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Maxillofacial 3T

Philips Healthcare – MR Gadopiclenol (VUEWAY®) Protocols

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Instructions And Patient Preparation

Instructions
• Change patient into hospital issued gown and pants
• 20- to 22-gauge IV access preferred
• Power injector preferred
Position
Supine, head first
Coil
32 channel head coil
Landmark
Glabella

Contrast Agent Parameters

Contrast Agent Dose Injection Rate Dose Timing Method and Scan Delay
Gadopiclenol (VUEWAY) 0.05 mmol/kg 5 mL/sec Preload by injecting half the dose of VUEWAY, wait 30 seconds, program 15 second inject delay, inject and scan perfusion sequence at the same time
Saline Flush 20 mL 5 mL/sec —
Comments If available, use mDIXON XD Fat Sat technique for the postcontrast scans

Info Page

Scan Description Survey SAGITTAL
T1		 AXIAL
T1		 AXIAL
STIR		 CORONAL
T1		 CORONAL
STIR		 DTI FE EPI ASFNR
Perfusion		 SAGITTAL
T1 +C mDIXON		 AXIAL
T1 +C mDIXON		 CORONAL
T1 +C mDIXON
  View Image View Image View Image View Image View Image View Image View Image View Image View Image View Image View Image
Total scan duration 00:31.6 00:55.2 02:15.7 02:59.1 02:28.3 02:13.2 03:47.4 02:28.8 02:27.1 02:34.4 03:18.6
Rel. SNR 2 2 2 2 2 1 2 3 2 2 1
Act. TR (ms) — 613 665 — 628 — 5415 — 721 735 628
Act. TE (ms) — 10 8 15 10 15 68 — 10 10 10
Act. TR/TI (ms) — — — 4714 / 200 — 5123 / 200 — — — — —
Act. TR/TE (ms) 15 / 5.2 — — — — — — 1600 / 25 — — —
Dyn. scan time — — — — — — — 00:01.6 — — —
Time to k0 — — — — — — — 0.8 — — —
ACQ matrix M x P 256 x 126 200 x 131 200 x 172 276 x 166 268 x 219 268 x 217 124 x 91 112 x 112 212 x 169 200 x 161 268 x 226
ACQ voxel MPS (mm) 0.98 / 1.98 / 10.00 0.80 / 1.22 / 4.00 0.80 / 0.93 / 4.00 0.58 / 0.96 / 4.00 0.60 / 0.73 / 4.00 0.60 / 0.74 / 4.00 1.77 / 2.01 / 3.00 2.00 / 2.00 / 4.00 0.75 / 0.95 / 4.00 0.80 / 0.99 / 4.00 0.60 / 0.71 / 4.00
REC voxel MPS (mm) 0.98 / 0.98 / 10.00 0.42 / 0.42 / 4.00 0.42 / 0.42 / 4.00 0.37 / 0.37 / 4.00 0.33 / 0.33 / 4.00 0.37 / 0.37 / 4.00 0.92 / 0.92 / 3.00 1.75 / 1.75 / 4.00 0.33 / 0.33 / 4.00 0.42 / 0.42 / 4.00 0.33 / 0.33 / 4.00
