Instructions And Patient Preparation
- Instructions
- • Consider gating if available for aortic root/ascending aorta studies
• Respiratory bellows and peripheral gating
• Optional: Reformat all Sagittal MRA into Axial and Coronal - Common Indication
- Prior to electrophysiology (EP) ablation
- Position
- Supine
- Coil
- 32 channel Torso, GEMS Body Array, or Air Coil
- Landmark
- Nipple Line
Contrast Agent Parameters
| Contrast Agents | Dose | Injection Rate | ||||
|---|---|---|---|---|---|---|
| Gadopiclenol (VUEWAY) | 0.075 mmol/kg up to a calculated volume of 20 mL | Dilute to 30 mL @ 1.5 mL/sec Fluoro trigger and breath hold patient when contrast enters left atrium |
||||
| Saline Flush | 50 mL | 1.5 mL/sec | ||||
| Comments | Breathing | 3 Slice Mid Vent or if for Right Vent evaluation, then full stack copy and paste to acquire approx. 2 channel and 4 channel locs |
Expiration | Pre during Fluoro trigger Post 1 Expiration |
Post 2 LOW FLIP Expiration | Short Axis Double Oblique Left Vent Full Stack |
Imaging Parameters
| Scan Description | 3PL LOCALIZER SSFSE ARC |
AXIAL Gated CINE |
AXIAL SSFP Non-Gated |
SAGITTAL 3D MRA ARC |
SAGITTAL 3D MRA ARC |
OBLIQUE Gated CINE |
|---|---|---|---|---|---|---|
| View Image | ||||||
| Mode | 2D | 2D | 2D | 3D | 3D | 2D |
| Pulse Sequence | SSFSE | SSFP | FIESTA | ceMRA-XV | ceMRA-XV | SSFP |
| Imaging Options | EDR, SEQ, FAST, SS |
Card Gate, SEQ, FAST |
SEQ, FAST, ASSET |
FAST, EDR, ARC, ZIP2, ZIP512, FluoroTrig |
FAST, EDR, ARC, ZIP2, ZIP512 |
Card Gate, SEQ, FAST |
Scan Parameters
| Scan Description | 3PL LOCALIZER SSFSE ARC |
AXIAL Gated CINE |
AXIAL SSFP Non-Gated |
SAGITTAL 3D MRA ARC |
SAGITTAL 3D MRA ARC |
OBLIQUE Gated CINE |
|---|---|---|---|---|---|---|
| TE | 90 | Min | Min-Full | Min | Min | Min |
| TR | Min | Def (4.6) | Def | Def | Def | Def (4.6) |
| Flip Angle | — | 45 | 60 | 28 | 15 | 45 |
| Bandwidth | 83 | 125 | 125 | 83 | 62 | 125 |
Acquisition Parameters
| Scan Description | 3PL LOCALIZER SSFSE ARC |
AXIAL Gated CINE |
AXIAL SSFP Non-Gated |
SAGITTAL 3D MRA ARC |
SAGITTAL 3D MRA ARC |
OBLIQUE Gated CINE |
|---|---|---|---|---|---|---|
| MATRIX freq | 288 | 224 | 256 | 256 | 256 | 224 |
| MATRIX phase | 160 | 224 | 192 | 224 | 224 | 224 |
| NEX | Def | 1 | 1 | 1 | 1 | 1 |
| Phase FOV | 1 | 0.8 | 0.9 | 0.8 | 0.8 | 0.8 |
| Freq Direction | Def | — | R/L | S/I | S/I | — |
| Accel | Ph 2 | — | Ph 2 | Ph 2, Sl 2 | Ph 2, Sl 2 | — |
| FC Direction | — | ArrRej 0 | — | — | — | ArrRej 0 |
| Adv CV | 0, 240, 0 | Arryth Rej Wn 10 Delay Min VPS 16 # Phases Recon 20 |
— | Turbo 2 Elip Cent 1 Slice Res 78% |
Turbo 2 Elip Cent 1 Slice Res 78% |
Arryth Rej Wn 10 Delay Min VPS 16 # Phases Recon 20 |
Scanning Range
| Scan Description | 3PL LOCALIZER SSFSE ARC |
AXIAL Gated CINE |
AXIAL SSFP Non-Gated |
SAGITTAL 3D MRA ARC |
SAGITTAL 3D MRA ARC |
OBLIQUE Gated CINE |
|---|---|---|---|---|---|---|
| FOV | 40 | 36 | 34 | 36 | 36 | 36 |
| Slice Thickness | 8 | 7 | 6 | 2 | 2 | 7 |
| Spacing | 0 | 0 | 0 | 0 | 0 | 0 |
| Number of Slices | 5-8 each Plane | Variable – see comments above | 40 Slices | 70 Slices/PRN | 70 Slices/PRN | 15-18 |
| Approx Scan Time | 0:46-0:54 | ± 8-15 sec per BH gating dependent |
± 16 sec per BH | ± 20 sec per BH | ± 20 sec per BH | ± 8-15 sec per BH gating dependent |
