Instructions And Patient Preparation
- Instructions
- • If contrast is used, lesions and cancer staging slices may vary based on indication
• Reformat pre and post Sagittal T1 CUBE in Axial and Coronal planes. If CUBE is not available run Axial and Coronal T1 weighted sequences with and without contrast (+/-Fat Sat or Flex)
• Coronal coverage = top of orbits thru manubrium
• Axial coverage = tailored to area of interest (nasopharynx/oropharynx/parotids) cover lesions or area of interest - Position
- Supine, head first
- Coil
- Head/Neck
- Landmark
- Region of interest
Contrast Agent Parameters
| Contrast Agent | Dose | Injection Rate | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Gadopiclenol (VUEWAY) | 0.05 mmol/kg up to a calculated volume of 10 mL | Hand Bolus usually | |||||||||
| Saline Flush | 10-20 mL | — | |||||||||
| Comments | • Report agent administered and dose • Consider using ARDL for CUBE or Flex sequences if available |
||||||||||
Imaging Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL 3D T1 CUBE |
AXIAL T2 FS Flex |
AXIAL DWI PROPELLER |
CORONAL STIR CUBE Flex |
Post SAGITTAL 3D T1 CUBE Flex |
Post CORONAL T1 LAVA-Flex |
Post CORONAL T1 |
Optional: Post AXIAL T1 FSE Flex |
CORONAL 3D T2 CUBE Flex |
Optional: Post CORONAL T1 FSE |
|---|---|---|---|---|---|---|---|---|---|---|---|
| View Image | View Image | View Image | View Image | View Image | View Image | ||||||
| Primary Sequence | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Optional | Yes | Yes | Yes |
| Mode | 2D | 3D | 2D | 2D | 3D | 3D | 3D | 3D | 2D | 3D | 2D |
| Pulse Sequence | SSFSE | FSE-XL | FSE-XL | SE-EPI-PROPELLER | CUBE | FSE-XL | FAST SPGR-LAVA | 3D CUBE | FSE-XL | FSE-XL | FSE-XL |
| Imaging Options | SEQ, EDR, FAST, SS, ARC, TRF |
EDR, ZIP2, ZIP512, FR, ARC |
FC, TRF, FAST, Flex |
B=1, 1000, DIR=ALL, ARC, .5EPI, EDR, DIFF, |
EDR, Fast, ZIP512, ARC, HS, IrP | EDR, ZIP2, ZIP512, FR, ARC, Flex |
EDR, FAST, ZIP512, ZIP2, ARC, Flex |
EDR, FAST, ZIP2, FR, ARC |
EDR, TRF, FAST, ARC, Flex | EDR, ZIP2, ARC, FR, Flex, ZIP512 |
EDR, TRF, ZIP512 |
Scan Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL 3D T1 CUBE |
AXIAL T2 FS Flex |
AXIAL DWI PROPELLER |
CORONAL STIR CUBE Flex |
Post SAGITTAL 3D T1 CUBE Flex |
Post CORONAL T1 LAVA-Flex |
Post CORONAL T1 |
Optional: Post AXIAL T1 FSE Flex |
CORONAL 3D T2 CUBE Flex |
Optional: Post CORONAL T1 FSE |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TE | 80 | Min | 85 | Min | 80 | Min | Min-Full | 24 | 18 | 80 | 18 |
| TR | 1000 | 500 | 3000 | 6000 | 2600 | 500 | ― | 550 | 800 | 3000 | 500 |
| TI | ― | ― | ― | ― | 220 | ― | ― | ― | ― | ― | ― |
| Flip Angle | ― | Auto | Auto | Auto | ― | Auto | 12 | ― | ― | Auto | ― |
| ETL | ― | 20 | 20 | ― | 100 | 23 | ― | 24 | 3 | 100 | 3 |
| Bandwidth | 83 | 62 | 50 | 41 | 83 | 62 | 125 | 62 | 31 | 50 | 32 |
| SAT | ― | R/L | ― | Fat | ― | R/L | ― | Fat | ― | ― | ― |
Acquisition Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL 3D T1 CUBE |
AXIAL T2 FS Flex |
AXIAL DWI PROPELLER |
CORONAL STIR CUBE Flex |
Post SAGITTAL 3D T1 CUBE Flex |
Post CORONAL T1 LAVA-Flex |
Post CORONAL T1 |
Optional: Post AXIAL T1 FSE Flex |
CORONAL 3D T2 CUBE Flex |
Optional: Post CORONAL T1 FSE |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MATRIX freq | 256 | 240 | 288 | 112 | 240 | 240 | 224 | 288 | 224 | 240 | 224 |
| MATRIX phase | 192 | 240 | 224 | 112 | 240 | 240 | 224 | 288 | 224 | 240 | 224 |
| NEX | 1 | 1 | 1 | 2.5 | 1 | 1 | 2 | 1 | 1 | 1 | 1 |
| Phase FOV | 1 | 1 | 1 | 1 | 0.9 | 1 | 1 | 0.7 | 1 | 1 | ― |
| Freq Direction | Unswap | S/I | R/L | R/L | S/I | S/I | S/I | S/I | A/P | S/I | S/I |
| Image Enhance | ― | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | SCIC |
| FC Direction | ― | ― | Slice | ― | Freq | ― | ― | ― | ― | Freq | ― |
| User CV | ― | ACC=2 3D Correction |
― | CV0 1 CV5 1 CV7 1 CV17 1 Dual SE Off # Directions=3 Optimized TE |
FOCUS 3D Correction ARC 2/2 HS 1.2 |
ACC=2 3D Correction |
ACC=2 3D Correction |
Fat EFF-1 CUBE Enh=3 ACC=2 |
― | FOCUS 3D Correction |
― |
Scanning Range
| Scan Description | 3PL LOCALIZER |
SAGITTAL 3D T1 CUBE |
AXIAL T2 FS Flex |
AXIAL DWI PROPELLER |
CORONAL STIR CUBE Flex |
Post SAGITTAL 3D T1 CUBE Flex |
Post CORONAL T1 LAVA-Flex |
Post CORONAL T1 |
Optional: Post AXIAL T1 FSE Flex |
CORONAL 3D T2 CUBE Flex |
Optional: Post CORONAL T1 FSE |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FOV | 30 | 24 | 20 | 24 | 24 | 24 | 30 | 24 | 20 | 24 | 20 |
| Slice Thickness | 7 | 1.2 | 3 | 4 | 1.2 | 1.2 | 1 | 1 | 3 | 1.2 | 3 |
| Spacing | 5 | ― | 1 | 1 | ― | ― | ― | ― | 1 | ― | 0 |
| Number of Slices | 7-Ax/SagCor | 160 | 24-26 | 24-26 | 174 | 160 | 236 | 200 | 24-26 | 160 | 20-15 |
| Scan Time | 0:18 sec | 3-5 min | ~2-3 min | ~2-3 min | 3-5 min | 3-5 min | ~3 min | 2:36 min | ~3 min | 3-5 min | ~-3-4 min |
| Total Scan Time | ~45 min |
