Instructions And Patient Preparation
- Instructions
- • Exam consists of a high-resolution Sagittal FLAIR sequence to visualize the corpus callosum
• This exam is performed in addition to a brain MRI
• Contrast is used for most adult examinations to evaluate for active demyelination - Position
- Supine, head first
- Coil
- Head, HNU (Head 24 selected if possible)
- Landmark
- Glabella or chin
Contrast Agent Parameters
| Contrast Agent | Dose | Injection Rate | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Gadopiclenol (VUEWAY) | 0.05 mmol/kg up to a calculated volume of 10 mL | Hand Bolus Perfusion-weighted imaging (PWI), injector at 4-5 mL/sec |
|||||||
| Saline Flush | 10-20 mL | Hand Flush | |||||||
| Comments | Report agent administered and dose | ||||||||
Imaging Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 |
AXIAL T2 FSFSE |
AXIAL T1 3D BRAVO |
AXIAL DWI |
AXIAL T2* GRE |
Pre or Post SAGITTAL T2 FLAIR CUBE |
Post AXIAL T1 3D BRAVO |
Post CORONAL T1 CUBE |
|---|---|---|---|---|---|---|---|---|---|
| View Image | View Image | View Image | View Image | View Image | View Image | View Image | |||
| Primary Sequence | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Mode | 2D | 2D | 2D | 3D BRAVO | 2D | 2D | 3D | 3D BRAVO | 3D |
| Pulse Sequence | SSFSE | FSE-XL | FRFSE-XL | BRAVO | SE-EPI | GRE | CUBE | BRAVO | CUBE |
| Imaging Options | SEQ, EDR, FAST, SS, ARC, TRF |
TRF, FAST, ZIP512 |
FC, TRF, FR, ZIP512 | FAST, IRP, ZIP2, ASSET |
EPI, DIFF, ASSET |
FC | ARC, T2- IRP, ZIP2, EDR |
FAST, IRP, ZIP2, ASSET |
EDR, ZIP2, ZIP512, FR, ARC |
Scan Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 |
AXIAL T2 FSFSE |
AXIAL T1 3D BRAVO |
AXIAL DWI |
AXIAL T2* GRE |
Pre or Post SAGITTAL T2 FLAIR CUBE |
Post AXIAL T1 3D BRAVO |
Post CORONAL T1 CUBE |
|---|---|---|---|---|---|---|---|---|---|
| TE | 80 | Min-Full | 68 | ― | Min | 20 | ― | ― | 24 |
| TR | Min | 550 | 3500-4250 | ― | 9000 | 500 | 6000 | ― | 550 |
| TI | ― | ― | ― | 450 | ― | 600-800 | 1954 (Fixed with TR) |
450 | ― |
| Flip Angle | ― | ― | Auto | 13 | Auto | 10 | Auto | 13 | Auto |
| ETL | ― | 4 | 25 | ― | ― | ― | 160 | ― | 24 |
| Bandwidth | 83.33 | 20 | 31 | 25 | 125 | 20 | 32 | 25 | 62 |
| Sat | ― | ― | Fat | ― | Fat | ― | Fat | ― | Fat |
Acquisition Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 |
AXIAL T2 FSFSE |
AXIAL T1 3D BRAVO |
AXIAL DWI |
AXIAL T2* GRE |
Pre or Post SAGITTAL T2 FLAIR CUBE |
Post AXIAL T1 3D BRAVO |
Post CORONAL T1 CUBE |
|---|---|---|---|---|---|---|---|---|---|
| MATRIX freq | 256 | 256 | 320 | 256 | 128 | 256 | 256 | 256 | 256 |
| MATRIX phase | 192 | 224 | 256 | 256 | 128 | 224 | 256 | 256 | 256 |
| NEX | 1 | 2 | 2 | 1 | 1 | 1 | 1 | 1 | 1 |
| Phase FOV | 1 | 1 | 0.75 | ― | 1 | 0.75 | ― | ― | ― |
| Freq Direction | Unswap | S/I | A/P | A/P | R/L | A/P | S/I | A/P | S/I |
| Image Enhance | ― | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE |
| FC Direction | ― | ― | Slice | ― | ― | Slice | ― | ― | ― |
| User CV | ― | ― | ― | ACC=2 | DIFF Dir-All #T2 images 1 Nex 1 for T2 B1000/1 NEX OPT TE On Dual SE On ACC=2 Ramp Samp=1 Recon 1 Grad OPT 1 |
― | ACC=2 SL=2 |
ACC=2 | ACC=2 |
Scanning Range
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 |
AXIAL T2 FSFSE |
AXIAL T1 3D BRAVO |
AXIAL DWI |
AXIAL T2* GRE |
Pre or Post SAGITTAL T2 FLAIR CUBE |
Post AXIAL T1 3D BRAVO |
Post CORONAL T1 CUBE |
|---|---|---|---|---|---|---|---|---|---|
| FOV | 30 | 24 | 22 | 25 | 24 | 24 | 25 | 25 | 24 |
| Slice Thickness | 7 | 5 | 5 | 2.4 | 5 | 4 | 1.6 | 1.2 | 1.8 |
| Spacing | 5 | Interleaved | Interleaved | 0 | 1 | 1 | 0 | 0 | ― |
| Number of Slices | 7-Ax/Sag/Cor | ― | 24-26 | 70 locs | 24-26 | 24-26 | 126 | 140 | 112 |
| Scan Time | 0:18 sec | 2-3 min | ~2-3 min | 2:30 min | ~2-3 min | 2:30 min | 3-5 min | 4 min | 2:30 min |
