Imaging Protocols

Indication

Acute neurological deficit, stroke pathway, hemorrhage exclusion.

Preparation

Check onset time, anticoagulation history and previous imaging if available.

Coverage

Foramen magnum to vertex; add CTA/CTP if requested by stroke pathway.

Contrast

Non-contrast for initial brain CT; IV contrast only for CTA/CTV or specific indication.

Acquisition

• Non-contrast axial CT brain
• Thin slices with multiplanar reformats
• CTA head/neck if large vessel occlusion is suspected

Report focus

• Hemorrhage
• Early ischemic change
• ASPECTS when relevant
• Mass effect/midline shift
• Large vessel occlusion on CTA

Indication

Suspected pulmonary embolism, unexplained hypoxia or chest pain.

Preparation

Check renal function, contrast allergy, pregnancy status when relevant and IV access quality.

Coverage

Lung apices to adrenal glands.

Contrast

IV iodinated contrast with bolus tracking in main pulmonary artery.

Acquisition

• Single arterial phase timed for pulmonary arteries
• Thin-section axial data
• Coronal/sagittal MPR and MIP

Report focus

• PE level and burden
• Right heart strain
• Pulmonary infarct
• Alternative chest diagnosis
• Incidental important findings

Indication

Abdominal pain, infection, malignancy follow-up, general abdomen assessment.

Preparation

Fasting if possible; oral contrast only when locally indicated.

Coverage

Diaphragm to symphysis pubis.

Contrast

IV iodinated contrast unless contraindicated; typical portal venous delay 65-80 seconds.

Acquisition

• Portal venous phase
• Axial thin slices
• Coronal and sagittal reformats

Report focus

• Solid organs
• Bowel and mesentery
• Nodes/peritoneum
• Vessels
• Bones and lung bases

Indication

HCC, hypervascular lesion, liver metastases characterization.

Preparation

Fasting preferred; review prior liver imaging and tumor markers if available.

Coverage

Liver-focused upper abdomen; include pelvis if oncologic staging requires it.

Contrast

IV iodinated contrast with arterial bolus timing.

Acquisition

• Non-contrast
• Late arterial phase
• Portal venous phase
• Delayed phase when required

Report focus

• Arterial hyperenhancement
• Washout/capsule
• Vascular invasion
• Biliary dilatation
• Extrahepatic disease

Indication

Renal colic, ureteric stone, hydronephrosis assessment.

Preparation

No contrast; low-dose technique when appropriate.

Coverage

Kidneys through bladder base.

Contrast

No IV contrast.

Acquisition

• Non-contrast low-dose CT
• Thin axial slices
• Coronal reformats

Report focus

• Stone site and size
• Obstruction grade
• Perinephric stranding
• Alternative diagnosis
• Renal calculi burden

Indication

Aneurysm, dissection, acute limb ischemia, peripheral arterial disease.

Preparation

Large-bore IV access, renal function, timing according to target vessels.

Coverage

Thoracic/abdominal aorta as requested; runoff from diaphragm or aortic bifurcation to feet.

Contrast

IV iodinated contrast with bolus tracking in aorta.

Acquisition

• Arterial phase CTA
• Thin slices
• MIP/VR reconstructions

Report focus

• Aneurysm/dissection
• Stenosis/occlusion
• Runoff vessels
• Thrombus/calcification
• Access planning measurements

Indication

Headache, seizure, tumor, demyelination, cognitive or neurological symptoms.

Preparation

Screen for MRI safety, implants, renal function if contrast is planned.

Coverage

Whole brain from foramen magnum to vertex.

Contrast

Gadolinium for tumor, infection, inflammation, metastases or postoperative assessment.

Acquisition

• Axial T2/FLAIR
• DWI/ADC
• SWI/GRE
• Sagittal T1
• Post-contrast T1 if indicated

Report focus

• Diffusion restriction
• White matter lesions
• Hemorrhage/microbleeds
• Mass/enhancement
• Atrophy and extra-axial spaces

Indication

Pituitary adenoma, hyperprolactinemia, sellar/suprasellar lesion.

Preparation

MRI safety; renal function for contrast; endocrine context helpful.

Coverage

Sellar region with whole-brain localizers.

Contrast

Dynamic gadolinium protocol is preferred for microadenoma.

Acquisition

• Thin coronal and sagittal T1
• Thin coronal T2
• Dynamic post-contrast coronal T1
• Delayed post-contrast T1

Report focus

• Micro/macroadenoma
• Cavernous sinus invasion
• Optic chiasm compression
• Stalk deviation
• Apoplexy/hemorrhage

Indication

Back pain, radiculopathy, stenosis, disc disease, postoperative symptoms.

Preparation

MRI safety; contrast for infection, tumor or postoperative scar assessment.

Coverage

T12/L1 to sacrum; include conus.

Contrast

Usually non-contrast; gadolinium for tumor, infection, postoperative or inflammatory disease.

Acquisition

• Sagittal T1
• Sagittal T2
• Sagittal STIR
• Axial T2 through discs/levels
• Post-contrast if indicated

Report focus

• Alignment
• Disc herniation
• Canal/lateral recess/foraminal stenosis
• Nerve root compression
• Marrow/conus findings

Indication

Elevated PSA, lesion detection, local staging, active surveillance.

Preparation

Antiperistaltic agent if used locally; avoid post-biopsy hemorrhage interval when possible.

Coverage

Prostate and seminal vesicles; include pelvis for nodes if staging.

Contrast

Gadolinium for multiparametric MRI unless biparametric protocol is used.

Acquisition

• High-resolution axial/coronal/sagittal T2
• DWI with high b-value and ADC
• Dynamic contrast-enhanced T1
• Axial T1 pelvis

Report focus

• PI-RADS lesion
• Location/size
• Extraprostatic extension
• Seminal vesicle invasion
• Nodes/bone lesions

Indication

Biliary obstruction, stones, pancreatobiliary anatomy, PSC.

Preparation

Fasting 4-6 hours when possible; antiperistaltic agent if used locally.

Coverage

Liver hilum, biliary tree and pancreas.

Contrast

Often non-contrast; gadolinium if mass, inflammation or liver lesion assessment is needed.

Acquisition

• Heavily T2 2D/3D MRCP
• Axial/coronal T2
• T1 in/out of phase
• DWI
• Contrast-enhanced liver/pancreas protocol if needed

Report focus

• Duct caliber
• Filling defects/stones
• Stricture level
• Mass lesion
• Pancreatic duct anatomy

Indication

Abdominal pain, liver/gallbladder disease, renal or splenic assessment.

