Rheumatoid Arthritis Screening MRI Protocol for Wrist, Hand & Foot

by Steven Needell, M.D.

"RA" MRI Protocol:

Coronal 3D T1 GRE
Coronal STIR
Axial STIR

Anatomic Coverage:

    Include distal radio-ulnar joint (DRUJ) through MCP joints
  • HAND
    Include MCP joints through DIP joints
Note: For a WRIST exam, always make sure to include the distal radio-ulnar joint (DRUJ).If the patient has a very large hand, the MCP joints may not be able to be imaged completely.


LONG AXIS "CORONAL" IMAGE OF FOREFOOT Include Metatarsal-cuneiform joints through MTP joints

The "Coronal" plane of the forefoot here refers to the longitudinal (long axis) plane. In true anatomic position, this is actually an axial image, but is more commonly referred to by MRI techs as "coronal" of the forefoot.
For information regarding routine image of the ankle & foot, visit: <www.bocaradiology.com/foot>