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TRA Reference Material




St Anthony
St Clare
St Francis
St Joseph
Milgard Center

Medical References


Shoulder Arthrography
Hip Injections
Gadolinium Arthrography Mixture
Anticoagulation & Spine LP
16 Slice CTA Head & Neck
AAST Trauma Grading
Coronary CT Techniques at St Joseph
Rapid Rule Out Coronary CTA

General Information

Fetal Vulnerabilities
Intussusception Reduction
Pediatric Emergencies Reference
Neck Lymph Node Stations
Incidental Pulmonary Nodule on CT
Adrenal Adenoma CT
Appendicitis in Pregnancy MR
Iodinated Contrast
Contrast Information Potpourri - UW
McKesson Keyboard Shortcuts

MRI Protocols

Neuro Protocols

Head & Neck

MSK Protocols

Mass vs Cyst

CT Protocols

Neuro CT
Chest CT
Abdomen CT

Web Sites

TRA Schedule (QGenda)
MESA Calcium Score Calculator
TRA Medical Imaging

The purpose of this seemingly complicated approach to osteomyelitis is to streamline the protocol so we can perform the exams on a consistent basis to obtain adequate diagnostic information within a reasonable amount of scanning time.

For all osteomyelitis cases, post contrast sequences are needed for evaluation of bone viability. If intravenous contrast cannot be administered due to severe renal insufficiency or allergy, please refer to routine protocol to scan the patient.

Ulcers should be marked before scanning is initiated.

Please acquire sequences in the order listed in the protocol.

If there is difficulty completing the last post contrast sequence (e.g. pt. motion, pt. pain, scanner shut down etc.), there is no need to repeat the specific sequence

Foot osteomyelitis

Osteomyelitis forefoot or midfoot (ulcer at tip of foot - distal ulcer)

If ulcer at medial or lateral foot, choose short axis plane for pre and post contrast T1 FS. Optional post contrast sequence: cor post contrast T1 FS

Osteomyelitis forefoot or midfoot (ulcer at dorsal or plantar foot)

Osteomyelitis forefoot or midfoot (ulcer at medial or lateral foot)

Ankle / hindfoot osteomyelitis

Setup as ankle MR

ax - axial to tibia/fibula

cor - coronal distal tibial sigmoid notch

sag - perpendicular to coronal plane

Osteomyelitis hindfoot or ankle (ulcer at posterior hindfoot / ankle)

Osteomyelitis hindfoot or ankle (ulcer at dorsal or plantar hindfoot)

Osteomyelitis hindfoot or ankle (ulcer at medial or lateral hindfoot / ankle)

Osteomyelitis post surgical stump (below the knee or above the knee amputation)

Other long bone osteomyelitis

Please refer to ankle osteomyelitis for plane selection of pre and post contrast sequences.