Prerequisites for reporting MRI abdomen & pelvis

 

Prerequisites for reporting MRI abdomen & pelvis:

pic from: www.pexels.com

Applicable to: Residents in 2nd year of training or who have completed one MRI posting

 

1.     Be aware of different contrast agents

 

a.     0.5 and 1 molar

b.     Ionic vs non-ionic

c.      Liver specific contrast agents

 

2.     Be aware of basic sequences

 Siemens:

a.     T2W  - HASTE / FSE / high TE / MRCP

b.     T1W – DIXON / 2D T1 W +- FS/ VIBE/ In-out / PDFF

c.      DWI – b values / calculated b value /ADC

d.     Contrast – 2D T1W – FS /3D vibe / twist

 

3.     Able to detect following:

 

a.     -  Adenomyosis on T2W image

b.     -  Endometriotic cyst on T1 W image

c.     -  Liver haemangioma and HCC on dynamic contrast

d.     - Appearance of liver metastasis on DWI imaging

e.      - Fatty liver – on out-phase

f.      -  Prostate ca- PIRADS 5

g.     - Diffusion appearance of cervical and endometrial ca

h.     - Appearance of malignant ovarian ca on contrast

i.       - Appearance of adrenal adenoma on in-out phase

j.       - Distinguish CBD stone from flow artifact on MRCP

k.     - Aware of double duct sign in MRCP

l.       -  Ductal appearance in chronic pancreatitis

m.  -  Appearance of pancreatitis on T2W

n.     -  Distinguish pancreatic cystic tumor from pseudocyst on T2W images

o.     -  Appearance of normal sphincter and rectal ca on T2W coronal image

p.     -  Detect perineal fistula / abscess on STIR coronal

 

Prepared by Dr. Sharad Maheshwari

Updated: 3.8.2022