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ESSR MRI Protocols Hamstrings

Lesion de isquiotibiales y rm

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Luis RG
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30 views

ESSR MRI Protocols Hamstrings

Lesion de isquiotibiales y rm

Uploaded by

Luis RG
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Guidelines for MR Imaging of

Sports Injuries

European Society of Skeletal Radiology


Sports Sub-committee

2016
Contributors
• Ara Kassarjian, Spain
• Lars Benjamin Fritz, Germany
• P. Diana Afonso, Portugal
• Andrea Alcalá-Galiano, Spain
• María José Ereño, Spain
• Andrew Grainger, UK
• Eva Llopis, Spain
• Eugene McNally, UK
• Claudia Schüller-Weidekamm, Austria
• Reto Sutter, Switzerland
Abbreviations and clarifications
• Ax = axial
• Cor = coronal
• Sag = sagittal
• FOV = field of view
• PD = proton density
• TE = time to echo in milliseconds
• FS = fat suppressed
• Int = intermediate
• Int FS: this is a fat suppressed sequence with a long TR and a TE
between that of a traditional PD (e.g. TE= 10-20) and a traditional T2
(e.g. TE=80-100). The advantage of this sequence is that the TE is short
enough to maintain sufficient signal for visualisation of the anatomy (like
a PD) yet long enough to be more fluid sensitive (like a T2)
• For STIR sequence, TI (inversion time) should be 140-150 at 1.5T
Hamstrings
• Patient feet first in supine position, phased-array surface coil over thighs
• Legs close together, marker at site of pain
• Axials of both thighs with wide margins above and below the markers
• Proximal injuries: axials and oblique coronals include bilateral hamstring
origins
• Distal injuries: axials of the affected thigh and oblique coronal or sagittal
images along the axis of the affected muscle. (Oblique coronal plane for
medial or lateral injuries and sagittal plane for anterior or posterior
injuries)
Hamstrings: proximal injuries
FOV Slice Matrix
Sequence TE
(max) (max) (min)

BILATERAL
Ax T1 38 cm 7 mm Min 256x256
SURVEY
AX STIR/FS 38 cm 7 mm 40-60 256x256

Ax T1 24 cm 5 mm Min 288x256
BILATERAL
HAMSTRING Ax PD FS 24 cm 5 mm 35 288x256
ORIGINS
Cor Obl PD FS 32 cm 3 mm 35 288x256
Sag Obl PD FS
32 cm 3 mm 35 288x256
optional
Hamstrings: proximal injuries
Ax T1 Ax STIR

Ax T1 Ax PD FS Cor Obl PD FS
Hamstrings: distal injuries
FOV Slice Matrix
Sequence TE
(max) (max) (min)
Ax T1 38 cm 7 mm Min 256x256
BILATERAL
SURVEY
AX STIR/FS 38 cm 7 mm 40-60 256x256

Ax T1 24 cm 5 mm Min 288x256

UNILATERAL
Ax PD FS 24 cm 5 mm 35 288x256
INJURY
*Cor/Sag Obl
32 cm 3 mm 35 288x256
PD FS
* Oblique Coronal to the muscle in medial/lateral injuries. Oblique Sagittal to the muscle in anterior/posterior lesions
Hamstrings: distal injuries
Ax T1 Ax STIR

Ax T1 Ax PD FS Sag Obl PD FS

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