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Pediatric Brain 3.0T

GE Healthcare – MR Gadopiclenol (VUEWAY®) Protocols

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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 MRI or other sequences from adult protocols as needed
Position
Supine, head first
Coil
Head, 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
• Consider MPR 3 mm recons of all 3D sequences in all non-acquired planes

Imaging Parameters

Scan Description 3PL
LOCALIZER
SAGITTAL
T1 FLAIR
SAGITTAL
T2 3D CUBE
AXIAL
DWI-PROPELLER
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 3D CUBE
                View Image View Image  
Primary Sequence Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes T1
Mode 2D 2D 3D 2D 2D 2D 2D 3D 3D BRAVO 3D
Pulse Sequence SSFSE IR FSE-XL DWI-PROPELLER PROPELLER GRE PROPELLER CUBE BRAVO CUBE
Imaging Options SEQ, EDR, FAST,
SS, ARC, TRF
FC, TRF,
SEQ, FAST
EDR, ZIP PROPELLER,
ARC (DWDuo if available)
TRF, ARC, FC FC TRF, ARC ARC, T2-IRP,
ZIP2, EDR
FAST, IRP,
ZIP2, ASSET
EDR, ZIP2,
ZIP512, FR, ARC

Scan Parameters

Scan Description 3PL
LOCALIZER
SAGITTAL
T1 FLAIR
SAGITTAL
T2 3D CUBE
AXIAL
DWI-PROPELLER
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 3D CUBE
                     
TE 80 24 125 Min ― 25 ― Fixed with TR ― 24
TR 1000 3500 6000 8000 5000 800 6000 6000 ― 550
TI ― Auto 2000 ― ― ― ― 1954
(Fixed with TR)
450 ―
Flip Angle ― Auto 160 ― ― 20 ― Auto 13 ―
ETL ― 8 130 20 26 ― 26 160 ― 24
Bandwidth 83 41 41 125 50 31 50 32 25 62
Sat ― ― ― Fat Fat ― Fat Fat ― Fat

Acquisition Parameters

Scan Description 3PL
LOCALIZER
SAGITTAL
T1 FLAIR
SAGITTAL
T2 3D CUBE
AXIAL
DWI-PROPELLER
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 3D CUBE
                     
MATRIX freq 256 352 256 128 384 320 384 256 256 256
MATRIX phase 192 224 256 128 ― 256 ― 256 256 256
NEX 1 2 1 2 1 1 1 1 1 1
Phase FOV Full 1 1 1 Full 0.75 Full ― ― .8
Freq Direction Unswap S/I S/I A/P A/P A/P A/P S/I A/P S/I
Image Enhance ― PURE SCIC SCIC PURE PURE PURE PURE PURE PURE
FC Direction ― ― ― ― ― Slice ― ― ― ―
User CV ― CV12 1
CV22 1
― 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
ACC=2 CUBE
Enh 3
ACC=2

Scanning Range

Scan Description 3PL
LOCALIZER
SAGITTAL
T1 FLAIR
SAGITTAL
T2 3D CUBE
AXIAL
DWI-PROPELLER
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 3D CUBE
                     
FOV 30 20 20 20 20 20 20 23 22 24
Slice Thickness 7 3 1 4 3 4 3 1.6 1.2 1
Spacing 5 1 ― 0.5 0.3 .5 0.3 ― ― ―
Number of Slices 7-Ax/SagCor ― 112 24-26 30 24-26 30 126 140 200
Scan Time 0:30 sec 2-3 min 3-5 min 2:20 min 3:30 min 2 min 3:30 min 3-5 min 4 min 3-5 min