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Pediatric Complete Spine Core 1.5T

Siemens Healthineers – MR Gadopiclenol (VUEWAY®) Protocols

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Instructions And Patient Preparation

Instructions
Core imaging used on all pediatric spine protocols. Optional sequences added based on clinical indication.
Position
Head first supine
Coil
Head coil, Spine coil, and Body 18 (anterior)
Contrast Timing
T2 is performed immediately post contrast to allow time for peak contrast enhancement on T1 imaging.
Patient Preparation
Landmark per department pediatric protocol — pending sign-off.
Coverage and Technique Notes
• 3 PLANE HASTE LOC UPPER AND LOWER THEN COMPOSED
• SAG T1 FLAIR UPPER AND LOWER WITH SUBTRACTIONS OF PRE AND POST
• TRAN VIBE THROUGH ENTIRE SPINE (ANGLE WITH THE CORD AND USE SET AND GO PROTOCOL WITHOUT COMPOSING)

Contrast Agent Parameters

Contrast Agent Dose Injection Rate Dose Timing Method and Scan Delay
Gadopiclenol (VUEWAY) 0.05 mmol/kg Hand Bolus or Power Injection Per department pediatric contrast protocol — pending technologist/radiologist sign-off.
Comments • Use minimal dose for patients with a GFR <60 mL/sec
• Report agent administered and dose

Imaging Parameters

Scan Description SAG T1 FLAIR UPPER SAG T1 FLAIR LOWER Post
SAG T2 DIXON UPPER
Post
SAG T2 DIXON LOWER
Post
SAG T1 FLAIR UPPER
Post
SAG T1 FLAIR LOWER
Post
TRAN VIBE UPPER
Post
TRAN VIBE LOWER
  View Image View Image View Image View Image View Image View Image View Image View Image
Sequence Name tir tir tseR tseR tir tir fl fl
Mode Interleaved Interleaved Interleaved Interleaved Interleaved Interleaved ― ―
PAT Mode None None None None None None GRAPPA GRAPPA
Dimension 2D 2D ― ― 2D 2D 3D 3D
Acceleration Factor PE ― ― ― ― ― ― 2 2
Acceleration Factor 3D ― ― ― ― ― ― 1 1

Scan Parameters

Scan Description SAG T1 FLAIR UPPER SAG T1 FLAIR LOWER Post
SAG T2 DIXON UPPER
Post
SAG T2 DIXON LOWER
Post
SAG T1 FLAIR UPPER
Post
SAG T1 FLAIR LOWER
Post
TRAN VIBE UPPER
Post
TRAN VIBE LOWER
TR 1300.0 ms 1300.0 ms 3500.0 ms 3500.0 ms 1300.0 ms 1300.0 ms 8.01 ms 8.01 ms
TE 7.20 ms 7.20 ms 81.00 ms 81.00 ms 7.20 ms 7.20 ms 3.88 ms 3.88 ms
TI 613 ms 613 ms ― ― 613 ms 613 ms ― ―
Flip Angle 150 deg / 90 deg 150 deg / 90 deg 150 deg / 90 deg 150 deg / 90 deg 150 deg / 90 deg 150 deg / 90 deg 12 deg 12 deg
Turbo Factor 6 6 16 16 6 6 ― ―
Bandwidth 241 Hz/Px 241 Hz/Px 781 Hz/Px 781 Hz/Px 241 Hz/Px 241 Hz/Px 200 Hz/Px 200 Hz/Px
EPI Factor ― ― ― ― ― ― ― ―
Fat Saturation Mode ― ― Strong Strong ― ― ― ―
Fat Suppression Standard Standard Dixon Dixon Standard Standard Standard Standard
Gradient Mode Fast Fast Fast Fast Fast Fast Normal Normal
RF Pulse Type Fast Fast Normal Normal Fast Fast Normal Normal
Asymmetric Echo ― ― Off Off ― ― Off Off

Acquisition Parameters

Scan Description SAG T1 FLAIR UPPER SAG T1 FLAIR LOWER Post
SAG T2 DIXON UPPER
Post
SAG T2 DIXON LOWER
Post
SAG T1 FLAIR UPPER
Post
SAG T1 FLAIR LOWER
Post
TRAN VIBE UPPER
Post
TRAN VIBE LOWER
Base Resolution 192 192 128 128 192 192 128 128
Phase Resolution 80 % 80 % 70 % 70 % 80 % 80 % 100 % 100 %
Slice Resolution ― ― ― ― ― ― 61 % 61 %
Averages 1 1 1 1 1 1 1 1
Concatenations 2 2 1 1 2 2 1 1
b-value ― ― ― ― ― ― ― ―
FoV Read 120 mm 120 mm 120 mm 120 mm 120 mm 120 mm 75 mm 75 mm
FoV Phase 250.0 % 250.0 % 250.0 % 250.0 % 250.0 % 250.0 % 187.5 % 187.5 %
Phase Encoding Dir. H >> F H >> F H >> F H >> F H >> F H >> F A >> P A >> P
Phase Oversampling 25 % 25 % 40 % 40 % 25 % 25 % 100 % 100 %
Slice Oversampling ― ― ― ― ― ― 100.0 % 100.0 %
Phase Partial Fourier Off Off Off Off Off Off Off Off
Slice Partial Fourier ― ― ― ― ― ― Off Off
Flow Compensation None None None None None None ― ―

Scanning Range

Scan Description SAG T1 FLAIR UPPER SAG T1 FLAIR LOWER Post
SAG T2 DIXON UPPER
Post
SAG T2 DIXON LOWER
Post
SAG T1 FLAIR UPPER
Post
SAG T1 FLAIR LOWER
Post
TRAN VIBE UPPER
Post
TRAN VIBE LOWER
Elliptical Filter On On On On On On On On
Normalize Prescan Prescan Prescan Prescan Prescan Prescan Prescan Prescan
Distortion Correction 2D 2D 2D 2D 2D 2D 2D 2D
Slice Thickness 3.0 mm 3.0 mm 3.0 mm 3.0 mm 3.0 mm 3.0 mm 3.0 mm 3.0 mm
Distance Factor 0% 0% 0% 0% 0% 0% 0% 0%
Slices 15 15 15 15 15 15 88 88
Acquisition Time 3:35 min 3:35 min 2:25 min 2:25 min 3:35 min 3:35 min 2:56 min 2:56 min