Instructions And Patient Preparation
- Instructions
- • Reformat Sagittal T1 CUBE and Coronal T1 CUBE in Axial and Coronal planes. If CUBE is not available run Axial and Coronal T1 weighted sequences with and without contrast (+/-Fat Sat)
• Axial T2 CUBE FOCUS or FIESTA images are used to image the cranial nerves
• This may be a standalone exam for follow-up or done in conjunction with sequences from Routine Brain protocol
• Contrast is used for almost all examinations - Position
- Supine, head first
- Coil
- 8 channel Head or GEM HNU
- Landmark
- Glabella/Nasion
Contrast Agent Parameters
| Contrast Agent | Dose | Injection Rate | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Gadopiclenol (VUEWAY) | 0.05 mmol/kg up to a calculated volume of 10 mL | Hand Bolus usually | ||||||||
| Saline Flush | 10-20 mL | Hand Flush | ||||||||
| Comments | • Report agent administered and dose • Use minimal dose for patients with a GFR <60 mL/sec |
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Imaging Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL 3D T1 CUBE |
Optional: AXIAL T1 FSE |
Optional: CORONAL T1 FSE |
AXIAL T2 CUBE FOCUS |
AXIAL FIESTA |
Optional: Post AXIAL T1 FSE |
Optional: Post CORONAL T1 FSE |
Post AXIAL T1 3D BRAVO |
Post CORONAL 3D T1 CUBE |
|---|---|---|---|---|---|---|---|---|---|---|
| View Image | View Image | View Image | View Image | |||||||
| Primary Sequence | Yes | Yes | Yes | Yes | Optional | Yes | Yes | Yes | Yes | Yes T1 |
| Mode | 2D | 3D | 2D | 2D | 3D | 3D | 2D | 2D | 3D BRAVO | 3D |
| Pulse Sequence | SSFSE | CUBE | FSE-XL | FSE-XL | CUBE-T2 | FIESTA-C | FSE-XL | FSE-XL | BRAVO | CUBE |
| Imaging Options | SEQ, EDR, FAST, SS, ARC, TRF |
EDR, ZIP2, ZIP512, FR, ARC |
FC, TRF, FAST | FC, TRF, FAST | FC, EDR, FAST, ZIP512, ZIP2, FR, ARC, HS, Excitation=focus |
NPW, EDR, FAST, ZIP2 |
FC, TRF, FAST | FC, TRF, FAST | FAST, IRP, ZIP2, ASSET |
EDR, ZIP2, ZIP512, FR, ARC |
Scan Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL 3D T1 CUBE |
Optional: AXIAL T1 FSE |
Optional: CORONAL T1 FSE |
AXIAL T2 CUBE FOCUS |
AXIAL FIESTA |
Optional: Post AXIAL T1 FSE |
Optional: Post CORONAL T1 FSE |
Post AXIAL T1 3D BRAVO |
Post CORONAL 3D T1 CUBE |
|---|---|---|---|---|---|---|---|---|---|---|
| TE | 80 | Min | Min-Full | Min-Full | 220 | Min | Min-Full | Min-Full | ― | 24 |
| TR | 1000 | 550 | 500-700 | 500-700 | 2000 | ― | 500-700 | 500-700 | ― | 550 |
| TI | ― | ― | ― | ― | ― | ― | ― | ― | 450 | ― |
| Flip Angle | ― | ― | Auto | Auto | Auto | 55 | Auto | Auto | 13 | ― |
| ETL | ― | 20 | 3 | 3 | 130 | ― | 3 | 3 | ― | 24 |
| Bandwidth | 83 | 62 | 31 | 31 | 62 | 36 | 31 | 31 | 25 | 62 |
| Sat | ― | ― | I | ― | ― | ― | Optional: Fat or Flex | Optional: Fat or Flex | ― | Fat |
Acquisition Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL 3D T1 CUBE |
Optional: AXIAL T1 FSE |
Optional: CORONAL T1 FSE |
AXIAL T2 CUBE FOCUS |
AXIAL FIESTA |
Optional: Post AXIAL T1 FSE |
Optional: Post CORONAL T1 FSE |
Post AXIAL T1 3D BRAVO |
Post CORONAL 3D T1 CUBE |
|---|---|---|---|---|---|---|---|---|---|---|
| MATRIX freq | 256 | 256 | 320 | 320 | 260 | 256 | 320 | 320 | 256 | 288 |
| MATRIX phase | 192 | 256 | 224 | 224 | 260 | 256 | 224 | 224 | 256 | 288 |
| NEX | 1 | 1 | 2 | 2 | 2 | 1 | 2 | 2 | 1 | 1 |
| Phase FOV | 1 | ― | 1 | 1 | 0.8 | ― | 1 | 1 | ― | 0.7 |
| Freq Direction | Unswap | S/I | A/P | S/I | A/P | A/P | A/P | S/I | A/P | S/I |
| Image Enhance | ― | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE |
| FC Direction | ― | ― | Slice | Freq | Slice | ― | Slice | Freq | ― | ― |
| User CV | ― | ACC=2 | ― | ― | CUBE-2 SAR-1 Apodization-lvl-1 |
― | ― | ― | ACC=2 | CUBE Enh 3 ACC=2 |
Scanning Range
| Scan Description | 3PL LOCALIZER |
SAGITTAL 3D T1 CUBE |
Optional: AXIAL T1 FSE |
Optional: CORONAL T1 FSE |
AXIAL T2 CUBE FOCUS |
AXIAL FIESTA |
Optional: Post AXIAL T1 FSE |
Optional: Post CORONAL T1 FSE |
Post AXIAL T1 3D BRAVO |
Post CORONAL 3D T1 CUBE |
|---|---|---|---|---|---|---|---|---|---|---|
| FOV | 30 | 24 | 18 | 18 | 16 | 16 | 18 | 18 | 25 | 24 |
| Slice Thickness | 7 | 1.2 | 3 | 3 | 1 | 1.2 | 3 | 3 | 1.2 | 1 |
| Spacing | 5 | ― | INT-1 | INT-1 | ― | ― | INT-1 | INT-1 | 0 | ― |
| Number of Slices | 7-Ax/Sag/Cor | 160 | 12-18 | 12-18 | 76 | 1 Slab-60 | 12-18 | 12-18 | 128 | 200 |
| Scan Time | 0:18 sec | 3-5 min | ~2.5 min | ~2.5 min | ~4-5 min | 4-5 min | ~2.5 min | ~2.5 min | 3:30 min | 3-5 min |
