Instructions And Patient Preparation
- Instructions
- • Sagittal – Cover through foramina, T11-thecal sac
• Axial – Bottom of T12 through thecal sac. Can use two stacks (upper and lower) angled to disc spaces - Common Indications
- Tumor, infection, post surgery
- Position
- Supine head first for CTL Coil, or Supine Feet First for Gems Table
- Coil
- C/T/L (CTL456), GEMS Spine
- Landmark
- 1-2″ above iliac crest
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 | |||||||
| Comments | ― | ― | ― | ― | Can angle to the disc spaces or stack axially | Can angle to the disc spaces or stack axially | ― | Post contrast | Optional for T1 contrast |
Imaging Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 |
SAGITTAL T2 |
SAGITTAL STIR |
AXIAL T2 |
AXIAL T1 |
Pre and Post AXIAL T1 |
Post SAGITTAL T1 FS |
SAGITTAL T1 |
|---|---|---|---|---|---|---|---|---|---|
| View Image | View Image | View Image | View Image | ||||||
| Primary Sequence | Yes | Yes | Yes | No | Yes | Yes | Yes | Yes | No |
| Mode | 2D Std Loc | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D |
| Pulse Sequence | SSFSE | FSE-XL | FRFSE-XL | FSE-IR | FSE-XL | FSE-XL | FSE-XL | FSE-XL | T1 FLAIR |
| Parallel Imaging | 2 | No | No | No | No | No | No | No | No |
| Options | SEQ, TRF, EDR, FAST, SS, ARC | TRF, FAST | TRF, FAST, FR, FC |
TRF, FAST, FR, FC |
TRF, FAST, FR, FC |
TRF, FAST | NPW, ZIP512 | NPW, TRF, FAST | TRF, EDR, SEQ, FAST |
Scan Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 |
SAGITTAL T2 |
SAGITTAL STIR |
AXIAL T2 |
AXIAL T1 |
Pre and Post AXIAL T1 |
Post SAGITTAL T1 FS |
SAGITTAL T1 |
|---|---|---|---|---|---|---|---|---|---|
| TE | 80 | Min-Full | 85 | 60 | 87 | Min-Full | Min-Full | Min-Full | 24 |
| TR | Min | 800 | 4000 | 3500 | 4000 | 800 | 650 | 500-700 | 2100 |
| TI | ― | ― | ― | 160 | ― | ― | ― | ― | Auto |
| Flip Angle | ― | Auto | Auto | Auto | Auto | Auto | Auto | Auto | Auto |
| ETL | ― | 3 | 27 | 10 | 12 | 3 | 4 | 3 | 8 |
| Bandwidth | ― | 31 | 41 | 31 | 31 | 25 | 31 | 20 | 35 |
| SAT | 83 | Anterior | Anterior | Anterior | Anterior | Anterior | Anterior/Optional Fat post contrast | Anterior/Fat | Anterior |
Acquisition Parameters
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 |
SAGITTAL T2 |
SAGITTAL STIR |
AXIAL T2 |
AXIAL T1 |
Pre and Post AXIAL T1 |
Post SAGITTAL T1 FS |
SAGITTAL T1 |
|---|---|---|---|---|---|---|---|---|---|
| MATRIX freq | 256 | 320 | 320 | 288 | 320 | 288 | 256 | 384 | 256 |
| MATRIX phase | 128 | 224 | 224 | 256 | 224 | 192 | 192 | 256 | 256 |
| NEX | 1 | 3 | 4 | 2 | 2 | 2 | 2 | 3 | 2 |
| Freq DIR | ― | S/I | S/I | S/I | A/P | A/P | A/P | S/I | S/I |
| FC Direction | ― | ― | Freq | Freq | Slice | ― | Slice | No | No |
Scanning Range
| Scan Description | 3PL LOCALIZER |
SAGITTAL T1 |
SAGITTAL T2 |
SAGITTAL STIR |
AXIAL T2 |
AXIAL T1 |
Pre and Post AXIAL T1 |
Post SAGITTAL T1 FS |
SAGITTAL T1 |
|---|---|---|---|---|---|---|---|---|---|
| FOV | 40 | 28 | 28 | 28 | 22 | 22 | 20 | 28 | 28 |
| Phase FOV | ― | .9 | .9 | .9 | .9 | .9 | 1 | 1 | .9 |
| Filter | ― | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE |
| Slice Thickness | 5 | 4 | 4 | 4 | 4 | 4 | 4 | 3 | 4 |
| Spacing % | 10 | .4 | .4 | .4 | 1 | 1 | 1 | .3 | .4 |
| Number of Slices | 10-15 each plane | 14-20 | 14-20 | 14-20 | 25-35 | 25-35 | 28-35 | 12-17 | 15 |
| Acquisition Time | 0:25 sec | ~3.5-4 min | ~3 min | ~4.5 min | ~4-6 min | ~4-6 min | ~3-4 min | ~2-3 min | ~3-4 min |
