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Cervical Spine With/without IV Contrast 1.5T

Philips Healthcare – MR Gadopiclenol (VUEWAY®) Protocols

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Instructions And Patient Preparation

Instructions
Patient change into hospital issued gown and pants
Position
Supine head first
Coil
Posterior Coil with dStream Torso Coil OR NVArray Coil
Landmark
Chin

Contrast Agent Parameters

Contrast Agent Dose Injection Rate
Gadopiclenol (VUEWAY) 0.05 mmol/kg Hand Bolus
Saline Flush 10-20 mL Hand Flush
Comments • Gadolinium optional. Contrast use is recommended for possible spinal cord tumor, inflammation, or extra-axial spine tumor or in the setting of postoperative spine
• If available, use mDIXON XD Fat Sat technique for the postcontrast scans

Info Page

Scan Description SURVEY SAGITTAL
T1		 SAGITTAL
T2		 SAGITTAL
T2 Fat Sat		 AXIAL
T2		 AXIAL
T1		 SAGITTAL
T1 +C Fat Sat		 AXIAL
T1 +C
  View Image View Image View Image View Image View Image View Image View Image View Image
Total scan duration 00:31.4 03:29.2 01:08.0 01:45.0 03:24.6 02:55.0 03:27.3 03:10.6
Rel. SNR 1 1 1 1 1 1 1 1
Act. TR (ms) — 513 2000 2500 4447 634 532 635
Act. TR/TE (ms) 26 / 4.4 — — — — — — —
Act. TE (ms) — 8 100 90 100 15 8 15
ACQ matrix M x P 240 x 200 300 x 199 320 x 154 284 x 131 228 x 208 200 x 196 300 x 198 200 x 198
ACQ voxel MPS (mm) 1.25 / 1.50 / 10.0 0.80 / 0.81 / 3.00 0.75 / 1.03 / 3.00 0.85 / 1.22 / 3.00 0.79 / 0.87 / 3.00 0.90 / 0.92 / 3.00 0.80 / 0.80 / 3.00 0.90 / 0.91 / 3.00
REC voxel MPS (mm) 0.94 / 0.94 / 10.0 0.54 / 0.54 / 3.00 0.38 / 0.38 / 3.00 0.63 / 0.63 / 3.00 0.40 / 0.40 / 3.00 0.40 / 0.40 / 3.00 0.75 / 0.75 / 3.00 0.40 / 0.40 / 3.00
Scan percentage (%) 83 99 73 69 91 98 100 99
Packages 3 2 2 2 2 4 2 4
Min. slice gap (mm) 0 3 3 3 0 0 3 0
Act. slice gap (mm) — 0.3 0.3 0.3 0.3 0.3 0.3 0.3
Optimal slices — — — — 21 11 — 11
Max. slices — 14 — — — 44 14 44
Act. WFS (pix) / BW (Hz) 0.907 / 239.5 — — — — — — —
Min. WFS (pix) / Max. BW (Hz) 0.409 / 531.5 — — — — — — —
WFS (pix) / BW (Hz) — 0.646 / 336.0 0.845 / 257.0 0.612 / 354.9 0.677 / 320.6 0.650 / 334.2 0.633 / 342.9 0.650 / 334.2
Full flow comp. — no — — yes yes no yes
TSE es / shot (ms) — 7.8 / 39 6.7 / 194 5.5 / 175 10.0 / 200 10.0 / 50 7.8 / 39 10.0 / 50
TEeff / TEequiv (ms) — — 100 / 94 — — — — —
Min. TR (ms) — 513 1907 2221 4447 634 532 635
Local torso SAR < 12 % < 50 % < 72 % < 73 % < 97 % < 89 % < 50 % < 89 %
Whole body SAR / level < 0.3 W/kg /
normal		 < 1.3 W/kg / normal < 1.8 W/kg / normal < 1.9 W/kg / normal < 2.5 W/kg /
1st level		 < 2.3 W/kg /
1st level		 < 1.3 W/kg / normal < 2.3 W/kg /
1st level
SED 0.0 kJ/kg < 0.3 kJ/kg < 0.1 kJ/kg < 0.2 kJ/kg < 0.5 kJ/kg < 0.4 kJ/kg < 0.3 kJ/kg < 0.4 kJ/kg
Max B1+rms 1.44 uT 2.99 uT 3.58 uT 3.65 uT 4.17 uT 3.99 uT 2.99 uT 3.99 uT
PNS / level 18 % / normal 49 % / normal 47 % / normal 47 % / normal 47 % / normal 57 % / normal 49 % / normal 57 % / normal
dB/dt 12.8 T/s 48.4 T/s 48.4 T/s 43.8 T/s 41.4 T/s 52.5 T/s 48.4 T/s 52.6 T/s
Sound Pressure Level (dB) 0.1 10.5 9.7 10.3 15.9 17.1 11.3 17.1

