Prerequisites
for reporting MRI abdomen & pelvis:
pic from: www.pexels.comApplicable 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
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 diagnosis on MRI:
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
### Key Points from the Blog:
ReplyDelete1. **Clinical Knowledge**: Emphasizes the importance of understanding abdominal and pelvic anatomy, common pathologies, and the clinical context of the imaging study.
2. **Technical Proficiency**: Highlights the need for familiarity with MRI sequences and protocols specific to abdominal and pelvic imaging.
3. **Patient Preparation**: Discusses the steps to ensure patients are adequately prepared for the scan, including fasting and bladder management.
4. **Image Quality**: Stresses the importance of acquiring high-quality images and minimizing artifacts.
5. **Structured Reporting**: Advocates for using a structured reporting format to ensure comprehensive and clear documentation of findings.
This blog post is a valuable resource for radiologists and trainees looking to enhance their skills in abdominal and pelvic MRI reporting.