Pediatric Routine Orbit (Smaller Patients) 3T
Siemens Healthineers – MR Gadopiclenol (VUEWAY®) Protocols
Instructions And Patient Preparation
- Instructions
- Position the head in the head coil and immobilize with cushions
Give cushions under the legs for extra comfort
Connect the anterior portion of the head coil and secure it in place.
Sedation vs bundle and feed is the ordering provider’s decision - Common Indications
- Tumor
Optic nerve neuritis
Proptosis
Vision disturbance - Position
- Head First
Supine - Coil
- Head Coil 20ch
- Landmark
- Center over the glabella
- Patient Population
- These protocols are intended for smaller patients and serve as starting points. If a smaller FOV is needed, the parameters are modified accordingly.
Contrast Agent Parameters
| Contrast Agent | Dose | Injection Rate | Dose Timing Method and Scan Delay | |||||
|---|---|---|---|---|---|---|---|---|
| Gadopiclenol (VUEWAY) | 0.1 mL/kg | Hand injected | Post-contrast series acquired after gadolinium administration | |||||
Imaging Parameters
| Scan Description | AAhead_scout | COR T2 DIXON ORBITS (3mm) DRB |
AX T1 DIXON ORBITS (3MM) DRB |
AX T2 DIXON ORBITS (3mm) DRB |
AX RESOLVE (3mm) |
POST AX T1WI FS DIXON ORBITS (3mm) |
POST COR T1WI FS DIXON ORBITS (3mm) DRB |
|---|---|---|---|---|---|---|---|
| View Image | View Image | View Image | View Image | View Image | View Image | ||
| Sequence Name | fl | tse | tse | tse | resolve | tse | tse |
| Dimension | 3D | 2D | 2D | 2D | 2D | 2D | 2D |
| Acceleration mode | GRAPPA | GRAPPA | GRAPPA | GRAPPA | GRAPPA | GRAPPA | GRAPPA |
| Acceleration Factor PE | 3 | 2 | 2 | 2 | 2 | 2 | 2 |
| Acceleration Factor 3D | 1 | ― | ― | ― | ― | ― | ― |
| Reference Lines PE | 24 | 31 | 27 | 31 | 96 | 27 | 27 |
| Reference Scans | Integrated | Integrated | Integrated | Integrated | EPI/Separate | Integrated | Integrated |
| Deep Resolve | ― | On | On | On | ― | On | On |
Scan Parameters
| Scan Description | AAhead_scout | COR T2 DIXON ORBITS (3mm) DRB |
AX T1 DIXON ORBITS (3MM) DRB |
AX T2 DIXON ORBITS (3mm) DRB |
AX RESOLVE (3mm) |
POST AX T1WI FS DIXON ORBITS (3mm) |
POST COR T1WI FS DIXON ORBITS (3mm) DRB |
|---|---|---|---|---|---|---|---|
| TR | 3.15 ms | 3000.0 ms | 400.0 ms | 3370.0 ms | 4000.0 ms | 400.0 ms | 543.0 ms |
| TE | 1.37 ms | 84.00 ms | 9.50 ms | 84.00 ms | TE 1: 67 ms TE 2: 111 ms |
9.50 ms | 9.50 ms |
| Flip Angle | 8 deg | 160 deg | 160 deg | 160 deg | 180 deg | 160 deg | 160 deg |
| Bandwidth | 540 Hz/Px | 383 Hz/Px | 630 Hz/Px | 383 Hz/Px | 620 Hz/Px | 630 Hz/Px | 630 Hz/Px |
| Turbo Factor | ― | 17 | 3 | 17 | ― | 3 | 3 |
| Echo Spacing | ― | 10.50 ms | 9.48 ms | 10.50 ms | 0.38 ms | 9.48 ms | 9.48 ms |
| Echo Trains per Slice | ― | 16 | 90 | 16 | ― | 90 | 90 |
| EPI Factor | ― | ― | ― | ― | 96 | ― | ― |
| Readout Segments | ― | ― | ― | ― | 7 | ― | ― |
| Gradient Mode | Normal | Fast | Fast | Fast | Fast | Fast | Fast |
| RF Pulse Type | Fast | Normal | Normal | Normal | Normal | Normal | Normal |
| RF Spoiling | On | ― | ― | ― | ― | ― | ― |
| Asymmetric Echo | Weak | Off | Off | Off | ― | Off | Off |
| Flow Compensation | ― | None | None | None | ― | None | None |
| Reduce Motion Sens. | ― | On | On | On | ― | On | On |
| Phase Correction | ― | Automatic | Automatic | Automatic | ― | Automatic | Automatic |
Contrast & Magnetization
| Scan Description | AAhead_scout | COR T2 DIXON ORBITS (3mm) DRB |
AX T1 DIXON ORBITS (3MM) DRB |
AX T2 DIXON ORBITS (3mm) DRB |
AX RESOLVE (3mm) |
POST AX T1WI FS DIXON ORBITS (3mm) |
POST COR T1WI FS DIXON ORBITS (3mm) DRB |
|---|---|---|---|---|---|---|---|
| Fat-Water Contrast | Standard | Dixon | Dixon | Dixon | Fat Saturation | Dixon | Dixon |
| Fat Saturation | ― | Strong | Strong | Strong | Strong | Strong | Strong |