Scan percentage (%) 49 65 86 60 82 81 88 100 80 81 84
Packages — 6 4 2 4 2 2 1 4 6 4
Min. slice gap (mm) — 4 4 4 4 4 3 0 4 4 4
Act. slice gap (mm) — — — — — — — — 0.4 — —
Optimal slices — 10 18 — 18 — — — 16 12 18
EPI factor — — — — — — — 49 — — —
TFE shots 3 — — — — — — — — — —
TFE dur. shot / acq (ms) 701.6 / 630.0 — — — — — — — — — —
TFE shot interval (ms) 701.6 — — — — — — — — — —
Min. TI delay 375.1 — — — — — — — — — —
Act. WFS (pix) / BW (Hz) 2.322 / 187.1 — — — — — — 14.001 / 31.0 — — —
BW in EPI freq. dir. (Hz) — — — — — — — 1901.1 — — —
Min. WFS (pix) / Max. BW (Hz) 1.050 / 413.8 — — — — — — 13.959 / 31.1 — — —
Min. TR/TE (ms) 10 / 5.2 — — — — — — 1541 / 17 — — —
WFS (pix) / BW (Hz) — 2.746 / 158.2 1.772 / 245.1 2.858 / 152.0 2.710 / 160.3 1.909 / 227.5 0.530 / 819.5 — 1.429 / 303.9 0.862 / 504.0 1.714 / 253.5
Full flow comp. — — — — — — — — — yes —
TSE factor — — — — — — 46 — — — —
TSE es / shot (ms) — 10.0 / 70 8.0 / 32 10.0 / 40 10.0 / 50 8.0 / 64 4.8 / 227 — 10.0 / 50 10.0 / 70 10.0 / 50
TEeff / TEequiv (ms) — — — 15 / 15 10 / 10 15 / 15 8 / 8 — — — 10 / 10
Min. TR (ms) — 613 665 — 628 — — — 721 735 628
Local torso SAR < 16 % < 100 % < 100 % < 54 % < 100 % < 64 % < 44 % < 29 % < 100 % < 100 % < 100 %
Whole body SAR / level < 0.5 W/kg / normal < 3.2 W/kg / 1st level < 3.2 W/kg / 1st level < 1.7 W/kg / normal < 3.2 W/kg / 1st level < 2.0 W/kg / normal < 1.4 W/kg / normal < 0.9 W/kg / normal < 3.2 W/kg / 1st level < 3.2 W/kg / 1st level < 3.2 W/kg / 1st level
SED 0.0 kJ/kg < 0.2 kJ/kg < 0.4 kJ/kg < 0.3 kJ/kg < 0.5 kJ/kg < 0.3 kJ/kg < 0.3 kJ/kg < 0.1 kJ/kg < 0.5 kJ/kg < 0.5 kJ/kg < 0.6 kJ/kg
Coil Power — 96% 96% 51% 96% 61% 42% 28% 96% 96% 96%
Max B1+rms 0.90 uT 2.29 uT 2.29 uT 1.68 uT 2.29 uT 1.83 uT 1.52 uT 1.24 uT 2.29 uT 2.29 uT 2.29 uT
PNS / level 17 % / normal 41 % / normal 36 % / normal 48 % / normal 42 % / normal 43 % / normal 69 % / normal 84 % / 1st level 39 % / normal 38 % / normal 43 % / normal
dB/dt 15.4 T/s 21.4 T/s 20.9 T/s 40.4 T/s 38.4 T/s 38.3 T/s 75.0 T/s 124.8 T/s 20.9 T/s 23.6 T/s 39.5 T/s
Sound Pressure Level (dB) 2.7 15.9 12.6 10 14.2 8.3 20.9 24.4 15.6 18.1 17

