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Pediatric Extremity Long Bone 3T

Philips Healthcare – MR Gadopiclenol (VUEWAY®) Protocols

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Instructions And Patient Preparation

Instructions
No NPO requirements. Free-breathing.
Position
Lower extremity: feet first, supine. Upper extremity: head first, supine.
Coil
dStream Torso coil, plus any extremity coil (knee, foot/ankle, wrist, or flex coil)
Landmark
Center at area of interest

Contrast Agent Parameters

Contrast Agent Dose Injection Rate Dose Timing Method and Scan Delay
Gadopiclenol (VUEWAY) 0.1 mL/kg (single dose, weight-based) Hand injection IV placed prior to start of MRI
Saline Flush 5-10 mL Hand injection Following contrast
Comments Single dose of VUEWAY 0.1 mL/kg based on patient weight; hand inject followed by 5-10 mL saline flush. Report agent administered and dose.

Info Page

Scan Description Survey CO STIR LFOV CO T1 LFOV AX T2 FS AX T1W mDIXON SG T2 DIXON AX T1W mDIXON
POST CONTRAST		 CO T1 FS
POST CONTRAST		 SG T1 FS
POST CONTRAST
    View Image View Image View Image View Image   View Image View Image  
Total scan duration 00:30.7 01:57.0 01:46.0 02:09.2 02:29.9 03:36.6 02:29.9 02:02.6 01:31.6
Rel. SNR 0.894190431 0.345060527 0.327043176 0.607498109 0.409745902 0.369419128 0.409745902 0.375526816 0.303513587
Act. TR(ms) ― ― 519 4614 559 2927 559 557 487
Act. TE(ms) ― 80 15 65 20 100 20 15 15
Act. TR/TE(ms) 9.9 / 5.3 ― ― ― ― ― ― ― ―
Act. TR/TI(ms) ― 11701 / 210 ― ― ― ― ― ― ―
Act. TR/TE1/delta TE(ms) ― ― ― ― ― ― ― ― ―
ACQ matrix M x P 256 x 128 444 x 125 580 x 201 268 x 207 268 x 237 620 x 351 268 x 237 624 x 218 624 x 220
ACQ voxel MPS (mm) 1.95 / 3.91 / 10.0 1.24 / 1.53 / 3.00 0.88 / 0.89 / 3.00 0.75 / 0.97 / 4.00 0.75 / 0.84 / 4.00 0.89 / 0.98 / 3.00 0.75 / 0.84 / 4.00 0.88 / 0.89 / 3.00 0.88 / 0.89 / 3.00
REC voxel MPS (mm) 1.95 / 1.95 / 10.0 0.69 / 0.69 / 3.00 0.76 / 0.76 / 3.00 0.25 / 0.25 / 4.00 0.50 / 0.50 / 4.00 0.86 / 0.86 / 3.00 0.50 / 0.50 / 4.00 0.72 / 0.72 / 3.00 0.72 / 0.72 / 3.00
