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Cervical Spine With/without IV Contrast 3T

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 LOCALIZER 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 00:33.8 — 04:09.6 04:51.4 — — 02:32.7 —
Rel. SNR 1.2 — 0.4 0.7 — — 2.1 —
Act. TR (ms) — — 3618 3237 — — 525 —
Act. TE (ms) — — 100 70 — — 10 —
Act. TR/TE (ms) 9.3 / 5.4 — — — — — — —
ACQ matrix M x P 240 x 200 — 268 x 295 268 x 295 — — 168 x 239 —
ACQ voxel MPS (mm) 1.25 / 1.50 / 10.00 — 0.60 / 0.82 / 3.00 0.60 / 0.81 / 3.00 — — 0.89 / 1.00 / 3.00 —
REC voxel MPS (mm) 0.94 / 0.94 / 10.00 — 0.43 / 0.43 / 3.00 0.50 / 0.50 / 3.00 — — 0.47 / 0.47 / 3.00 —
Scan percentage (%) 83 — 73 73 — — 89 —
Packages 3 — 3 3 — — 3 —
Min. slice gap (mm) 0 — 3 3 — — 3 —
Act. slice gap (mm) — — 0.3 0.3 — — 0.3 —
Optimal slices — — 8 8 — — 8 —
TFE factor 400 — — — — — — —
TFE dur. shot / acq (ms) 3750.9 / 3713.8 — — — — — — —
Act. WFS (pix) / BW (Hz) 0.817 / 531.5 — — — — — — —
Min. WFS (pix) / Max. BW (Hz) 0.817 / 531.5 — — — — — — —
WFS (pix) / BW (Hz) — — 1.132 / 383.9 1.071 / 405.6 — — 2.079 / 209.0 —
Full flow comp. — — no no — — no —
TSE es / shot (ms) — — 8.0 / 192 7.8 / 132 — — 10.0 / 40 —
TEeff / TEequiv (ms) — — — — — — 10 / 10 —
Min. TR (ms) — — 3618 3237 — — 525 —
SPAIR offset act./default (Hz) — — — 200 [220] — — — —
Local torso SAR < 11 % — < 100 % < 100 % — — < 100 % —
Whole body SAR / level < 0.3 W/kg / normal — < 2.3 W/kg / 1st level < 2.3 W/kg / 1st level — — < 2.7 W/kg / 1st level —
SED 0.0 kJ/kg — < 0.6 kJ/kg < 0.7 kJ/kg — — < 0.4 kJ/kg —
Coil Power — — 48% 0.48 — — 80% —
Max B1+rms 0.55 uT — 1.62 uT 1.65 uT — — 2.09 uT —
PNS / level 10 % / normal — 51 % / normal 53 % / normal — — 59 % / normal —
dB/dt 15.4 T/s — 45.6 T/s 47.6 T/s — — 42.4 T/s —
Sound Pressure Level (dB) 2.3 — 19.8 15.3 — — 16.6 —

