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Pediatric Joint 3T

Philips Healthcare – MR Gadopiclenol (VUEWAY®) Protocols

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Instructions And Patient Preparation

Instructions
No NPO requirements. Free-breathing.
Position
Lower extremity: feet first, supine. Upper extremity: head first, supine.
Coil
dStream Torso coil, plus any extremity coil (knee, foot/ankle, wrist, or flex coil)
Landmark
Center at area of interest

Contrast Agent Parameters

Contrast Agent Dose Injection Rate Dose Timing Method and Scan Delay
Gadopiclenol (VUEWAY) 0.1 mL/kg (single dose, weight-based) Hand injection IV placed prior to start of MRI
Saline Flush 5-10 mL Hand injection Following contrast
Comments Single dose of VUEWAY 0.1 mL/kg based on patient weight; hand inject followed by 5-10 mL saline flush. Report agent administered and dose.

Info Page

Scan Description Survey AX PD DIXON AX T2 FS CO PD FS SG T1 DIXON SG T2 FS SG PD 3D AX T1 DIXON
POST CONTRAST
SG T1 DIXON
POST CONTRAST
    View Image View Image     View Image View Image View Image View Image
Total scan duration 00:39.2 03:18.0 02:43.9 02:21.3 04:04.5 02:46.0 03:13.0 04:08.3 04:04.5
Rel. SNR 1.11542869 0.370975137 0.312063575 0.257172376 0.195703596 0.177991331 0.22781831 0.200619847 0.195703596
Act. TR(ms) ― 3000 3279 4157 500 2964 1000 662 500
Act. TE(ms) ― 30 80 27 15 80 37 15 15
Act. TR/TE(ms) 36 / 1.49 ― ― ― ― ― ― ― ―
Act. TR/TI(ms) ― ― ― ― ― ― ― ― ―
Act. TR/TE1/delta TE(ms) ― ― ― ― ― ― ― ― ―
ACQ matrix M x P 256 x 179 244 x 131 240 x 83 400 x 167 232 x 232 312 x 243 308 x 347 240 x 187 232 x 232
ACQ voxel MPS (mm) 1.17 / 1.68 / 10.0 0.41 / 0.77 / 3.00 0.58 / 0.75 / 3.00 0.35 / 0.48 / 3.00 0.43 / 0.57 / 3.00 0.48 / 0.62 / 3.00 0.52 / 0.52 / 0.52 0.50 / 0.64 / 3.00 0.43 / 0.57 / 3.00
REC voxel MPS (mm) 1.17 / 1.17 / 10.0 0.35 / 0.35 / 3.00 0.36 / 0.36 / 3.00 0.25 / 0.25 / 3.00 0.24 / 0.24 / 3.00 0.39 / 0.39 / 3.00 0.26 / 0.26 / 0.26 0.36 / 0.36 / 3.00 0.24 / 0.24 / 3.00