Scan percentage (%) 50 80.7692337 98.6301346 77.2151871 88.4328384 90.4639206 88.4328384 98.7341766 99.5475082
Packages ― 2 4 2 4 2 4 4 4
TFE shots ― ― ― ― ― ― ― ― ―
TFE dur. shot / acq (ms) ― ― ― ― ― ― ― ― ―
TFE shot interval (ms) ― ― ― ― ― ― ― ― ―
Min. TI delay ― ― ― ― ― ― ― ― ―
Min. slice gap (mm) ― 3 3 4 4 3 4 3 3
EPIfactor ― ― ― ― ― ― ― ― ―
Act.slicegap (mm) ― ― 0.300000012 0.400000006 0.400000006 ― 0.400000006 0.300000012 0.300000012
Act. WFS (pix) / BW (Hz) 1.161 / 374.2 ― ― ― ― ― ― ― ―
Min. WFS (pix) / Max. BW (Hz) 0.561 / 775.0 ― ― ― ― ― ― ― ―
Min. TR/TE(ms) ― ― ― ― ― ― ― ― ―
Min. TR/TE1/delta TE(ms) ― ― ― ― ― ― ― ― ―
WFS (pix) / BW (Hz) ― 1.736 / 250.3 1.250 / 347.6 1.998 / 217.4 1.593 / 272.8 1.648 / 263.5 1.593 / 272.8 1.345 / 323.1 1.345 / 323.1
TSE es / shot(ms) ― 7.3 / 153 7.5 / 23 8.1 / 122 11.0 / 33 11.8 / 188 11.0 / 33 7.5 / 23 7.5 / 23
TEeff / TEequiv(ms) ― ― ― 65 / 53 20 / 20 100 / 92 20 / 20 ― ―
Min. TR(ms) ― ― ― 4614 559 ― 559 ― ―
Min. TR/TI(ms) ― ― ― ― ― ― ― ― ―
BW in EPI freq. dir. (Hz) ― ― ― ― ― ― ― ― ―
SPIR offset act./default (Hz) ― ― ― ― ― ― ― ― ―
Local torso SAR < 30 % < 76 % < 100 % < 76 % < 100 % < 100 % < 100 % < 100 % < 100 %
Whole body SAR / level < 1.0 W/kg / normal < 2.5 W/kg / 1st level < 3.2 W/kg / 1st level < 2.4 W/kg / 1st level < 3.2 W/kg / 1st level < 3.2 W/kg / 1st level < 3.2 W/kg / 1st level < 3.2 W/kg / 1st level < 3.2 W/kg / 1st level
SED 0.0 kJ/kg < 0.3 kJ/kg < 0.3 kJ/kg < 0.3 kJ/kg < 0.5 kJ/kg < 0.7 kJ/kg < 0.5 kJ/kg < 0.4 kJ/kg < 0.3 kJ/kg
Coil Power 28 % 73 % 96 % 72 % 96 % 96 % 96 % 95 % 95 %
Max B1+rms 1.25 uT 2.01 uT 2.29 uT 1.99 uT 2.29 uT 2.29 uT 2.29 uT 2.28 uT 2.28 uT
PNS / level 6 % / normal 38 % / normal 43 % / normal 42 % / normal 57 % / normal 45 % / normal 57 % / normal 45 % / normal 42 % / normal
dB/dt 16.1 T/s 39.3 T/s 45.0 T/s 42.4 T/s 95.9 T/s 48.6 T/s 95.9 T/s 47.8 T/s 45.4 T/s
Sound Pressure Level (dB) -14.8384056 1.34062743 2.44007373 3.71812177 5.74260378 4.70901155 5.74260378 3.095649 3.2220366
Boil-off (hPa/h) ― ― ― ― ― ― ― ― ―
Max Boil-off (hPa/h) ― ― ― ― ― ― ― ― ―
Boil-off (hPa) ― ― ― ― ― ― ― ― ―

