Gynecologic Pelvis 1.5T
GE Healthcare – MR Gadopiclenol (VUEWAY®) Protocols
Instructions And Patient Preparation
- Instructions
- • Small FOV: Centered on uterus
• Large FOV: Renal vein level to symphysis; oblique axis refers to the tumor axis in the uterus (varies for endometrium vs cervix) - Common Indications
- Dysmenorrhea, fibroids, endometriosis, tubo-ovarian abscess
- Position
- Supine
- Coil
- 32 channel Torso, GEMS Body array, or Air coil
- Landmark
- Iliac Crest
Contrast Agent Parameters
| Contrast Agent | Dose | Injection Rate | Dose Timing Method and Scan Delay | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Gadopiclenol (VUEWAY) | 0.05 mmol/kg up to a calculated volume of 10 mL | 2 mL/sec | Pre – Axial Late Arterial – Sagittal T1 90-120 sec – Axial T1 3-5 min post | ||||||
| Saline Flush | 50 mL | 2 mL/sec | Immediately following gadolinium | ||||||
| Comments | — | Above kidneys to below symphysis | — | — | Breath hold Pre, Late Arterial, 3-5 min |
Breath hold 90-120 sec postcontrast injection |
UTERUS ONLY: Parallel to long axis of uterus Optional: No Fat |
Optional: Axial DWI |
Optional: For Ovaries |
Imaging Parameters
| Scan Description | 3PL LOCALIZER SSFSE |
CORONAL T2 SSFSE |
SAGITTAL T2 |
AXIAL or OBLIQUE AXIAL T2 |
AXIAL T1 LAVA-Flex |
SAGITTAL T1 LAVA-Flex |
OBLIQUE Hires T2 |
AXIAL DWI |
CORONAL T2 |
|---|---|---|---|---|---|---|---|---|---|
| View Image | View Image | View Image | View Image | View Image | |||||
| Mode | 2D | 2D | 2D | 2D | 3D | 3D | 2D | 2D | 2D |
| Pulse Sequence | SSFSE | SSFSE | FRFSE-XL | FRFSE-XL | LAVA-Flex | LAVA-Flex | — | EPI-Diff | FRFSE-XL |
| Imaging Options | EDR, SEQ, SS, ARC, FAST |
ARC, ZIP512, FAST |
FC, TRf, FAST, FR |
FC, TRf, FAST, FR, NPW |
EDR, ZIP512, ZIP2, ARC |
EDR, ZIP512, ZIP2, ARC |
FRFSE-XL, FC, TRf, FAST, FR |
EPI, DIFF, ASSET, 1 Shot |
FC, TRf, FAST, FR |
Scan Parameters
| Scan Description | 3PL LOCALIZER SSFSE |
CORONAL T2 SSFSE |
SAGITTAL T2 |
AXIAL or OBLIQUE AXIAL T2 |
AXIAL T1 LAVA-Flex |
SAGITTAL T1 LAVA-Flex |
OBLIQUE Hires T2 |
AXIAL DWI |
CORONAL T2 |
|---|---|---|---|---|---|---|---|---|---|
| View Image | |||||||||
| TE | 90 | 90 | 103 | 103 | Def | Def | 86 | Min | 103 |
| TR | Min | Min | 3400 | 3400 | Def | Def | 3400 | 6000 | 3400 |
| Flip Angle | — | — | — | — | 15 | 15 | — | — | — |
| ETL | — | — | 21 | 21 | — | — | 21 | — | 21 |
| Bandwidth | 62 | 62 | 41 | 41 | 92 | 92 | 41 | — | 41 |
| SAT | — | — | Sat Scr Ant Sat |
Sat Scr Ant Sat |
— | — | Sat Scr Fat Sat |
— | — |
Acquisition Parameters
| Scan Description | 3PL LOCALIZER SSFSE |
CORONAL T2 SSFSE |
SAGITTAL T2 |
AXIAL or OBLIQUE AXIAL T2 |
AXIAL T1 LAVA-Flex |
SAGITTAL T1 LAVA-Flex |
OBLIQUE Hires T2 |
AXIAL DWI |
CORONAL T2 |
|---|---|---|---|---|---|---|---|---|---|
| MATRIX freq | 288 | 256 | 320 | 320 | 264 | 264 | 384 | 192 | 320 |
| MATRIX phase | 192 | 224 | 224 | 224 | 224 | 224 | 224 | 192 | 224 |
| NEX | 1 | 1 | 2 | 2 | 1 | 1 | 2 | — | 2 |
| Phase FOV | 1 | 1 | 1 | 1 | 1 | 1 | 0.8 | 1 | 1 |
| Freq Direction | — | S/I | S/I | A/P | R/L | R/L | R/L | S/I | S/I |
| Accel | Ph 2 | Ph 2 | — | — | — | — | — | — | — |
| User CV | 1, 240, 1 | 0, 240, 0 | — | — | Turbo 1 | Turbo 1 | Fat Sat eff 1 | Ramp samp 1 Flair Inv 0 Grad opt 1 |
— |
| Other | — | — | — | — | — | — | — | DWI b val 0-50 nex 6 Diff Dir ALL b val 400-1000 nex 6 Opt TE On |
— |
Scanning Range
| Scan Description | 3PL LOCALIZER SSFSE |
CORONAL T2 SSFSE |
SAGITTAL T2 |
AXIAL or OBLIQUE AXIAL T2 |
AXIAL T1 LAVA-Flex |
SAGITTAL T1 LAVA-Flex |
OBLIQUE Hires T2 |
AXIAL DWI |
CORONAL T2 |
|---|---|---|---|---|---|---|---|---|---|
| FOV | 48 | 36 | 28 | 28 | 32 | 32 | 28 | 30 | 28 |
| Slice Thickness | 8 | 6 | 2.9 | 2.9 | 3.2 | 3.2 | 4 | 4 | 2.9 |
| Spacing | 0 | 1 | 0.3 | 0.3 | 0 | 0 | 0.5 | 0.5 | 0.3 |
| Number of Slices | 21 Slices | Slices PRN | 15 Slices/acq | 15 Slices/acq | 104 Locs | 104 Locs | 17 Slices/acq | 30 Slices | 15 Slices/acq |
| Approx. Scan Time | 0:19 | 0:18/acq | 1:15/acq | 2:13/acq | 0:24 | 0:24 | 1:49/acq | 2:26 | 1:15/acq |