ABSTRACT
Objective: The objective of the study was to evaluate the adequacy of magnetic resonance imaging (MRI) scans of knee, performed at the Radiology Department of Dr. D Y Patil Medical College, Hospital and Research Centre, Pimpri, Pune, according to the American College of Radiologist guidelines. Type of Study: This study was a clinical audit. Place and Duration of Study: This study was conducted at Dr. D Y Patil Medical College, Hospital and Research Centre, Pimpri, Pune, from January 2018 to July 2018. Materials and Methods: Retrospective study of approximate 40 patients who underwent MRI of knee in January 2018 for assessment of the quality of images obtained in the initial audit. Depending on the results of this first audit, a suggestion was made and reaudit was done 6 months later in July 2018 to look for improvement quality in local practice. Results: In the initial audit, images were acquired in all the three necessary planes and the sagittal and coronal images had appropriate slice thickness as well as adequate anatomical coverage in all the patients. However, field of view (FOV) was inappropriately set in 34% of cases in axial plane, 90% in sagittal plane, and 95% in coronal plane. Furthermore, the anatomical coverage was not up to the mark in axial plane with 13 studies (66%) having adequate superior coverage, and 16 cases (80%) having recommended inferior anatomical coverage. The reaudit performed 6 months later showed improvement with 100% compliance to standards. Conclusion: Initially, the first audit showed few lackings in acquiring of MRI knee images specifically with FOV to reduce the decrease in all planes and slight increase in anatomical coverage in the axial plane. These shortcomings and recommendations were made in departmental meetings and reaudit was done after 6 months. This reaudit showed 100% compliance.