Geometry

Scan Description Survey SAGITTAL
T1		 AXIAL
T1		 AXIAL
STIR		 CORONAL
T1		 CORONAL
STIR		 DTI FE EPI ASFNR
Perfusion		 SAGITTAL
T1 +C mDIXON		 AXIAL
T1 +C mDIXON		 CORONAL
T1 +C mDIXON
                       
SmartSelect yes yes yes yes yes yes yes yes yes yes yes
Coil 1 (exclude) — None None None None None None None None None None
Uniformity — CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR
FOV AP (mm) 250 160 160 160 158 158 220 224 160 160 158
      FOV (mm) (3) 50, (17) 10 — — — — — — — — — —
FOV FH (mm) 250 160 179 179 160 160 143 116 160 179 160
FOV RL (mm) — 149 160 160 160 160 183 224 140 160 160
ACQ voxel size AP (mm) 2 1 0.8 0.6 — — 1.8 2 0.9 0.8 —
ACQ voxel size FH (mm) 1 0.8 — — 0.6 0.6 — — 0.8 — 0.6
ACQ voxel size RL (mm) — — 0.9 1 0.7 0.7 2 2 — 0.9 0.7
Slice thickness (mm) 10 4 4 4 4 4 3 4 4 4 4
Bar orientation RL — — — — — — — — — —
VOI orientation transverse — — — — — — — — — —
VOI size AP (mm) 30 — — — — — — — — — —
VOI size FH (mm) 30 — — — — — — — — — —
VOI size RL (mm) 30 — — — — — — — — — —
Recon voxel size AP (mm) 1 0.4 0.4 0.4 — — 0.9 1.8 0.3 0.4 —
Recon voxel size FH (mm) 1 0.4 — — 0.3 0.4 — — 0.3 — 0.3
Recon voxel size RL (mm) — — 0.4 0.4 0.3 0.4 0.9 1.8 — 0.4 0.3
Fold-over suppression no oversampling oversampling no oversampling no no no oversampling no oversampling
       A (mm) 50 30 — — — — — — 15 — —
       L (mm) — — 20 — 20 — — — — — 20
       P (mm) 50 30 — — — — — — 80 — —
       R (mm) — — 20 — 20 — — — — — 20
Reconstruction matrix 256 384 384 432 480 432 240 128 480 384 480
SENSE no no no no no no yes yes no no no
       P reduction (AP) — — — — — — — 2.3 — — —
       P reduction (RL) — — — — — — 2 no — — —
MB SENSE — — — — — — — — — — —
CS-SENSE no yes yes yes yes yes no no yes yes yes
       reduction — 2.3 2.3 2.3 2 2.3 — — 2.3 3 1.5
       denoising — system default system default system default system default system default — — system default system default system default
k-t Acceleration no no no no no no no no no no no
Stacks 3 1 1 1 1 1 1 1 1 1 1
       type (20) parallel parallel parallel parallel parallel parallel parallel parallel parallel parallel parallel
Slices (3) 3, (17) 1 30 36 36 36 36 36 29 32 36 36
       slice gap user defined user defined user defined user defined user defined user defined user defined user defined default user defined user defined
       gap (mm) (20) 10 1 1 1 0.4 0.4 1 0 — 1 0.40
Slice orientation sagittal, coronal, (18) transverse sagittal transverse transverse coronal coronal transverse transverse sagittal transverse coronal
Fold-over direction AP, (19) RL AP RL RL RL RL RL AP AP RL RL
Fat shift direction (2) F, (18) P F P P F F P P F P F
       radial axis AP, RL, AP, (17) RL — — — — — — — — — —
       radial angle (deg) (20) 0 — — — — — — — — — —
Minimum number of packages — 1 1 1 1 1 1 1 1 1 1
Slice scan order default default default default default default default FH default default default
Stack scan order ascend — — — — — — — — — —
Move table per stack no — — — — — — — — — —
O-MAR — no no no no no no — no no no
Large table movement no no no no no no no no no no no
Stack alignment no — — — — — — — — — —
Stack sort order no — — — — — — — — — —
PlanAlign no no no no no no no no no no no
REST slabs 0 0 0 0 0 0 0 0 0 0 0
Patient position head first head first 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 head first head first
Patient orientation supine supine supine supine supine supine supine supine supine supine supine
Patient body orientation supine supine supine supine supine supine supine supine supine supine supine