Scan percentage (%) 69.7674408 53.4693871 77.7777786 72.925766 75.803978 77.7243576 100 77.9166641 75.803978
Packages 3 2 2 2 3 2 ― 5 3
TFE shots ― ― ― ― ― ― ― ― ―
TFE dur. shot / acq (ms) ― ― ― ― ― ― ― ― ―
TFE shot interval (ms) ― ― ― ― ― ― ― ― ―
Min. TI delay ― ― ― ― ― ― ― ― ―
Min. slice gap (mm) -0 3 3 3 3 3 ― 3 3
EPIfactor ― ― ― ― ― ― ― ― ―
Act.slicegap (mm) ― ― ― ― ― ― -0.25999999 0.300000012 ―
Act. WFS (pix) / BW (Hz) 1.935 / 224.5 ― ― ― ― ― ― ― ―
Min. WFS (pix) / Max. BW (Hz) 0.561 / 775.0 ― ― ― ― ― ― ― ―
Min. TR/TE(ms) ― ― ― ― ― ― ― ― ―
Min. TR/TE1/delta TE(ms) ― ― ― ― ― ― ― ― ―
WFS (pix) / BW (Hz) ― 1.187 / 365.9 2.590 / 167.7 2.106 / 206.3 1.129 / 384.9 1.713 / 253.6 0.883 / 491.9 0.976 / 445.2 1.129 / 384.9
TSE es / shot(ms) ― 8.8 / 106 10.0 / 150 8.5 / 128 9.1 / 45 10.0 / 150 5.3 / 389 8.4 / 42 9.1 / 45
TEeff / TEequiv(ms) ― 30 / 27 80 / 69 27 / 25 15 / 14 80 / 69 37 / 32 15 / 14 15 / 14
Min. TR(ms) ― 1965 ― ― 463 ― 410 662 463
Min. TR/TI(ms) ― ― ― ― ― ― ― ― ―
BW in EPI freq. dir. (Hz) ― ― ― ― ― ― ― ― ―
SPIR offset act./default (Hz) ― ― ― ― ― ― ― ― ―
Local torso SAR < 68 % ― < 71 % ― ― ― ― ― ―
Whole body SAR / level < 2.2 W/kg / 1st level < 0.4 W/kg / normal < 2.3 W/kg / 1st level < 0.5 W/kg / normal < 0.5 W/kg / normal < 0.5 W/kg / normal 0.0 W/kg / normal < 0.5 W/kg / normal < 0.5 W/kg / normal
SED < 0.1 kJ/kg < 0.1 kJ/kg < 0.4 kJ/kg < 0.1 kJ/kg < 0.1 kJ/kg < 0.1 kJ/kg 0.0 kJ/kg < 0.1 kJ/kg < 0.1 kJ/kg
Coil Power ― 55 % 0 % 84 % 77 % 69 % ― 84 % 77 %
Max B1+rms 1.88 uT 1.73 uT 1.93 uT 2.14 uT 2.06 uT 1.94 uT 2.06 uT 2.14 uT 2.06 uT
PNS / level 57 % / normal 51 % / normal 47 % / normal 66 % / normal 50 % / normal 52 % / normal 74 % / normal 48 % / normal 50 % / normal
dB/dt 49.8 T/s 45.7 T/s 36.0 T/s 80.8 T/s 53.1 T/s 48.1 T/s 109.5 T/s 53.0 T/s 53.1 T/s
Sound Pressure Level (dB) 11.6193457 6.66277409 2.43944931 6.26572943 12.765729 8.09633636 10.1590042 7.29756308 12.765729
Boil-off (hPa/h) ― ― ― ― ― ― ― ― ―
Max Boil-off (hPa/h) ― ― ― ― ― ― ― ― ―
Boil-off (hPa) ― ― ― ― ― ― ― ― ―

