BODY MRI PROTOCOLS 3T
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1 BODY MRI PROTOCOLS 3T
2 Non Specific 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice 3-PLANE LOC 48 MIN Calibration scan (ARC) MIN Sagittal MIN Aial MIN Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 45s, 3min. Separate Sequences and subtract if Possible. Use LAVA for multiphase if LAVA-FLE not available. Non-contrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) * 2
3 Non Specific 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice Aial SS- FSE Fat Sat MIN Aial Fiesta Fat Sat MIN A 3D In/Out Phase Echoes MIN FULL/ Aial LAVA- FLE Multiphase MIN /50 LAVA-FLE MIN /50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 45s, 3min. Separate Sequences and subtract if Possible. Use LAVA for multiphase if LAVA- FLE not available. Non-contrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) 3 *
4 Renals 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice 3-PLANE LOC (FGRE) 48 MIN Calibration scan (ARC) MIN Sagittal MIN Aial MIN Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 20s, 90s, 3min. Separate Sequences and subtract if Possible. Use LAVA for multiphase if LAVA-FLE not available. Non-contrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) * 4
5 Renals 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial SS- FSE Fat Sat MIN /2 Aial Fiesta Fat Sat Aial 3D In/Out Phase Kidneys Min Full Echoes MIN FULL/ /0 Aial LAVA- FLE Multiphase MIN /50 LAVA-FLE MIN /50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 20s, 90s, 3min. Separate Sequences and subtract if Possible. Use LAVA for multiphase if LAVA-FLE not available. Non-contrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) 5 *
6 Notes: For renal specific diagnosis. Coverage is from above Liver/Spleen to aortic bifurcation and will include the Kidneys, ecept the In/Out of phase which is for kidneys All sequences are breath hold. Separate all dynamic sequences and perform subtraction on all timed views if possible. Please call for protocols if necessary.
7 Adrenals 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC (FGRE) 48 MIN 31 Calibration scan (ARC) MIN Sagittal MIN Aial MIN Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 45s, 3min. Separate Sequences and subtract if Possible. Use LAVA for multiphase if LAVA-FLE not available. Non-contrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) * 7
8 Adrenals 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice Aial SS- FSE Fat Sat MIN Aial Fiesta Fat Sat MIN Aial 3D In/Out Phase Echoes MIN FULL/ /0 Aial LAVA- FLE Multiphase MIN /50 LAVA-FLE MIN /50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 45s, 3min. Separate Sequences and subtract if Possible. Use LAVA for multiphase if LAVA-FLE not available. Non-contrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) 8 *
9 Pancreas 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice 3-PLANE LOC (FGRE) 48 MIN Calibration scan (ARC) MIN Sagittal MIN Aial MIN Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 20s, 60s, 2min. Separate Sequences and subtract if Possible. Use LAVA for multiphase if LAVA-FLE not available. Non-contrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) * 9
10 Pancreas 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice Aial SS- FSE Fat Sat MIN Aial Fiesta Fat Sat MIN Aial 3D In/Out Phase Echoes MIN FULL/ /0 Aial LAVA- FLE Multiphase MIN /50 LAVA-FLE MIN /50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 20s, 60s, 2min. Separate Sequences and subtract if Possible. Use LAVA for multiphase if LAVA-FLE not available. Non-contrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) 10 *
11 Liver 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice 3-PLANE LOC (FGRE) 48 MIN Calibration scan (ARC) MIN Sagittal MIN Aial MIN Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 20s, 60s, 2min, 5min. Separate Sequences and subtract if Possible. Use LAVA for multiphase if LAVA-FLE not available. Non-contrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) 11 *
12 Liver 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice Aial SS- FSE Fat Sat MIN Aial Fiesta Fat Sat MIN Aial 3D In/Out Phase Echoes MIN FULL/ /0 Aial LAVA- FLE Multiphase MIN /50 LAVA-FLE MIN /50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 20s, 60s, 2min, 5min. Separate Sequences and subtract if Possible. Use LAVA for multiphase if LAVA-FLE not available. Non-contrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) 12 *
13 Liver No Gad 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice 3-PLANE LOC (FGRE) 48 MIN Calibration scan (ARC) MIN Sagittal MIN Aial MIN Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Separate Sequences and subtract if Possible. Use LAVA for multiphase if LAVA-FLE not available. Non-contrast eam scan single phase LAVA- FLE or LAVA-ARC or LAVA (A and COR) 13 *
