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Spine in Spondyloarthri/s MRI Protocols of the ESSR Arthri/s Subcommi<ee Recommenda/ons of the ESSR Arthri/s Subcommi<ee for the Use of Magne/c Resonance Imaging in Musculoskeletal Rheuma/c Diseases. Semin Musculoskelet Radiol 2015;19:396–411

Spine in Spondyloarthri/s · • Lumbar and thoracic spine are mandatory, preferably the whole spine should be examined Localizer Recommended sequences Sag T1 Sag STIR Midline Lateral

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Page 1: Spine in Spondyloarthri/s · • Lumbar and thoracic spine are mandatory, preferably the whole spine should be examined Localizer Recommended sequences Sag T1 Sag STIR Midline Lateral

SpineinSpondyloarthri/s

MRIProtocolsoftheESSRArthri/sSubcommi<ee

Recommenda/onsoftheESSRArthri/sSubcommi<eefortheUseofMagne/cResonanceImaginginMusculoskeletalRheuma/cDiseases.SeminMusculoskeletRadiol2015;19:396–411

Page 2: Spine in Spondyloarthri/s · • Lumbar and thoracic spine are mandatory, preferably the whole spine should be examined Localizer Recommended sequences Sag T1 Sag STIR Midline Lateral

Ax=axial

CE=contrastenhanced

FOV=fieldofview

Sag=sagi<al

STIR=ShortTauInversionRecovery

TE=echo/me(ms)

TR=repe//on/me(ms)

Acronyms

Page 3: Spine in Spondyloarthri/s · • Lumbar and thoracic spine are mandatory, preferably the whole spine should be examined Localizer Recommended sequences Sag T1 Sag STIR Midline Lateral

MRIscan

•  Pa/entinsupineposi/on

•  Spinecoil

•  Twoplanelocalizer•  Frontal•  Sagi<al

•  Lumbarandthoracicspinearemandatory,preferablythewholespineshouldbeexamined

Page 4: Spine in Spondyloarthri/s · • Lumbar and thoracic spine are mandatory, preferably the whole spine should be examined Localizer Recommended sequences Sag T1 Sag STIR Midline Lateral

Localizer

Page 5: Spine in Spondyloarthri/s · • Lumbar and thoracic spine are mandatory, preferably the whole spine should be examined Localizer Recommended sequences Sag T1 Sag STIR Midline Lateral

Recommendedsequences

SagSTIRSagT1

Midline MidlineLateral Lateral

Page 6: Spine in Spondyloarthri/s · • Lumbar and thoracic spine are mandatory, preferably the whole spine should be examined Localizer Recommended sequences Sag T1 Sag STIR Midline Lateral

Recommendedsequences

LateralMidline MidlineLateral

SagSTIRSagT1

Page 7: Spine in Spondyloarthri/s · • Lumbar and thoracic spine are mandatory, preferably the whole spine should be examined Localizer Recommended sequences Sag T1 Sag STIR Midline Lateral

Op/onalsequence

AxT2

„Scout“/PlanningAxT2

Page 8: Spine in Spondyloarthri/s · • Lumbar and thoracic spine are mandatory, preferably the whole spine should be examined Localizer Recommended sequences Sag T1 Sag STIR Midline Lateral

Field-of-view: Adjustedforthespine,op/mizingtheexaminedareaMandatorysagi<alimages:Forthewholespine2or3spinalblockswithoverlaptobefused,dependingonthescannerOp/onalaxialT2:FOVadjustedtotheareaofinterest,20-32cm

Slicethickness: 3mmpreferable(maximal4mm)

Interslicedistance(gap) 10%

MRIProtocol

Page 9: Spine in Spondyloarthri/s · • Lumbar and thoracic spine are mandatory, preferably the whole spine should be examined Localizer Recommended sequences Sag T1 Sag STIR Midline Lateral

Recommendedsequences

TR(ms)

TE(ms)

TI(ms)

Matrix

SagT1 510-550

8-20 - 424x300

SagSTIR 2500-6000 70-100 150(1.5T)180-220(3T)

424x300

AxT2(op/onal)

2200-5000 90-120 - 320x166

MRIProtocol

Page 10: Spine in Spondyloarthri/s · • Lumbar and thoracic spine are mandatory, preferably the whole spine should be examined Localizer Recommended sequences Sag T1 Sag STIR Midline Lateral

•  AnneGretheJurik,Denmark

•  ClaudiaWeidekamm,Austria

•  MoniqueReijnierse,TheNetherlands

•  WinstonRennie,UnitedKingdom

Contributors

ProjectCoordinators

•  ChiaraGiraudo,Italy•  HannesPlatzgummer,Austria