Geometry

Scan Description Survey AX PD DIXON AX T2 FS CO PD FS SG T1 DIXON SG T2 FS SG PD 3D AX T1 DIXON
POST CONTRAST
SG T1 DIXON
POST CONTRAST
Nucleus ― ― ― ― ― ― ― ― ―
SmartSelect yes yes yes yes yes yes yes yes yes
Coil 1 (exclude) ― None None None None None None None None
Uniformity ― CLEAR CLEAR Body-tuned CLEAR CLEAR CLEAR CLEAR CLEAR
FOV AP (mm) ― 100 140 87 132.07547 150 180.512817 164.699997 132.07547
FOV FH (mm) 300 111 95 140 100 150 160 120 100
FOV RL (mm) 300 100 62.7083321 80 83 83 115.699997 120 83
    stack RL (mm) ― ― ― ― ― ― ― ― ―
ACQ voxel size AP (mm) ― 0.409999996 0.585937977 ― 0.541000009 0.600000024 0.519999981 ― 0.541000009
ACQ voxel size FH (mm) 1.171875 ― ― 0.349999994 0.430000007 0.479999989 0.519999981 0.5 0.430000007
ACQ voxel size RL (mm) 1.67597795 0.569999993 0.731706977 0.473372787 ― ― 0.519999981 0.628272235 ―
Slice thickness (mm) 10 3 3 3 3 3 ― 3 3
Recon voxel size AP (mm) ― 0.347222209 0.364583343 ― 0.235849053 0.390625 0.256410241 ― 0.235849053
Recon voxel size FH (mm) 1.171875 ― ― 0.25 0.235849053 0.390625 0.256410241 0.357142866 0.235849053
Recon voxel size RL (mm) 1.171875 0.347222209 0.364583343 0.25 ― ― 0.25999999 0.357142866 ―
Fold-over suppression oversampling oversampling oversampling no oversampling oversampling no no oversampling
Slice oversampling ― ― ― ― ― ― user defined ― ―
    oversample factor ― ― ― ― ― ― 1.20000005 ― ―
ENCASE enable ― ― ― ― ― ― ― ― ―
RF select. FOS ― ― ― ― ― ― ― ― ―
Reconstruction matrix 256 288 384 560 560 384 704 336 560
SENSE no no no no no no no no no
    Preduction (AP) ― ― ― ― ― ― ― ― ―
MB SENSE ― ― ― ― ― ― ― ― ―
CS-SENSE no yes yes yes yes yes yes yes yes
    reduction ― 3 1.20000005 1.39999998 2.5 1.20000005 6 2.0999999 2.5
    denoising ― system default system default system default system default system default weak system default system default
k-t Acceleration no no no no no no no no no
Stacks 3 1 1 1 1 1 1 1 1
    current ― ― ― ― ― ― ― ― ―
    type parallel parallel parallel parallel parallel parallel ― parallel parallel
    slices 5 28 24 29 21 21 445 50 21
    slice gap user defined user defined user defined user defined user defined user defined ― default user defined
    gap (mm) 10 1 1 0 1 1 ― ― 1
    slice orientation coronal transverse transverse coronal sagittal sagittal sagittal coronal sagittal
    fold-over direction RL RL RL RL AP AP AP RL AP
    fat shift direction P P P F F F F F F
Minimum number of packages 1 1 1 1 1 1 ― 1 1
Multi-chunk ― ― ― ― ― ― no ― ―
Slice scan order default default default default default default ― default default
Stack scan order ascend ― ― ― ― ― ― ― ―
Stack sort order no ― ― ― ― ― ― ― ―
O-MAR ― no no no no no no no no
Large table movement no no no no no no no no no
Plan Align no no no no no no no no no
REST slabs 0 0 0 0 0 0 0 0 0
    type ― ― ― ― ― ― ― ― ―
    thickness (mm) ― ― ― ― ― ― ― ― ―
    position ― ― ― ― ― ― ― ― ―
    gap ― ― ― ― ― ― ― ― ―
    power ― ― 1 1 ― 1 ― ― ―
Interactive positioning no no no no no no no no no
Allow table movement ― ― ― ― ― ― ― ― ―
Patient position head first head first head first head first head first head first head first head first head first
Patient body position head first head first head first head first head first head first head first head first head first
Patient orientation supine supine supine supine supine supine supine supine supine
Patient body orientation supine supine supine supine supine supine supine supine supine

