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Breast Bilateral Routine 3.0T

GE Healthcare – MR Gadopiclenol (VUEWAY®) Protocols

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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