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Pediatric Routine Orbit (Smaller Patients) 3T

Siemens Healthineers – MR Gadopiclenol (VUEWAY®) Protocols

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Instructions And Patient Preparation

Instructions
Position the head in the head coil and immobilize with cushions
Give cushions under the legs for extra comfort
Connect the anterior portion of the head coil and secure it in place.
Sedation vs bundle and feed is the ordering provider’s decision
Common Indications
Tumor
Optic nerve neuritis
Proptosis
Vision disturbance
Position
Head First
Supine
Coil
Head Coil 20ch
Landmark
Center over the glabella
Patient Population
These protocols are intended for smaller patients and serve as starting points. If a smaller FOV is needed, the parameters are modified accordingly.

Contrast Agent Parameters

Contrast Agent Dose Injection Rate Dose Timing Method and Scan Delay
Gadopiclenol (VUEWAY) 0.1 mL/kg Hand injected Post-contrast series acquired after gadolinium administration

Imaging Parameters

Scan Description AAhead_scout COR
T2
DIXON
ORBITS
(3mm)
DRB
AX
T1
DIXON
ORBITS
(3MM)
DRB
AX
T2
DIXON
ORBITS
(3mm)
DRB
AX
RESOLVE
(3mm)
POST
AX
T1WI
FS
DIXON
ORBITS
(3mm)
POST
COR
T1WI
FS
DIXON
ORBITS
(3mm)
DRB
    View Image View Image View Image View Image View Image View Image
Sequence Name fl tse tse tse resolve tse tse
Dimension 3D 2D 2D 2D 2D 2D 2D
Acceleration mode GRAPPA GRAPPA GRAPPA GRAPPA GRAPPA GRAPPA GRAPPA
Acceleration Factor PE 3 2 2 2 2 2 2
Acceleration Factor 3D 1 ― ― ― ― ― ―
Reference Lines PE 24 31 27 31 96 27 27
Reference Scans Integrated Integrated Integrated Integrated EPI/Separate Integrated Integrated
Deep Resolve ― On On On ― On On

Scan Parameters

Scan Description AAhead_scout COR
T2
DIXON
ORBITS
(3mm)
DRB
AX
T1
DIXON
ORBITS
(3MM)
DRB
AX
T2
DIXON
ORBITS
(3mm)
DRB
AX
RESOLVE
(3mm)
POST
AX
T1WI
FS
DIXON
ORBITS
(3mm)
POST
COR
T1WI
FS
DIXON
ORBITS
(3mm)
DRB
TR 3.15 ms 3000.0 ms 400.0 ms 3370.0 ms 4000.0 ms 400.0 ms 543.0 ms
TE 1.37 ms 84.00 ms 9.50 ms 84.00 ms TE 1: 67 ms
TE 2: 111 ms
9.50 ms 9.50 ms
Flip Angle 8 deg 160 deg 160 deg 160 deg 180 deg 160 deg 160 deg
Bandwidth 540 Hz/Px 383 Hz/Px 630 Hz/Px 383 Hz/Px 620 Hz/Px 630 Hz/Px 630 Hz/Px
Turbo Factor ― 17 3 17 ― 3 3
Echo Spacing ― 10.50 ms 9.48 ms 10.50 ms 0.38 ms 9.48 ms 9.48 ms
Echo Trains per Slice ― 16 90 16 ― 90 90
EPI Factor ― ― ― ― 96 ― ―
Readout Segments ― ― ― ― 7 ― ―
Gradient Mode Normal Fast Fast Fast Fast Fast Fast
RF Pulse Type Fast Normal Normal Normal Normal Normal Normal
RF Spoiling On ― ― ― ― ― ―
Asymmetric Echo Weak Off Off Off ― Off Off
Flow Compensation ― None None None ― None None
Reduce Motion Sens. ― On On On ― On On
Phase Correction ― Automatic Automatic Automatic ― Automatic Automatic

Contrast & Magnetization

Scan Description AAhead_scout COR
T2
DIXON
ORBITS
(3mm)
DRB
AX
T1
DIXON
ORBITS
(3MM)
DRB
AX
T2
DIXON
ORBITS
(3mm)
DRB
AX
RESOLVE
(3mm)
POST
AX
T1WI
FS
DIXON
ORBITS
(3mm)
POST
COR
T1WI
FS
DIXON
ORBITS
(3mm)
DRB
Fat-Water Contrast Standard Dixon Dixon Dixon Fat Saturation Dixon Dixon
Fat Saturation ― Strong Strong Strong Strong Strong Strong
Magn. Preparation ― None None None None None None
MTC ― Off Off Off Off Off Off
Dark Blood ― Off Off Off ― Off Off
Contrasts 1 1 1 1 2 1 1
Reconstruction Magnitude Magnitude Magnitude Magnitude Magnitude Magnitude Magnitude
Wrap-up Magn. ― None None None ― None None