Contrast

Scan Description Survey AX PD DIXON AX T2 FS CO PD FS SG T1 DIXON SG T2 FS SG PD 3D AX T1 DIXON
POST CONTRAST
SG T1 DIXON
POST CONTRAST
Scan type Imaging Imaging Imaging Imaging Imaging Imaging Imaging Imaging Imaging
Scan mode MS MS MS MS MS MS 3D MS MS
technique FFE SE SE SE SE SE SE SE SE
Modified SE ― no no no no no no no no
3D non-selective ― ― ― ― ― ― ― ― ―
loop order ― ― ― ― ― ― ― ― ―
Contrast enhancement no ― ― ― ― ― ― ― ―
Acquisition mode cartesian cartesian cartesian cartesian cartesian cartesian cartesian cartesian cartesian
Fast Imaging mode none TSE TSE TSE TSE TSE TSE TSE TSE
3D VIEW ― ― ― ― ― ― MSK PD ― ―
shot mode ― multishot multishot multishot multishot multishot multishot multishot multishot
TFE factor ― ― ― ― ― ― ― ― ―
TSE factor ― 12 15 15 5 15 66 5 5
startup echoes ― 0 0 0 0 0 4 0 0
shot interval ― ― ― ― ― ― ― ― ―
profile order ― asymmetric linear asymmetric asymmetric linear low_high asymmetric asymmetric
turbo direction ― ― ― ― ― ― radial ― ―
DRIVE ― no no no no no yes no no
ultrashort ― no no yes no no ― no no
shift ― ― ― ― ― ― ― ― ―
fid reduction ― default default default default default strong default default
Echoes 1 1 1 1 1 1 1 1 1
partial echo yes no no no no no no no no
shifted echo no ― ― ― ― ― ― ― ―
TE shortest user defined user defined user defined user defined user defined shortest user defined user defined
(ms) ― 30 80 27 15 80 ― 15 15
echospacing ― shortest ― user defined shortest ― ― shortest shortest
(ms) ― ― ― 8.5 ― ― ― ― ―
flyback ― ― ― ― ― ― ― ― ―
Flip angle (deg) 45 90 90 90 90 90 90 90 90
Refocusing control ― constant constant constant constant constant constant constant constant
angle (deg) ― 110 110 130 100 110 65 100 100
bright fat reduction ― no no no no no no no no
TR shortest range shortest shortest range shortest user defined range range
(ms) ― ― ― ― ― ― 1000 ― ―
minimum (ms) ― 3000 ― ― 500 ― ― 500 500
maximum (ms) ― 5500 ― ― 700 ― ― 700 700
Halfscan no no no no no no no no no
factor ― ― ― ― ― ― ― ― ―
factor Y ― ― ― ― ― ― ― ― ―
factor Z ― ― ― ― ― ― ― ― ―
Water-fat shift maximum maximum maximum maximum minimum maximum maximum minimum minimum
(pixels) ― ― ― ― ― ― ― ― ―
IR delay (ms) ― ― ― ― ― ― ― ― ―
dual ― ― ― ― ― ― ― ― ―
power ― ― ― ― ― ― ― ― ―
RF Shims ― fixed fixed fixed fixed fixed ― fixed fixed
Shim ― default auto PB-volume default volume auto default default
mDIXON no yes no no yes no no yes yes
Fat suppression no no SPAIR SPAIR no SPAIR no no no
strength ― ― ― ― ― ― ― ― ―
power ― ― 1 1 ― 1 ― ― ―
inversion delay ― ― auto auto ― auto ― ― ―
suppr. level ― ― strong strong ― strong ― ― ―
frequency offset ― ― user defined user defined ― user defined ― ― ―
offset (Hz) ― ― 220 200 ― 220 ― ― ―
Grad Rev Fat suppr ― no no no no no no no no
Water suppression no no no no no no no no no
TFE prepulse ― ― ― ― ― ― ― ― ―
slice selection ― ― ― ― ― ― ― ― ―
delay ― ― ― ― ― ― ― ― ―
(ms) ― ― ― ― ― ― ― ― ―
BB pulse ― no no no no no no no no
MTC no no no no no no no no no
T2prep ― ― ― ― ― ― ― ― ―
echo time(ms) ― ― ― ― ― ― ― ― ―
refocusing pulses ― ― ― ― ― ― ― ― ―
APT ― no no no no no no no no
Custom prepulse no no no no no no no no no
MDME no no no no no no no no no
Diffusion mode no no no no no no no no no
sequence ― ― ― ― ― ― ― ― ―
gradient expert mode ― ― ― ― ― ― ― ― ―
gradient overplus ― ― ― ― ― ― ― ― ―
direction ― ― ― ― ― in-plane ― ― ―
nr of b-factors ― ― ― ― ― ― ― ― ―
b-factor order ― ― ― ― ― ― ― ― ―
max b-factor ― ― ― ― ― ― ― ― ―
average high b ― ― ― ― ― ― ― ― ―
T1 mapping no no no no no no no no no
Transmit channels ― both both both both both ― both both
SAR mode high high high high high high high high high
B1 mode user defined default default default default default default default default
SAR allow first level yes yes yes yes yes yes yes yes yes
Patient pregnancy no no no no no no no no no
Patient WB SAR [W/kg] 0 0 0 0 0 0 0 0 0
Patient Head SAR [W/kg] 0 0 0 0 0 0 0 0 0
Patient max. dB/dt [T/s] 0 0 0 0 0 0 0 0 0
Max slewrate [T/m/s] 0 0 0 0 0 0 0 0 0
Max. B1+rms [uT] 0 0 0 0 0 0 0 0 0
PNS mode low low low high low low moderate low low
Gradient mode default default default enhanced default default maximum default default
SofTone mode no no no no no no no no no