Contrast

Scan Description Survey SAGITTALT1 AXIALT1 AXIALSTIR CORONALT1 CORONALSTIR DTI FE EPI ASFNRPerfusion SAGITTAL T1 +C mDIXON AXIALT1 +C mDIXON CORONALT1 +C mDIXON
Scan type Imaging Imaging Imaging Imaging Imaging Imaging Imaging Imaging Imaging Imaging Imaging
Scan mode M2D MS MS MS MS MS MS MS MS MS MS
technique FFE SE SE IR SE IR SE FFE SE SE SE
Contrast enhancement T1 — — — — — — no — — —
Modified SE — no no — no — no — no no no
Acquisition mode cartesian cartesian cartesian cartesian cartesian cartesian cartesian cartesian cartesian cartesian cartesian
Fast Imaging mode TFE TSE TSE TSE TSE TSE TSE EPI TSE TSE TSE
shot mode multishot multishot multishot multishot multishot multishot single-shot single-shot multishot multishot multishot
TSE factor — 7 4 4 5 8 — — 5 7 5
TFE factor 42 — — — — — — — — — —
TE spacing — user defined user defined user defined — user defined — — user defined user defined —
(ms) — 10 8 10 — 8 — — 10 10 —
startup echoes default — — — — — 1 — — — —
shot interval shortest — — — — — — — — — —
profile order linear asymmetric asymmetric asymmetric low_high asymmetric low_high — asymmetric asymmetric low_high
DRIVE — no no no no no no — no no no
ultrashort — no no no no no no — no no no
fid reduction — default default default default default default — default default default
Echoes 1 1 1 1 1 1 1 1 1 1 1
partial echo no no no no no no no no no no no
shifted echo no — — — — — — no — — —
TE shortest shortest shortest user defined user defined user defined shortest user defined shortest shortest user defined
(ms) — — — 15 10 15 — 25 — — 10
Flip angle (deg) 20 90 90 — 90 — 90 60 90 90 90
Refocusing control — no no constant constant constant constant — no no constant
angle (deg) — — — 120 120 120 50 — — — 120
TR user defined range range shortest range shortest shortest user defined range range range
(ms) 15 — — — — — — 1600 — — —
minimum (ms) — 400 400 — 350 — — — 400 400 350
maximum (ms) — 700 750 — 650 — — — 750 750 650
Halfscan no no no no no no no no no no no
Water-fat shift maximum maximum maximum maximum maximum maximum user defined minimum maximum maximum maximum
(pixels) — — — — — — 2 — — — —
IR delay (ms) — — — 200 — 200 — — — — —
acquire during delay — — — no — no — — — — —
dual — — — no — no — — — — —
power — — — 1 — 1 — — — — —
RF Shims — fixed fixed fixed fixed fixed fixed fixed fixed fixed fixed
Shim — default default default default default auto auto auto default default
mDIXON no no no no no no no no yes yes yes
Fat suppression no no no no no no no SPIR no no no
strength — — — — — — — strong — — —
frequency offset — — — — — — — default — — —
Grad Rev Fat suppr — — — — — — no — — — —
Water suppression no no no no no no no no no no no
BB pulse — no no no no no no — no no no
TFE prepulse invert — — — — — — — — — —
slice selection no — — — — — — — — — —
delay shortest — — — — — — — — — —
PSIR no — — — — — — — — — —
MTC no no no no no no no no no no no
Diffusion mode no no no no no no DWI no no no no
gradient overplus — — — — — — yes — — — —
nr of b-factors — — — — — — 2 — — — —
b-factor order — — — — — — ascending — — — —
max b-factor — — — — — — 800 — — — —
average high b — — — — — — user defined — — — —
b-factor averages — — — — — — (0) 1, (800) 2 — — — —
T1 mapping no no no no no no no no no no no
SAR mode high high high high high high high high high high high
B1 mode default user defined user defined default default default default default user defined user defined default
amplitude (uT) — 12 12 — — — — — 12 12 —
SAR allow first level yes yes yes yes yes yes yes yes yes yes yes
Patient pregnancy no no no no no no no no no no no
Patient WB SAR [W/kg] — — — — — — — — — — —
Patient Head SAR [W/kg] — — — — — — — — — — —
Patient max. dB/dt [T/s] — — — — — — — — — — —
Max slewrate [T/m/s] — — — — — — — — — — —
Max. B1+rms [uT] — — — — — — — — — — —
PNS mode low moderate low low low low high high low low low
Gradient mode regular default default default default default maximum maximum default default default
SofTone mode no user defined user defined no no no no no user defined user defined no

