IRM – Fișă de orientare pentru alegerea protocolului Body (MCB)

St Vincents & Optimal Imaging Body MRI Protocols Cheat Sheet Ask a body Radiologist (Carter, Jurasic, Howard or Taylor) if you are unsure of which protocol to use after reviewing the exam indication and patient history. GENERAL BODY PROTOCOLS Indications Protocol Order Abdomen abd liver, spleen, adrenal & renal indications;
any other abdominal indication which does not have a more specific protocol Pelvis (Unisex) pel ovarian mass, endometriosis, pelvic pain, lymphadenopathy, inguinal hernia;
any other pelvis indication which does not have a more specific protocol AP Combo abd/pel must be approved by a body Radiologist; ordered specifically as abdomen & pelvis;
many AP orders do not actually need to be both abdomen & pelvis Pancreas abd pancreatic mass, pancreatitis, pancreatic duct dilatation, pancreatic divisum; gallstones, cholelithiasis, cholecystitis, biliary dilatation, choledocholithiasis, jaundice, RUQ/epigastric pain MRCP abd gallstones, cholelithiasis, cholecystitis, biliary dilatation, choledocholithiasis, jaundice, pancreatitis, RUQ/epigastric pain; usually ordered specifically as MRCP Eovist abd must be approved by a body Radiologist; ordered specifically as Eovist protocol;
FNH versus adenoma after inconclusive standard liver MRI, cholangiocarcinoma, biliary anatomy, bile leak, hepaticojejunostomy evaluation, presurgical evaluation in colon metastases to the liver bladder mass, bladder diverticulum, cystitis, urethral/periurethral diverticulum Bladder pel Urography abd/pel must be approved by a body Radiologist; ordered specifically as urography protocol;
renal/ureteral stones, hydronephrosis, hydroureter, hematuria, bladder mass. Enterography entero inflammatory bowel disease, Crohn's disease, ulcerative colitis, bowel obstruction, bowel fistula, small bowel or colon mass; ordered specifically as enterography protocol rectal or anal mass/cancer Rectal/Anal Mass pel fistulas involving the rectum, colon, bladder or vagina (not for anal/perianal fistulas) Pelvic Fistula pel anal/perianal fistulas (not for other pelvic fistulas) Anal Fistula pel Uterus pel uterine, endometrial, cervical & vaginal cancer; fibroids/leiomyomas & adenomyosis;
vaginal, dysfunctional & post menopausal bleeding; gestational trophoplastic disease Uterus Congenital pel congenital uterine / Mullerian duct anomalies; septate, arcuate bicornuate, unicornuate or didelphys uterus prostate cancer, prostatitis, prostate abscess; any other prostate indications Prostate pel Penis/Scrotum pel testicular, penile & scrotal tumors; infection, abscess, pain or trauma;
implant integrity/malfunction Pelvic Floor
fecal/urinary incontinence, constipation, urinary stasis, rectocele, cystocele, vaginal/uterine prolapse; ordered specifically as defecography protocol (Defacography) defac Pregnant Patient abd/pel must be approved by a Radiologist; pregnant patients with pain, appendicitis, hydronephrosis, cholecystitis, pancreatitis Placenta pel must be approved by a Radiologist; morbidly adherent placenta, placenta accreta, increta or percreta, placenta previa, placental abruption

St Vincents & Optimal Imaging Body MRI Protocols Cheat Sheet ER Adult abd/pel must be approved by a Radiologist; ordered from ER when patient refuses CT or CT is malfunctioning Pediatic abd/pel must be approved by a Radiologist; pediatric patients with pain, appendicitis, hydronephrosis, cholecystitis, pancreatitis bronchogenic, pericardial, mediastinal & thymic masses; mediastinal/hilar lymphadenopathy Chest chest ANGIO BODY PROTOCOLS Indications Protocol Order aortic aneurysm/dissection, pulmonary embolus MRA Chest chest renal artery stenosis, fibromuscular dysplasia, renovascular hypertension MRA Renal abd mesenteric ischemia, celiac or superior mesenteric artery stenosis, portal vein thrombosis MRA Mesenteric abd pre surgical uterine artery embolization, pelvic renal transplant MRA Pelvis pel Updated 9/24/2025