Instructions And Patient Preparation
- Instructions
- • Ensure to increase the FOV as needed to include all breast tissue and axillae; use same FOV for all sequences
• Be careful about reducing FOV; sequences may be signal starved
• Ensure to pull abdominal tissue down to prevent a fold into the coil and FOV
• Ensure to pull medial breast tissue into coil, and if there is a side panel, to push that in so it is gently touching the breast to prevent motion
• Ensure axilla tissue is in the coil and not above the side panel - Common Indications
- Diagnostic and screening
- Position
- Prone
- Coil
- Bilateral Breast Coil
- Landmark
- Mid-breast, Nipples
Contrast Agent Parameters
| Contrast Agent | Dose | Injection Rate | |||||
|---|---|---|---|---|---|---|---|
| Gadopiclenol (VUEWAY) | 0.05 mmol/kg up to a calculated volume of 10 mL | 2 mL/sec | |||||
| Saline Flush | 20 mL | 2 mL/sec | |||||
| Comments | — | ||||||
Imaging Parameters
| Scan Description | 3 PLANE LOCALIZER |
AXIAL T2 Fat |
Pre AXIAL T1 |
DYNAMIC VIBRANT |
AXIAL DWI |
Silicone Implant: AXIAL FSTIR |
Optional if Fat Sat Issues: Flex DYNAMIC VIBRANT |
|---|---|---|---|---|---|---|---|
| View Image | View Image | View Image | View Image | View Image | |||
| Imaging Mode | 2D | 2D | 3D | 3D | 2D | 2D | 3D |
| Pulse Sequence | Spin Echo | FSE-XL | VIBRANT | VIBRANT | Spin Echo | FSE-XL | VIBRANT |
| Imaging Options | SEQ, EDR, TRF, FAST, SS, ARC | EDR, TRF, FAST, ZIP512, FR, ARC | EDR, FAST, ASSET | FAST, ASSET, MPh | EPI, DIFF, ASSET, IrP | FC, SEQ, TRF, FAST, ZIP512, ASSET, IrP | EDR, FAST, MPh, ARC, Flex |
| Phase Acceleration | 2 | 3 | 2 | 2 | 2 | 3 | 2.5 |
| Slice Acceleration | — | — | — | — | — | — | 1 |
| Intensity Correction | None | PURE | PURE | PURE | PURE | PURE | PURE |
Saturation
| Scan Description | 3 PLANE LOCALIZER |
AXIAL T2 Fat |
Pre AXIAL T1 |
DYNAMIC VIBRANT |
AXIAL DWI |
Silicone Implant: AXIAL FSTIR |
Optional if Fat Sat Issues: Flex DYNAMIC VIBRANT |
|---|---|---|---|---|---|---|---|
| Fat/Water Saturation | — | Fat Use Fat Special if available |
— | Fat Special | — | Water | — |
| Diffusion/Multi-Phase | — | — | — | #Phases 3 Mask Phases 1 Mask Pause ON Series per Phase ON |
Bval 800 OPT TE Yes NEX 8 Diff Dir All T2 image Nex 4 RTFA ON |
— | #Phases 3 Mask Phases 1 Mask Pause ON Series per Phase ON |
| User CVS | User CV1: 1 | User CV6: None User CV7: None User CV9: None User CV15: None User CV18: 1 User CV19: 1 User CV21: 1 User CV22: 1 User CV30: 1 User CV39: 1 |
User CV6: None User CV: 40 None |
— | User CV0: 1 User CV5: 1 User CV7: None User CV8: 2 User CV9: 1 User CV16: None User CV17: 1 User CV18: 2 |
User CV7: None User CV15: None User CV18: None User CV21: None User CV22: None User CV30: 1 |
— |
Scan Timing
| Scan Description | 3 PLANE LOCALIZER |
AXIAL T2 Fat |
Pre AXIAL T1 |
DYNAMIC VIBRANT |
AXIAL DWI |
Silicone Implant: AXIAL FSTIR |
Optional if Fat Sat Issues: Flex DYNAMIC VIBRANT |
|---|---|---|---|---|---|---|---|
| Flip Angle | — | 111 | 10 | 10 | — | 111 | 10 |
| TE | 80 | 85 | — | — | Minimum | 40 | Minimum |
| Number of Echoes | 1 | 1 | 1 | 1 | 1 | 1 | 2 |
| TR | Minimum | 4013 | — | — | 4000 | 5500 | — |
| TI | — | 71 | — | 16 | 247 | 180 | — |
| Echo Train Length | — | 16 | — | — | — | 10 | — |
| Number of Shots | — | — | — | — | 1 | — | — |
| Receiver Bandwidth | 83.33 | 31.25 | 83.33 | 83.33 | — | 62.5 | 166.67 |
Scan Range
| Scan Description | 3 PLANE LOCALIZER |
AXIAL T2 Fat |
Pre AXIAL T1 |
DYNAMIC VIBRANT |
AXIAL DWI |
Silicone Implant: AXIAL FSTIR |
Optional if Fat Sat Issues: Flex DYNAMIC VIBRANT |
|---|---|---|---|---|---|---|---|
| FOV | 44 | 32 | 32 | 32 | 36 | 32 | 32 |
| Slice Thickness | 7 | 2 | 0.7 | 0.7 | 4 | 4 | 0.7 |
| Slice Spacing | 10 | Intleave | — | — | 0 | Intleave | — |
| Number of Slices | — | 30 | — | — | — | — | — |
| Location per Slab | — | — | 276 | 276 | — | — | 276 |
| No Slab Wrap | 1 | — | — | — | — | — | 1.03 |
| Slice Resolution (%) | 100 | — | 50 | 50 | — | — | 50 |
Acquisition Timing
| Scan Description | 3 PLANE LOCALIZER | AXIAL T2 Fat |
Pre AXIAL T1 |
DYNAMIC VIBRANT |
AXIAL DWI |
Silicone Implant: AXIAL FSTIR |
Optional if Fat Sat Issues: Flex DYNAMIC VIBRANT |
|---|---|---|---|---|---|---|---|
| Freq | 256 | 288 | 448 | 448 | 192 | 288 | 350 |
| Phase | 160 | 288 | 448 | 448 | 128 | 288 | 350 |
| Freq DIR | Unswap | A/P | A/P | A/P | R/L | A/P | A/P |
| NEX | — | 1 | — | 1 | — | 2 | — |
| Phase FOV | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
| Flow Comp Direction | — | — | — | — | — | Slice | — |
| RF Drive Mode | Preset | Preset | Preset | Preset | Preset | Preset | Preset |
| Excitation Mode | Selective | Selective | — | Selective | Selective | Selective | Selective |
| Approx. Scan Time | 0:30 | 4:30 | 2:30 | 10:45 | 4:15 | 10:30 | 10:30 |
