Table 2:
Suggested MRI protocol for primary tumor evaluation at all sites.
| Plane | Sequence | Contrast phase | Coverage | Required/Optional | Comment |
|---|---|---|---|---|---|
| MRI Without and With Contrast | |||||
| Coronal | T1W | Pre-contrast | Joint through joint (Appendicular) | Required | Best sequence for evaluation of tumor extent and skip metastases |
| Coronal | STIR or T2W Fat Suppressed | Pre-contrast | Joint through joint (Appendicular) | Required | |
| Sagittal | STIR or T2W Fat Suppressed | Pre-contrast | Joint through joint (Appendicular) | Recommended | Added value for the vertebra and at many joints |
| Axial | T1W | Pre-contrast | Required | ||
| Axial | STIR or T2W Fat Suppressed | Pre-contrast | Required | ||
| Axial | DWI | Pre-contrast | Optional | b = 0, 900 | |
| Axial | T1W Fat Suppressed | Post-contrast | Required | ||
| Coronal | T1W Fat Suppressed | Post-contrast | Joint through joint (Appendicular) | Required | |
| Sagittal | T1W Fat Suppressed | Post-contrast | Joint through joint (Appendicular) | Required | |