MRI Scanning Technique of Wrist Joint

Initially, a localizer image is taken in all three planes.

Then the T2 Axial sequence is planned in the localizer. The epicenter of FOV is set at the center of the axial localizer. Use coronal localizer and angle parallel to the long axis of the wrist (can use radius growth plate to angle). Prescribe plane parallel to distal radius. Scan from proximal metacarpals through distal radius/ulna metaphysis.

T1 Axial sequence is planned by copying the slice lines of T2 Axial sequence.

T2 Coronal sequence is taken then.Use T2 Axial image and angle parallel to anterior radial metaphysis (best fit) at distal radioulnar joint (or approximately parallel to proximal carpal row). Make sure the slices are angled parallel to the carpal retinaculum at the level of hook of hamate. Prescribe plane parallel to line drawn from ulnar styloid through radial styloid. Scan through entire wrist.Use sagittal localizer and angle parallel to radius/lunate/capitate alignment (or just radius if wrist is flexed). Cover through all of the bones and try to cover the flexor and extensor as well.

T2 STIR Coronal sequence is planned by copying the slice lines of T2 Coronal sequence.

T1 Coronal sequence is planned by copying the slice lines of T2 Coronal sequence.

The routine sequence for MRI Scanning of Wrist Joint are:
T2 Axial
T1 Axial
T2 Coronal
T2 STIR Coronal
T1 Coronal