Preparation

Fasting 6 hours preferred for gallbladder and upper abdominal assessment.

Coverage

Liver, gallbladder, bile ducts, pancreas where visible, spleen, kidneys, aorta and free fluid.

Contrast

No routine contrast.

Acquisition

• Gray-scale survey
• Targeted Doppler where indicated
• Measurements of organs/ducts/lesions

Report focus

• Liver echotexture/focal lesions
• Gallstones/cholecystitis
• Bile duct caliber
• Hydronephrosis
• Ascites

Indication

Thyroid nodule, goiter, thyroiditis, follow-up.

Preparation

No special preparation.

Coverage

Both lobes, isthmus and cervical nodes.

Contrast

No routine contrast.

Acquisition

• Longitudinal and transverse gray-scale
• Color Doppler
• Nodule measurements in three planes

Report focus

• Nodule composition/echogenicity/margins/echogenic foci
• TI-RADS features
• Suspicious nodes
• Thyroiditis pattern
• Interval change

Indication

Pelvic pain, abnormal bleeding, ovarian cyst/mass, fertility assessment.

Preparation

Full bladder for transabdominal; consent and empty bladder for transvaginal when performed.

Coverage

Uterus, endometrium, cervix, ovaries, adnexa and pouch of Douglas.

Contrast

No routine contrast.

Acquisition

• Transabdominal survey
• Transvaginal high-resolution imaging
• Color Doppler for adnexal pathology

Report focus

• Uterine size and fibroids
• Endometrial thickness/pattern
• Ovarian lesion morphology
• Adnexal mass/torsion signs
• Free fluid

Indication

TIA/stroke workup, carotid bruit, stenosis follow-up.

Preparation

No special preparation; optimize neck position.

Coverage

CCA, bulb, ICA, ECA and vertebral arteries bilaterally.

Contrast

No routine contrast.

Acquisition

• Gray-scale plaque assessment
• Color Doppler
• Spectral Doppler PSV/EDV
• ICA/CCA ratio

Report focus

• Plaque morphology
• ICA stenosis category
• Peak velocities and ratio
• Vertebral flow direction
• Near occlusion/occlusion

Indication

Suspected DVT, limb swelling or pain.

Preparation

No special preparation.

Coverage

Common femoral to calf veins; include symptomatic area.

Contrast

No routine contrast.

Acquisition

• Compression ultrasound
• Color Doppler
• Spectral waveform phasicity
• Calf vein assessment when required

Report focus

• Compressibility
• Thrombus extent and age features
• Deep vs superficial veins
• Reflux if requested
• Alternative cause of swelling

Indication

Hypertension, suspected renal artery stenosis, renal dysfunction.

Preparation

Fasting preferred to reduce bowel gas.

Coverage

Aorta, main renal arteries, intrarenal segmental/interlobar arteries and kidneys.

Contrast

No routine contrast.

Acquisition

• Aortic PSV
• Renal artery PSV at origin/proximal/mid/distal
• RAR
• Intrarenal RI and acceleration time
• Kidney length

Report focus

• Elevated PSV/RAR
• Tardus-parvus waveform
• Kidney size asymmetry
• Accessory artery limitation
• Technical limitations

Indication

Dysphagia, reflux symptoms, stricture, motility assessment.

Preparation

Fasting; check aspiration risk and contrast choice.

Coverage

Pharynx to gastroesophageal junction; include stomach if requested.

Contrast

Barium unless perforation suspected; water-soluble contrast if leak/perforation concern.

Acquisition

• AP/lateral cervical swallow when indicated
• Esophageal double/single contrast views
• Prone RAO motility assessment
• Timed/targeted images

Report focus

• Aspiration
• Stricture/ring/web
• Mass or mucosal lesion
• Motility disorder
• Hiatus hernia/reflux

Indication

Interstitial lung disease, fibrosis, small airway disease or unexplained dyspnea.

Preparation

Full inspiration coaching; add expiratory images for air trapping if requested.

Coverage

Thoracic inlet to adrenal glands.

Contrast

No IV contrast for routine HRCT.

Acquisition

• Thin-section inspiratory HRCT
• Prone images if dependent change is suspected
• Expiratory images for air trapping
• Coronal/sagittal reformats

Report focus

• Fibrosis pattern
• Honeycombing/traction bronchiectasis
• Ground-glass opacity
• Air trapping
• Distribution and progression

Indication

Pulmonary nodule surveillance or incidental nodule follow-up.

Preparation

Compare with all previous studies; low-dose technique where appropriate.

Coverage

Lung apices to bases.

Contrast

No IV contrast for routine nodule follow-up.

Acquisition

• Low-dose non-contrast chest CT
• Thin slices <= 1.5 mm
• Lung and mediastinal kernels
• MPR if needed

Report focus

• Size and volume
• Solid/subsolid morphology
• Growth
• Calcification/fat
• Fleischner-style recommendation

Indication

Neck mass, infection, lymphadenopathy, aerodigestive tract lesion.

Preparation

Check renal function and contrast allergy; remove dental artifacts when possible.

Coverage

Skull base to thoracic inlet.

Contrast

IV iodinated contrast unless contraindicated.

Acquisition

• Post-contrast venous phase
• Thin axial slices
• Coronal/sagittal reformats
• Dental artifact reduction if available

Report focus

• Primary lesion site
• Deep neck spaces
• Abscess vs cellulitis
• Nodal stations
• Airway and vascular complications

Indication

Chronic sinusitis, pre-FESS planning, polyposis.

Preparation

No contrast; remove facial metallic items when possible.

Coverage

Frontal sinuses through maxillary alveolus.

Contrast

No IV contrast for routine sinus CT.

Acquisition

• Thin non-contrast CT
• Bone algorithm
• Coronal and sagittal reformats

Report focus

• Ostiomeatal units
• Mucosal disease
• Anatomic variants
• Bone erosion
• Dental source

Indication

Hearing loss, cholesteatoma, trauma, ossicular or mastoid disease.

Preparation

No contrast for routine bony assessment.

Coverage

Bilateral temporal bones.

Contrast

No IV contrast unless soft tissue complication is suspected.