Acquisition Parameters

Scan Description AAhead_scout COR
T2
DIXON
ORBITS
(3mm)
DRB
AX
T1
DIXON
ORBITS
(3MM)
DRB
AX
T2
DIXON
ORBITS
(3mm)
DRB
AX
RESOLVE
(3mm)
POST
AX
T1WI
FS
DIXON
ORBITS
(3mm)
POST
COR
T1WI
FS
DIXON
ORBITS
(3mm)
DRB
Base Resolution 160 256 256 256 192 256 256
Phase Resolution 100 % 80 % 80 % 80 % 100 % 80 % 80 %
Slice Resolution 69 % ― ― ― ― ― ―
Averages 1 1 1 1 ― 1 1
Concatenations 1 2 2 1 1 2 2
FoV Read 260 mm 140 mm 140 mm 140 mm 180 mm 140 mm 140 mm
FoV Phase 100.0 % 100.0 % 100.0 % 100.0 % 100.0 % 100.0 % 100.0 %
Phase Encoding Dir. A >> P R >> L R >> L R >> L A >> P R >> L R >> L
Phase Oversampling 0 % 150 % 150 % 150 % 0 % 150 % 150 %
Slice Oversampling 0.0 % ― ― ― ― ― ―
Phase Partial Fourier 6/8 Off Off Off Off Off Off
Slice Partial Fourier 6/8 ― ― ― ― ― ―
Readout Partial Fourier ― ― ― ― 7/8 ― ―
Interpolation ― On On On On On On
Trajectory Cartesian Cartesian Cartesian Cartesian ― Cartesian Cartesian
Multi-Slice Mode Sequential Interleaved Interleaved Interleaved Interleaved Interleaved Interleaved

Scanning Range

Scan Description AAhead_scout COR
T2
DIXON
ORBITS
(3mm)
DRB
AX
T1
DIXON
ORBITS
(3MM)
DRB
AX
T2
DIXON
ORBITS
(3mm)
DRB
AX
RESOLVE
(3mm)
POST
AX
T1WI
FS
DIXON
ORBITS
(3mm)
POST
COR
T1WI
FS
DIXON
ORBITS
(3mm)
DRB
Slice Thickness 1.6 mm 3.0 mm 3.0 mm 3.0 mm 3.0 mm 3.0 mm 3.0 mm
Slices 128 Slices
per Slab
30 Slices 18 Slices 18 Slices 18 Slices 18 Slices 30 Slices
Distance Factor 20 % 10 % 10 % 10 % 10 % 10 % 10 %
Special Saturation ― None None None None None None
Raw Filter Off Off Off Off On Off Off
Elliptical Filter Off Off Off Off ― Off Off
Image Filter Off Off Off Off ― Off Off
Distortion Correction 3D 2D 2D 2D 2D 2D 2D
Normalize Prescan Prescan Prescan Prescan Prescan Prescan Prescan
Noise Masking Off ― ― ― Off ― ―
Time of Acquisition 14 sec 3:20 min 2:26 min 1:53 min 2:38 min 2:26 min 3:18 min

Diffusion

Scan Description AAhead_scout COR
T2
DIXON
ORBITS
(3mm)
DRB
AX
T1
DIXON
ORBITS
(3MM)
DRB
AX
T2
DIXON
ORBITS
(3mm)
DRB
AX
RESOLVE
(3mm)
POST
AX
T1WI
FS
DIXON
ORBITS
(3mm)
POST
COR
T1WI
FS
DIXON
ORBITS
(3mm)
DRB
Diffusion Mode ― ― ― ― 4-Scan Trace ― ―
Diffusion Scheme ― ― ― ― Monopolar ― ―
Diff. Directions ― ― ― ― 4 ― ―
b-value 1 ― ― ― ― 0 s/mm² ― ―
b-value 2 ― ― ― ― 1000 s/mm² ― ―
Averages b-value 1 ― ― ― ― 1 ― ―
Averages b-value 2 ― ― ― ― 1 ― ―
Diff. Weightings ― ― ― ― 2 ― ―
Diff. Weighted Images ― ― ― ― Off ― ―
Trace Weighted Images ― ― ― ― On ― ―
ADC Maps ― ― ― ― On ― ―
Exponential ADC Maps ― ― ― ― Off ― ―
FA Maps ― ― ― ― Off ― ―
Calculated Image ― ― ― ― Off ― ―