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library:thoracolumbar_spine_protocol [2025/06/18 21:02] scottlibrary:thoracolumbar_spine_protocol [2025/06/25 14:50] (current) scott
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-=====Thoracolumbar Spine Protocol====+=====Thoracolumbar Spine Protocol=====
  
-====Typical Scan Protocol====+The protocol below represents a full Thoracolumbar spine exam. There is significant variation depending on the clinical question and clinician preference.  It is highly suggested to acquire at last one post contrast series with fat saturation if contrast is administered. It is also highly suggested to acquire one series in the dorsal plane, typically a T2 or STIR. For scanning technique, see the [[thoracolumbar_spine|Thoracolumbar Spine MRI Guide]]
  
-The protocol below represents a full thoracolumbar exam. There is a lot of variation depending on the clinical question and clinician preference. The **minimum** recommended sequences depend on pathologyso no sequences are in bold. It is highly recommended to include at least 1 sequenceeither T2 or STIRin the dorsal plane and at least 1 sequence with fat saturation if contrast is administered.+**Disclaimer:** Please keep in mind any parameterspositioning, or coil selections listed are meant to serve as a guidelineyour particular scanner specifications and coil set may varynecessitating different parameters than those listed
  
-Sagittal T2 Lumbar\\+Position: Supine  
 + 
 +Coil: Spine Coil 
 + 
 +Parameters: 
 +  * FOV: Sm (18cm) Med (24cm) Lg (32cm) 
 +  * Resolution: 0.6mm x 0.8mm 
 +  * Slice Thickness: 2-3mm 
 +  * Averages/NEX:
 + 
 + 
 +**Sagittal T2 Lumbar\\
 Sagittal T2 Thoracic\\ Sagittal T2 Thoracic\\
-Sagittal STIR Lumbar\\ +Sagittal STIR ROI\\ 
-Sagittal STIR Thoracic\\ +Sagittal T1 ROI\\
-Sagittal T1 Lumbar\\ +
-Sagittal T1 Thoracic\\+
 Axial T2 ROI\\ Axial T2 ROI\\
 Axial T1 ROI\\ Axial T1 ROI\\
 __Contrast__\\ __Contrast__\\
 Sagittal T1 ROI\\ Sagittal T1 ROI\\
-Axial T1 ROI\\+Axial T1 ROI** 
  
-__Optional Sequences__\\ 
-3D Myelogram\\ 
-HASTE Myelogram\\ 
-Multi-echo GRE\\