Instructions And Patient Preparation
- Instructions
- • Sagittal – cover through foramina
• Axial – Base of skull through C7. For sequences with Fat Sat, place shim centered on upper C-Spine to improve quality
• Instruct patients to try not to swallow, lick their lips, or move their chin - Common Indications
- Tumor, multiple sclerosis, infection
- Position
- Supine, head first
- Coil
- C/T/L Coil (C12) or Head/Neck coil
- Landmark
- 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 | |||||||||
| Saline Flush | 10-20 mL | Hand Bolus | |||||||||
| Comments | ― | ― | ― | ― | ― | ― | ― | Alternate for metal reduction | Trauma | Trauma use Shim to reduce banding | Optional Trauma in Coronal CUBE STIR FOCUS not available |
Imaging Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 FLAIR |
SAGITTAL T2 |
SAGITTAL STIR |
AXIAL MERGE |
Pre and Post AXIAL T1 |
Post SAGITTAL T1 FS |
AXIAL T2 |
CORONAL CUBE STIR FOCUS |
SAGITTAL 3D FIESTA |
CORONAL T2 IDEAL |
|---|---|---|---|---|---|---|---|---|---|---|---|
| View Image | View Image | ||||||||||
| Primary Sequence | Yes | Yes | Yes | Yes | Yes | Yes | Yes Post contrast |
No | No | No | No |
| Mode | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 3D | 3D | 2D |
| Pulse Sequence | SSFSE | T1 FLAIR | FRFSE-XL | FSE-IR | MERGE | FSE-XL | FSE-XL | FSE-XL | CUBE | Fiesta-C | FSE-XL |
| Parallel Imaging | ― | No | No | 2 | 2 | No | No | No | Yes | No | No |
| Options | SEQ, EDR, FAST, SS, ARC, TRF |
NPW, TRF, EDR, SEQ, FAST | NPW, FC, TRF, FAST, FR |
SEQ, FC, ARC, PROPELLER, TRF | FC, NPW, TRF, FAST, FR |
TRF, FAST, NPW | TRF, FAST | TRF, FAST, NPW | EDR, Fast, ZIP512, FR, ARC, HS, IrP | EDR, Fast, Zip512 | NPW, FAST, IDEAL |
Scan Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 FLAIR |
SAGITTAL T2 |
SAGITTAL STIR |
AXIAL MERGE |
Pre and Post AXIAL T1 |
Post SAGITTAL T1 FS |
AXIAL T2 |
CORONAL CUBE STIR FOCUS |
SAGITTAL 3D FIESTA |
CORONAL T2 IDEAL |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TE | 80 | 24 | 102 | 42 | 5.5 | 15 | 15 | 85 | 60 | Min | 85 |
| TR | 1000 | 2100 | 3000 | 4000 | 850 | 500-700 | 500-700 | 4000 | 3000 | Def | 3000 |
| TI | ― | Auto | ― | 180 | ― | ― | ― | ― | 230 | ― | ― |
| Flip Angle | ― | Auto | Auto | Auto | 20 | ― | ― | Auto | ― | 55 | ― |
| ETL | ― | 8 | 21 | 18 | 4 echo | 3 | 33 | 27 | 130 | ― | 14 |
| Bandwidth | ― | 35 | 41 | 83 | 150-230 | 20 | 20 | Anterior | 100 | 62.5 | 62 |
| SAT | ― | Anterior | Anterior | Anterior | Anterior | Anterior/Optional Fat post contrast | Anterior/Fat | Yes | ― | ― | Anterior |
Acquisition Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 FLAIR |
SAGITTAL T2 |
SAGITTAL STIR |
AXIAL MERGE |
Pre and Post AXIAL T1 |
Post SAGITTAL T1 FS |
AXIAL T2 |
CORONAL CUBE STIR FOCUS |
SAGITTAL 3D FIESTA |
CORONAL T2 IDEAL |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MATRIX freq | 256 | 320 | 384 | 288 | 288 | 320 | 320 | 320 | 256 | 192 | 288 |
| MATRIX phase | 192 | 256 | 256 | 256 | 256 | 192 | 224 | 224 | 256 | 192 | 192 |
| NEX | 1 | 2 | 4 | 3 | 2 | 3 | 3 | 2 | 1 | 1 | 2 |
| Freq DIR | Unswap | A/P | A/P | A/P | R/L | R/L | A/P | R/L | S/I | S/I | R/L |
| Accel | 2 | ― | ― | 2 | ― | ― | ― | ― | ARC 1.1/1 HS 1.2 | ― | ARC 2 if available |
| FC Direction | ― | No | Freq | Freq | Slice | Slice | ― | Slice | ― | ― | ― |
Scanning Range
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 FLAIR |
SAGITTAL T2 |
SAGITTAL STIR |
AXIAL MERGE |
Pre and Post AXIAL T1 |
Post SAGITTAL T1 FS |
AXIAL T2 |
CORONAL CUBE STIR FOCUS |
SAGITTAL 3D FIESTA |
CORONAL T2 IDEAL |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FOV | 30 | 22 | 22 | 22 | 18 | 18 | 22 | 22 | 25 | 14 | 26 |
| Phase FOV | 1 | 1 | 1 | 1 | .8 | .8 | 1 | .8 | 0.9 | 1 | 1 |
| Filter | ― | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | SCIC | PURE |
| Slice Thickness | 7 | 3 | 3 | 3 | 4 | 4 | 3 | 4 | 1.2 | 1.4 | 3 |
| Spacing | 5 | 0.3 | 0.3 | 0.3 | 0 | Interleaved | 1 | Interleaved | 0 | 0 | 1 |
| Number of Slices | 7-Ax/SagCor | 15 | 15 | 15 | 28-35 | 28-35 | 15 | 30-40 | 82 | 60 | 20 |
| Scan Time | 0:25 sec | ~3-4 min | ~3 min | ~4 min | ~5 min | ~3-4 min | 4 min | ~4 min | 4 min | 2:49 | ~3 min |