Acquisition

• Ultra-thin non-contrast CT
• Bone algorithm
• Axial and coronal reformats
• Stapes/ossicular reformats if needed

Report focus

• Ossicles
• Scutum/tegmen
• Mastoid/middle ear opacification
• Inner ear anatomy
• Facial nerve canal

Indication

Hematuria, urothelial tumor, collecting system assessment.

Preparation

Hydration; check renal function and contrast allergy.

Coverage

Kidneys through bladder.

Contrast

IV iodinated contrast with delayed excretory imaging.

Acquisition

• Non-contrast phase
• Nephrographic phase
• Excretory phase
• Coronal MIP/MPR

Report focus

• Stones
• Renal mass
• Urothelial filling defect
• Hydronephrosis
• Bladder lesion

Indication

Adrenal incidentaloma or adrenal lesion characterization.

Preparation

Review non-contrast HU and prior imaging.

Coverage

Upper abdomen/adrenals.

Contrast

IV iodinated contrast for washout when indicated.

Acquisition

• Non-contrast
• Portal venous phase
• 15-minute delayed phase
• Washout calculation

Report focus

• Size
• Non-contrast HU
• Absolute/relative washout
• Macroscopic fat/hemorrhage
• Growth or suspicious features

Indication

Pancreatic mass, adenocarcinoma staging, pancreatitis complication.

Preparation

Fasting preferred; review bilirubin/stent status if available.

Coverage

Diaphragm to iliac crests; include pelvis for staging if needed.

Contrast

IV iodinated contrast with pancreatic phase timing.

Acquisition

• Pancreatic arterial phase
• Portal venous phase
• Thin slices
• Coronal/sagittal MPR

Report focus

• Mass size/location
• Duct obstruction
• Arterial/venous involvement
• Nodes/metastases
• Resectability features

Indication

Crohn disease, small bowel inflammation, obscure GI symptoms.

Preparation

Oral neutral contrast distension; fasting; antiperistaltic agent if used locally.

Coverage

Diaphragm to symphysis pubis.

Contrast

IV iodinated contrast plus oral neutral contrast.

Acquisition

• Enteric phase abdomen/pelvis
• Thin axial slices
• Coronal reformats

Report focus

• Mural hyperenhancement
• Wall thickening
• Stricture/fistula/abscess
• Comb sign
• Extraintestinal complications

Indication

Colorectal cancer screening or incomplete colonoscopy.

Preparation

Bowel prep, fecal tagging and colonic insufflation.

Coverage

Diaphragm to pelvis in supine and prone/decubitus positions.

Contrast

No IV contrast for screening unless clinically indicated.

Acquisition

• Low-dose supine scan
• Low-dose prone or decubitus scan
• 2D and 3D review

Report focus

• Polyps/masses
• Segmental collapse
• Diverticular disease
• Extracolonic findings
• C-RADS category

Indication

Major trauma, polytrauma, high-energy mechanism.

Preparation

Trauma team coordination; IV access; immobilization and monitoring.

Coverage

Head, cervical spine, chest, abdomen and pelvis; extremities as indicated.

Contrast

IV iodinated contrast for torso trauma unless contraindicated.

Acquisition

• Non-contrast CT head/c-spine
• Arterial/portal venous trauma phases per protocol
• Spine/bone reformats
• CTA if vascular injury suspected

Report focus

• Life-threatening bleeding
• Solid organ injury
• Vascular injury
• Spine/pelvic fractures
• Pneumothorax and active extravasation

Indication

Stable chest pain, coronary artery anomaly, CAD assessment.

Preparation

Heart rate control, nitrates if appropriate, renal function and contrast allergy check.

Coverage

Carina to cardiac base.

Contrast

IV iodinated contrast with coronary timing.

Acquisition

• ECG-gated coronary CTA
• Calcium score if requested
• Thin reconstructions
• Curved planar and MIP reformats

Report focus

• Calcium score
• Stenosis severity
• Plaque type
• Anomalous origin/course
• CAD-RADS style summary

Indication

Seizure, focal epilepsy, pre-surgical evaluation.

Preparation

MRI safety; review EEG/semiology if available.

Coverage

Whole brain with high-resolution temporal lobe imaging.

Contrast

Usually non-contrast unless tumor/inflammation is suspected.

Acquisition

• 3D T1
• Coronal oblique T2 perpendicular to hippocampus
• Coronal FLAIR
• DWI/ADC
• SWI/GRE

Report focus

• Hippocampal sclerosis
• Cortical dysplasia
• Tumor/vascular malformation
• Old injury
• Migration anomaly

Indication

Multiple sclerosis, optic neuritis, demyelinating disease follow-up.

Preparation

MRI safety; use comparable protocol to prior studies.

Coverage

Whole brain; add spine/orbits if clinically indicated.

Contrast

Gadolinium for active plaque assessment when requested.

Acquisition

• Sagittal FLAIR
• Axial T2/FLAIR
• DWI/ADC
• T1 pre/post contrast when active disease is assessed
• 3D FLAIR if available

Report focus

• Periventricular/juxtacortical/infratentorial lesions
• New/enlarging lesions
• Enhancement
• Black holes
• Atrophy

Indication

Optic neuritis, orbital mass, thyroid eye disease, visual symptoms.

Preparation

MRI safety; renal function for contrast.

Coverage

Orbits and optic pathways; include brain screening sequences.

Contrast

Gadolinium commonly used for optic neuritis, mass or inflammation.

Acquisition

• Thin axial/coronal T1 and T2 fat-sat
• DWI if mass/infection
• Post-contrast fat-sat T1
• Brain FLAIR/DWI as indicated

Report focus

• Optic nerve signal/enhancement
• Extraocular muscles
• Orbital apex/cavernous sinus
• Mass/inflammation
• Intracranial lesions

Indication

Sensorineural hearing loss, tinnitus, vestibular schwannoma.

Preparation

MRI safety; contrast unless high-resolution non-contrast screening protocol is used.

Coverage

CPA cisterns, IACs and inner ears.

Contrast

Gadolinium for schwannoma/inflammatory assessment.

Acquisition

• Thin high-resolution T2 CISS/FIESTA
• Pre/post contrast T1
• Axial FLAIR/DWI brain screening

Report focus

• IAC/CPA mass
• Labyrinth signal
• Facial/vestibulocochlear nerves
• Brainstem/cerebellum
• Mastoid/middle ear

Indication

Neck pain, myelopathy, radiculopathy, trauma follow-up.

Preparation

MRI safety; contrast for tumor, infection or postoperative assessment.

Coverage

Skull base to upper thoracic spine.

