Instructions And Patient Preparation
- Instructions
- • Injector timing for abdomen first, then finish pelvis sequences
• Perform relevant abdomen breath hold (BH) followed by pelvis in 2 stations - Common Indications
- Abdominal/pelvic pain, infection, malignancy
- Position
- Supine, head or feet first
- Coil
- Body Array (2 coils, if possible), Spine Array (posterior)
- Landmark
- Xyphoid
Contrast Agent Parameters
| Contrast Agent | Dose | Injection Rate | Dose Timing Method and Scan Delay | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gadopiclenol (VUEWAY) | 0.05 mmol/kg | 2 mL/sec | Use CareBolus (CB) to track contrast to diaphragm; stop CB; perform BH command (~4 sec); start Arterial-phase acquisition |
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| Saline Flush | 20 mL | 2 mL/sec | ― | ||||||||||||||
| Comments | • Report agent administered and dose • Use minimal dose for patients with a GFR <30 mL/sec |
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Imaging Parameters
| Scan Description | LOCALIZER | CORONAL T2 HASTE |
AXIAL T2 HASTE |
AXIAL In-Out-of-Phase |
Pelvis SAGITTAL T2 |
Pelvis SAGITTAL VIBE Pre |
Abdomen CORONAL VIBE Pre |
Abdomen Pelvis AXIAL VIBE Pre |
Care Bolus | Abdomen Pelvis AXIAL VIBE Post Arterial |
Abdomen Pelvis AXIAL VIBE Post 60 sec |
Abdomen Pelvis AXIAL VIBE Post 180 sec |
Abdomen Pelvis CORONAL VIBE Post 60 sec |
Abdomen Pelvis CORONAL VIBE Post 180 sec |
SAGITTAL VIBE Post 190 sec |
Abdomen Pelvis AXIAL DWI |
Abdomen Pelvis AXIAL T2 FS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| View Image | View Image | View Image | View Image | View Image | View Image | View Image | View Image | View Image | View Image | View Image | View Image | View Image | View Image | ||||
| Sequence Name | h | h | h | fl | tse | fl | fl | fl | fl | tseB | tse | fl | fl | fl | fl | epse | tse |
| Dimension | 2D | 2D | 2D | 2D | 2D | 3D | 3D | 3D | 2D | 2D | 2D | 3D | 3D | 3D | 3D | — | 2D |
| Acceleration mode | GRAPPA | GRAPPA | GRAPPA | GRAPPA | GRAPPA | CAIPIRINHA | CAIPIRINHA | CAIPIRINHA | None | GRAPPA | GRAPPA | CAIPIRINHA | CAIPIRINHA | CAIPIRINHA | CAIPIRINHA | SMS | GRAPPA |
| Acceleration Factor PE | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | — | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 |
| Acceleration Factor 3D | — | — | — | — | — | 2 | 2 | 2 | — | — | — | 2 | 2 | 2 | 2 | — | — |
Scan Parameters
| Scan Description | LOCALIZER | CORONAL T2 HASTE |
AXIAL T2 HASTE |
AXIAL In-Out-of-Phase |
Pelvis SAGITTAL T2 |
Pelvis SAGITTAL VIBE Pre |
Abdomen CORONAL VIBE Pre |
Abdomen Pelvis AXIAL VIBE Pre |
Care Bolus | Abdomen Pelvis AXIAL VIBE Post Arterial |
Abdomen Pelvis AXIAL VIBE Post 60 sec |
Abdomen Pelvis AXIAL VIBE Post 180 sec |
Abdomen Pelvis CORONAL VIBE Post 60 sec |
