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Pulmonary Vein Mapping 3.0T

GE Healthcare – MR Gadopiclenol (VUEWAY®) Protocols

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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