Geometry

Scan Description SURVEY SAGITTAL
T1		 SAGITTAL
T2		 SAGITTAL
T2 Fat Sat		 AXIAL
T2		 AXIAL
T1		 SAGITTAL
T1 +C Fat Sat		 AXIAL
T1 +C
                 
SmartSelect yes yes yes yes yes yes yes yes
Uniformity — CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR
FOV AP (mm) — 161 159 160 181 181 159 181
FOV FH (mm) 300 240 240 240 138 138 240 138
FOV RL (mm) 300 43 46 46 181 181 43 181
      FOV (mm) (2) 32, (18) 40 — — — — — — —
ACQ voxel size AP (mm) — 0.8 0.8 1.1 0.8 0.9 0.8 0.9
ACQ voxel size FH (mm) 1.3 0.8 0.9 0.9 — — 0.8 —
ACQ voxel size RL (mm) 1.5 — — — 0.9 0.9 — 0.9
Slice thickness (mm) 10 3 3 3 3 3 3 3
Bar orientation RL — — — — — — —
VOI orientation transverse — — — — — — —
VOI size AP (mm) 30 — — — — — — —
VOI size FH (mm) 30 — — — — — — —
VOI size RL (mm) 30 — — — — — — —
Recon voxel size AP (mm) — 0.5 0.4 0.6 0.4 0.4 0.8 0.4
Recon voxel size FH (mm) 0.9 0.5 0.4 0.6 — — 0.8 —
Recon voxel size RL (mm) 0.9 — — — 0.4 0.4 — 0.4
Fold-over suppression oversampling oversampling oversampling oversampling oversampling oversampling oversampling oversampling
       A (mm) — 70 50 50 — — 70 —
       L (mm) 150 — — — 89 89 — 89
       P (mm) — 20 20 20 — — 20 —
       R (mm) 150 — — — 90 90 — 90
Reconstruction matrix 320 448 640 384 448 448 320 448
SENSE no no no no no no no no
CS-SENSE no yes no no yes yes yes yes
      reduction — 1.3 — — 1 1.2 1 1.1
      denoising — system default — — system default system default system default system default
k-t Acceleration no no no no no no no no
Stacks 3 1 1 1 1 1 1 1
      type (20) parallel parallel parallel parallel parallel parallel parallel parallel
Slices (20) 3 13 14 14 42 42 13 42
      slice gap user defined default default default default default default default
      gap (mm) (2) 1, (18) 5 — — — — — — —
      slice orientation coronal, sagittal, (18) transverse sagittal sagittal sagittal transverse transverse sagittal transverse
      fold-over direction RL, FH, (18) AP AP AP AP RL RL AP RL
      fat shift direction F, P, (18) L F F F P P F P
      radial axis RL, (2) AP, (17) RL — — — — — — —
      radial angle (deg) (20) 0 — — — — — — —
Stacks as Packages yes — — — — — — —
Minimum number of Packages 1 1 1 1 1 1 1 1
Slice scan order default default default default default rev. central default rev. central
Stack scan order ascend — — — — — — —
O-MAR — no no no no no no no
Move table per stack no — — — — — — —
Large table movement no no no no no no no no
Stack alignment no — — — — — — —
Stack sort order no — — — — — — —
PlanAlign no no no no yes yes no yes
REST slabs 0 1 1 0 1 0 1 0
      type — free free — free — free —
      orientation — coronal coronal — coronal — coronal —
      thickness (mm) — 30 61 — 30 — 30 —
      orientation — — — — — — sagittal —
Interactive positioning no no no no no no no no
Patient position head first head first head first head first head first head first head first head first
Patient body position head first head first head first head first head first head first head first head first
Patient orientation supine supine supine supine supine supine supine supine
Patient body orientation supine supine supine supine supine supine supine supine

