Ian D McLean DC DACBR


Indications for MRI Examinations

Clinical Presentation MR X-ray
Spine and Spinal Cord
Disc Herniation Procedure of Choice Insensitive
Recurrent Disc vs Post Operative Scar Procedure of Choice Insensitive
Degenerative Disc Disease (DJD) Very Sensitive (CT, X-ray) Adjunctive
Radiculopathy Procedure of Choice Adjunctive
Myelopathy Procedure of Choice Adjunctive
Multiple Sclerosis Procedure of Choice Insensitive
Arnold Chiari Malformation Procedure of Choice Insensitive
Syringomyelia Procedure of Choice Insensitive
Spinal Metastasis, Multiple Myeloma Very Sensitive (CT, BS) Insensitive in early disease
Infections Very Sensitive (CT, BS) Insensitive in early disease
Cord Tumors and "drop" metastases Procedure of Choice Insensitive
Extremities (Knee Shoulder Wrist Ankle)
Avascular Necrosis Procedure of Choice Insensitive in early disease
Cruciate Ligament Tears Procedure of Choice Insensitive
Meniscal Tears Procedure of Choice Insensitive
Osteochondritis Dessicans Procedure of Choice Insensitive in early disease
Post Trauma Very Sensitive (CT, X-ray) Procedure of Choice
Chondromalacia Patella Procedure of Choice Insensitive in early disease
Rotator Cuff Tear Procedure of Choice Insensitive
Glenoid Labrum Tear Sensitive (CT, arthrogram) Insensitive
Tendonitis Very Sensitive Insensitive
Joint Effusions Procedure of Choice Insensitive
Cartilage degeneration (DJD) Very Sensitive (CT, X-ray) Insensitive in early disease
Infection, Osteomyelitis Very Sensitive (CT, BS) Insensitive in early disease
Tumor, Multiple Myeloma, Metastasis Very Sensitive (CT, BS) Insensitive in early disease
Brain
Malignancy Primary/Metastasis Procedure of Choice Insensitive
Infections Procedure of Choice Insensitive
Chronic Headaches Procedure of Choice Insensitive
Infarction Procedure of Choice Insensitive
Aneurysms Very Sensitive (CT, Angio) Insensitive
Hematoma, Hemorrhage Very Sensitive (CT, Angio) Insensitive
Congenital Anomalies Procedure of Choice Insensitive
Pituitary Lesions, Tumor, Empty Sella Procedure of Choice Insensitive

* CT = computerized tomography

* BS = radionuclide bone scan

Copyright Ian D. McLean. D.C., D.A.C.B.R.