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library:thoracolumbar_spine_protocol [2025/06/25 14:48] – scottlibrary:thoracolumbar_spine_protocol [2026/06/10 18:48] (current) – scott
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 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 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]]
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 +For more abstract information on spine imaging see the [[spine_deep_dive|Spine MRI Applications]]
  
 **Disclaimer:** Please keep in mind any parameters, positioning, or coil selections listed are meant to serve as a guideline, your particular scanner specifications and coil set may vary, necessitating different parameters than those listed.  **Disclaimer:** Please keep in mind any parameters, positioning, or coil selections listed are meant to serve as a guideline, your particular scanner specifications and coil set may vary, necessitating different parameters than those listed. 
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 Position: Supine  Position: Supine 
  
-Coil: Flex coil, Quad Knee, Spine Coil, or Knee Coil+Coil: Spine Coil
  
 Parameters: Parameters:
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-Sagittal T2 Lumbar\\+**Sagittal T2 Lumbar\\
 Sagittal T2 Thoracic\\ Sagittal T2 Thoracic\\
 Sagittal STIR ROI\\ Sagittal STIR ROI\\
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 __Contrast__\\ __Contrast__\\
 Sagittal T1 ROI\\ Sagittal T1 ROI\\
-Axial T1 ROI\\+Axial T1 ROI** 
  
-__Optional Sequences__\\ 
-3D Myelogram\\ 
-HASTE Myelogram\\ 
-Multi-echo GRE\\