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Miguel A. Valdivia, ARMRIT, AAS (MRI)
Western Imaging/Casa Loma College
Marina Del Rey, CA


December 18, 2019


December 31,2024



PC: Win7/Win8, Pentium processor or faster, at least 2GB RAM, Internet Explorer version 10/11, Mozilla FireFox version 33.0.

MAC: OS version 10.8/10.9, Intel processor, at least 2GB RAM, Safari version 6.2, FireFox 33.0

Continuing Education for MRI Technologists, Radiologic Technologists, and other Medical Imaging Professionals.

6019-110 MSK: Making the Basics Look Good - Part III

This online activity was recorded at the ARMRIT 2019 East Coast, Semi-Annual Meeting, Delray Beach Marriott, Florida May 31 & June 1


Format: On-line Seminar Lectures Certificates of Credit accepted by American Registry of Magnetic Resonance Imaging Technologists (ARMRIT) and the American Registry of Radiologic Technologists (ARRT)
RT Credit: 1.00 ARRT Category A
Tuition: $ 15

Educational Objectives
At the conclusion of this activity, the learner should be better able to:

  • Discuss the applications and protocols of Musculo-Skeletal MRI in an effort to improve diagnosis
  • Understand the use of RF Coils
  • Understand the importance of having a good working relationship and communication with the radiologist
  • Discuss patient positioning to optimize imaging and avoid artifacts


  1. Review Patient Positioning
    1. Ideal/Standard positions
    2. Patient limitations
    3. Alternate positions
  2. Review Scouts
    1. How many do you really need?
    2. Do you run more or reposition the pt?
      1. Is it bad positioning (wrist flexed or extended)
      2. Is it something that can be fixed by rotating the FOV?
  3. Review Incidental findings
    1. Do you follow them or not?
  4. Common Tendon/Ligament tears
    1. Common tears
    2. Knee vs. Thigh (quad tendon)
    3. Pectoralis (MRCP sequences)
    4. Achilles
    5.  Knee ACL/Planning sag.
  5. How do you prepare for the exam
    1. Iso vs. Fixed table position
    2. How to position and plan for the worst
      1. Will the patient position and coil choice give you the coverage you need or might need?
  6. Which plane is best
    1. What part of the body are you imaging?
    2. What is the pathology/injury?
    3. Where is the pathology/injury?
  7. Optimizing Sequences
      1. Changing the order of your sequences
  8. FOV Phase, Use it
    1. Decrease it
      1. Helps with time
      2. Lose signal
      3. Find a balance,
        1. increase averages
        2. increase phase oversampling
  9. Phase Direction
    1. When should you change it?
      1. Wrist anatomy and phase direction
      2. Wrist next to body, how to change phase direction
        1. Foot, phase direction H-F or R-L
  1. Radiologist Relationship
    1. Building a good working relationship is key to knowing and even anticipating what the doctor wants.
    2. Checking your schedule ahead of time and looking for unique dx or msk injuries will allow you and your radiologist time for proper planning and a better outcome.

Continuing Education Credit
This program has been approved by the Association for Medical Imaging Management (AHRA) for 1.0 hours ARRT Category A continuing education credit.


Certificates of Credit are accepted by the American Registry of Magnetic Resonance Imaging Technologists (ARMRIT) and the American Registry of Radiologic Technologists (ARRT).

ICPME accepts American Express, MasterCard, and Visa. Tuition for this course includes unlimited access to the course and your Certificate of Credit.

Please note: tuition payments are non-refundable.

How to Enroll and Participate
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About the American Registry of
Magnetic Resonance Imaging Technologists

Because MRI is a Specialty

The mission of the American Registry of Magnetic Resonance Imaging Technologists (ARMRIT) is to recognize individuals qualified as specialists and to promote high standards of patient care and safety in the diagnostic medical imaging modality of Magnetic Resonance Imaging (MRI) technology including: interventional MRI, cardiovascular MRI, functional MRI, and MRI breast imaging.

ARMRIT is the first certifying organization to:
1.    Recognize MRI technology as a distinct medical imaging specialty utilizing non-ionizing radiation.
2.    Require MRI clinical experience and competency for eligibility.
3.    Promote formal MRI education with MRI clinical training.
4.    Recognize MRI schools that offer full-time educational program leading to a career in MRI.

Certification through the Registry is open to qualified technologists in all imaging fields who have documented MR clinical experience and/or formal education completed through schools dedicated to MRI technologists.

For more information about ARMRIT or to apply for certification, visit

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.