Instructions And Patient Preparation
- Instructions
- • Sagittal – Cover through foramina, T11-thecal sac
• Axial – Bottom of T12 through thecal sac. Can use two stacks (upper and lower) angled to disc spaces - Common Indications
- Tumor, infection, post surgery
- Position
- Supine head first for CTL Coil, or Supine Feet First for Gems Table
- Coil
- Spine array coil
- Landmark
- 1-2″ above iliac crest
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 | ― | ― | ― | ― | Can angle to the disc spaces or stack axially | Can angle to the disc spaces or stack axially | Post contrast | Post contrast | Alternative to FLAIR |
Imaging Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 FLAIR |
SAGITTAL T2 |
SAGITTAL STIR |
AXIAL T2 |
AXIAL T1 |
Post AXIAL T1 |
Post SAGITTAL T1 FS |
SAGITTAL T1 |
|---|---|---|---|---|---|---|---|---|---|
| View Image | View Image | View Image | View Image | View Image | |||||
| Primary Sequence | Yes | Yes | Yes | Yes | Yes | Yes | Yes contrast | No | No |
| Mode | 2D Std Loc | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D |
| Pulse Sequence | SSFSE | FSE-XL | FSE-XL | FSE-XL | FSE-XL | FSE-XL | FSE-XL | FSE-XL | FSE-XL |
| Parallel Imaging | 2 | No | No | No | No | No | No | No | No |
| Options | SEQ, TRF, EDR, FAST, SS, ARC | NPW, FC, EDR, SEQ, TRF, FAST | FC, NPW, TRF, FAST, FR | NPW, SEQ, EDR, IrP |
NPW, TRF, FAST, FR, FC |
NPW, EDR, TRF, FAST |
NPW, EDR, TRF, FAST, FC | NPW, EDR, TRF, FAST, FC | NPW, EDR, TRF, FAST, FC |
Scan Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 FLAIR |
SAGITTAL T2 |
SAGITTAL STIR |
AXIAL T2 |
AXIAL T1 |
Post AXIAL T1 |
Post SAGITTAL T1 FS |
SAGITTAL T1 |
|---|---|---|---|---|---|---|---|---|---|
| TE | 80 | 24 | 80 | 42 | 87 | 15 | 15 | 15 | 15 |
| TR | Min | 3500 | 4000 | 4000 | 4000 | 800 | 500 | 500 | 500 |
| TI | ― | Auto | ― | 180 | ― | ― | ― | ― | ― |
| Flip Angle | ― | Auto | Auto | Auto | Auto | Auto | Auto | Auto | Auto |
| ETL | ― | 8 | 21 | 10 | 12 | 3 | 3 | 3 | 3 |
| Bandwidth | ― | 41 | 41 | 41 | 31 | 25 | 25 | 25 | 25 |
| SAT | 83 | Anterior | Anterior | Anterior | Anterior | Anterior | Anterior/ Optional Fat |
Anterior/Fat | Anterior |
Acquisition Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 FLAIR |
SAGITTAL T2 |
SAGITTAL STIR |
AXIAL T2 |
AXIAL T1 |
Post AXIAL T1 |
Post SAGITTAL T1 FS |
SAGITTAL T1 |
|---|---|---|---|---|---|---|---|---|---|
| MATRIX freq | 256 | 320 | 384 | 320 | 320 | 320 | 320 | 320 | 320 |
| MATRIX phase | 128 | 224 | 224 | 192 | 224 | 224 | 224 | 224 | 224 |
| NEX | 1 | 2 | 3 | 3 | 2 | 2 | 2 | 4 | 4 |
| Freq DIR | ― | A/P | A/P | A/P | A/P | A/P | A/P | A/P | A/P |
| FC Direction | ― | ― | Freq | ― | Slice | ― | Slice | Freq | Freq |
Scanning Range
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 FLAIR |
SAGITTAL T2 |
SAGITTAL STIR |
AXIAL T2 |
AXIAL T1 |
Post AXIAL T1 |
Post SAGITTAL T1 FS |
SAGITTAL T1 |
|---|---|---|---|---|---|---|---|---|---|
| FOV | 40 | 28 | 28 | 28 | 20 | 20 | 20 | 28 | 28 |
| Phase FOV | ― | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
| Filter | ― | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE |
| Slice Thickness | 5 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 |
| Spacing | 10 | 0.4 | 0.4 | 0.4 | 1 | 1 | 1 | 0.4 | 0.4 |
| Number of Slices | 10-15 each plane | 14-20 | 14-20 | 14-20 | 25-35 | 25-35 | 25-35 | 14-20 | 14-20 |
| Scan Time | 0:25 sec | ~3.5-4 min | ~3 min | ~4 min | ~4-6 min | ~4-6 min | ~4-6 min | ~3.5-4 min | ~3.5-4 min |
