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Cranial Nerves/Internal Auditory Canal 3.0T

GE Healthcare – MR Gadopiclenol (VUEWAY®) Protocols

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Instructions And Patient Preparation

Instructions
• Reformat Sagittal T1 CUBE and Coronal 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)
• Axial T2 CUBE FOCUS or FIESTA images are used to image the cranial nerves
• This may be a standalone exam for follow-up or done in conjunction with sequences from Routine Brain protocol
• Contrast is used for almost all examinations
Position
Supine, head first
Coil
8 channel Head or GEM HNU
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 Hand Bolus usually
Saline Flush 10-20 mL Hand Flush
Comments • Report agent administered and dose
• Use minimal dose for patients with a GFR <60 mL/sec

Imaging Parameters

Scan Description 3PL
LOCALIZER
SAGITTAL
3D T1 CUBE
Optional:
AXIAL
T1 FSE
Optional:
CORONAL
T1 FSE
AXIAL
T2 CUBE
FOCUS
AXIAL
FIESTA
Optional:
Post
AXIAL
T1 FSE
Optional:
Post
CORONAL
T1 FSE
Post
AXIAL
T1 3D BRAVO
Post
CORONAL
3D T1 CUBE
          View Image   View Image   View Image View Image
Primary Sequence Yes Yes Yes Yes Optional Yes Yes Yes Yes Yes T1
Mode 2D 3D 2D 2D 3D 3D 2D 2D 3D BRAVO 3D
Pulse Sequence SSFSE CUBE FSE-XL FSE-XL CUBE-T2 FIESTA-C FSE-XL FSE-XL BRAVO CUBE
Imaging Options SEQ, EDR, FAST,
SS, ARC, TRF
EDR, ZIP2,
ZIP512, FR, ARC
FC, TRF, FAST FC, TRF, FAST FC, EDR, FAST, ZIP512, ZIP2,
FR, ARC, HS, Excitation=focus
NPW, EDR,
FAST, ZIP2
FC, TRF, FAST FC, TRF, FAST FAST, IRP,
ZIP2, ASSET
EDR, ZIP2,
ZIP512, FR, ARC

Scan Parameters

Scan Description 3PL
LOCALIZER
SAGITTAL
3D T1 CUBE
Optional:
AXIAL
T1 FSE
Optional:
CORONAL
T1 FSE
AXIAL
T2 CUBE FOCUS
AXIAL
FIESTA
Optional:
Post
AXIAL
T1 FSE
Optional:
Post
CORONAL
T1 FSE
Post
AXIAL
T1 3D BRAVO
Post
CORONAL
3D T1 CUBE
                     
TE 80 Min Min-Full Min-Full 220 Min Min-Full Min-Full ― 24
TR 1000 550 500-700 500-700 2000 ― 500-700 500-700 ― 550
TI ― ― ― ― ― ― ― ― 450 ―
Flip Angle ― ― Auto Auto Auto 55 Auto Auto 13 ―
ETL ― 20 3 3 130 ― 3 3 ― 24
Bandwidth 83 62 31 31 62 36 31 31 25 62
Sat ― ― I ― ― ― Optional: Fat or Flex Optional: Fat or Flex ― Fat

Acquisition Parameters

Scan Description 3PL
LOCALIZER
SAGITTAL
3D T1 CUBE
Optional:
AXIAL
T1 FSE
Optional:
CORONAL
T1 FSE
AXIAL
T2 CUBE FOCUS
AXIAL
FIESTA
Optional:
Post
AXIAL
T1 FSE
Optional:
Post
CORONAL
T1 FSE
Post
AXIAL
T1 3D BRAVO
Post
CORONAL
3D T1 CUBE
                     
MATRIX freq 256 256 320 320 260 256 320 320 256 288
MATRIX phase 192 256 224 224 260 256 224 224 256 288
NEX 1 1 2 2 2 1 2 2 1 1
Phase FOV 1 ― 1 1 0.8 ― 1 1 ― 0.7
Freq Direction Unswap S/I A/P S/I A/P A/P A/P S/I A/P S/I
Image Enhance ― PURE PURE PURE PURE PURE PURE PURE PURE PURE
FC Direction ― ― Slice Freq Slice ― Slice Freq ― ―
User CV ― ACC=2 ― ― CUBE-2
SAR-1
Apodization-lvl-1
― ― ― ACC=2 CUBE Enh 3
ACC=2

Scanning Range

Scan Description 3PL
LOCALIZER
SAGITTAL
3D T1 CUBE
Optional:
AXIAL
T1 FSE
Optional:
CORONAL
T1 FSE
AXIAL
T2 CUBE FOCUS
AXIAL
FIESTA
Optional:
Post
AXIAL
T1 FSE
Optional:
Post
CORONAL
T1 FSE
Post
AXIAL
T1 3D BRAVO
Post
CORONAL
3D T1 CUBE
                     
FOV 30 24 18 18 16 16 18 18 25 24
Slice Thickness 7 1.2 3 3 1 1.2 3 3 1.2 1
Spacing 5 ― INT-1 INT-1 ― ― INT-1 INT-1 0 ―
Number of Slices 7-Ax/Sag/Cor 160 12-18 12-18 76 1 Slab-60 12-18 12-18 128 200
Scan Time 0:18 sec 3-5 min ~2.5 min ~2.5 min ~4-5 min 4-5 min ~2.5 min ~2.5 min 3:30 min 3-5 min