Generalities

Plans
Characterization and extension of masses
Post-traumatic muscle-tendon pathology
Infectious pathology

Generalities

Antenna Of surface

• Rectangular (R1); Enveloping (E1); Multi-element coupled in phase

Patient position Supine position

Head first

The hand of the extremity under study along with the body

Palm of the hand facing up. Elbow extended.

Prone position

Head first

The hand of the extremity under study in swimmer's posture

Elbow flexion

Center According to the area to be studied or in the marked area

Brand Place a vitamin A capsule where the lesion is felt.

Venous route In the forearm opposite to the one being studied. Y connection.

Contrast Gadolinium chelates (Gd)

Volume 0.1 mmol / Kg

Flow 2 ml / sec

Saline solution Double the administered contrast

Plans
Transversal Locator 2. Coronal and Sagittal Locator

With a displacement of 100 mm from the isocenter

3. Transversal 4. Sagittal

• Program on the sagittal and coronal locator Program on the axial and coronal locator
Focus on the area under study and/or where it can be seen Follow the direction of the ulna and radius in the forearm
the vitamin A capsule
From the elbow to the wrist
Copy the geometry so that the axial of all the
sequences are of overlapping localization
5. Coronal

Program about the axial and sagittal locator

Follow the direction of the ulna-radius in the forearm

From the elbow to the wrist

Characterization and extension of masses

Transversal Locator

With a large field of vision to locate the position of the arm

2. Multiple locator (transversal, sagittal, and coronal)

• Program them on the first cross locator

3. T1-TSE. Transversal Plan

Program on the three locators to follow the strictly perpendicular planes to the anatomical area.

• Include wide margins above and below the mass and/or where the vitamin A capsule is visible.

➡ Option A: If the mass is very hyperintense on T1-TSE (equal to subcutaneous fat)

4. T2-TSE sequence with fat suppression or STIR

The best option, being more specific, is the T2-TSE with spectral suppression, but if there are problems obtaining one.
Good fat suppression can be achieved using STIR.

➡ Option B: Yes, the mass is intermediate in T1-TSE

4. T2-TSE. Transversal Plan

5. T2-TSE with fat suppression. Transverse Plane

6. Enhanced images in diffusion. Transversal Plane

To detect restriction of diffusion / increase in the apparent diffusion coefficient

At least two factors b: 0-1000

Intravenous administration of 0.1 mmol/kg of Gd contrast

a) T1-TEG 3D Dynamic with fat suppression

No contrast and arterial and venous phase or Perfusion study with 6 to 9 phases

Characterization according to vascularization and/or contrast uptake curves

Post-processing of angiographic images MIP etc: vascular map

• Optional

b) T1-TSE. Transversal and/or Sagittal and/or Coronal Plan

The necessary plans will be obtained according to the location of the mass for:

Define the relationship with the vascular-nervous package

Post-traumatic musculoskeletal pathology

Transversal Locator

• With a large field of view to locate the position of the arm

2. Multiple locator (transversal, sagittal, and coronal)

Program them on the first cross locator

3. STIR. Coronal and/or Sagittal Plane

To identify the areas of disturbances and focus the rest of the study

4. T1-TSE. Transversal Plan

4. T2-TSE with fat suppression. Transverse Plane

Optionally, it may also be convenient in coronal and/or sagittal planes depending on the location and extent of the
alteration

Infectious pathology

Transversal Locator

• With a large field of vision to locate arm position

2. Multiple locator (transversal, sagittal, and coronal)

Program them on the first cross locator

3. STIR. Coronal and/or Sagittal Plan

To identify the areas of alterations and focus the rest of the study

4. T1-TSE. Transversal Plan