Geometry

Scan Description Survey CO STIR LFOV CO T1 LFOV AX T2 FS AX T1W mDIXON SG T2 DIXON AX T1W mDIXON
POST CONTRAST		 CO T1 FS
POST CONTRAST		 SG T1 FS
POST CONTRAST
Nucleus ― ― ― ― ― ― ― ― ―
SmartSelect yes yes yes yes yes yes yes yes yes
Coil 1 (exclude) ― None None None None None None None None
Uniformity CLEAR CLEAR Body-tuned Synergy CLEAR CLEAR CLEAR Body-tuned Body-tuned
FOV AP (mm) 500 119 98.6999969 200 200 343.75 200 98.6999969 194.791672
FOV FH (mm) ― 550 510 175.600006 175.600006 550 175.600006 550 550
FOV RL (mm) 500 192.5 179.107147 200 200 107 200 194.791672 92.0999985
    stack RL (mm) ― ― ― ― ― ― ― ― ―
ACQ voxel size AP (mm) 3.90625 ― ― 0.913241982 0.823045254 0.889999986 0.823045254 ― 0.883413434
ACQ voxel size FH (mm) ― 1.24000001 0.879999995 ― ― 0.889999986 ― 0.879999995 0.879999995
ACQ voxel size RL (mm) 1.953125 1.24131942 0.883413434 0.75 0.75 ― 0.75 0.883413434 ―
Slice thickness (mm) 10 3 3 4 4 3 4 3 3
Recon voxel size AP (mm) 1.953125 ― ― 0.25 0.5 0.859375 0.5 ― 0.716145813
Recon voxel size FH (mm) ― 0.6875 0.758928597 ― ― 0.859375 ― 0.716145813 0.716145813
Recon voxel size RL (mm) 1.953125 0.6875 0.758928597 0.25 0.5 ― 0.5 0.716145813 ―
Fold-over suppression no no no no no no no no no
Slice oversampling ― ― ― ― ― ― ― ― ―
    oversample factor ― ― ― ― ― ― ― ― ―
ENCASE enable ― ― ― ― ― ― ― ― ―
RF select. FOS ― ― ― ― ― ― ― ― ―
Reconstruction matrix 256 800 672 800 400 640 400 768 768
SENSE no yes yes yes no no no yes no
    Preduction (AP) ― ― ― 1.70000005 ― ― ― ― ―
MB SENSE ― ― ― ― ― ― ― ― ―
CS-SENSE no no no no yes yes yes no yes
    reduction ― ― ― ― 2.5 2.5 2.5 ― 1.70000005
    denoising ― ― ― ― system default system default system default ― system default
k-t Acceleration no no no no no no no no no
Stacks 4 1 1 1 1 1 1 1 1
    current ― ― ― ― ― ― ― ― ―
    type parallel parallel parallel parallel parallel parallel parallel parallel parallel
    slices 3 30 30 40 40 27 40 30 28
    slice gap user defined user defined default default default user defined default default default
    gap (mm) 10 1 ― ― ― 1 ― ― ―
    slice orientation transverse coronal coronal transverse transverse sagittal transverse coronal sagittal
    fold-over direction RL RL RL AP AP AP AP RL AP
    fat shift direction F F F L L F L F F
Minimum number of packages ― 1 4 1 1 1 1 4 4
Multi-chunk ― ― ― ― ― ― ― ― ―
Slice scan order default interleaved default default default default default default default
Stack scan order ascend ― ― ― ― ― ― ― ―
Stack sort order no ― ― ― ― ― ― ― ―
O-MAR ― no no no no no no no no
Large table movement no no no no no no no no no
Plan Align no no no no no no no no no
REST slabs 0 0 0 0 0 0 0 0 0
    type ― ― ― ― ― ― ― ― ―
    thickness (mm) ― ― ― ― ― ― ― ― ―
    position ― ― ― ― ― ― ― ― ―
    gap ― ― ― ― ― ― ― ― ―
    power ― 1 ― 1 ― ― ― ― ―
Interactive positioning no no no no no no no no no
Allow table movement ― ― ― ― ― ― ― ― ―
Patient position head first 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 head first
Patient orientation supine supine supine supine supine supine supine supine supine
Patient body orientation supine supine supine supine supine supine supine supine supine

