Attachment_II-Range_of_MRI_(2).docx

Attachment II Attachment II - Range of Magnetic Resonance Imaging Studies They shall include, but are not limited to, the following: Brain and brain stem Brain - perfusion/diffusion imaging Posterior fossa, including the 6th cervical vertebra Orbit (left or right) Internal auditory canal Brain magnetic resonance angiography Sella/Pituitary Paranasal sinus Facial Facial Glands Temporomandibular Joint (left or right) Cervical spine Thoracic spine Lumbar spine Sacrum Coccyx Sacra Iliac joint (left or right) Neck (mass) Larynx Thyroid Nasopharynx Liver Spleen Pancreas Kidney Adrenals - including in-phase/out-of-phase imaging Prostate Cervix Uterus Bladder Hand (left or right) Wrist (left or right) Forearm (left or right) Elbow (left or right) Humerus (left or right) Shoulder (left or right) Foot (left or right) Achilles tendon (left or right) Ankle (left or right) Long bone (left or right) Knee (left or right) Femur (left or right) Hip (left or right) Hips A vascular Necrosis Superior vena cava Inferior vena cava Heart Pericardium Mediastinum Thoracic aorta Abdominal aorta Brachia1 plexus (left or right) Portal vessels Renal vessels Breasts Abdomen Pelvis Subcutaneous mass Soft tissue mass (miscellaneous) Pulse sequences, to include, but not limited to, the following:

Magnetic Resonance Angiography Spin echo Multiple echo modes Inversion recovery Presaturation techniques Gradient motion rephasing sequences Gradient echo for fast scanning Turbo scan capability Fat suppression techniques Diffusion/Perfusion imaging Physiologic synchronized imaging, to include, but are not limited to, the following:

EKG triggering Peripheral pulse gating Respiratory gating *Special Notes* I. All non-contrast enhanced exams may be repeated after contrast administration as necessary.

2. Magnetic Resonance Arthrography of any joint after instillation of contrast by a Naval Health Clinic Radiologist.