Contrast

Usually non-contrast unless infection, tumor or postoperative indication.

Acquisition

• Sagittal T1/T2/STIR
• Axial T2 through levels
• Gradient echo if cord hemorrhage/calcification needed
• Post-contrast if indicated

Report focus

• Cord signal
• Canal stenosis
• Foraminal stenosis
• Disc/osteophyte complex
• Alignment and marrow

Indication

Rotator cuff tear, instability, labral or impingement symptoms.

Preparation

MRI safety; arthrogram if labral detail is required.

Coverage

Shoulder joint including AC joint and proximal humerus.

Contrast

Non-contrast routine; MR arthrogram for labral/instability workup.

Acquisition

• Coronal oblique PD/T2 fat-sat
• Sagittal oblique T2/PD
• Axial PD fat-sat
• T1 if marrow/labrum assessment

Report focus

• Rotator cuff tendons
• Muscle atrophy
• Labrum/biceps anchor
• Cartilage
• AC/subacromial changes

Indication

Meniscal tear, ligament injury, cartilage or internal derangement.

Preparation

MRI safety; position knee coil comfortably to reduce motion.

Coverage

Distal femur through proximal tibia/fibula.

Contrast

No routine IV contrast.

Acquisition

• Sagittal PD/T2 fat-sat
• Coronal PD/T2 fat-sat
• Axial PD/T2 fat-sat
• T1 or non-fat-sat PD as local protocol

Report focus

• Menisci
• ACL/PCL/MCL/LCL
• Cartilage
• Bone marrow edema/fracture
• Effusion/synovitis

Indication

Tendon injury, ligament tear, osteochondral lesion, stress fracture.

Preparation

MRI safety; localize pain site.

Coverage

Ankle or foot region of interest with joint-centered planes.

Contrast

Usually non-contrast; gadolinium for infection, inflammatory disease or mass.

Acquisition

• T1
• PD/T2 fat-sat in three planes
• Axial tendon-focused images
• Post-contrast if infection/tumor suspected

Report focus

• Tendons
• Ligaments
• Osteochondral lesions
• Stress injury
• Sinus tarsi/plantar fascia

Indication

Endometriosis, uterine/cervical mass, adnexal lesion, pelvic pain.

Preparation

Antiperistaltic agent if used; bladder moderately filled; vaginal/rectal gel per protocol if endometriosis.

Coverage

Pelvis from iliac crests to perineum.

Contrast

Gadolinium for tumor characterization/staging; not always needed for endometriosis mapping.

Acquisition

• Axial/sagittal/coronal T2
• Axial T1
• T1 fat-sat for blood/fat
• DWI/ADC
• Post-contrast if mass/staging

Report focus

• Uterus/endometrium/cervix
• Ovaries/adnexa
• Deep endometriosis compartments
• Nodes
• Peritoneal disease

Indication

Primary rectal cancer staging or restaging after neoadjuvant therapy.

Preparation

Antiperistaltic agent if used; small rectal gel only per local protocol.

Coverage

Rectum and mesorectum with pelvis overview.

Contrast

Not always required for primary staging; may be used in restaging/local protocol.

Acquisition

• High-resolution oblique axial T2 perpendicular to tumor
• Sagittal T2
• Coronal T2
• DWI/ADC
• T1 pelvis/nodes

Report focus

• Tumor height
• T stage
• CRM/MRF
• EMVI
• Nodal disease and sphincter involvement

Indication

Hydronephrosis, renal colic follow-up, hematuria, renal size.

Preparation

Hydration/full bladder if bladder assessment required.

Coverage

Both kidneys, bladder and post-void residual when requested.

Contrast

No routine contrast.

Acquisition

• Longitudinal/transverse kidneys
• Cortical thickness/echogenicity
• Bladder pre/post void volume
• Color Doppler ureteric jets if needed

Report focus

• Hydronephrosis
• Stones
• Renal masses/cysts
• Bladder lesion
• Post-void residual

Indication

Scrotal pain, swelling, torsion, epididymo-orchitis, mass.

Preparation

No special preparation; urgent scan for torsion symptoms.

Coverage

Both testes, epididymides and scrotal soft tissues.

Contrast

No routine contrast.

Acquisition

• Gray-scale both testes
• Color/power Doppler
• Spectral Doppler if torsion suspected
• Measure focal lesions

Report focus

• Testicular perfusion
• Mass vs inflammatory change
• Epididymis
• Hydrocele/varicocele
• Torsion signs

Indication

Palpable lump, focal pain, mammographic correlate, young/lactating patient.

Preparation

Correlate with mammography and clinical site; document clock-face location.

Coverage

Targeted area plus axilla when indicated.

Contrast

No routine contrast.

Acquisition

• Radial/antiradial images
• Lesion measurements in three planes
• Color Doppler if useful
• Axillary node survey

Report focus

• BI-RADS descriptors
• Cystic vs solid
• Margins/orientation
• Posterior features
• Axillary nodes and recommendation

Indication

Palpable lump, hernia, collection, foreign body.

Preparation

Mark patient-reported site; compare contralateral side when useful.

Coverage

Targeted symptomatic region.

Contrast

No routine contrast.

Acquisition

• Gray-scale targeted scan
• Dynamic maneuvers for hernia
• Color Doppler
• Measure lesion/collection

Report focus

• Cystic/solid/fatty nature
• Vascularity
• Relationship to fascia/muscle
• Hernia neck/content
• Collection/foreign body

Indication

Arm swelling, catheter-related thrombosis, suspected upper limb DVT.

Preparation

No special preparation; note line/catheter site.

Coverage

Internal jugular, subclavian, axillary, brachial, basilic and cephalic veins as indicated.

Contrast

No routine contrast.

Acquisition

• Compression where anatomically possible
• Color Doppler
• Spectral phasicity
• Compare sides if needed

Report focus

• Thrombus location/extent
• Central venous waveform abnormality
• Catheter relation
• Superficial thrombophlebitis
• Alternative cause

Indication

Claudication, critical limb ischemia, stenosis/occlusion follow-up.

Preparation

Rest patient; document symptoms and prior intervention.

Coverage

Common femoral to pedal arteries bilaterally or target limb.

Contrast

No routine contrast.

Acquisition

• Gray-scale plaque survey
• Color Doppler
• Spectral waveform and PSV
• ABI correlation if available

Report focus

• Stenosis/occlusion site
• Velocity ratio
• Waveform quality
• Runoff
• Post-stent/graft patency

Indication

Cirrhosis, portal hypertension, portal vein thrombosis, TIPS follow-up.

