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.

2 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: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.

3 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: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.

4 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. All other spines should be done without Shawn Rayder, PresidentSeacoast RadiologyWentworth Douglass HospitallPage 2 of 2 MRI ORDERING CHEAT SHEET7040 142 Rev.

5 05/04/12 DEPARTMENT OF IMAGING SERVICES