Motion

Scan Description Survey SAGITTAL
T1		 AXIAL
T1		 AXIAL
STIR		 CORONAL
T1		 CORONAL
STIR		 DTI FE EPI ASFNR
Perfusion		 SAGITTAL
T1 +C mDIXON		 AXIAL
T1 +C mDIXON		 CORONAL
T1 +C mDIXON
                       
Cardiac synchronization no no no no no no no no no no no
Respiratory compensation no no no no no no no no no no no
Navigator respiratory comp no no no no no no no no no no no
Flow compensation no no no no no no no no no yes no
       direction — — — — — — — — — in-plane —
Temporal slice spacing — default default — default — default default default default default
fMRI echo stabilisation no — — — — — — no — — —
Motion smoothing — no no no no no no — no no no
NSA 1 1 2 1 2 1 3 1 1 2 1
SMART — — no — no — no — — no —
MRE enable no no no no no no no no no no no

Dynamic Angio

Scan Description Survey SAGITTAL
T1		 AXIAL
T1		 AXIAL
STIR		 CORONAL
T1		 CORONAL
STIR		 DTI FE EPI ASFNR
Perfusion		 SAGITTAL
T1 +C mDIXON		 AXIAL
T1 +C mDIXON		 CORONAL
T1 +C mDIXON
                       
Angio / Contrast enh. no — — — — — — no — — —
Quantitative flow no — — — — — — no — — —
Manual start no no no no no no no yes no no no
Dynamic study no no no no no no no individual no no no
       dyn scans — — — — — — — 90 — — —
       dyn scan times — — — — — — — shortest — — —
       fov time mode — — — — — — — default — — —
       dummy scans — — — — — — — 0 — — —
       immediate subtraction — — — — — — — no — — —
       fast next scan — — — — — — — no — — —
       synch. ext. device — — — — — — — no — — —
       dyn stabilization — — — — — — — no — — —
       prospect. motion corr. — — — — — — — no — — —
Keyhole — — — — — — — no — — —
Arterial Spin labeling no no no no no no no no no no no

Post Processing

Scan Description Survey SAGITTAL
T1		 AXIAL
T1		 AXIAL
STIR		 CORONAL
T1		 CORONAL
STIR		 DTI FE EPI ASFNR
Perfusion		 SAGITTAL
T1 +C mDIXON		 AXIAL
T1 +C mDIXON		 CORONAL
T1 +C mDIXON
                       
Preparation phases — auto auto auto auto auto auto auto auto auto auto
Interactive F0 no no no no no no no no no no no
Quick Survey default default default default default default default default default default default
B0 field map no no no no no no no no no no no
MIP/MPR no no no no no no no no no no no
SWIp no — — — — — — no — — —
mDIXON images — — — — — — — — water, (5) no water, (5) no water, (5) no
Images M, (3) no M, (3) no M, (3) no M, (3) no M, (3) no M, (3) no M, (3) no M, (3) no — — —
Autoview image M M M M M M M M — — —
Calculated images (4) no (4) no (4) no — (4) no — (4) no (4) no — — —
Reference tissue White matter Grey matter Grey matter Grey matter Grey matter Grey matter Grey matter Grey matter Grey matter Grey matter Grey matter
Recon compression No No No No No No No No No No No
Preset window contrast soft soft soft soft soft soft soft soft soft soft soft
Reconstruction mode immediate real time real time real time real time real time real time real time real time real time real time
       reuse memory — — — — — — — no — — —
Save raw data no no no no no no no no no no no
Hardcopy protocol no no 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 system default system default
Uniformity correction no no no no no no no no no no no
Geometry correction default default default default default default default default default default default
EPI geometry correction — — — — — — — no — — —
ADC correction — — — — — — no — — — —
Free rotatable no no no no no no no no no no no
IF_info_seperator 0 0 0 1634755923 1634755923 1634755923 1634755923 1634755923 0 0 1634755923