14 Liver No Gad 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice Aial SS- FSE Fat Sat MIN Aial Fiesta Fat Sat MIN Aial 3D In/Out Phase Echoes MIN FULL/ /0 Aial LAVA- FLE MIN /50 LAVA-FLE MIN /50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Separate Sequences and subtract if Possible. Non-contrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) 14 *
15 Liver No Gad 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial DWI B-Value 400 & MIN Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Separate Sequences and subtract if Possible. Non-contrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) 15 *
16 Liver Eovist 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice 3-PLANE LOC (FGRE) 48 MIN Calibration scan (ARC) MIN Sagittal MIN Aial MIN Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 20s, 60s, 2min, 5min, 10min, 15min. Separate Sequences and subtract if Possible. Use LAVA for multiphase if LAVA-FLE not available. Noncontrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) 16 *
17 Liver Eovist 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice Aial SS- FSE Fat Sat MIN Aial Fiesta Fat Sat MIN Aial 3D In/Out Phase Echoes MIN FULL/ /0 Aial LAVA- FLE Multiphase MIN /50 LAVA-FLE MIN /50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 20s, 60s, 2min, 5min, 10min, 15min. Separate Sequences and subtract if Possible. Use LAVA for multiphase if LAVA-FLE not available. Noncontrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) 17 *
18 MRCP 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice 3-PLANE LOC (FGRE) 48 MIN Calibration scan (ARC) MIN Sagittal MIN Aial MIN Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Separate Sequences and subtract if Possible. Non-contrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) 18 *
19 MRCP 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice Aial Fiesta Fat Sat Aial 3D In/Out Phase Aial LAVA- FLE Aial SS- FSE (FULL BILIARY TRACT) SS- FSE (FULL BILIARY TRACT) MIN Echoes MIN FULL/ MIN MIN MIN Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Separate Sequences and subtract if Possible. Non-contrast eam scan single phase LAVA-FLE or LAVA-ARC or LAVA (A and COR) /0 1 5/50 1 4/0 1 4/0 19 *
20 MRCP 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Obl MRCP Resp Trigger 34 3 MIN 1 1.4/58 Aial Thin Slice MRCP SSFSE MIN /0 Cor Thin Slice MRCP SSFSE 34 MIN /0 On MRCP sequences cover entire Biliary Tree 20 *
21 Enterography 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice 3-PLANE LOC (FGRE) 48 MIN Calibration scan (ARC) MIN /1 Sagittal MIN /1 Aial MIN /1 Adjust to Body Habitus, Optimize TR on FRFSE, Coverage is from top of stomach to pubis symphysis. 21 *
22 Enterography 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial SSFSE Fat Sat Min /1 Cor LAVA FLE PRE Echoes /50 Cor LAVA FLE POST Echoes /50 Aial LAVA FLE POST MIN /50 DELAYED MIN /1 Adjust to Body Habitus, Optimize TR on FRFSE, Coverage is from top of stomach to pubis symphysis. 22 *
23 Enterography 3T Pelvis Sequences Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Sagittal FSPGR Fat Sat (Pelvis) 26 In Phase /0 Aial FSPGR fat sat (Pelvis) 26 In Phase /.5 Aial FRFSE T2 Fat Sat (Pelvis) /.5 Adjust to Body Habitus, Optimize TR on FRFSE 23
24 Notes: For inflammatory bowel disease. Eg; Crohn's disease, ulcerative colitis. Coverage is from top of stomach to pubis symphysis. Separate abdomen and pelvic aial slices with overlap for better signal, fat suppression, and decreased artifacts. Follow prep in Enterography protocol memo. Post LAVA/Fame sequences are for small FOV pelvis, adjust coil as needed Only for systems with abd/pelvic multi channel coil.
25 Patient prep Scheduling and Prep: Low-residue diet for 5 days before the procedure is ideal but not required, nor any other specific bowel prep. Prescriptions needed for eam is 20 mg Metoclopramide (Reglan) and 1 mg glucagon from the Referring MD. If pt is Diabetic glucagon is NOT administered Patients must fast for 6 hours prior to eam time. Pre-Eam Procedure: Patients need to arrive to the center at least 1 hour before the eam. Upon arrival, patient is to take 20 mg Metoclopramide (Reglan) orally. Patient is then given 1350 ml total (3-450 ml bottles) of VoLumen to drink. 1 bottle is given at the time of arrival, and another 1 bottle minutes later. (Last bottle is reserved for just before the start of eam. VoLumen is available from E-Z-Em/ Bracco Diagnostics. Start of Eam: Glucagon 1 mg is administered intravenously for seconds to reduce bowel peristalsis. 25
26 Female Pelvis 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Sagittal FRFSE T /0 Long Ais FRFSE T /0 Short Ais FRFSE T /0 Short Ais- Perpendicular to endometrial canal Long Ais- Parallel to endometrial canal 26 *
27 Female Pelvis 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial T2 FRFSE large FOV /1.5 Aial T2 FRFSE fat sat large FOV /1.5 Aial FSPGR In phase /0 A FSPGR fat sat PRE In phase /0 A FSPGR Fat sat POST In phase /0 27 *
