Instructions And Patient Preparation
- Instructions
- • Ordered through the ED, monitored by radiologist
• Axial T2 from Routine Total Spine or entire routine protocol of one section can be requested after checking images
• Contrast is optional depending on indication - Position
- Supine head first
- Coil
- HNU+Gems spine coil
- Landmark
- Mid sternum
Contrast Agent Parameters
| Contrast Agent | Dose | Injection Rate | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Gadopiclenol (VUEWAY) | 0.05 mmol/kg up to a calculated volume of 10 mL | Hand Bolus | |||||||||
| Saline Flush | 10-20 mL | Hand Bolus | |||||||||
Imaging Parameters
| Scan Description | Series Description | Top 3PL LOCALIZER SSFSE |
Bottom 3PL LOCALIZER SSFSE |
C-spine SAGITTAL STIR PROPELLER |
C-spine SAGITTAL T1 CUBE |
T-spine SAGITTAL STIR |
T-spine SAGITTAL T1 CUBE |
L-spine SAGITTAL FSTIR |
L-spine SAGITTAL CUBE T1 |
Post C-spine SAGITTAL T1 CUBE-Flex |
Post T-spine SAGITTAL T1 CUBE Fat Sat |
Post L-spine SAGITTAL T1 CUBE Fat Sat |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| View Image | View Image | View Image | View Image | |||||||||
| Imaging Mode | 2D | 2D | 2D | 3D | 2D | 3D | 2D | 3D | 3D | 3D | 3D | |
| Pulse Sequence | Spin Echo | Spin Echo | PROPELLER | CUBE | FSE-XL | CUBE | FSE-XL | CUBE | CUBE | CUBE | CUBE | |
| Imaging Options | SEQ, EDR, TRF, FAST, SS, ARC | SEQ, EDR, TRF, FAST, SS, ARC | EDR, TRF, FAST, FR, ARC, IrP | EDR, FAST, ZIP2, FR, ARC, HS | SEQ, EDR, TRF, FAST, FR, ARC, IrP | EDR, FAST, ZIP2, FR, ARC, HS | SEQ, EDR, TRF, FAST, IrP | EDR, FAST, ZIP2, FR, ARC | EDR, FAST, ZIP2, FR, FLEX, HS | EDR, FAST, ZIP2, FR, ARC | EDR, FAST, ZIP2, FR, ARC |
Scan Parameters
| Scan Description | Series Description | Top 3PL LOCALIZER SSFSE |
Bottom 3PL LOCALIZER SSFSE |
C-spine SAGITTAL STIR PROPELLER |
C-spine SAGITTAL T1 CUBE |
T-spine SAGITTAL STIR |
T-spine SAGITTAL T1 CUBE |
L-spine SAGITTAL FSTIR |
L-spine SAGITTAL CUBE T1 |
Post C-spine SAGITTAL T1 CUBE-Flex |
Post T-spine SAGITTAL T1 CUBE Fat Sat |
Post L-spine SAGITTAL T1 CUBE Fat Sat |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Flip Angle | — | — | 180 | — | 142 | — | 142 | — | — | — | — | |
| TE | Min Full | Min Full | — | 15 | 50 | 15 | 42 | 15 | 15 | 15 | 15 | |
| Number of Echoes | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | |
| TR | 1000 | 1000 | 3650 | 500 | 4553 | 600 | 4100 | 600 | 500 | 600 | 600 | |
| TI | — | — | 180 | — | 195 | — | 180 | — | — | — | — | |
| Echo Train Length | — | — | 18 | 24 | 13 | 20 | 10 | 24 | 24 | 24 | 24 | |
| Receiver Bandwidth | 83 | 83 | 63 | 63 | 63 | 63 | 42 | 63 | 63 | 63 | 63 | |
| Filter Choice | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | |
| Protocol Note | — | — | — | ARC 2/1 HyperSense 1.2 Reformat in Axial plane |
— | ARC 2/1 HyperSense 1.2 Reformat in Axial plane |
— | ARC 2/1 Reformat in Axial plane |
ARC 2/1 HyperSense 1.2 Reformat in Axial plane |
ARC 2/1 Reformat in Axial plane |
ARC 2/1 Reformat in Axial plane |
Acquisition Parameters
| Scan Description | Series Description | Top 3PL LOCALIZER SSFSE |
Bottom 3PL LOCALIZER SSFSE |
C-spine SAGITTAL STIR PROPELLER |
C-spine SAGITTAL T1 CUBE |
T-spine SAGITTAL STIR |
T-spine SAGITTAL T1 CUBE |
L-spine SAGITTAL FSTIR |
L-spine SAGITTAL CUBE T1 |
Post C-spine SAGITTAL T1 CUBE-Flex |
Post T-spine SAGITTAL T1 CUBE Fat Sat |
Post L-spine SAGITTAL T1 CUBE Fat Sat |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FOV | 35 | 35 | 22 | 24 | 32 | 32 | 32 | 28 | 24 | 32 | 28 | |
| Phase FOV | 1 | 1 | — | 1 | 1 | 0.7 | 1 | 1 | 0.7 | 1 | 1 | |
| Slice Thickness | 6 | 6 | 4 | 1.4 | 4 | 1.2 | 4 | 1.4 | 1.4 | 1.4 | 1.4 | |
| Location per Slab | — | — | — | 84 | — | 72 | — | 54 | 68 | 54 | 54 | |
| Slice Spacing | 1.5 | 1.5 | 0.4 | — | 0.4 | — | 0.4 | — | — | — | — | |
| Number of Slices | — | — | 13 | 1 | 15 | 1 | 15 | 1 | 1 | 1 | 1 |
Scanning Range
| Scan Description | Series Description | Top 3PL LOCALIZER SSFSE |
Bottom 3PL LOCALIZER SSFSE |
C-spine SAGITTAL STIR PROPELLER |
C-spine SAGITTAL T1 CUBE |
T-spine SAGITTAL STIR |
T-spine SAGITTAL T1 CUBE |
L-spine SAGITTAL FSTIR |
L-spine SAGITTAL CUBE T1 |
Post C-spine SAGITTAL T1 CUBE-Flex |
Post T-spine SAGITTAL T1 CUBE Fat Sat |
Post L-spine SAGITTAL T1 CUBE Fat Sat |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Freq | 320 | 320 | 288 | 240 | 320 | 340 | 320 | 288 | 240 | 288 | 288 | |
| Phase | 192 | 192 | — | 240 | 320 | 340 | 192 | 288 | 240 | 288 | 288 | |
| Freq DIR | Unswap | Unswap | Unswap | Unswap | A/P | S/I | Swap | Unswap | Unswap | Unswap | Unswap | |
| NEX | — | — | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 0.5 | 1 | |
| Excitation Mode | Selective | Selective | Selective | Selective | Selective | Focus | Selective | Selective | Focus | Selective | Selective | |
| ADV CV | CV 1, CV 39 | CV 1, CV 39 | — | CUBE Enh 3 | — | CUBE Enh 3 | — | CUBE Enh 3 | CUBE Enh 3 | CUBE Enh 3 | CUBE Enh 3 | |
| Scan Time | 0:40 sec | 0:40 sec | 2 min | 2:30 min | 2:30 min | 2:30 min | 2:30 min | 3:30 min | 3:30 min | 3:30 min | 3:30 min |
