In an effort to reduce contrast related risk and time constraints, FLAIR FS MR sequence continues to gain support as an alternative to contrast enhanced imaging for evaluating the synovium. Building on the original concept proposed by Yoo et al. and validated in children by Milks et al., our institution has found some techniques to improve the sequence in the knee. Homogeneous fluid and fat suppression remain challenges to obtaining diagnostic quality images, and our institution continues to expand the use of FLAIR FS beyond the knee. In this educational exhibit we show examples of image quality failures and present our techniques for troubleshooting these. FLAIR FS can serve as a useful alternative to contrast in the evaluation of synovitis though an understanding of how to troubleshoot common problems with quality is helpful in ensuring success. Read More

Meeting name: IPR 2026 Congress , 2026

Authors: Rawlings Emily, Milks Kathryn

Keywords: Image Quality, Musculoskeletal, MRI