MRI ELBOW IMAGING - How I Do It 

I use the knee coil but have the patient lay on their side so that their arm remains supinated. The key is to use lots of sponges, cushions, pillows and sandbags so that the patient is as comfortable as possible! Using fast imaging sequences also makes a big difference 👍

I like to position most of my patients in the left or right lateral sideline, like the 2nd pt position. Flex coil over extended arm and sandbag. Best way to get isocenter on most patients. Thick pads down the length of the table, to lay on. Thin pillow under axilla for side down, thin pillow under head and above the extended arm with headphones backwards to avoid cord draping down into the patients face. Pillow between knees and a pillow behind the shoulder and back and the sidewall of the magnet for support while in sideling position. I always let the pt know how far into the magnet bore they are so they don't fall backwards off the table. Works for most.. older Espree 1.5T wide bore. Downside is sore shoulder at the end.

Dude! Thanks for posting this on Reddit. I didn't know you had a channel. Subbing now.....

I use body coil. Patient laying on his/her's back, arm in supine position, and body coil on top of the arm. Images are great.

Thanks for the tips! I dislike elbows mostly because I wind up with large patients that struggle with any position and trying to keep them isocenter.

Great video! I like the most comfortable position( the 2nd one) because its better for those that image kids. My question is: when using this particular position, how do you enter patients position in the system so that images will appear in the anatomical position when viewed?

Excellent explanation 👌

you are a legend, thanks man for this really useful videos !

Awesome 👍👍👍

Also, take into account that many patients with elbow problems may also have shoulder problems, and are unable to fully lift their arms above their heads, which makes the supine position the most robust position IMO. On a related note, did you swap phase for the supine position (from L/R to H/F) for the Coronal views or (L/R to A/P) for the axials?

Nice

Make video on Perfusion in detail

Nice explanation!!! I would only do in super man position since i only had the knee coil and the bore of the magnet is smaller, elbow is one of the region am not looking forward to scan on closed magnet MRI

Happy New Year Bac !!🎉🎉🎊🎊🎊🎊

Thank you!!! Happy New Year!!!

knee coil is optimum ,I do it. Just need a well prepared fast protocol

I dont have elbow coil and flex coil, so we do some uncomfort position for patient with genu or anterior coil if patient in supine position. 😢

I would like to do some videos for the Older systems... b17 and b19 software.. lots of them still out there and lots of people need tutorials!! My Question is how do you video this? I would think setting up a camera in front of the screen interferes with actually using the keyboard, and seeing what you are doing.

Hi! Can we please have some tips for the 3D colangiography in free breathing? Maybe in a 3T scanner

T2 without fat sat… old skool sequences. Also, generally want a FABS view around the elbow if the distal biceps is to be accurately assessed.

Hi Bac, again asweome video, what is "ia" how can you activated ? thanks again

Excellent video, what patient position do you choose in the mri for the three options?

Nice . Viet Nam (y)

👍🏻

How do you do elbow imaging at your site? ☺️

Anders ser ikke ut til å trivest så veldig godt i knespolen 😅. Prøver alltid å få pasienten i sideleie med armen opp dersom det er mulig. Jeg har aldri benyttet knespole men tenker jeg burde på pasienter som er fleksible nok. Vi har dessverre kun 4 kanals flex på vår aldrende Aera.

Remember that the elbow and palm do not have to face up. As long as the elbow and wrist are in the same plane, ie not pronated scans will work perfectly. The key is patient comfort. I go for prone with the hand and elbow at 90 degrees, like a lateral elbow X ray position. Good localisers and off you go. Supine for those patients with immobility issues. These tend to have breathing artifacts at times though. Does anyone have a way around this??

do you know speak vietnamese

But the hand should be supinated for a true position

I position my Elbow, depending on the Patient physique. If the patient have relatively long arm, I use knee Coil due to its higher channels and better SNR. The rest I go with flex coils. Challenge always arise to Hyperstenic short patient. Manual Shimming and setting fat sat to "joint" helps with homogeneity. God I hope Siemens manufacture exclusive elbow coil, it will be heaven sent lol.