28 Female Pelvis 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Sag FSPGR fat sat post In phase /0 Cor FSPGR fat sat post In phase /0 28 *
29 Female Pelvis Hysterectomy 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice FRFSE T /0 Aial FRFSE T /0 If patient has a history of hysterectomy scan Aial and instead of long and short ais of uterus 29 *
30 Male Pelvis - 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Sagittal FRFSE T /0 FRFSE T /1 Aial T Min full /1 30 *
31 Male Pelvis - 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial T2 FRFSE /1 Aial T2 FRFSE fat sat /1 Aial FSPGR 26 In phase /1 A FSPGR fat sat PRE 26 In phase /1 A FSPGR Fat sat POST 26 In phase /1 31 *
32 Male Pelvis -3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Sag FSPGR fat sat post 26 In phase /1 32 *
33 Pelvis Fistula - 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Sagittal FRFSE T /1 Aial FRFSE T /1 Aial T1 500 Min full /1 33 *
34 Pelvis Fistula -3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial IR /1 Aial FSPGR In phase /1 A FSPGR fat sat PRE In phase /1 A FSPGR fat sat POST In phase /1 Cor FSPGR Fat sat POST In phase /1 34 *
35 Pelvis Fistula -3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Sag FSPGR fat sat POST In phase /1 35 *
36 Scrotum - 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Aial T2 FRFSE /1 FRFSE T /1 Sagittal T2 FRFSE / *
37 Scrotum -3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial T2 FRFSE /0.4 T2 FRFSE /0.4 Aial FSPGR 18 In phase /1 A FSPGR Fat sat PRE 18 In phase /1 A FSPGR Fat sat POST 18 In phase /1 37 *
38 Scrotum -3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Sag FSPGR fat sat POST 18 In phase /1 38 *
39 Urogram 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan MIN /1 Sagittal MIN /1 Aial MIN /1 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Kidneys to past Bladder. See Urogram Prep notes on page *
40 Urogram 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial SSFSE Fat Sat Aial 3D In/Out Phase COR OBL MRU* LAVA Fat Sat PRE Aial LAVA Fat Sat Multiphase MIN Echoes MIN FULL/ MIN /1 1 3/0 4/0 1 5/50 1 5/50 *MRU- Angle with the spine and make sure to get posterior portion of vertebral bodies, kidneys and bladder. Timing is 20s, 90s, 3min. Separate sequences and subtract if possible 40 *
41 Urogram - 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice LAVA F/S POST 7-8MIN DELAY Sagittal LAVA F/S POST /50 1 5/50 *MRU- Angle with the spine and make sure to get posterior portion of vertebral bodies, kidneys and bladder. LAVA- Use same angle as MRU sequence Urogram Prep- Have patient drink 20 oz. of water prior to eam. Empty bladder just prior to eam. 41 *
42 Placenta 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice 3-PLANE LOC (FGRE) 48 MIN Calibration scan T MIN /1 Sagittal T MIN /1 AIAL T MIN /1 PT POSITIONED LT LATERAL DECUBITUS TO AVOID IVC COMPRESSION AND SYNCOPE. ALL PLANES RELATIVE TO FETUS. EAM TO BE PREFORMED WITH READING RADIOLOGIST PRESENT. RADIOLOGIST TO DETERMINE SLICE PRESCRIPTION AND ORIENTATION. 42 *
43 Placenta 3T Sequence FOV TR TE TI Flip ETL BW Matri NE Slice Aial LAVA- FLE MIN /50 SAG Fiesta Fat Sat MIN /1 SAG LAVA- FLE MIN /0 Aial DWI B-Value 400 & MIN /1 PT POSITIONED LT LATERAL DECUBITUS TO AVOID IVC COMPRESSION AND SYNCOPE. ALL PLANES RELATIVE TO FETUS. EAM TO BE PREFORMED WITH READING RADIOLOGIST PRESENT. RADIOLOGIST TO DETERMINE SLICE PRESCRIPTION AND ORIENTATION. 43 *
44 Urethral Diverticulum- 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Aial T2 FRFSE (Full Pelvis) /1 Sagittal T2 FRFSE (Full Pelvis) /1 Aial T2FS FRFSE (Full Pelvis) /1 44 *
45 Urethral Diverticulum -3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial FSPGR (Full Pelvis) 36 In phase /1 A FSPGR Fat sat (Full Pelvis) 36 In phase /1 Aial T2FS FRFSE /1 Sagittal T2FS FRFSE /1 T2FS FRFSE /1 45 *
46 Urethral Diverticulum -3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice A FSPGR Fat sat (Small FOV) In phase /1 Sag FSPGR Fat sat POST (Small FOV) A FSPGR Fat sat POST (Small FOV) A FSPGR Fat sat POST (Full Pelvis) 36 In phase In phase In phase /1 2 4/1 2 5/1 46 *
47 Body Imaging MRI of the body is organ/diagnosis specific and always needs to be discussed with a radiologist regarding the type of eam and contrast required. When calling the radiologist please have all pertinent info on hand including previous pertinent eams and requests from the referring physician. This should be done at least -48 hours before the patient is scheduled for their eam. Thank You
48 Rectal Cancer - 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Sagittal FRFSE T /0.5 Aial FRFSE T /0.5 Cor FRFSE T /0.5 Aial T Min-Full /1 Freq direction - Sag A/P, Cor S/I, A R/L. 48 *
49 Rectal Cancer - 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial IR /1 Aial FSPGR BH In phase /1 A FSPGR fat sat pre BH In phase /1 A FSPGR fat sat post BH In phase /1 Cor FSPGR Fat sat post BH In phase /1 Sag FSPGR fat sat post BH 3 In phase /1 49 *
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