Instructions And Patient Preparation
- Instructions
- • This exam is tailored to the patient’s condition and is meant for the needs of children under 8 years of age
• Take Fat Sat off for metal artifacts
• FOV and slice thickness should vary with head size
• Contrast as needed based on diagnosis
• Can use perfusion-weighted imaging or other sequences from adult protocols as needed - Position
- Supine, head first
- Coil
- 8ch Brain, HNU (Head 24 selected if possible)
- Landmark
- Glabella/Nasion
Contrast Agent Parameters
| Contrast Agent | Dose | Injection Rate | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Gadopiclenol (VUEWAY) | 0.05 mmol/kg up to a calculated volume of 10 mL Gadopiclenol (VUEWAY) is approved for adult and pediatric patients, including term neonates. Safety has not been established in preterm neonates. |
2 mL/sec | ||||||||
| Saline Flush | 10-20 mL | 2 mL/sec | ||||||||
| Comments | • Report agent administered and dose • Use minimal dose for patients with a GFR <60 mL/sec |
|||||||||
Imaging Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 FLAIR |
SAGITTAL T2 3D CUBE |
AXIAL DWI |
AXIAL T2 FS |
AXIAL T2* GRE |
CORONAL T2 FS |
Pre or Post SAGITTAL T2 FLAIR CUBE |
Pre or Post AXIAL T1 3D BRAVO |
Post CORONAL T1 CUBE |
|---|---|---|---|---|---|---|---|---|---|---|
| View Image | View Image | |||||||||
| Primary Sequence | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Mode | 2D | 2D | 3D | 2D | 2D | 3D | 2D | 3D | 3D BRAVO | 3D |
| Pulse Sequence | SSFSE | FLAIR | CUBE | DWI-PROPELLER | PROPELLER | GRE | PROPELLER | CUBE | BRAVO | CUBE |
| Imaging Options | SEQ, EDR, FAST, SS, ARC, TRF |
SEQ, TRF, ZIP512 | EDR, FAST, FR, ZIP2, ARC | PROPELLER, ARC (DWDuo if available) |
EDR,TRF, ARC | EDR | TRF, ARC | ARC, T2 IRP, ZIP2, EDR |
FAST, IRP, ZIP2, ASSET |
EDR, ZIP2, ZIP512, FR, ARC |
Scan Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 |
SAGITTAL T2 3D CUBE |
AXIAL DWI |
AXIAL T2 FS |
AXIAL T2* GRE |
CORONAL T2 FS |
Pre or Post SAGITTAL T2 FLAIR CUBE |
Pre or Post AXIAL T1 3D BRAVO |
Post CORONAL T1 CUBE |
|---|---|---|---|---|---|---|---|---|---|---|
| TE | 80 | Min-Full | 90 | Min | ― | 25 | ― | ― | 4 | 24 |
| TR | Min | 2500 | 2400 | Auto (8000) | 5000 | 800 | 6000 | 6000 | 11 | 550 |
| TI | ― | 784 | ― | ― | ― | ― | ― | 1954 (Fixed with TR) |
450 | ― |
| Flip Angle | ― | ― | ― | ― | ― | 20 | ― | Auto | 13 | 13 |
| ETL | ― | 4 | 120 | 24 | 24 | ― | 24 | 160 | ― | 24 |
| Bandwidth | 83 | 20 | 41 | 62 | 41 | 31 | 41 | 32 | 25 | 62 |
| Sat | ― | ― | ― | Fat | Fat | ― | Fat | Fat | ― | Fat |
Acquisition Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 |
SAGITTAL T2 3D CUBE |
AXIAL DWI |
AXIAL T2FS |
AXIAL T2* GRE |
CORONAL T2FS |
Pre or Post SAGITTAL T2 FLAIR CUBE |
Pre or Post AXIAL T1 3D BRAVO |
Post CORONAL T1 CUBE |
|---|---|---|---|---|---|---|---|---|---|---|
| MATRIX freq | 256 | 288 | 256 | 128 | 416 | 256 | 320 | 256 | 256 | 288 |
| MATRIX phase | 192 | 288 | 256 | 128 | ― | 192 | ― | 256 | 256 | 288 |
| NEX | 1 | 2 | 1 | 2 | 1 | 1 | 1 | 1 | 1 | 1 |
| Phase FOV | 1 | 1 | 1 | 1 | Full | 1 | 1 | ― | ― | 0.7 |
| Freq Direction | Unswap | S/I | S/I | A/P | A/P | A/P | A/P | S/I | A/P | S/I |
| Image Enhance | ― | PURE | PURE | PURE | PURE | ― | PURE | PURE | PURE | PURE |
| User CV | ― | ― | ACC=2 Opt HS 1.2 |
B1000 DIFF Dir ALL Ramp Samp=1 ADC=On DIFF PREP=On ACC=2 |
ACC=2 Oversampling=1 |
― | ACC=2 Oversampling=1 |
ACC=2 SL=2 |
― | Fat Sat Eff 1 CUBE Enh 3 ACC=2 |
Scanning Range
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 |
SAGITTAL T2 3D CUBE |
AXIAL DWI |
AXIAL T2FS |
AXIAL T2* GRE |
CORONAL T2FS |
Pre or Post SAGITTAL T2 FLAIR CUBE |
Pre or Post AXIAL T1 3D BRAVO |
Post CORONAL T1 CUBE |
|---|---|---|---|---|---|---|---|---|---|---|
| FOV | 30 | 20 | 20 | 20 | 20 | 20 | 20 | 23 | 22 | 24 |
| Slice Thickness | 7 | 4 | 1.6 | 5 | 4 | 4 | 3 | 1.6 | 1 | 1 |
| Spacing | 5 | .5 | ― | 0 | 0.4 | 0.4 | 0.3 | 0 | 0 | ― |
| Number of Slices | 7-Ax/Sag/Cor | 20 | 112 | 24-26 | 30 | 30 | 30 | 126 | 128 | 112 |
| Scan Time | 0:30 sec | 2-3 min | 3-5 min | 3:20 min | 3:30 min | 2:20 min | 3:30 min | 3-5 min | 3:30 min | 2:30 min |