Preparation

Fasting preferred to reduce bowel gas.

Coverage

Main/right/left portal veins, hepatic veins, hepatic artery, splenic vein and TIPS if present.

Contrast

No routine contrast.

Acquisition

• Color Doppler directionality
• Spectral velocities
• Liver/spleen/ascites assessment
• TIPS velocities if present

Report focus

• Portal flow direction
• Thrombosis/cavernoma
• Hepatic vein waveform
• TIPS stenosis signs
• Ascites/splenomegaly

Indication

Vomiting, malrotation, obstruction, postoperative anatomy.

Preparation

Fasting; choose contrast type according to aspiration/leak risk.

Coverage

Esophagus, stomach and duodenum to DJ flexure.

Contrast

Barium unless leak/perforation concern; water-soluble contrast if needed.

Acquisition

• Scout image
• Swallow/stomach filling views
• Duodenal C-loop and DJ position
• Delayed images if needed

Report focus

• Malrotation/volvulus
• Obstruction
• Reflux/aspiration
• Postoperative leak
• Gastric outlet/duodenal pathology

Indication

Vesicoureteric reflux, recurrent UTI, posterior urethral valves.

Preparation

Aseptic catheterization; explain voiding phase importance.

Coverage

Bladder, urethra during voiding and renal fossae for reflux.

Contrast

Dilute water-soluble iodinated contrast via catheter.

Acquisition

• Bladder filling images
• Oblique views
• Voiding urethral images
• Post-void image

Report focus

• Reflux grade
• Bladder contour
• Posterior urethra
• Residual volume
• Diverticula or urethral abnormality

Indication

Head injury, loss of consciousness or suspected skull fracture.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Vertex through skull base.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Hemorrhage
• skull fracture
• mass effect
• extra-axial blood
• herniation.

Indication

Stroke, TIA, dissection or aneurysm assessment.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Aortic arch through vertex.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Occlusion
• stenosis
• dissection
• aneurysm
• vascular variant.

Indication

Suspected dural venous sinus thrombosis.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Skull base to vertex in venous phase.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Sinus filling defect
• cortical veins
• hemorrhagic infarct
• edema
• collaterals.

Indication

Acute stroke triage and penumbra estimation.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Selected brain slab or whole-brain perfusion coverage.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Core
• penumbra
• mismatch
• motion limitation
• vascular territory.

Indication

Facial trauma or complex fracture assessment.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Frontal sinus through mandible.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Orbital walls
• zygoma
• mandible
• sinus hemorrhage
• entrapment.

Indication

Mandibular trauma, dental infection or lesion.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

TM joints through mandibular symphysis.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Fracture
• dental source
• abscess
• osteomyelitis
• TMJ alignment.

Indication

Orbital cellulitis, abscess, mass or trauma complication.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Orbits through cavernous sinuses.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Postseptal disease
• abscess
• optic nerve
• muscles
• cavernous sinus.

Indication

Mediastinal mass, infection, malignancy or chest symptoms.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Thoracic inlet to adrenal glands.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Mediastinum
• vessels
• nodes
• lung lesion
• pleura
• upper abdomen.

Indication

Acute chest/back pain or suspected aortic syndrome.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Thoracic inlet through femoral arteries when indicated.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Dissection flap
• entry tear
• branch vessels
• rupture
• malperfusion.

Indication

Cardiovascular risk assessment and coronary calcification.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Carina through cardiac base.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Agatston score
• vessel distribution
• incidental chest findings.

Indication

Pre-ablation pulmonary venous anatomy.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Left atrium and pulmonary veins.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Venous anatomy
• ostial measurements
• variants
• thrombus if visible.

Indication

Cancer staging or treatment response.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Thoracic inlet to symphysis pubis.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Target lesions
• nodes
• metastases
• complications
• response comparison.

Indication

Suspected esophageal leak or postoperative complication.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Neck/chest/upper abdomen depending on surgical site.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Contrast leak
• mediastinal air/fluid
• abscess
• pleural complication.

Indication

Acute abdominal pain with suspected bowel ischemia.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Diaphragm to pelvis.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Arterial occlusion
• venous thrombosis
• bowel enhancement
• pneumatosis.

Indication

Overt GI bleeding localization.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Diaphragm to symphysis pubis.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Active extravasation
• source level
• vascular lesion
• bowel pathology.

Indication

Renal lesion characterization and staging.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Kidneys through iliac crests or full abdomen/pelvis if staging.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Enhancement
• cystic features
• renal vein
• nodes
• Bosniak features.

Indication

Bladder rupture or postoperative bladder leak.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Pelvis with retrograde bladder distension.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Intra/extraperitoneal leak
• bladder wall defect
• pelvic collection.

Indication

Pelvic fracture, sacral injury or hip trauma.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Iliac crests through proximal femora.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Acetabulum
• sacrum
• femoral neck
• hematoma
• alignment.

Indication

Acute spine trauma and fracture assessment.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Region of interest with sagittal/coronal reformats.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Fracture pattern
• canal compromise
• alignment
• posterior elements.

Indication

Radiculopathy or spinal canal evaluation when MRI limited.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Target spinal region after intrathecal contrast.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Canal stenosis
• nerve root sleeve
• CSF block
• postoperative change.

Indication

Known or suspected brain tumor assessment.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Whole brain with lesion-centered post-contrast imaging.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Enhancement
• perfusion
• necrosis
• edema
• diffusion
• progression.

Indication

Acute or subacute ischemia assessment.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Whole brain with vascular sequences when needed.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• DWI/ADC
• FLAIR mismatch
• hemorrhage
• vessel occlusion
• perfusion.

Indication

Cognitive decline or neurodegenerative assessment.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Whole brain with volumetric T1.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Atrophy pattern
• vascular disease
• hippocampi
• NPH signs
• microbleeds.

Indication

Suspected normal pressure hydrocephalus or CSF flow disorder.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Brain and aqueduct region.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Ventriculomegaly
• callosal angle
• DESH
• aqueduct flow
• obstruction.

Indication

Cranial nerve V compression or CPA lesion.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Posterior fossa and trigeminal cisternal segments.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Neurovascular contact
• nerve atrophy
• CPA mass
• demyelination.

Indication

TMJ pain, locking or disc dysfunction.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Bilateral TMJs open and closed mouth.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Disc position
• reduction
• joint effusion
• condylar morphology.

