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Appendicitis Noncontrast 1.5T

GE Healthcare – MR Gadopiclenol (VUEWAY®) Protocols

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Instructions And Patient Preparation

Instructions
• Include anatomy from symphysis pubis through mid-liver
• All breath held scans should be done on end expiration (or inspiration if needed)
• Do NOT give contrast to pregnant patient
Common Indications
Rule out appendicitis, right lower quadrant pain, often for pregnant patients
Position
Supine
Coil
8 or 12 channel Body coil, GEMS array, or Air coil
Landmark
Iliac Crest
Comments
Quiet breathing Breath held Breath held Breath held Breath held Breath held Resp Trig Optional:
Axial TOF over
cecum to distinguish
large pelvic vessels
from pathology

Imaging Parameters

Scan Description 3PL
LOCALIZER
CORONAL
T2 SSFSE
AXIAL
T2 SSFSE
AXIAL
T2 SSFSE
SP Fat
SAGITTAL
T2 SSFSE
AXIAL
T1 3D
AXIAL
DWI ASSET
Arterial
Inhance-2DIF
Pelvis
      View Image View Image View Image      
Mode 2D 2D 2D 2D 2D 3D 2D 2D
Pulse Sequence SSFSE SSFSE SSFSE SSFSE SSFSE LAVA DWI EPI AX 2D Inhance Inflow
Imaging Options EDR, SEQ,
FAST, ARC, SS
EDR, FAST,
ARC, SS
EDR, FAST,
ARC, SS
EDR, FAST,
ARC, SS
EDR, FAST,
ARC, SS
ZIP2, ARC,
FAST
Resp Trig, EPI, DIFF, ASSET FC, GAT, SEQ, EDR, FAST, ASSET, ZIP512

Scan Parameters

Scan Description 3PL
LOCALIZER
CORONAL
T2 SSFSE
AXIAL
T2 SSFSE
AXIAL
T2 SSFSE
SP Fat
SAGITTAL
T2 SSFSE
AXIAL
T1 3D
AXIAL
DWI ASSET
Arterial
Inhance-2DIF
Pelvis
                 
TE 90 90 90 90 90 Min Full Min Min
TR Min Min Min Min Min Def Def Min Full
TI — — — Auto — — — —
Flip Angle — — — — — InvTI Auto — 70
ETL — — — — — 30-40 — —
Bandwidth 83 62 62 62 62 62 — 31
SAT — — — Chem Sat
Special Fat Sat
— Sat Scr
Special Fat Sat
— I

Acquisition Parameters

Scan Description 3PL
LOCALIZER
CORONAL
T2 SSFSE
AXIAL
T2 SSFSE
AXIAL
T2 SSFSE
SP Fat
SAGITTAL
T2 SSFSE
AXIAL
T1 3D
AXIAL
DWI ASSET
Arterial
Inhance-2DIF
Pelvis
                 
MATRIX freq 380 320 320 320 320 288 128 256
MATRIX phase 192 256 256 256 256 192 128 192
NEX 1 — — — — 1 — 1
Phase FOV 1 1 0.8 0.8 0.8 0.9 1 0.6
Freq Direction — S/I R/L R/L S/I R/L R/L R/L
Accel Ph 2 Ph 2 Ph 2, Sl 2 Ph 2, Sl 2 Ph 2, Sl 2 Ph 2, SL 2 — Opt Sat 1
User CV 1, 240, 1 0, 240, 0 0, 240, 0 0, 240, 0, 1 0, 240, 0 — Rmp smp 1
Recon type 1
Grad opt 1
Enh Prep 1
Superior Sat Collapsed on
19 imgs
Gating scr –
TR win 10
Trig del Min
VPS 32
Other — — — — — — DWI
b val 50 1 nex
b val 800 4 nex
Diff dr 3 in 1
OptTE On
Dual SE Off
Resp. 2 RR
Tr Pt 30%
Tr Wd 30%
Del Min
—

Scanning Range

Scan Description 3PL
LOCALIZER
CORONAL
T2 SSFSE
AXIAL
T2 SSFSE
AXIAL
T2 SSFSE
SP Fat
SAGITTAL
T2 SSFSE
AXIAL
T1 3D
AXIAL
DWI ASSET
Arterial
Inhance-2DIF
Pelvis
                 
FOV 48 36 x 36 36 x 27 36 x 27 36 x 27 36 40 36
Slice Thickness 8 4 4 6 4 2.8 5 4
Spacing 0 0 0 0 0 0 1 .5 mm Overlap
Number of Slices 15 Slices PRN PRN PRN PRN 100 Locs PRN @100 Slices
Approx. Scan Time 0:15 0:20/acq 0:20/acq 0:20/acq 0:20/acq 0:23 @ 2:29 ± 7:00-8:00