Instructions And Patient Preparation
- Instructions
- • Consider gating if available for aortic root/ascending aorta studies
• Respiratory bellows and peripheral gating
• Optional: Reformat all Sagittal MRA into Axial and Coronal - Common Indication
- Prior to electrophysiology (EP) ablation
- Position
- Supine
- Coil
- 8-32 channel Body Array, 8 channel Cardiac, GEMS Array
- Landmark
- Nipple Line
Contrast Agent Parameters
| Contrast Agents | Dose | Injection Rate | |||
|---|---|---|---|---|---|
| Gadopiclenol (VUEWAY) | 0.075 mmol/kg up to a calculated volume of 10 mL OK to cap at 20 mL max volume |
Dilute to 30 mL @ 1.5 mL/sec | |||
| Saline Flush | 50 mL | 1.5 mL/sec | |||
| Comments | Breathing | 3 Slice Mid Vent or if for Right Vent evaluation, then full stack copy and paste to acquire approx. 2 channel and 4 channel Locs |
Pre during Fluoro trigger Post 1 Expiration |
Post 2 LOW FLIP Expiration |
Short Axis Double Oblique Left Vent Full Stack and Long Axis 2, 3, 4 chamber |
Imaging Parameters
| Scan Description | 3PL LOCALIZER SSFSE ARC |
AXIAL Gated CINE |
SAGITTAL 3D MRA |
SAGITTAL 3D MRA LOW FLIP |
OBLIQUE Gated CINE |
|---|---|---|---|---|---|
| View Image | View Image | View Image | |||
| Mode | 2D | 2D | 3D | 3D | 2D |
| Pulse Sequence | SSFSE | SSFP | ceMRA | ceMRA | SSFP |
| Imaging Options | EDR, SEQ, FAST, SS |
Card Gate, SEQ, EDR, FAST, ZIP512, ASSET | FAST, EDR, ARC ZIP2, ZIP512, FluoroTrig |
FAST, EDR, ARC ZIP2, ZIP512 |
Card Gate, SEQ, EDR, FAST, ZIP512, ASSET |
Scan Parameters
| Scan Description | 3PL LOCALIZER SSFSE ARC |
AXIAL Gated CINE |
SAGITTAL 3D MRA |
SAGITTAL 3D MRA LOW FLIP |
OBLIQUE Gated CINE |
|---|---|---|---|---|---|
| TE | 90 | Min | Min | Min | Min |
| TR | Min | Def (4.6) | Def | Def | Def (4.6) |
| Flip Angle | — | 45 | 28 | 15 | 45 |
| Bandwidth | 83 | 62 | 83 | 62 | 62 |
Acquisition Parameters
| Scan Description | 3PL LOCALIZER SSFSE ARC |
AXIAL Gated CINE |
SAGITTAL 3D MRA |
SAGITTAL 3D MRA LOW FLIP |
OBLIQUE Gated CINE |
|---|---|---|---|---|---|
| MATRIX freq | 288 | 256 | 256 | 256 | 256 |
| MATRIX phase | 160 | 160 | 192 | 192 | 160 |
| NEX | Def | 1 | 1 | 1 | 1 |
| Phase FOV | 1 | 0.8 | 0.8 | 0.8 | 0.8 |
| Freq Direction | Def | — | S/I | S/I | — |
| Image Enhance | — | PURE | — | — | PURE |
| Accel | Ph 2 | 1 | Ph 2, Sl 2 | Ph 2, Sl 2 | 1 |
| Adv CV | 0, 240, 0 | Arryth Rej Wn 10 Delay Min VPS 16 # Phases Recon 20 |
Turbo 2 Elip Cent 1 Slice Res 78% |
Turbo 2 Elip Cent 1 Slice Res 78% |
Arryth Rej Wn 10 Delay Min VPS 16 # Phases Recon 20 |
Scanning Range
| Scan Description | 3PL LOCALIZER SSFSE ARC |
AXIAL Gated CINE |
SAGITTAL 3D MRA |
SAGITTAL 3D MRA LOW FLIP |
OBLIQUE Gated CINE |
|---|---|---|---|---|---|
| FOV | 40 | 40 | 36 | 36 | 40 |
| Slice Thickness | 8 | 8 | 2 | 2 | 8 |
| Spacing | 0 | 2 | 0 | 0 | 2 |
| Number of Slices | 5-8 each Plane | Variable – see comments above | 70 Slices/PRN | 70 Slices/PRN | Variable – see comments above |
| Approx. Scan Time | 0:46-0:54 | ± 8-15 sec per BH gating dependent |
± 20 sec per BH | ± 20 sec per BH | ± 8-15 sec per BH gating dependent |