Indication

Plexopathy, trauma, tumor or radiation injury.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Neck base through axilla.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Root avulsion
• plexus thickening
• mass
• denervation
• fibrosis.

Indication

Myelopathy, pain, tumor, infection or trauma.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Cervicothoracic junction through conus as needed.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Cord signal
• disc disease
• marrow
• epidural disease
• alignment.

Indication

Inflammatory back pain or sacroiliitis.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Sacroiliac joints and sacrum.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Bone marrow edema
• erosions
• ankylosis
• fat metaplasia
• active inflammation.

Indication

Hip pain, osteonecrosis, labral or marrow pathology.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Pelvis overview and affected hip small FOV.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• AVN
• labrum
• cartilage
• effusion
• marrow lesion
• tendons.

Indication

Ligament injury, TFCC, occult fracture or arthritis.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Distal forearm through metacarpal bases.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• TFCC
• scapholunate ligament
• marrow edema
• cartilage
• tendons.

Indication

Ligament/tendon injury, neuropathy or loose body.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Distal humerus through proximal forearm.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• UCL/LCL
• tendons
• cartilage
• ulnar nerve
• loose bodies.

Indication

Mass, tendon injury, arthritis or infection.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Target hand/finger with small FOV.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Tendon sheath
• pulley
• marrow
• joint
• soft tissue mass.

Indication

Focal liver lesion characterization or metastasis detection.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Whole liver and upper abdomen.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Arterial enhancement
• washout
• hepatobiliary phase
• diffusion
• vessels.

Indication

Pancreatic lesion, cyst, pancreatitis or ductal abnormality.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Pancreas and biliary tree.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Mass
• duct cutoff
• cyst communication
• vascular invasion
• nodes.

Indication

Crohn disease and small bowel inflammation.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Abdomen and pelvis after oral contrast distension.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Active inflammation
• stricture
• fistula
• abscess
• motility limitation.

Indication

Perianal fistula or abscess mapping.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Anal canal and perineum.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Internal opening
• tract type
• abscess
• supralevator extension
• sphincters.

Indication

Local staging of bladder tumor.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Pelvis centered on bladder.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Muscle invasion
• perivesical extension
• nodes
• ureteric obstruction.

Indication

Indeterminate scrotal mass or problem-solving.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Scrotum and inguinal canals.

Contrast

Use contrast/radiotracer according to the indication and local safety policy.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Intratesticular lesion
• enhancement
• hemorrhage/fat
• tunica invasion.

Indication

Right lower quadrant pain and suspected appendicitis.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Right lower quadrant and point of maximal tenderness.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Appendiceal diameter
• compressibility
• hyperemia
• appendicolith
• abscess.

Indication

Infant vomiting and suspected pyloric stenosis.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Epigastrium/pylorus.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Muscle thickness
• channel length
• gastric passage
• dehydration context.

Indication

Intermittent abdominal pain or currant jelly stool.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Whole abdomen with focus on colon course.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Target sign
• lead point
• free fluid
• bowel perfusion.

Indication

Prematurity, hemorrhage screen or hydrocephalus.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Coronal/sagittal views through fontanelle.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Germinal matrix hemorrhage
• ventricles
• PVL
• midline
• extra-axial fluid.

Indication

Developmental dysplasia of the hip.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Both hips in coronal and transverse planes.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Alpha angle
• femoral head coverage
• stability
• Graf type.

Indication

Hyperparathyroidism localization.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Thyroid bed and central/lateral neck.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Hypoechoic adenoma
• polar vessel
• ectopic site
• thyroid nodules.

Indication

Sialadenitis, stone, mass or Sjogren pattern.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Parotid/submandibular glands and ducts.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Duct dilatation
• calculus
• abscess
• mass
• gland heterogeneity.

Indication

Cirrhosis, portal hypertension or transplant surveillance.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Liver vessels and spleen/ascites survey.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Portal direction
• hepatic veins
• hepatic artery
• thrombosis
• ascites.

Indication

RUQ pain or suspected cholecystitis.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Gallbladder, CBD and liver hilum.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Stones
• wall thickening
• Murphy sign
• pericholecystic fluid
• CBD.

Indication

AAA screening or aneurysm follow-up.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Proximal to distal abdominal aorta and iliac bifurcation.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Max diameter
• thrombus
• iliac extension
• rupture signs.

Indication

Pain, bleeding or viability/dating.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Uterus, adnexa and cul-de-sac.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Gestational sac
• yolk sac
• embryo
• cardiac activity
• ectopic signs.

Indication

Routine second trimester anatomy survey.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Fetal anatomy, placenta, cervix and fluid.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Biometry
• anatomy checklist
• placenta
• amniotic fluid
• cervix.

Indication

Low placenta, prior cesarean or accreta risk.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Placenta-myometrium interface and cervix.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Lacunae
• myometrial thinning
• bridging vessels
• bladder interface.

Indication

Preeclampsia risk or placental insufficiency assessment.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Bilateral uterine arteries near crossover.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• PI
• notching
• symmetry
• gestational age correlation.

Indication

Fetal growth restriction or placental insufficiency.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Free loop umbilical cord.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• PI/S-D ratio
• absent/reversed EDF
• waveform quality.

Indication

Fetal anemia or brain-sparing assessment.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Proximal MCA near circle of Willis.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• PSV MoM
• PI
• angle correction
• fetal movement limitation.

Indication

High-risk fetal surveillance.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Ductus venosus at inlet.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• A-wave
• PI
• waveform quality
• fetal rhythm.

Indication

Erectile dysfunction vascular assessment.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Cavernosal arteries after pharmacologic stimulation.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• PSV
• EDV
• RI
• arterial insufficiency
• venous leak pattern.

Indication

AVF maturation, stenosis or access dysfunction.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Inflow artery, anastomosis, outflow vein and central waveform.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Flow volume
• stenosis velocity
• thrombosis
• aneurysm
• steal.

Indication

Vasospasm, sickle cell screening or intracranial flow.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Temporal/suboccipital/orbital windows.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Mean velocities
• Lindegaard ratio
• asymmetry
• window limitation.

Indication

Chronic mesenteric ischemia assessment.

Preparation

Optimize patient position and document technical limitation if present.

Coverage

Celiac and SMA fasting velocities.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• PSV thresholds
• respiratory variation
• stenosis
• collateral flow.

Indication

Infertility and tubal patency assessment.

