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Pediatric Complete Spine Core 3T

Siemens Healthineers – MR Gadopiclenol (VUEWAY®) Protocols

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Instructions And Patient Preparation

Instructions
Core imaging used on all pediatric spine protocols. Optional sequences added based on clinical indication.
Position
Head first supine
Coil
Head coil, Spine coil, and Body 18 (anterior)
Contrast Timing
T2 is performed immediately post contrast to allow time for peak contrast enhancement on T1 imaging.
Patient Preparation
Landmark per department pediatric protocol — pending sign-off.
Coverage and Technique Notes
• 3 PLANE HASTE LOC UPPER AND LOWER THEN COMPOSED
• SAG T1 FLAIR UPPER AND LOWER WITH SUBTRACTIONS OF PRE AND POST
• TRAN VIBE THROUGH ENTIRE SPINE (ANGLE WITH THE CORD AND USE SET AND GO PROTOCOL WITHOUT COMPOSING)

Contrast Agent Parameters

Contrast Agent Dose Injection Rate Dose Timing Method and Scan Delay
Gadopiclenol (VUEWAY) 0.05 mmol/kg Hand Bolus or Power Injection Per department pediatric contrast protocol — pending technologist/radiologist sign-off.
Comments • Use minimal dose for patients with a GFR <60 mL/sec
• Report agent administered and dose

Imaging Parameters

Scan Description SAG T1 FLAIR UPPER SAG T1 FLAIR LOWER Post
SAG T2 DIXON UPPER
Post
SAG T2 DIXON LOWER
Post
SAG T1 FLAIR UPPER
Post
SAG T1 FLAIR LOWER
Post
TRAN VIBE UPPER
Post
TRAN VIBE LOWER
  View Image View Image View Image View Image View Image View Image View Image View Image
Sequence Name tir tir tseR_rr tseR_rr tir tir fl fl
Mode Interleaved Interleaved Interleaved Interleaved Interleaved Interleaved ― ―
PAT Mode GRAPPA GRAPPA None None GRAPPA GRAPPA GRAPPA GRAPPA
Dimension 2D 2D ― ― 2D 2D 3D 3D
Acceleration Factor PE 2 2 ― ― 2 2 2 2
Acceleration Factor 3D ― ― ― ― ― ― 1 1

Scan Parameters

Scan Description SAG T1 FLAIR UPPER SAG T1 FLAIR LOWER Post
SAG T2 DIXON UPPER
Post
SAG T2 DIXON LOWER
Post
SAG T1 FLAIR UPPER
Post
SAG T1 FLAIR LOWER
Post
TRAN VIBE UPPER
Post
TRAN VIBE LOWER
TR 1560.0 ms 1560.0 ms 3600.0 ms 3600.0 ms 1560.0 ms 1560.0 ms 6.00 ms 6.00 ms
TE 9.10 ms 9.10 ms 108.00 ms 96.00 ms 9.10 ms 9.10 ms 2.46 ms 2.46 ms
TI 1000 ms 1000 ms ― ― 1000 ms 1000 ms ― ―
Flip Angle 140 deg 140 deg 150 deg 150 deg 140 deg 140 deg 12 deg 12 deg
Turbo Factor 8 8 18 18 8 8 ― ―
Bandwidth 296 Hz/Px 296 Hz/Px 347 Hz/Px 347 Hz/Px 296 Hz/Px 296 Hz/Px 250 Hz/Px 250 Hz/Px
EPI Factor ― ― ― ― ― ― ― ―
Fat Saturation Mode ― ― Strong Strong ― ― ― ―
Fat Suppression Standard Standard Dixon Dixon Standard Standard Standard Standard
Gradient Mode Fast Fast Fast Fast Fast Fast Fast Fast
RF Pulse Type Low SAR Low SAR Normal Normal Low SAR Low SAR Fast Fast
Asymmetric Echo ― ― Off Off ― ― Weak Weak

Acquisition Parameters

Scan Description SAG T1 FLAIR UPPER SAG T1 FLAIR LOWER Post
SAG T2 DIXON UPPER
Post
SAG T2 DIXON LOWER
Post
SAG T1 FLAIR UPPER
Post
SAG T1 FLAIR LOWER
Post
TRAN VIBE UPPER
Post
TRAN VIBE LOWER
Base Resolution 192 192 192 192 192 192 128 128
Phase Resolution 85 % 85 % 75 % 80 % 85 % 85 % 100 % 100 %
Slice Resolution ― ― ― ― ― ― 61 % 61 %
Averages 1 1 1 1 1 1 1 1
Concatenations 2 2 1 1 2 2 1 1
b-value ― ― ― ― ― ― ― ―
FoV Read 120 mm 120 mm 120 mm 120 mm 120 mm 120 mm 75 mm 75 mm
FoV Phase 250.0 % 250.0 % 250.0 % 250.0 % 250.0 % 250.0 % 187.5 % 187.5 %
Phase Encoding Dir. H >> F H >> F H >> F H >> F H >> F H >> F A >> P A >> P
Phase Oversampling 25 % 25 % 30 % 30 % 25 % 25 % 100 % 100 %
Slice Oversampling ― ― ― ― ― ― 100.0 % 100.0 %
Phase Partial Fourier Off Off Off Off Off Off Off Off
Slice Partial Fourier ― ― ― ― ― ― Off Off
Flow Compensation None None Read Read None None ― ―

Scanning Range

Scan Description SAG T1 FLAIR UPPER SAG T1 FLAIR LOWER Post
SAG T2 DIXON UPPER
Post
SAG T2 DIXON LOWER
Post
SAG T1 FLAIR UPPER
Post
SAG T1 FLAIR LOWER
Post
TRAN VIBE UPPER
Post
TRAN VIBE LOWER
Elliptical Filter Off Off On On Off Off On On
Normalize Prescan Prescan Prescan Prescan Prescan Prescan Prescan Prescan
Distortion Correction 2D 2D 2D 2D 2D 2D 2D 2D
Slice Thickness 3.0 mm 3.0 mm 3.0 mm 3.0 mm 3.0 mm 3.0 mm 3.0 mm 3.0 mm
Distance Factor 0% 0% 0% 0% 0% 0% 0% 0%
Slices 13 13 13 13 13 13 88 88
Acquisition Time 1:51 min 1:51 min 3:20 min 3:27 min 1:51 min 1:51 min 2:45 min 2:45 min