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Renal Mass 3T

Siemens Healthineers – MR Gadopiclenol (VUEWAY®) Protocols

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Instructions And Patient Preparation

Instructions
• No special instructions for patient
• Cover kidneys and adrenals
• Breath hold in inspiration. Rectangularize field of view so that arms and body wall wrap to lateral aspect of kidneys but no further
Common Indications
Characterization or follow up of renal mass, patients with malignancy, infection
Position
Head first or feet first
Coil
Phase Array Torso, Spine Array (posterior)
Landmark
Xyphoid

Contrast Agent Parameters

Contrast Agent Dose Injection Rate Dose Timing Method and Scan Delay
Gadopiclenol (VUEWAY) 0.05 mmol/kg 2 mL/sec Power Injector preferred, CareBolus
Saline Flush 50 mL 2 mL/sec Flush with 50 cc saline
Comments • Report agent administered and dose
• Use minimal dose for patients with a GFR <30 mL/sec

Imaging Parameters

Scan Description HASTE
LOCALIZER		 CORONAL
T2 HASTE		 AXIAL
T2 HASTE		 AXIAL
T2 HASTE
Fat Sat		 AXIAL
3D In-Out-
of-Phase		 AXIAL
DWI		 CORONAL
Urogram
Pre		 CORONAL
T1 VIBE Pre		 AXIAL
VIBE Pre		 AXIAL
VIBE Post-3M
CAIPI
30 sec
60 sec
3 min		 AXIAL
VIBE Post
Liver		 CORONAL
T1 VIBE Post
3 min
5 min		 CORONAL
Urogram
Post
    View Image View Image View Image View Image View Image View Image View Image View Image View Image View Image View Image View Image
Sequence Name h h h h fl epse fl fl fl fl fl fl fl
Dimension 2D 2D 2D 2D 3D — 3D 3D 3D 3D 3D 3D 3D
Acceleration mode GRAPPA GRAPPA GRAPPA GRAPPA CAIPIRINHA SMS GRAPPA CAIPIRINHA CAIPIRINHA CAIPIRINHA CAIPIRINHA CAIPIRINHA GRAPPA
Acceleration Factor PE 2 2 2 2 2 2 2 2 2 2 2 2 2
Acceleration Factor 3D — — — — 2 — 1 2 2 2 2 2 1

Scan Parameters

Scan Description HASTE
LOCALIZER		 CORONAL
T2 HASTE		 AXIAL
T2 HASTE		 AXIAL
T2 HASTE
Fat Sat		 AXIAL
3D In-Out-
of-Phase		 AXIAL
DWI		 CORONAL
Urogram
Pre		 CORONAL
T1 VIBE Pre		 AXIAL
VIBE Pre		 AXIAL
VIBE Post-3M
CAIPI
30 sec
60 sec
3 min		 AXIAL
VIBE Post
Liver		 CORONAL
T1 VIBE Post
3 min
5 min		 CORONAL
Urogram
Post
                           
TR 1100 ms 1300 ms 1300 ms 1300 ms 4.6 ms 3000 ms 3.5 ms 4.6 ms 4.2 ms 4.2 ms 3.2 ms 4.6 ms 3.5 ms
TE 84 ms 91 ms 91 ms 91 ms 1: 1.23 ms
2: 2.46 ms		 60 ms 1.31 ms 2.20 ms 2.01 ms 2.01 ms 1.56 ms 2.20 ms 1.31 ms
Flip Angle 150 deg 180 deg 180 deg 180 deg 9 deg — 40 deg 10 deg 9 deg 9 deg 10 deg 10 deg 40 deg
Turbo Factor 179 256 198 198 — — — — — — — — —
Bandwidth 698 Hz/Px 698 Hz/Px 698 Hz/Px 698 Hz/Px 1200 Hz/Px 2084 Hz/Px 620 Hz/Px 350 Hz/Px 400 Hz/Px 400 Hz/Px 690 Hz/Px 350 Hz/Px 620 Hz/Px
Fat-Water Contrast Standard Standard Standard SPAIR Dixon SPAIR Fast Fat Saturation Fast Fat Saturation Fast Fat Saturation Fast Fat
Saturation		 SPAIR Fast Fat Saturation Fast Fat Saturation
Fat Saturation — — — Strong — Strong — — — — — — —
Gradient Mode Fast Fast Fast Fast Fast Fast Fast Fast Fast Fast Fast Fast Fast
RF Pulse Type Normal Fast Fast Fast Fast Low SAR Fast Fast Fast Fast Fast Fast Fast
Asymmetric Echo — — — — Off — Weak Off Off Off Off Off Weak

