Spine MRI Protocols

NAMEINDICATIONDESCRIPTION
Routine
C-Spine MRI
Degen spine dz Sagittal T1 SE, Sagittal T2 FSE, 3D Volumetric Axial T2* GRE, Stacked Axial T2 FSE. 
No IV contrast.
Trauma
C-Spine MRI
Trauma Sagittal T1 SE, Sagittal FSEIR, Axial T2 FSE with fat sat.  Target axials to abnormality. 
No IV contrast.
Post-Op
C-Spine MRI
Post-Op spine Sagittal T1 SE, Sagittal T2 FSE, Axial 3D Volumetric T2* GRE, Stacked Axial T2 FSE. 
Substitute Axial T1 for T2* GRE if hardware is present.  No IV contrast.
Routine
T-Spine MRI
Degen spine dz Sagittal T1 SE, Sagittal T2 FSE.  Target stacked T1 FSE axials to abnormality. 
No IV contrast.
Trauma
T-Spine MRI
Trauma Sagittal T1 SE, Sagittal FSEIR, Axial T2 FSE with fat sat.  Target axials to abnormality. 
No IV contrast.
Routine
L-Spine MRI
Degen spine dz Sagittal T1 SE, Sagittal T2 FSE, Graphically prescribed angled axial PD/T2 FSE,
Angled T1 stacked axials L3 to S2.  No IV contrast.
Trauma
L-Spine MRI
Trauma Sagittal T1 SE, Sagittal FSEIR, Axial T2 FSE with fat sat.  Target axials to abnormality. 
No IV contrast.
Post-Op
L-Spine MRI
Post-op spine

Osteomyelitis
Discitis
pre-contrast:  Sagittal T1 SE, Sagittal T2 FSE, Axial PD/T2 FSE, Axial T1 at level of surgery
contrast:  Gd (0.1 mmol / kg to max of 20 cc)
post-contrast:  Sagittal T1 SE, Axial T1 SE
Tethered
Cord MRI
Tethered cord Sagittal T1 SE, Sagittal T2 FSE, Axial T1 SE T10 to S2, using interslice gap as needed. 
No IV contrast.