Academy of Chiropractic’s Lawyers PI Program

Clinical Information: Diagnosing, MRI Utilization #3

From the Desk of :
Mark Studin DC, FASBE (C), DAAPM, DAAMLP

“MRI Slice Protocols”


MRI slice acquisition protocols are critical in getting it right. This is the epitome of clinical excellence and what sets you apart from every other chiropractor who doesn’t even know what an MRI slice is. SAD BUT TRUE!!!

It also sets you apart from 99% of medical specialists who most know, but don’t pay attention to. 

This is the arbiter to getting potentially 60% herniation diagnosis vs. 15%. Does that matter to a lawyer? Of course, but we don’t really care because it is about getting the diagnosis right from a posture of clinical excellence. Does it matter to a co-treating physician who you are professing to be the recipient of being the primary spine care provider as the first-line for referrals? Not only YES…but often this level of language is the difference between getting the referral or not.   

The only way to spiral upwards for an entire career is through clinical excellence and this is at the core. The next step is to ensure how to interpret the images correctly. 

If you wanted to know the secret of this program to become everyone’s first choice for referrals…this is it and is the reason I get up at 5am every day to teach you. When you win, chiropractic wins. 

The following are the most recent slice protocols in conjunction with Dr. Robert Peyster MD, CAQ, Neuroradiologist and Professor of Radiology at the State University of New York at Stony Brook, School of Medicine. 


Cervical

T1 Sagittal 3mm

T2 Sagittal 2.5mm

T2 Axial or gradient 2.5mm

STIR sagittal 2.5 mm



Thoracic

T1 Sagittal 3mm

T2 Sagittal 2.5mm

T2 Axial 2.5mm

STIR sagittal 2.5mm



Lumbar

T1 Sagittal 3mm

T2 Sagittal 3mm

T2 Axial 3mm

STIR sagittal 3mm

Sagittal stacking view 3mm



Note: Fat Saturated T2 can be done in lieu of a STIR view