Orthopedics / MSK in MRI and MRS

Orthopedics / MSK in MRI and MRS

A new course on Orthopedic/Musculoskeletal MRI. Learn how to examine bones, joints and soft tissues such as cartilage, tendons, and muscles for the presence of structural damage, defects, infection, etc. Keep an eye on our website for updates.


MSK Chapter 1 Introduction
Orthopedics MRI / MRS


Length: 25 minutesComplexity: Standard

This chapter is open for public to get an idea about the content and set up of the e-module: Orthopedics MR-MRS / MSK Imaging. The different chapters in the e-module will be: 1. Weightbearing / Standing up-Positional / axial loaded MRI, 2. Kinematic and arthrograms, 3. Additional RF sequences – supporting techniques and IQ (parameters) in MSK, 4. DWI, DTI and DCE in MSK, 5. T1 and T2 mapping and quantification in MSK, 6. Fat and tissue suppression techniques, 7 MRS in MSK, 8. Miscrosocpic imaging and at the end of course a Conclusion, Review and Future items. Questions (false-true and multiple choice) are built in at the end of each chapter.

MSK Chapter 2 Weightbearing / Standing Up / Positional MRI or Axial Loaded MRI

Length: 60 minutesComplexity: Easy

Weightbearing / Standing Up / Positional MRI or Axial Loaded MRI has been strong in the low field MR systems. But is it becoming also an issue in the higher MR field systems? Is it getting a MUST doing stress-loading for several indications for the spine and the joints? Developments are continuing!

MSK Chapter 3 MR Arthrography and Kinematic (kMRI) Imaging

Length: 105 minutesComplexity: Standard

Kinematic devices for more joints should be developped and it is a field which can be extended preferable with MSK radiologists, orthopedic surgeon and physical therapist/bio-mechanist. Can we soon do kinematic dynamic / real-time imaging? And direct and indirect MR arthrograms will it be combined with kinematic Imaging?

MSK Chapter 4 Additional RF sequences, parameters and IQ in MSK

Length: 120 minutesComplexity: Standard

Still a lot of work needs to be done in fine-tuning protocols for MSK: the Synthetic Imaging protocols and the UTE RF sequences and IQ stays a big issue so the basics, implementation of the RF sequences and the new k-space trajectories should be understand.

MSK Chapter 5 DWI, DTI and Perfusion Imaging (DCE) in MSK

Length: 120 minutesComplexity: Standard

DWI, DTI and DCE was a long time mainly in the field of Neuro MR but thanks of the new techniques like Compressed Sensing, Hyper Band (SMS) we can get to an acceptable acquisition time and an higher resolution.

MSK Chapter 6 T1 – T2(*) mapping and Quantification in MSK

Length: 60 minutesComplexity: Standard

Quantification, T1 and T2 mapping, where everybody is talking about in MRI, is incredible fast implemented in the software releases and a great help in the reporting and diagnosis. Although automated a lot we still need to master and understand the basics and the post-processing tools.

MSK Chapter 9 MR Spectroscopy (MRS) in MSK

¹H, ¹³C, ³¹P and ²³Na MR Spectrosocpy combined with MRI is still relatively recent but promising in the field of cancer, sports medicine, joint replacement etc. and hopefully will get a feasible clinical diagnostic tool with help of more research.

MSK Chapter 10 Conclusion, Review and Future items

There is still a lot to explore in the field of MR-MSK in all the items being discussed in all the different chapters: the conventional techniques still have some limitations in early detection of cartilage changes, bone and soft tissue as in arthritis and other muscle- and arthro-pathies.