Preparation

Check indication, consent/safety requirements and relevant prior imaging.

Coverage

Uterine cavity and fallopian tubes.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Cavity contour
• tubal spill
• hydrosalpinx
• adhesions
• intravasation.

Indication

Urinary diversion assessment or suspected obstruction/leak.

Preparation

Check indication, consent/safety requirements and relevant prior imaging.

Coverage

Stoma, conduit and reflux into ureters.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Stricture
• leak
• reflux
• filling defect
• conduit anatomy.

Indication

Urethral stricture or trauma.

Preparation

Check indication, consent/safety requirements and relevant prior imaging.

Coverage

Anterior urethra with oblique positioning.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Stricture site/length
• extravasation
• false passage
• posterior extension.

Indication

Pelvic floor dysfunction, prolapse or obstructed defecation.

Preparation

Check indication, consent/safety requirements and relevant prior imaging.

Coverage

Pelvis during rest, squeeze and evacuation.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Rectocele
• intussusception
• enterocele
• pelvic descent
• evacuation.

Indication

Chest symptoms, infection, heart failure or preoperative assessment.

Preparation

Check indication, consent/safety requirements and relevant prior imaging.

Coverage

Lung apices through costophrenic angles.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Lungs
• pleura
• heart size
• mediastinum
• devices
• bones.

Indication

Bowel obstruction, constipation or radiopaque stone/device check.

Preparation

Check indication, consent/safety requirements and relevant prior imaging.

Coverage

Diaphragm to pelvis when obstruction suspected.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Bowel gas pattern
• free air
• stool burden
• calcification
• devices.

Indication

Neck pain, alignment or degenerative assessment.

Preparation

Check indication, consent/safety requirements and relevant prior imaging.

Coverage

Skull base to T1 with open-mouth view if needed.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Alignment
• prevertebral soft tissue
• disc spaces
• odontoid
• instability.

Indication

Spinal curvature assessment and follow-up.

Preparation

Check indication, consent/safety requirements and relevant prior imaging.

Coverage

Standing full spine PA/AP and lateral as needed.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Cobb angles
• balance
• vertebral anomalies
• pelvic tilt.

Indication

Growth assessment and endocrine evaluation.

Preparation

Check indication, consent/safety requirements and relevant prior imaging.

Coverage

Left hand and wrist.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Bone age standard
• growth plate maturation
• discrepancy from chronological age.

Indication

Routine breast cancer screening.

Preparation

Correlate with symptoms, prior mammograms and breast density.

Coverage

Bilateral CC and MLO views.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Mass
• asymmetry
• calcifications
• architectural distortion
• comparison.

Indication

Symptom, callback or known imaging finding.

Preparation

Correlate with symptoms, prior mammograms and breast density.

Coverage

Targeted views based on finding.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Persistence
• margins
• calcification morphology
• localization
• BI-RADS.

Indication

Architectural distortion, asymmetry or mass clarification.

Preparation

Correlate with symptoms, prior mammograms and breast density.

Coverage

Focused DBT views and spot compression.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• True lesion vs summation
• margins
• distortion
• correlate with US.

Indication

Suspicious calcifications or mammographic-only lesion.

Preparation

Correlate with symptoms, prior mammograms and breast density.

Coverage

Targeted lesion with stereotactic localization.

Contrast

No IV contrast unless specifically indicated by the protocol.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Target accuracy
• specimen radiograph
• clip position
• complication.

Indication

Cancer staging, restaging or treatment response.

Preparation

Confirm radiotracer, timing, glucose/medication requirements and prior imaging.

Coverage

Skull base to mid-thigh or vertex-to-toes per tumor.

Contrast

Radiotracer-based examination; correlate uptake with CT or anatomic imaging.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• FDG avid disease
• nodal/metastatic sites
• response
• pitfalls.

Indication

Skeletal metastasis, fracture or metabolic bone disease.

Preparation

Confirm radiotracer, timing, glucose/medication requirements and prior imaging.

Coverage

Whole body skeletal imaging.

Contrast

Radiotracer-based examination; correlate uptake with CT or anatomic imaging.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Focal uptake
• distribution
• superscan
• degenerative vs metastatic pattern.

Indication

Acute cholecystitis or biliary dyskinesia.

Preparation

Confirm radiotracer, timing, glucose/medication requirements and prior imaging.

Coverage

Liver/biliary dynamic imaging.

Contrast

Radiotracer-based examination; correlate uptake with CT or anatomic imaging.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Gallbladder filling
• obstruction
• leak
• ejection fraction if performed.

Indication

Obstruction, differential renal function or transplant drainage.

Preparation

Confirm radiotracer, timing, glucose/medication requirements and prior imaging.

Coverage

Kidneys/bladder dynamic acquisition.

Contrast

Radiotracer-based examination; correlate uptake with CT or anatomic imaging.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Split function
• drainage curve
• diuretic response
• transplant perfusion.

Indication

Drainable collection or infected fluid.

Preparation

Check consent, coagulation profile, medications, allergy status and safe access.

Coverage

Target collection and safe access path.

Contrast

Use local anesthetic and image guidance; contrast only when required for confirmation.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Access route
• drain size
• sample
• residual cavity
• complications.

Indication

Pulmonary nodule or mass tissue diagnosis.

Preparation

Check consent, coagulation profile, medications, allergy status and safe access.

Coverage

Target lesion with safe needle path.

Contrast

Use local anesthetic and image guidance; contrast only when required for confirmation.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Needle trajectory
• pleura crossed
• pneumothorax
• sample adequacy.

Indication

Thyroid nodule cytology.

Preparation

Check consent, coagulation profile, medications, allergy status and safe access.

Coverage

Target nodule and cervical nodes if needed.

Contrast

Use local anesthetic and image guidance; contrast only when required for confirmation.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Nodule identity
• needle passes
• complications
• sample adequacy.

Indication

Focal or non-focal liver tissue diagnosis.

Preparation

Check consent, coagulation profile, medications, allergy status and safe access.

Coverage

Target lesion or safe right hepatic lobe path.

Contrast

Use local anesthetic and image guidance; contrast only when required for confirmation.

Acquisition

• Standard local protocol acquisition
• Targeted additional views/sequences as needed
• Multiplanar review and comparison with priors

Report focus

• Coagulation safety
• needle path
• sample cores
• bleeding.