Contrast

Scan Description Survey CO STIR LFOV CO T1 LFOV AX T2 FS AX T1W mDIXON SG T2 DIXON AX T1W mDIXON
POST CONTRAST		 CO T1 FS
POST CONTRAST		 SG T1 FS
POST CONTRAST
Scan type Imaging Imaging Imaging Imaging Imaging Imaging Imaging Imaging Imaging
Scan mode M2D MS MS MS MS MS MS MS MS
technique FFE IR SE SE SE SE SE SE SE
Modified SE ― ― no no no no no no no
3D non-selective ― ― ― ― ― ― ― ― ―
loop order ― ― ― ― ― ― ― ― ―
Contrast enhancement T1 ― ― ― ― ― ― ― ―
Acquisition mode cartesian cartesian cartesian cartesian cartesian cartesian cartesian cartesian cartesian
Fast Imaging mode none TSE TSE TSE TSE TSE TSE TSE TSE
3D VIEW ― ― ― ― ― ― ― ― ―
shot mode ― multishot multishot multishot multishot multishot multishot multishot multishot
TFE factor ― ― ― ― ― ― ― ― ―
TSE factor ― 21 3 15 3 16 3 3 3
startup echoes ― 0 0 0 0 0 0 0 0
shot interval ― ― ― ― ― ― ― ― ―
profile order ― linear linear linear asymmetric linear asymmetric linear linear
turbo direction ― ― ― ― ― ― ― ― ―
DRIVE ― no no no no no no no no
ultrashort ― no no no no no no no no
shift ― ― ― ― ― ― ― ― ―
fid reduction ― default default default default default default default default
Echoes 1 1 1 1 1 1 1 1 1
partial echo no 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 user defined
(ms) ― 80 15 65 20 100 20 15 15
echospacing ― ― ― ― user defined ― user defined ― ―
(ms) ― ― ― ― 11 ― 11 ― ―
flyback ― ― ― ― ― ― ― ― ―
Flip angle (deg) 50 ― 90 90 90 90 90 90 90
Refocusing control ― no no constant constant constant constant no no
angle (deg) ― ― ― 100 140 130 140 ― ―
bright fat reduction ― ― ― no no no no ― ―
TR shortest shortest shortest range range shortest range shortest shortest
(ms) ― ― ― ― ― ― ― ― ―
minimum (ms) ― ― ― 3000 500 ― 500 ― ―
maximum (ms) ― ― ― 6000 700 ― 700 ― ―
Halfscan no no no no no no no no no
factor 3 ― ― ― ― ― ― ― ―
factor Y ― ― ― ― ― ― ― ― ―
factor Z ― ― ― ― ― ― ― ― ―
Water-fat shift maximum maximum minimum user defined user defined maximum user defined minimum minimum
(pixels) ― ― ― 2 1.60000002 ― 1.60000002 ― ―
IR delay (ms) ― 210 ― ― ― ― ― ― ―
dual ― no ― ― ― ― ― ― ―
power ― 1 ― ― ― ― ― ― ―
RF Shims fixed fixed fixed fixed fixed fixed fixed fixed fixed
Shim default default default auto auto default auto default default
mDIXON no no no no yes yes yes no no
Fat suppression no no no SPAIR no no no SPIR SPIR
strength ― ― ― ― ― ― ― medium medium
power ― ― ― 1 ― ― ― ― ―
inversion delay ― ― ― auto ― ― ― ― ―
suppr. level ― ― ― strong ― ― ― ― ―
frequency offset ― ― ― user defined ― ― ― default default
offset (Hz) ― ― ― 220 ― ― ― ― ―
Grad Rev Fat suppr ― no no no no no no no no
Water suppression no no no no no no no no no
TFE prepulse ― ― ― ― ― ― ― ― ―
slice selection ― ― ― ― ― ― ― ― ―
delay ― ― ― ― ― ― ― ― ―
(ms) ― ― ― ― ― ― ― ― ―
BB pulse ― no no no no no no no no
MTC no no no no no no no no no
T2prep ― ― ― ― ― ― ― ― ―
echo time(ms) ― ― ― ― ― ― ― ― ―
refocusing pulses ― ― ― ― ― ― ― ― ―
APT ― ― no no no no no no no
Custom prepulse no no no no no no no no no
MDME no no no no no no no no no
Diffusion mode no no no no no no no no no
sequence ― ― ― ― ― ― ― ― ―
gradient expert mode ― ― ― ― ― ― ― ― ―
gradient overplus ― ― ― ― ― ― ― ― ―
direction ― ― ― ― ― in-plane ― ― ―
nr of b-factors ― ― ― ― ― ― ― ― ―
b-factor order ― ― ― ― ― ― ― ― ―
max b-factor ― ― ― ― ― ― ― ― ―
average high b ― ― ― ― ― ― ― ― ―
T1 mapping no no no no no no no no no
Transmit channels both both both both both both both both both
SAR mode low high high high high high high high high
B1 mode default default default default default default default default default
SAR allow first level yes yes yes yes yes yes yes yes yes
Patient pregnancy no no no no no no no no no
Patient WB SAR [W/kg] 0 0 0 0 0 0 0 0 0
Patient Head SAR [W/kg] 0 0 0 0 0 0 0 0 0
Patient max. dB/dt [T/s] 0 0 0 0 0 0 0 0 0
Max slewrate [T/m/s] 0 0 0 0 0 0 0 0 0
Max. B1+rms [uT] 0 0 0 0 0 0 0 0 0
PNS mode low low low moderate low low low low low
Gradient mode regular default default default maximum default maximum default default
SofTone mode user defined no no no no no no no no