Abdomen Pelvis CORONAL VIBE Post 180 sec |
SAGITTAL VIBE Post 190 sec |
Abdomen Pelvis AXIAL DWI |
Abdomen Pelvis AXIAL T2 FS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TR | 1100 ms | 1300 ms | 1200 ms | 228 ms | 8350.0 ms | 3.3 ms | 4.5 ms | 3.5 ms | 68.77 ms | 3000 ms | 4320 ms | 3.5 ms | 4.5 ms | 4.5 ms | 3.3 ms | 3000 ms | 2630 ms |
| TE | 84 ms | 91 ms | 95 ms | 1: 1.23 ms 2: 2.46 ms |
112.00 ms | 1.54 ms | 2.17 ms | 1.6 ms | 1.52 ms | 138 ms | 83 ms | 1.6 ms | 2.17 ms | 2.17 ms | 1.54 ms | 60 ms | 82 ms |
| Flip Angle | 150 deg | 164 deg | 159 deg | 44 deg | 160 deg | 10 deg | 10 deg | 10 deg | 30 deg | 130 deg | 160 deg | 10 deg | 10 deg | 10 deg | 10 deg | — | 120 deg |
| Turbo Factor | 179 | 256 | 198 | — | 23 | — | — | — | — | 50 | 29 | — | — | — | — | — | 19 |
| Bandwidth | 698 Hz/Px | 698 Hz/Px | 698 Hz/Px | 1060 Hz/Px | 200 Hz/Px | 690 Hz/Px | 350 Hz/Px | 650 Hz/Px | 400 Hz/Px | 501 Hz/Px | 260 Hz/Px | 650 Hz/Px | 350 Hz/Px | 350 Hz/Px | 690 Hz/Px | 2084 Hz/Px | 195 Hz/Px |
| Fat-Water Contrast | Standard | Standard | Standard | Standard | Standard | SPAIR | Fast Fat Saturation | Fast Fat Saturation | Standard | SPAIR | SPAIR | Fast Fat Saturation | Fast Fat Saturation | Fast Fat Saturation | SPAIR | SPAIR | SPAIR |
| Fat Saturation | — | — | — | — | — | — | — | — | — | Strong | Strong | — | — | — | — | Strong | Strong |
| Gradient Mode | Fast | Fast | Fast | Fast | Normal | Fast | Fast | Fast | Fast | Fast | Fast | Fast | Fast | Fast | Fast | Fast | Normal |
| RF Pulse Type | Normal | Fast | Fast | Optimized | Low SAR | Fast | Fast | Fast | Low SAR | Fast | Normal | Fast | Fast | Fast | Fast | Low SAR | Normal |
| Asymmetric Echo | — | — | — | Allowed | — | Off | Off | Off | Allowed | — | — | Off | — | Off | Off | — | — |
Acquisition Parameters
| Scan Description | LOCALIZER | CORONAL T2 HASTE |
AXIAL T2 HASTE |
AXIAL In-Out-of-Phase |
Pelvis SAGITTAL T2 |
Pelvis SAGITTAL VIBE Pre |
Abdomen CORONAL VIBE Pre |
Abdomen Pelvis AXIAL VIBE Pre |
Care Bolus | Abdomen Pelvis AXIAL VIBE Post Arterial |
Abdomen Pelvis AXIAL VIBE Post 60 sec |
Abdomen Pelvis AXIAL VIBE Post 180 sec |
Abdomen Pelvis CORONAL VIBE Post 60 sec |
Abdomen Pelvis CORONAL VIBE Post 180 sec |
SAGITTAL VIBE Post 190 sec |
Abdomen Pelvis AXIAL DWI |
Abdomen Pelvis AXIAL T2 FS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Base Resolution | 256 | 256 | 256 | 224 | 320 | 288 | 320 | 320 | 192 | 256 | 320 | 320 | 320 | 320 | 288 | 160 | 256 |
| Phase Resolution | 70% | 100% | 95% | 90% | 83% | 70% | 75% | 75% | 77% | — | 70% | 75% | 75% | 75% | 70% | 100% | 69% |
| Slice Resolution | — | — | — | — | — | 50% | 50% | 60% | — | — | — | 60% | 50% | 50% | 50% | — | — |
| Averages | — | — | — | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 3 | 1 |
