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    Mri CT Ordering Guide

    Uploaded by

    Satish Paswan
    This document provides guidelines for common MR/CT imaging protocols based on anatomical region and clinical indication. For the head/brain, it recommends CT without contrast for acute conditions like trauma and stroke, and MRI without and with contrast for conditions like tumors, infections, and neurological deficits. For the neck/face, it recommends various CT protocols for conditions like sinus issues, masses, and trauma. For the spine, it primarily recommends MRI without and with contrast to evaluate pain, trauma, degeneration, and tumors/infections. For extremities, it recommends MRI for conditions like trauma and masses. For other regions like chest, abdomen/pelvis, it provides CT and MRI guidelines based on the diagnosis being evaluated.

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    © All Rights Reserved
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    Mri CT Ordering Guide

    Uploaded by

    Satish Paswan
    125 views3 pages
    This document provides guidelines for common MR/CT imaging protocols based on anatomical region and clinical indication. For the head/brain, it recommends CT without contrast for acute conditions like trauma and stroke, and MRI without and with contrast for conditions like tumors, infections, and neurological deficits. For the neck/face, it recommends various CT protocols for conditions like sinus issues, masses, and trauma. For the spine, it primarily recommends MRI without and with contrast to evaluate pain, trauma, degeneration, and tumors/infections. For extremities, it recommends MRI for conditions like trauma and masses. For other regions like chest, abdomen/pelvis, it provides CT and MRI guidelines based on the diagnosis being evaluated.

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    Mri protocol

    Original Title

    Mri Ct Ordering Guide

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    This document provides guidelines for common MR/CT imaging protocols based on anatomical region and clinical indication. For the head/brain, it recommends CT without contrast for acute conditions like trauma and stroke, and MRI without and with contrast for conditions like tumors, infections, and neurological deficits. For the neck/face, it recommends various CT protocols for conditions like sinus issues, masses, and trauma. For the spine, it primarily recommends MRI without and with contrast to evaluate pain, trauma, degeneration, and tumors/infections. For extremities, it recommends MRI for conditions like trauma and masses. For other regions like chest, abdomen/pelvis, it provides CT and MRI guidelines based on the diagnosis being evaluated.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    125 views3 pages

    Mri CT Ordering Guide

    Uploaded by

    Satish Paswan
    This document provides guidelines for common MR/CT imaging protocols based on anatomical region and clinical indication. For the head/brain, it recommends CT without contrast for acute conditions like trauma and stroke, and MRI without and with contrast for conditions like tumors, infections, and neurological deficits. For the neck/face, it recommends various CT protocols for conditions like sinus issues, masses, and trauma. For the spine, it primarily recommends MRI without and with contrast to evaluate pain, trauma, degeneration, and tumors/infections. For extremities, it recommends MRI for conditions like trauma and masses. For other regions like chest, abdomen/pelvis, it provides CT and MRI guidelines based on the diagnosis being evaluated.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    MR/CT Protocols for Common Diagnosis

    HEAD/BRAIN
    CT without contrast
    • Acute onset headache
    • Acute trauma
    • Acute stroke (R/O bleed)
    CT with contrast
    • Tumor/Infection (If contraindication to MRI)
    MRI without contrast
    • Dizziness
    • TIA/stroke evaluation (MRA also?)
    • Subacute or old trauma
    MRI with contrast
    • Tumor/Infection
    • Chronic headaches/known Multiple Sclerosis/prolonged Bell’s
    Palsy/CN deficits (Cranial Nerve Palsy)/Pulsatile
    Tinnitus/pituitary
    MRA
    • Cerebral aneurysm
    • Carotid/vertebral stenosis
    • Aorta and great vessels
    MRV
    • Dural venous sinus thrombosis

    NECK/FACE
    CT without contrast
    • Paranasal sinus evaluation
    • Trauma (R/O fracture)
    • Palpable Mass/Abscess/ Lymphoma/Laryngeal CA
    CT IAC (Temporal Bones) without contrast
    • Inner ear path or basilar skull fracture.
    CT Orbit Foreign Body
    • Pre-MRI screening for metals
    CT with contrast (Facial or Orbital)
    • Trauma/Facial Infection/ Tumor
    CT with contrast
    • R/O mass/Tumor/Infection in neck or orbit
    MRI Soft Tissue Neck with and without
    • Mass/Fluid collection/Neck primary/Infection
    SPINE
    MRI without contrast
    • Preferred for evaluation of disc and facet degeneration leading to
    pain and neurological symptoms
    MRI Lumbar without contrast
    • Radiculopathy
    MRI Lumbar with and without contrast
    • Previous lower back surgery/ Tumor/Infection
    MRI Thoracic without contrast
    • Pain/Trauma
    MRI Thoracic with and without contrast
    • Demyelinating Disease/Tumor/Mets/Infection
    MRI Cervical without contrast
    • Neck Pain/HA/Trauma/Radiculopathy
    MRI Cervical with and without contrast
    • Known demyelinating Disease/Tumor/Mets/Infection
    MRI with contrast
    • Evaluate disc and facet disease WITH history of prior back
    surgery
    • Spinal cord evaluation – demyelination/Tumor
    CT without contrast
    • Preferred for acute fracture evaluation

    EXTREMITIES
    MRI without contrast
    • Trauma/Pain
    MRI with and without contrast
    • Mass or Lump/Osteomyelitis/Sarcoma or Mets
    MRI Arthrogram Knee
    • Meniscal surgery (Depends on Physician)
    MRI Arthrogram Shoulder
    • Tears (Depends on Physician)
    MRI Arthrogram Wrist (Depends on Physician)

    CHEST
    CT Chest without contrast
    • F/U on lung nodules/or initial evaluation <1cm nodule
    CT Chest with contrast
    • Lung mass or nodule >1cm on CXR/known lung
    CA/Pneumonia/pleural fluid
    Hi-Resolution CT Chest without contrast
    • Evaluate for diffuse lung disease/ ILD/Bronchiectasis/Air
    Trapping
    CTA Pulmonary Angiogram with contrast
    • R/O PE/SOB/Hypoxia
    • Preferred over VQ in all cases – including pregnant patient,
    unless contraindication to IV contrast.
    ABDOMEN/PELVIS

    CT with Contrast
    • All standard abdominal imaging – Pain/Weight loss/ R/O
    Cancer/Cancer Staging/Diverticulitis/Appendicitis/ Pyelonephritis.
    CT without IV or Oral Contrast
    • Renal Stones
    CT with and without IV Contrast
    • Painless Hematuria
    • Initial work up of pancreatitis
    • Evaluate renal mass or renal cyst
    US
    • Use first in Pediatrics.
    • Initial test of choice for cholecystitis/gallstones.
    • Pelvic pain in female.
    • Appendicitis – Pediatrics or if young, thin female – can do US
    first if ovarian cyst is also in the differential.
    • Screen for AAA.
    CT Coronary Calcium Score
    • Screening for coronary vascular risk stratification in
    asymptomatic patient.
    MRI/MRA
    • Problem solving or elevated creatinine
    MRA or multi-detector CTA with contrast
    • Renovascular Hypertension

    BODY MRI
    • Problem Solving/Lesion Characterization
    • CT contrast allergy

    MRI ABDOMEN without contrast


    • Adrenals/MRCP
    MRI ABDOMEN with contrast
    • Renals/Liver/Spleen/Pancreas/Mets
    MRI Pelvis without contrast
    • Uterine anomaly
    MRI Pelvis with and without contrast
    Uterus fibroids/Endometriosis/Ovarian

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