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 |