Acquisition Parameters

Scan Description HASTE
LOCALIZER		 CORONAL
T2 HASTE		 AXIAL
T2 HASTE		 AXIAL
T2 HASTE
Fat Sat		 AXIAL
3D In-Out-
of-Phase		 AXIAL
DWI		 CORONAL
Urogram
Pre		 CORONAL
T1 VIBE Pre		 AXIAL
VIBE Pre		 AXIAL
VIBE Post-3M
CAIPI
30 sec
60 sec
3 min		 AXIAL
VIBE Post
Liver		 CORONAL
T1 VIBE Post
3 min
5 min		 CORONAL
Urogram
Post
                           
Base Resolution 256 256 256 256 320 160 384 320 320 320 288 320 384
Phase Resolution 70% 100% 95% 95% 75% 100% 75% 75% 75% 75% 75% 75% 75%
Slice Resolution — — — — 57% — 56% 50% 50% 50% 50% 50% 56%
Averages 1 1 1 1 1 3, 4 1 1 1 1 1 1 1
Concatenations 1 3 3 2 1 1 1 1 1 1 1 1 1
b-value >= — — — — — 0 s/mm2
50 s/mm2
800 s/mm2		 — — — — — — —
FoV Read 400 mm 400 mm 340 mm 380 mm 400 mm 380 mm 475 mm 400 mm 380 mm 380 mm 425 mm 400 mm 475 mm
FoV Phase 100% 100% 81% 81% 75% 80% 100% 81% 81% 81% 100% 81% 100%
Phase Encoding Dir. A >> P R >> L A >> P A >> P A >> P A >> P R >> L R >> L A >> P A >> P A >> P R >> L R >> L
Slice Oversampling — — — — 36% — 13% 33% 33% 33% 25% 33% 13%
Phase Partial Fourier 5/8 5/8 5/8 5/8 Off Off 6/8 Off Off Off 6/8 Off 6/8
Slice Partial Fourier — — — — 7/8 — 6/8 6/8 7/8 7/8 6/8 6/8 6/8
Flow Compensation None None None None — — — — — — — — —

Scanning Range

Scan Description HASTE
LOCALIZER		 CORONAL
T2 HASTE		 AXIAL
T2 HASTE		 AXIAL
T2 HASTE
Fat Sat		 AXIAL
3D In-Out-
of-Phase		 AXIAL
DWI		 CORONAL
Urogram
Pre		 CORONAL
T1 VIBE Pre		 AXIAL
VIBE Pre		 AXIAL
VIBE Post-3M
CAIPI
30 sec
60 sec
3 min		 AXIAL
VIBE Post
Liver		 CORONAL
T1 VIBE Post
3 min
5 min		 CORONAL
Urogram
Post
                           
Elliptical Filter On Off Off Off Off Off Off Off Off Off Off Off Off
Normalize Prescan Prescan Prescan Prescan Prescan Prescan Prescan Prescan Prescan Prescan Prescan Prescan Prescan
Distortion Correction 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D 2D
Slice Thickness 6.0 mm 6.0 mm 6.0 mm 6.0 mm 3.0 mm 7.0 mm 1.8 mm 3.0 mm 3.0 mm 3.0 mm 3.5 mm 3.0 mm 1.8 mm
Distance Factor 150% 20% 20% 20% 20% 0% 20% 20% 20% 20% 20% 20% 20%
Slices 9 Slices 30 Slices 30 Slices 30 Slices 88 Slices
per Slab		 36 Slices 64 Slices
per Slab		 72 Slices
per Slab		 72 Slices
per Slab		 72 Slices
per Slab		 64 Slices
per Slab		 72 Slices
per Slab		 64 Slices
per Slab
Time of Acquisition 21 sec 41 sec 41 sec 41 sec 18 sec 1:51 min 21 sec 17 sec 15 sec 15 sec 8 sec 17 sec 21 sec