Contrast

Scan Description SURVEY SAGITTALT1 SAGITTALT2 SAGITTALT2 Fat Sat AXIALT2 AXIALT1 SAGITTALT1 +C Fat Sat AXIALT1 +C
Scan type Imaging Imaging Imaging Imaging Imaging Imaging Imaging Imaging
Scan mode MS MS MS MS MS MS MS MS
technique FFE SE SE SE SE SE SE SE
Contrast enhancement no — — — — — — —
Modified SE — no no no no no no no
Acquisition mode cartesian cartesian cartesian cartesian cartesian cartesian cartesian cartesian
Fast Imaging mode none TSE TSE TSE TSE TSE TSE TSE
shot mode — multishot multishot multishot multishot multishot multishot multishot
TSE factor — 5 28 32 19 5 5 5
TE spacing — — user defined — — user defined — user defined
(ms) — — 7 — — 10 — 10
startup Echoes — — — — — — — —
profile order — low_high asymmetric linear linear asymmetric low_high asymmetric
DRIVE — no yes no yes no no no
ultrashort — no yes yes no no no no
fid reduction — default default default default default strong default
Echoes 1 1 1 1 1 1 1 1
partial echo no no no no no no no no
shifted echo no — — — — — — —
TE shortest user defined user defined user defined user defined user defined user defined user defined
(ms) — 7.8 100 90 100 15 7.8 15
Flip angle (deg) 45 90 90 90 90 90 90 90
Refocusing control — no constant no no no no no
angle (deg) — — 140 — — — — —
TR shortest range range range range range range range
minimum (ms) — 400 2000 2500 3000 350 400 350
maximum (ms) — 600 4000 4000 6000 750 600 750
Halfscan no no no no no no no no
Water-fat shift maximum maximum maximum maximum maximum maximum maximum maximum
Shim — default default auto auto default volume default
ShimAlign — — — — — — yes —
mDIXON no no no no no no no no
Fat suppression no no no SPAIR no no SPIR no
strength — — — — — — strong —
power — — — 1 — — — —
inversion delay — — — auto — — — —
suppr. level — — — strong — — — —
frequency offset — — — default — — default —
Water suppression no no no no no no no no
MTC no no no no no no no no
Diffusion mode no no no no no no no no
T1 mapping no no no no no no no no
SAR mode high low moderate high high high low high
B1 mode default default default default default default default default
SAR allow first level yes yes yes yes yes yes yes yes
Patient pregnancy no no no no no no no no
Patient WB SAR [W/kg] — — — — — — — —
Patient Head SAR [W/kg] — — — — — — — —
Patient max. dB/dt [T/s] — — — — — — — —
Max slewrate [T/m/s] — — — — — — — —
Max. B1+rms [uT] — — — — — — — —
PNS mode low low low low moderate moderate low moderate
Gradient mode regular default default default default default default default
SofTone mode no no no no no no no no

Motion

Scan Description SURVEY SAGITTAL
T1		 SAGITTAL
T2		 SAGITTAL
T2 Fat Sat		 AXIAL
T2		 AXIAL
T1		 SAGITTAL
T1 +C Fat Sat		 AXIAL
T1 +C
                 
Cardiac synchronization no no no no no no no no
Respiratory compensation no no no no no no no no
Navigator respiratory comp no no no no no no no no
Flow compensation no sensitized no no yes yes sensitized yes
      direction — — — — through-plane in-plane — in-plane
Temporal slice spacing default default default default default default default default
fMRI echo stabilisation no — — — — — — —
Motion smoothing — yes no yes yes no yes no
NSA 1 4 2 3 1 1 3 1
SMART — yes no yes — — yes —
MRE enable no no no no no no no no

Dynamic Angio

Scan Description SURVEY SAGITTAL
T1		 SAGITTAL
T2		 SAGITTAL
T2 Fat Sat		 AXIAL
T2		 AXIAL
T1		 SAGITTAL
T1 +C Fat Sat		 AXIAL
T1 +C
                 
Angio / Contrast enh. no — — — — — — —
Quantitative flow no — — — — — — —
Manual start no no no no no no no no
Dynamic study no no no no no no no no
Arterial Spin labeling no no no no no no no no

Post Processing

Scan Description SURVEY SAGITTAL
T1		 SAGITTAL
T2		 SAGITTAL
T2 Fat Sat		 AXIAL
T2		 AXIAL
T1		 SAGITTAL
T1 +C Fat Sat		 AXIAL
T1 +C
                 
Preparation phases — auto auto auto auto auto auto auto
Interactive F0 no no no no no no no no
Quick Survey default default default default default default default default
MIP/MPR no no no no no no no no
SWIp no — — — — — — —
Images M, (3) no M, (3) no M, (3) no M, (3) no M, (3) no M, (3) no M, (3) no M, (3) no
Autoview image M M M M M M M M
Calculated images (4) no (4) no (4) no (4) no (4) no (4) no (4) no (4) no
Reference tissue Skeletal muscle Skeletal muscle Skeletal muscle Skeletal muscle Skeletal muscle Skeletal muscle Skeletal muscle Skeletal muscle
Recon compression No No No No No No No No
Preset window contrast hard intermediate intermediate intermediate hard hard intermediate hard
Reconstruction mode real time real time real time real time immediate real time real time real time
Save raw data no no no no no no no no
Hardcopy protocol no no no no no no no no
Image filter system default system default system default system default system default system default system default system default
Uniformity correction no no no no no no no no
Geometry correction default default default default default default default default
IF_info_seperator 1634755923 1634755923 1634755923 1634755923 0 0 1634755923 0