Commonly Ordered MRI Procedures and their …

1 Wentworth Douglass HospitalMRI ORDERING CHEAT SHEET7040 142 Rev. 05/04/12 MRI ABDOMEN WITHOUTMRCP (Magnetic Resonance Cholangio Pancreatography)Done to evaluate:l Biliary tract, common bile ductl Pancreatic ductl Gall bladder stonesMRI ABDOMEN WITH/WITHOUTDone for:l Liver pathology (hemangiomas, masses, etc)l Kidney pathology (cysts, tumors)l Adrenal pathology (cysts, tumors)l Pancreas pathology(cysts, tumors)l Splenic pathology (cysts, tumors)l Abd painMRI BRACHIAL PLEXUS WITH AND WITHOUTDone for:l Neuroma or suspected tumorsl Injury to brachial plexus regionl Brachial plexopathyl Peripheral neuropathyMRI CHEST WITH/WITHOUTCT is suggested for most evaluation of the Chest,MRI Done for:l Soft tissue masses in the chest/mediastinum areal MesotheliomaMRI PELVIS WITHOUTDone for:l SI joint painl Pelvis fracturel Sacral and/or coccyx disordersMRI PELVIS WITH/WITHOUTDone for:l Ovarian or uterine pathology, fibroid tumorsl Bladder pathologyl Mass, Mets to bonel CA of Prostatel Plexus lesionsMRA ABDOMEN WITHDone for:l Renal artery stenosisl HTN (High blood pressure)l Bowel Ischemial Acute renal failurel Atherosclerotic diseaseMRA ABDOMEN/PELVIS/BILATERAL LOWEREXTREMITIES WITH/WITHOUT (runoff)Done for:l Claudicationl Visualization of aorta, bifurcation & lower extremitiesl Arterial stenosisMRA CHEST WITHDone for:l Aortic dissection/aneurysm/anomaliesl Subclavian stealMRI BRAIN (head) WITHOUTMay be without or with/without @ physicians requestDone for:l Headaches (HA)l Tremorsl CVA or TIA (Stroke or mini stroke)l Chiari malformationl Memory lossl DementiaMRI BRAIN (head) WITH/WITHOUTDone for.

2 L MS (multiple sclerosis)l CVA or TIA (stroke or mini stroke)l Tumors, cancer or metsl Seizures/epilepsy/Parkinsonsl Lacunar infarctionl Hearing lossl Vertigo (dizziness)l Tinnitus (ringing in the ears)l Pituitary tumors /adenomasl paresthesiaMRI ORBIT/ FACE/NECK WITH/WITHOUTDone for:Any soft tissue mass in neck or face area or cancerin those areasl Parotid tumorl Nasopharynx tumorl Pharynxl Orbital tumorsl Abscessl Cervical AdenopathyTMJ WITHOUTDone for:l Osteo arthritisl Cartilage injuryl TMJ disordersl Jaw painMRA BRAIN (head) WITHOUT contrast alwaysDone for:l Aneurysml AVM (arterial venous malformation)l CVA (stroke) TIAl Cavernous angiomaMRA NECK WITH / WITHOUTDone for:l Carotid stenosis (blockage)l Vertebral artery injuryl Atherosclerotic diseasel CVA/TIAlPage 1 of 2 The Procedures and indications below are guidelines for Commonly Ordered MRI Procedures . If you have any questions in regards toordering or scheduling an MRI procedure, please feel free to contact the MRI Department at 740 2661 or a Radiologist at 740 OF IMAGING SERVICESC ommonly Ordered MRI Procedures and their indicationsWITHOUT CONTRASTMRI CERVICAL SPINE w/oDone for:l Neck pain (cervicalgia)l HNP(herniated disk)l Arm tingling/numbness/weakness/painl Cervical radiculopathy/radiculitisl Stenosisl ArthropathyMRI THORACIC SPINE w/oDone for:l Upper/mid back painl Compression fracturel Osteoporosisl Herniated diskl Stenosisl Radiculitis or radiculopathyMRI LUMBAR SPINE w/oDone for:l Low back pain (lumbago)l HNP (herniated disk)l Lumbar radiculopathy or radiculitisl Lower extremity numbness/tingling/weaknessl Myelopathyl Loss of bowel or bladder controll Spinal stenosisMRI UPPER EXTREMITY l Upper any joint= shoulder, elbow, or wristl Upper other than joint= humerus, forearm, or handAll MRI extremities withoutDone for.

3 L Painl Avnl Muscle/ligament tearl Injuryl Internal derangementl Swellingl Arthristisl TendonditisARTHROGRAM (Special Exam)l This should be Ordered as two part test:X ray arthrogram shoulder, hip, elbow or wrist to bedone firstl MRI Upper Extremity any Joint With to followlArthrograms due not need creatinine priorWITH/WITHOUT CONTRASTMRI CERVICAL SPINE w/ w/oDone for:l Cancer or metsl Infection / abscessl MS, hemipeligia/paresthesial Myelopathyl Syrinxl Tumorl Surgery to c spine within past 10yrsMRI THORACIC SPINE w/ w/oDone for:l Cancer or metsl Surgery to t spine within past 10yrsl Multiple myelomal Infection / abscessl MS (multiple sclerosis)l Transverse myelitisl SyrinxMRI LUMBAR SPINE w/ w/oDone for:l Cancer or metsl Infectionl Abscessl Massl Previous lumbar surgery within past 10yrsl Cauda Equina syndromeMRI LOWER EXTREMITY l Lower any joint= Knee, Hip or Anklel Lower other than joint= femur, Tib/Fib or footAll MRI extremities with and without contrastDone for:l Cancer, tumors, or Osteomyelitisl Abscessl Masses or soft tissue lumpsAll spines should be done with/without contrast for history of surgery within the past ten years to that part of the spine, history ofcancer, infections.

4 All other spines should be done without Shawn Rayder, PresidentSeacoast RadiologyWentworth Douglass HospitallPage 2 of 2 MRI ORDERING CHEAT SHEET7040 142 Rev. 05/04/12 DEPARTMENT OF IMAGING SERVICES