Motion

Scan Description Survey CO STIR LFOV CO T1 LFOV AX T2 FS AX T1W mDIXON SG T2 DIXON AX T1W mDIXON
POST CONTRAST		 CO T1 FS
POST CONTRAST		 SG T1 FS
POST CONTRAST
Cardiac synchronization no no no no no no no no no
Heart rate > 250 bpm no no no no no no no no no
Respiratory compensation no no no no no no no no no
Navigator respiratory comp no no no no no no no no no
Flow compensation no no no no no yes no no no
Temporal slice spacing ― ― default default default default default default default
Motion smoothing ― no no yes yes no yes no no
fMRI echo stabilisation no ― ― ― ― ― ― ― ―
NSA 2 1 1 1.5 1 2 1 1 1
MRE enable no no no no no no no no no

Dynamic Angio

Scan Description Survey CO STIR LFOV CO T1 LFOV AX T2 FS AX T1W mDIXON SG T2 DIXON AX T1W mDIXON
POST CONTRAST		 CO T1 FS
POST CONTRAST		 SG T1 FS
POST CONTRAST
Angio / Contrast enh. no ― ― ― ― ― ― ― ―
Quantitative flow no ― ― ― ― ― ― ― ―
CENTRA ― ― ― ― ― ― ― ― ―
Manual start no no no no no no no no no
Dynamic study no no no no no no no no no
Arterial Spin labeling no no no no no no no no no

Post Processing

Scan Description Survey CO STIR LFOV CO T1 LFOV AX T2 FS AX T1W mDIXON SG T2 DIXON AX T1W mDIXON
POST CONTRAST		 CO T1 FS
POST CONTRAST		 SG T1 FS
POST CONTRAST
Preparation phases auto auto auto auto full auto full auto auto
Interactive F0 no no no no no no no no no
Quick Survey default default default default default default default default default
SmartPlan survey no no no no no no no no no
B0 field map no no no no no no no no no
B1 field map no no no no no no no no no
MIP/MPR no no no no no no no no no
SWIp no ― ― ― ― ― ― ― ―
Images no no no no ― ― ― no no
Autoview image M M M M ― ― ― M M
Calculated images no ― no no ― ― ― no no
Reference tissue Skeletal muscle 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 No
Preset window contrast soft soft soft soft soft soft soft soft soft
Reconstruction mode immediate immediate immediate immediate immediate immediate immediate immediate immediate
Save raw data no no no no no no no no no
Hardcopy protocol no 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 system default
Uniformity correction no no no no no no no no no
Geometry correction default default default default default default default default default
EPI geometry correction ― ― ― ― ― ― ― ― ―
ADC correction ― ― ― ― ― ― ― ― ―
Elliptical k-space shutter ― ― ― ― ― ― ― ― ―
Free rotatable no no no no no no no no no