Motion

Scan Description Survey AX PD DIXON AX T2 FS CO PD FS SG T1 DIXON SG T2 FS SG PD 3D AX T1 DIXON
POST CONTRAST
SG T1 DIXON
POST CONTRAST
Cardiac synchronization no no no no no no no no no
Heart rate > 250 bpm no no no no no no no no no
Respiratory compensation no no no no no no no no no
Navigator respiratory comp no no no no no no no no no
Flow compensation no no no no no yes no no no
Temporal slice spacing default default default default default default ― default default
Motion smoothing ― no no no no no no no no
fMRI echo stabilisation no ― ― ― ― ― ― ― ―
NSA 1 2 2 2 2 1 1 2 2
MRE enable no no no no no no no no no

Dynamic Angio

Scan Description Survey AX PD DIXON AX T2 FS CO PD FS SG T1 DIXON SG T2 FS SG PD 3D AX T1 DIXON
POST CONTRAST
SG T1 DIXON
POST CONTRAST
Angio / Contrast enh. no ― ― ― ― ― ― ― ―
Quantitative flow no ― ― ― ― ― ― ― ―
CENTRA ― ― ― ― ― ― no ― ―
Manual start no no no no no no no no no
Dynamic study no no no no no no no no no
Arterial Spin labeling no no no no no no no no no

Post Processing

Scan Description Survey AX PD DIXON AX T2 FS CO PD FS SG T1 DIXON SG T2 FS SG PD 3D AX T1 DIXON
POST CONTRAST
SG T1 DIXON
POST CONTRAST
Preparation phases ― auto auto auto auto full full auto auto
Interactive F0 no no no no no no no no no
Quick Survey default default default default default default default default default
SmartPlan survey no no no no no no no no no
B0 field map no no no no no no no no no
B1 field map no no no no no no no no no
MIP/MPR no no no no no no no no no
SWIp no ― ― ― ― ― ― ― ―
Images no ― no no ― no no ― ―
Autoview image M ― M M ― M M ― ―
Calculated images no ― no no ― no no ― ―
Reference tissue Skeletal muscle Skeletal muscle Skeletal muscle Skeletal muscle Skeletal muscle Skeletal muscle Bone marrow Skeletal muscle Skeletal muscle
Recon compression No No No No No No No No No
Preset window contrast soft soft soft soft soft soft soft soft soft
Reconstruction mode immediate immediate immediate real time real time immediate immediate real time real time
Save raw data no no no no no no no no no
Hardcopy protocol no no no no no no no no no
Image filter system default system default system default system default system default system default system default system default system default
Uniformity correction no no no no no no no no no
Geometry correction default default default default default default default default default
EPI geometry correction ― ― ― ― ― ― ― ― ―
ADC correction ― ― ― ― ― ― ― ― ―
Elliptical k-space shutter ― ― ― ― ― ― default ― ―
Free rotatable no no no no no no no no no