| Concatenations | 1 | 2 | 3 | 1 | 1 | 1 | 1 | 1 | — | 5 | 3 | 1 | 1 | 1 | 1 | 1 | 4 |
| b-value >= | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | 0 s/mm2 50 s/mm2 800 s/mm2 |
— |
| FoV Read | 400 mm | 370 mm | 380 mm | 363 mm | 200 mm | 350 mm | 400 mm | 380 mm | 350 mm | 380 mm | 380 mm | 380 mm | 400 mm | 400 mm | 350 mm | 380 mm | 350 mm |
| FoV Phase | 100% | 100% | 81% | 80% | 100% | 92% | 100% | 91% | 100% | 100% | 81% | 91% | 100% | 100% | 92% | 80% | 75% |
| Phase Encoding Dir. | A >> P | R >> L | A >> P | A >> P | A >> P | A >> P | R >> L | A >> P | A >> P | A >> P | A >> P | A >> P | R >> L | R >> L | A >> P | A >> P | A >> P |
| Slice Oversampling | — | — | — | — | — | 29% | 33% | 20% | — | — | — | 20% | 33% | 33% | 29% | — | — |
| Phase Partial Fourier | 5/8 | 5/8 | 5/8 | 7/8 | Off | 6/8 | 6/8 | Off | 7/8 | — | Off | Off | 6/8 | 6/8 | 6/8 | Off | Allowed |
| Slice Partial Fourier | — | — | — | — | — | 6/8 | 6/8 | 6/8 | — | — | — | 6/8 | 6/8 | 6/8 | 6/8 | — | — |
| Flow Compensation | None | None | None | None | None | — | — | — | — | None | None | — | — | — | — | — | None |
Scanning Range
| Scan Description | LOCALIZER | CORONAL T2 HASTE |
AXIAL T2 HASTE |
AXIAL In-Out-of-Phase |
Pelvis SAGITTAL T2 |
Pelvis SAGITTAL VIBE Pre |
Abdomen CORONAL VIBE Pre |
Abdomen Pelvis AXIAL VIBE Pre |
Care Bolus | Abdomen Pelvis AXIAL VIBE Post Arterial |
Abdomen Pelvis AXIAL VIBE Post 60 sec |
Abdomen Pelvis AXIAL VIBE Post 180 sec |
Abdomen Pelvis CORONAL VIBE Post 60 sec |
Abdomen Pelvis CORONAL VIBE Post 180 sec |
SAGITTAL VIBE Post 190 sec |
Abdomen Pelvis AXIAL DWI |
Abdomen Pelvis AXIAL T2 FS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Elliptical Filter | On | Off | Off | Off | Off | Off | Off | Off | Off | Off | Off | Off | Off | Off | Off | Off | Off |
| Normalize | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan | Off | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan |
| Distortion Correction | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D |
| Slice Thickness | 6.0 mm | 6.0 mm | 6.0 mm | 6.0 mm | 4.0 mm | 3.0 mm | 3.0 mm | 3.0 mm | 20.0 mm | 6.0 mm | 6.0 mm | 3.0 mm | 3.0 mm | 3.0 mm | 3.0 mm | 7.0 mm | 6.0 mm |
| Distance Factor | 150% | 20% | 20% | 20% | 20% | 20% | 20% | 20% | 20% | 20% | 20% | 20% | 20% | 20% | 20% | 0% | 20% |
| Slices | 9 Slices | 30 Slices | 35 Slices | 45 Slices | 30 Slices | 112 Slices per Slab |
72 Slices per Slab |
80 Slices per Slab |
1 Slice | 35 Slices | 34 Slices | 80 Slices per Slab |
72 Slices per Slab |
72 Slices per Slab |
112 Slices per Slab |
36 Slices | 34 Slices |
| Time of Acquisition | 21 sec | 39 sec | 44 sec | 22 sec | 3:30 min | 14 sec | 15 sec | 14 sec | 1:16 min | 2:09 min | 1:05 min | 14 sec | 15 sec | 15 sec | 14 sec | 1:51 min | 1:26 min |