| Magn. Preparation | ― | None | None | None | None | None | None |
| MTC | ― | Off | Off | Off | Off | Off | Off |
| Dark Blood | ― | Off | Off | Off | ― | Off | Off |
| Contrasts | 1 | 1 | 1 | 1 | 2 | 1 | 1 |
| Reconstruction | Magnitude | Magnitude | Magnitude | Magnitude | Magnitude | Magnitude | Magnitude |
| Wrap-up Magn. | ― | None | None | None | ― | None | None |
Acquisition Parameters
| Scan Description | AAhead_scout | COR T2 DIXON ORBITS (3mm) DRB |
AX T1 DIXON ORBITS (3MM) DRB |
AX T2 DIXON ORBITS (3mm) DRB |
AX RESOLVE (3mm) |
POST AX T1WI FS DIXON ORBITS (3mm) |
POST COR T1WI FS DIXON ORBITS (3mm) DRB |
|---|---|---|---|---|---|---|---|
| Base Resolution | 160 | 256 | 256 | 256 | 192 | 256 | 256 |
| Phase Resolution | 100 % | 80 % | 80 % | 80 % | 100 % | 80 % | 80 % |
| Slice Resolution | 69 % | ― | ― | ― | ― | ― | ― |
| Averages | 1 | 1 | 1 | 1 | ― | 1 | 1 |
| Concatenations | 1 | 2 | 2 | 1 | 1 | 2 | 2 |
| FoV Read | 260 mm | 140 mm | 140 mm | 140 mm | 180 mm | 140 mm | 140 mm |
| FoV Phase | 100.0 % | 100.0 % | 100.0 % | 100.0 % | 100.0 % | 100.0 % | 100.0 % |
| Phase Encoding Dir. | A >> P | R >> L | R >> L | R >> L | A >> P | R >> L | R >> L |
| Phase Oversampling | 0 % | 150 % | 150 % | 150 % | 0 % | 150 % | 150 % |
| Slice Oversampling | 0.0 % | ― | ― | ― | ― | ― | ― |
| Phase Partial Fourier | 6/8 | Off | Off | Off | Off | Off | Off |
| Slice Partial Fourier | 6/8 | ― | ― | ― | ― | ― | ― |
| Readout Partial Fourier | ― | ― | ― | ― | 7/8 | ― | ― |
| Interpolation | ― | On | On | On | On | On | On |
| Trajectory | Cartesian | Cartesian | Cartesian | Cartesian | ― | Cartesian | Cartesian |
| Multi-Slice Mode | Sequential | Interleaved | Interleaved | Interleaved | Interleaved | Interleaved | Interleaved |
Scanning Range
| Scan Description | AAhead_scout | COR T2 DIXON ORBITS (3mm) DRB |
AX T1 DIXON ORBITS (3MM) DRB |
AX T2 DIXON ORBITS (3mm) DRB |
AX RESOLVE (3mm) |
POST AX T1WI FS DIXON ORBITS (3mm) |
POST COR T1WI FS DIXON ORBITS (3mm) DRB |
|---|---|---|---|---|---|---|---|
| Slice Thickness | 1.6 mm | 3.0 mm | 3.0 mm | 3.0 mm | 3.0 mm | 3.0 mm | 3.0 mm |
| Slices | 128 Slices per Slab |
30 Slices | 18 Slices | 18 Slices | 18 Slices | 18 Slices | 30 Slices |
| Distance Factor | 20 % | 10 % | 10 % | 10 % | 10 % | 10 % | 10 % |
| Special Saturation | ― | None | None | None | None | None | None |
| Raw Filter | Off | Off | Off | Off | On | Off | Off |
| Elliptical Filter | Off | Off | Off | Off | ― | Off | Off |
| Image Filter | Off | Off | Off | Off | ― | Off | Off |
| Distortion Correction | 3D | 2D | 2D | 2D | 2D | 2D | 2D |
| Normalize | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan |
| Noise Masking | Off | ― | ― | ― | Off | ― | ― |
| Time of Acquisition | 14 sec | 3:20 min | 2:26 min | 1:53 min | 2:38 min | 2:26 min | 3:18 min |
Diffusion
| Scan Description | AAhead_scout | COR T2 DIXON ORBITS (3mm) DRB |
AX T1 DIXON ORBITS (3MM) DRB |
AX T2 DIXON ORBITS (3mm) DRB |
AX RESOLVE (3mm) |
POST AX T1WI FS DIXON ORBITS (3mm) |
POST COR T1WI FS DIXON ORBITS (3mm) DRB |
|---|---|---|---|---|---|---|---|
| Diffusion Mode | ― | ― | ― | ― | 4-Scan Trace | ― | ― |
| Diffusion Scheme | ― | ― | ― | ― | Monopolar | ― | ― |
| Diff. Directions | ― | ― | ― | ― | 4 | ― | ― |
| b-value 1 | ― | ― | ― | ― | 0 s/mm² | ― | ― |
| b-value 2 | ― | ― | ― | ― | 1000 s/mm² | ― | ― |
| Averages b-value 1 | ― | ― | ― | ― | 1 | ― | ― |
| Averages b-value 2 | ― | ― | ― | ― | 1 | ― | ― |
| Diff. Weightings | ― | ― | ― | ― | 2 | ― | ― |
| Diff. Weighted Images | ― | ― | ― | ― | Off | ― | ― |
| Trace Weighted Images | ― | ― | ― | ― | On | ― | ― |
| ADC Maps | ― | ― | ― | ― | On | ― | ― |
| Exponential ADC Maps | ― | ― | ― | ― | Off | ― | ― |
| FA Maps | ― | ― | ― | ― | Off | ― | ― |
| Calculated Image | ― | ― | ― | ― | Off | ― | ― |
