE with fat saturation
  • Opt: post-Gd axial and/or coronal T1 FSE with fat saturation

Comments:
·        All but initial sequence performed with coned-down field of view (FOV) centered on the scrotum. 
·        Give Gadolinium only for infections or abscess, NOT for tumor workup (will not change the diagnosis).

Dictation template:
Non-contrast coronal HASTE from the iliac crests to the symphysis; axial and coronal T1 and T2 fast spin echo sequences through the scrotum.  Optional 0.1-0.4 mmol/kg of intravenous Gadolinium contrast (up to 20 mL) may be administered, followed by axial and/or coronal T1 fast spin echo with fat saturation through the scrotum.  

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