Instructions And Patient Preparation
- Instructions
- Respiratory bellows and vector gating optional: Reformat all Sagittal MRA into Axial and Coronal planes
- Common Indication
- Ascending aortic root pathology
- Position
- Supine
- Coil
- 8-32 channel Body Array, 8 channel Cardiac, GEMS Array
- Landmark
- Nipple line
Contrast Agent Parameters
| Contrast Agents | Dose | Injection Rate | Dose Timing Method and Scan Delay | |||||
|---|---|---|---|---|---|---|---|---|
| Gadopiclenol (VUEWAY) | 0.05 mmol/kg up to a calculated volume of 10 mL. OK to cap at 10 mL max volume for patients larger than 100 kg |
Dilute to 30 mL @ 1.5 mL/sec | Fluoro trigger to peak arterial opacification of thoracic aorta | |||||
| Saline Flush | 50 mL | 1.5 mL/sec | Immediately following gadolinium | |||||
| Comments | Breathing | Expiration LVOT | +C Pre during fluoro trigger Post 1 Expiration |
+C Post 2 LOW FLIP Expiration |
Expiration | Expiration | Expiration Flow analysis gated Aortic Valve | Navigator centered at diaphragm |
Imaging Parameters
| Scan Description | 3PL LOCALIZER SSFSE ARC |
OBLIQUE Gated CINE |
SAGITTAL 3D MRA |
SAGITTAL 3D MRA LOW FLIP |
CORONAL T1 3D |
AXIAL T1 3D |
OBLIQUE 2D PC Flow Analysis |
SAGITTAL 3D Heart |
|---|---|---|---|---|---|---|---|---|
| View Image | View Image | View Image | View Image | View Image | ||||
| Mode | 2D | 2D | 3D | 3D | 3D | 3D | 2D | 3D |
| Pulse Sequence | SSFSE | SSFP | ceMRA-XV | ceMRA-XV | LAVA-Flex | LAVA-Flex | FAST Vasc PC | FIESTA |
| Imaging Options | EDR, SEQ, ARC, FAST, SS | Card Gate, SEQ, FAST |
FAST, EDR, ARC, ZIP2, ZIP512, FluoroTrig |
FAST, EDR, ARC, ZIP2, ZIP512 |
EDR, FAST, ZIP2, ARC |
EDR, FAST, ZIP2, ARC |
GAT, ASSET, SEQ, FAST |
GAT, FAST, ZIP512, ZIP2, ASSET, NAV |
Scan Parameters
| Scan Description | 3PL LOCALIZER SSFSE ARC |
OBLIQUE Gated CINE |
SAGITTAL 3D MRA |
SAGITTAL 3D MRA LOW FLIP |
CORONAL T1 3D |
AXIAL T1 3D |
OBLIQUE 2D PC Flow Analysis |
SAGITTAL 3D Heart |
|---|---|---|---|---|---|---|---|---|
| TE | 90 | Min | Min | Min | Min | Min | Def | Min |
| TR | Min | Def (4.6) | Def | Def | Def | Def | Def (5.4) | — |
| Flip Angle | — | — | 28 | 15 | 12 | 12 | 45 | 65 |
| ETL | — | 45 | — | — | — | — | — | — |
| Bandwidth | 83 | — | 83 | 62 | 90 | 90 | 31 | 125 |
| SAT | — | 90 | — | — | — | — | — | — |
Acquisition Parameters
| Scan Description | 3PL LOCALIZER SSFSE ARC |
OBLIQUE Gated CINE |
SAGITTAL 3D MRA |
SAGITTAL 3D MRA LOW FLIP |
CORONAL T1 3D |
AXIAL T1 3D |
OBLIQUE 2D PC Flow Analysis |
SAGITTAL 3D Heart |
|---|---|---|---|---|---|---|---|---|
| MATRIX freq | 288 | 256 | 256 | 256 | 320 | 320 | 256 | 224 |
| MATRIX phase | 160 | 192 | 192 | 192 | 192 | 192 | 160 | 224 |
| NEX | Def | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
| Phase FOV | 1 | 0.8 | 0.8 | 0.8 | 0.9 | 0.8 | 0.8 | 1 |
| Freq Direction | Def | — | S/I | S/I | S/I | R/L | R/L | S/I |
| Accel | Ph 2 | — | Ph 2, Sl 2 | Ph 2, Sl 2 | Ph 2, Sl 2 | Ph 2, Sl 2 | — | 2 |
| Adv CV | 0, 240, 0 | ArrRej 0 | Turbo 2 Elip Cent 1 Slice Res 78% |
Turbo 2 Elip Cent Slice Res 78% |
CV6 1 CV30 1 CV36 70 |
CV6 1 CV30 1 CV36 70 |
Flow Quant 1 | Arr check 1 Slice Res 100% |
| Other | — | Arryth Rej Wn 10 Delay Min VPS 16 # Phases Recon 20 |
— | — | — | — | Gate Tab: Arryth Rej Wn 10 Trig Del Min Phases 20, VPS 8 Vasc Tab: Recon Ph Diff VENC 150-200 FlwDr Slice Collape Off Fl Anlys On |
Gate Tab: #RR = 4 Trig Wind 10 Delay Min Nav-ACC Wind 2 PreScn 10 Nav Type Cynlindric |
Scanning Range
| Scan Description | 3PL LOCALIZER SSFSE ARC |
OBLIQUE Gated CINE |
SAGITTAL 3D MRA |
SAGITTAL 3D MRA LOW FLIP |
CORONAL T1 3D |
AXIAL T1 3D |
OBLIQUE 2D PC Flow Analysis |
SAGITTAL 3D Heart |
|---|---|---|---|---|---|---|---|---|
| FOV | 40 | 36 | 36-40 | 36-40 | 38 | 36 | 36 | 34 |
| Slice Thickness | 8 | 7 | 2 | 2 | 3 | 3 | 5 | 2.4 |
| Spacing | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Number of Slices | 5-8 each Plane | 3 | 70 Slices PRN | 70 Slices PRN | 116 Slices | 128 Slices | 4-8 Segmentation | 24 |
| Approx. Scan Time | 0:46-0:54 | ± 8-15 sec per BH gating dependent |
± 20 sec per BH | ± 20 sec per BH | 0:23 | 0:23 | ± 20 sec per BH | 5:00 |