Geometry

Scan Description LOCALIZER 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
Coil 1 (exclude) — None None None None None None None
Uniformity — CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR
FOV AP (mm) — 159 160 160 180 180 150 180
FOV FH (mm) 300 240 241 240 151 151 240 151
FOV RL (mm) 300 39 39 39 180 180 39 180
      FOV (mm) (2) 32, (18) 40 — — — — — — —
ACQ voxel size AP (mm) — 1 0.6 0.6 0.8 0.8 0.9 0.8
ACQ voxel size FH (mm) 1.3 0.8 0.8 0.8 — — 1 —
ACQ voxel size RL (mm) 1.5 — — — 1 1 — 1
lice 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 0.5 0.5 0.5 0.5 0.5
Recon voxel size FH (mm) 0.9 0.5 0.4 0.5 — — 0.5 —
Recon voxel size RL (mm) 0.9 — — — 0.5 0.5 — 0.5
Fold-over suppression oversampling oversampling oversampling oversampling oversampling oversampling oversampling oversampling
       A (mm) — 50 — — — — — —
       F (mm) — — 200 200 — — 195 —
       H (mm) — — 200 200 — — 165 —
       L (mm) 150 — — — 90 90 — 90
       P (mm) — 20 — — — — — —
       R (mm) 150 — — — 90 90 — 90
Reconstruction matrix 320 512 560 480 384 384 512 384
SENSE no no no no no no no no
CS-SENSE no yes yes yes yes yes yes yes
       reduction — 1.3 1.5 1.6 2 2 1.6 2
       denoising — system default system default 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 12 12 12 38 38 12 38
       slice gap user defined default default default user defined user defined default user defined
       gap (mm) (2) 1, (18) 5 — — — 1 1 — 1
Slice orientation coronal, sagittal, (18) transverse sagittal sagittal sagittal transverse transverse sagittal transverse
Fold-over direction RL, FH, (18) AP AP FH FH RL RL FH RL
Fat shift direction F, P, (18) L F P P P P P 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 default interleaved default
Stack scan order ascend — — — — — — —
Move table per stack no — — — — — — —
O-MAR — no no no no no no no
Large table movement no no no no no no no no
Stack alignment no — — — — — — —
Stack sort order no — — — — — — —
PlanAlign yes yes no no yes yes yes yes
REST slabs 0 1 0 0 0 0 1 0
      type — free — — — — free —
      orientation — coronal — sagittal — — coronal —
      thickness (mm) — 59.6 — — — — 59.6 —
      power — 1 — — — — 1 —
      orientation — — — — — — sagittal —
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 LOCALIZER 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 T1 — — — — — — —
Modified SE — no no no no no no no
Acquisition mode cartesian cartesian cartesian cartesian cartesian cartesian cartesian cartesian
Fast Imaging mode TFE TSE TSE TSE TSE TSE TSE TSE
shot mode single-shot multishot multishot multishot multishot multishot multishot multishot
TSE factor — 4 24 17 4 4 4 4
TE spacing — user defined — — user defined user defined user defined user defined
(ms) — 8 — — 10 10 10 10
TFE startup echoes default — — — — — — —
startup echoes — — — — — — — —
profile order linear asymmetric linear linear asymmetric asymmetric asymmetric asymmetric
DRIVE — no no no no no no no
ultrashort — yes yes yes yes yes yes yes
fid reduction — strong strong strong 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 shortest user defined user defined shortest shortest shortest shortest
(ms) — — 100 70 — — — —
Flip angle (deg) 20 90 90 90 90 90 90 90
Refocusing control — constant no no constant constant constant constant
angle (deg) — 120 — — 105 105 120 105
TR shortest range range range range range range range
minimum (ms) — 400 3000 3000 400 400 350 400
maximum (ms) — 600 5000 4000 600 600 650 600
Halfscan no no no no no no no no
Water-fat shift minimum maximum user defined user defined maximum maximum maximum maximum
(pixels) — — 1.2 1.2 — — — —
RF Shims — adaptive adaptive adaptive adaptive adaptive adaptive adaptive
Shim — default default volume default default volume default
ShimAlign — — — no — — no —
mDIXON no no no no no no no no
Fat suppression no no no SPAIR no no SPAIR no
power — — — 2 — — 1 —
inversion delay — — — auto — — auto —
suppr. level — — — strong — — strong —
frequency offset — — — user defined — — default —
Water suppression no no no no no no no no
BB pulse — no no no no no no no
TFE prepulse 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 low high high high high high high high
B1 mode default user defined default default user defined user defined user defined user defined
amplitude (uT) — 10 — — 10 10 10 10
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 low low low low
Gradient mode regular default default default default default default default
SofTone mode yes no no no no no no no

Motion

Scan Description LOCALIZER 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 sensitized sensitized no no sensitized no
Temporal slice spacing default default default default default default default default
fMRI echo stabilisation no — — — — — — —
Motion smoothing — yes yes yes yes yes yes yes
NSA 1 3 1 1 1 1 1 1
SMART — yes — — — — — —
MRE enable no no no no no no no no

Dynamic Angio

Scan Description LOCALIZER 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 LOCALIZER SAGITTAL
T1		 SAGITTAL
T2		 SAGITTAL
T2 Fat Sat		 AXIAL
T2		 AXIAL
T1		 SAGITTAL
T1 +C Fat Sat		 AXIAL
T1 +C
                 
Preparation phases no auto auto auto auto auto full auto
Interactive F0 — no no no no no select no
Quick Survey default default default default default default default default
B0 field map no no no no no no no no
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 hard intermediate intermediate hard hard hard hard
Reconstruction mode real time real time real time real time real time 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
Free rotatable no no no no no no no no
IF_info_seperator 1634755923 1634755923 1634755923 1634755923 1634755923 1634755923 0 1634755923