AUDIT ON ADEQUACY OF MAGNETIC RESONANCE IMAGING OF THE SHOULDER IN A TERTIARY CARE ONCOLOGICAL SETUP PAKISTAN.

Abstract

Descriptor:

• An audit to assess and optimize the imaging planes and coverage of shoulder MRI.

Background: 

• MRI is the preferred method to evaluate the shoulder joint mainly for ligamentous and tendon related pathologies. Moreover it also plays a vital role for assessment of bones.
• Routine MRI examination of the shoulder typically includes images acquired in the axial, oblique axial and oblique sagittal planes. It is important to angle the oblique coronal axis such that the rotator cuff tendons can be visualized in continuity.

Guidelines:

The American College of Radiology (ACR) ¹ and European Society of Musculoskeletal Radiology (ESSR) ² have published separate guidelines on the image planes and coverage of shoulder MRI.

Based on the guidelines there are two parameters:

• Adequate coverage
• Adequate imaging planes