Indication

Brain tumor perfusion, recurrence vs treatment effect.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Whole lesion and surrounding brain.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Perfusion metrics
• enhancing tumor
• necrosis
• treatment effect
• comparison.

Indication

Sellar lesion when MRI unavailable or contraindicated.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Sella, suprasellar cistern and cavernous sinuses.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Sellar mass
• bone remodeling
• calcification
• cavernous sinus
• chiasm effect.

Indication

Preoperative sinus mapping for FESS/navigation.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Frontal sinuses through maxillary alveolus.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Drainage pathways
• variants
• septations
• skull base
• lamina papyracea.

Indication

Dental implant planning, impacted tooth or mandibular lesion.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Maxilla/mandible region of interest.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Bone height
• canal relation
• cyst/tumor
• impacted teeth
• dental source.

Indication

Vocal cord dysfunction, laryngeal mass or airway assessment.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Skull base to thoracic inlet.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Glottic motion
• tumor spread
• cartilage invasion
• airway compromise.

Indication

Pneumonia, fever or immunocompromised chest assessment.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Thoracic inlet to adrenal glands.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Consolidation
• nodules
• cavitation
• fungal pattern
• complications.

Indication

Tracheobronchomalacia, stenosis or airway lesion.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Larynx to main bronchi or full chest.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Airway caliber
• dynamic collapse
• stenosis length
• extrinsic compression.

Indication

Pulmonary hypertension etiology and vascular/lung clues.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Thoracic inlet to adrenal glands.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• PA size
• RV strain
• chronic thrombus
• lung disease
• shunts.

Indication

Pleural tumor, empyema or complex effusion.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Thoracic inlet to adrenal glands.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Pleural nodularity
• rind
• split pleura
• loculations
• chest wall invasion.

Indication

Diaphragmatic hernia, eventration or rupture.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Lower chest through upper abdomen.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Defect site
• herniated organs
• strangulation
• trauma signs.

Indication

Right iliac fossa pain and suspected appendicitis.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Diaphragm to symphysis or focused abdomen/pelvis.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Appendix diameter
• inflammation
• perforation
• abscess
• alternative cause.

Indication

Left lower quadrant pain or suspected diverticular complication.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Abdomen and pelvis.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Inflamed diverticulum
• abscess
• perforation
• fistula
• malignancy mimic.

Indication

Vomiting, distension or suspected bowel obstruction.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Diaphragm to pelvis.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Transition point
• closed loop
• ischemia
• cause
• perforation.

Indication

Abdominal wall/groin hernia assessment.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Target abdominal wall/pelvis with Valsalva if possible.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Hernia neck
• contents
• obstruction
• strangulation
• multiplicity.

Indication

Pelvic floor prolapse or obstructed defecation when CT used.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Pelvis during rest/strain/evacuation if protocol available.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Rectocele
• enterocele
• descent
• intussusception
• evacuation.

Indication

Postoperative pain, fever, leak or collection.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Relevant surgical bed and abdomen/pelvis.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Leak
• abscess
• bleeding
• obstruction
• anastomosis
• drains.

Indication

Dialysate leak or catheter complication.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Abdomen/pelvis after intraperitoneal contrast per protocol.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Leak site
• hernia
• loculation
• catheter position
• collection.

Indication

Initial staging or response assessment in lymphoma.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Neck/chest/abdomen/pelvis as indicated.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Nodal stations
• extranodal disease
• spleen
• target lesions
• response.

Indication

Whole-body bone disease assessment in myeloma.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Skull to knees or whole body depending protocol.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Lytic lesions
• fractures
• soft tissue plasmacytoma
• compression.

Indication

Bone tumor mineralization/cortex assessment.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Entire lesion and adjacent joints.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Matrix
• cortical breach
• soft tissue mass
• fracture
• skip lesion.

Indication

Rotator cuff/labral/cartilage assessment when MRI limited.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Shoulder after intra-articular contrast.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Cuff tear
• labrum
• cartilage
• loose bodies
• capsular leak.

Indication

Labral/cartilage assessment when MRI arthrogram unavailable.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Hip after intra-articular contrast.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Labral tear
• cartilage defect
• FAI morphology
• loose body.

Indication

Intrinsic ligament/TFCC evaluation.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Wrist after intra-articular contrast.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Contrast communication
• TFCC tear
• SL/LT ligament
• cartilage.

Indication

Pulmonary arteriovenous malformation mapping.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Chest with arterial/venous vascular detail.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Feeding artery
• draining vein
• nidus
• multiplicity
• embolization planning.

Indication

Trauma, ischemia or vascular mapping of upper limb.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Aortic arch/subclavian through hand as needed.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Occlusion
• injury
• stenosis
• runoff
• collateral circulation.

Indication

Vascular injury after extremity trauma.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

Above injury through distal runoff.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Active bleeding
• pseudoaneurysm
• occlusion
• AVF
• compartment clues.

Indication

Iliocaval or lower limb venous thrombosis mapping.

Preparation

Check renal function, contrast allergy and IV access when contrast is required.

Coverage

IVC through lower limbs as requested.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Thrombus extent
• iliac compression
• collaterals
• pelvic mass.

Indication

Tumor grading, recurrence or metabolic lesion assessment.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Lesion and whole brain.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Perfusion hotspot
• spectroscopy pattern
• necrosis
• treatment effect.

Indication

Cranial neuropathy, perineural spread or skull base lesion.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Skull base and affected nerve pathway.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Nerve enhancement
• foramina
• denervation
• skull base mass.

Indication

Facial mass, mandibular lesion or odontogenic infection.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Face/mandible region of interest.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Marrow
• abscess
• perineural spread
• soft tissue extension.

Indication

Neck mass, nodes, salivary lesion or infection.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Skull base to thoracic inlet.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Primary site
• nodal disease
• deep spaces
• abscess
• vascular invasion.

Indication

Nasopharyngeal carcinoma staging or surveillance.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Skull base to lower neck.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Primary extent
• skull base
• perineural spread
• nodes
• recurrence.

Indication

Laryngeal/hypopharyngeal cancer local staging.

Preparation

MRI safety screening; renal function if gadolinium is planned.

Coverage

Skull base/larynx to thoracic inlet.

Contrast

Use contrast/radiotracer according to protocol, indication and safety policy.

Acquisition

• Protocol-specific acquisition
• Targeted additional views/sequences as needed
• Comparison with prior imaging

Report focus

• Cartilage invasion
• paraglottic space
• nodes
• airway
• extralaryngeal spread.