Instructions And Patient Preparation
- Instructions
- • Sagittal – cover through foramina
• Axials should cover the entire spine - Common Indications
- Tumor, infection, post surgery
- Position
- Supine head first
- Coil
- C/T/L, HNU + GEMS Spine
- Landmark
- Mid sternum
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 | |||||||||||||||||
Imaging Parameters
| Scan Description | 3PL LOCALIZER Upper and Lower |
C-spine SAGITTAL T1 FSE |
C-spine SAGITTAL T2 |
C-spine SAGITTAL STIR |
C-spine AXIAL T2 MERGE |
T-spine SAGITTAL T2 |
T-spine SAGITTAL T1 |
T-spine SAGITTAL STIR |
T-spine AXIAL T2 |
L-spine SAGITTAL T1 |
L-spine SAGITTAL T2 |
L-spine SAGITTAL STIR |
L-spine AXIAL T2 |
Post C-spine AXIAL T1 |
Post C-spine SAGITTAL T1 FS |
Post T-spine AXIAL T1 |
Post T-spine SAGITTAL T1 FS |
Post L-spine AXIAL T1 |
Post L-spine SAGITTAL T1 FS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| View Image | View Image | View Image | View Image | View Image | View Image | View Image | View Image | View Image | View Image | ||||||||||
| Primary Sequence | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | No | Yes | Yes Post contrast |
Yes Post contrast |
Yes Post contrast |
Yes Post contrast |
Yes Post contrast |
Yes Post contrast |
| Mode | 2D Std Loc | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D | 2D |
| Pulse Sequence | SSFSE | FSE | FRFSE-XL | FSE-IR | MERGE | FSE-XL | FSE-XL | FSE-IR | FSE-XL | FSE-XL | FRFSE-XL | FSE-IR | FSE-XL | FSE-XL | FSE-XL | FSE-XL | FSE-XL | FSE-XL | FSE-XL |
| Parallel Imaging | 2 | No | No | 2 | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No |
| Options | SEQ, TRF, EDR, FAST, SS, ARC | TRF, EDR, SEQ, FAST |
FC, TRF, FAST, FR |
EDR, TRF, FAST, FR, ARC, IRP, PROPELLER | FC, TRF, FAST, FR |
NPW, FC, TRF, FAST |
NPW, SEQ, TRF, FAST |
NPW, SEQ, TRF, FAST |
NPW, FC, TRF, FAST |
TRF, FAST | TRF, FAST, FR, FC |
TRF, FAST, FR, FC |
TRF, FAST, FR, FC |
TRF, FAST | TRF, FAST | NPW, ZIP512 | NPW, TRF, FAST |
NPW, ZIP512 | NPW, TRF, FAST |
Scan Parameters
| Scan Description | 3PL LOCALIZER Upper and Lower |
C-spine SAGITTAL T1 FSE |
C-spine SAGITTAL T2 |
C-spine SAGITTAL STIR |
C-spine AXIAL T2 MERGE |
T-spine SAGITTAL T2 |
T-spine SAGITTAL T1 |
T-spine SAGITTAL STIR |
T-spine AXIAL T2 |
L-spine SAGITTAL T1 |
L-spine SAGITTAL T2 |
L-spine SAGITTAL STIR |
L-spine AXIAL T2 |
Post C-spine AXIAL T1 |
Post C-spine SAGITTAL T1 FS |
Post T-spine AXIAL T1 |
Post T-spine SAGITTAL T1 FS |
Post L-spine AXIAL T1 |
Post L-spine SAGITTAL T1 FS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TE | 80 | Min-Full | 102 | 42 | 5.5 | 102 | Min-Full | 42 | 85 | Min-Full | 85 | 60 | 87 | Min-Full | Min-Full | Min-Full | Min-Full | Min-Full | Min-Full |
| TR | Min | 500 | 3000 | 4000 | 850 | 4000 | 750 | 4000 | 4000 | 800 | 4000 | 3500 | 4000 | 500-700 | 500-700 | 650 | 500-700 | 650 | 500-700 |
| TI | ― | ― | ― | 160 | ― | ― | ― | 160 | ― | ― | ― | 160 | ― | ― | ― | ― | ― | ― | ― |
| Flip Angle | ― | ― | Auto | Auto | 20 | Auto | Auto | Auto | Auto | Auto | Auto | Auto | Auto | ― | ― | Auto | Auto | Auto | Auto |
| ETL | ― | 3 | 21 | 18 | 4 Echo | 21 | 3 | 10 | 27 | 3 | 27 | 11 | 12 | 3 | 33 | 4 | 3 | 4 | 3 |
| Bandwidth | 83 | 20 | 41 | 83 | 150-230 | 41 | 20 | 20 | 31 | 31 | 41 | 20 | 31 | 20 | 20 | 31 | 20 | 31 | 20 |
| SAT | ― | Anterior | Anterior | Anterior | Anterior | Anterior | Anterior | Anterior | Anterior | Anterior | Anterior | Anterior | Anterior | Anterior/ Optional Fat |
Anterior/ Fat Sat |
Anterior/ Optional Fat |
Anterior/Fat | Anterior | Anterior/Fat |
Acquisition Parameters
| Scan Description | 3PL LOCALIZER Upper and Lower |
C-spine SAGITTAL T1 FSE |
C-spine SAGITTAL T2 |
C-spine SAGITTAL STIR |
C-spine AXIAL T2 MERGE |
T-spine SAGITTAL T2 |
T-spine SAGITTAL T1 |
T-spine SAGITTAL STIR |
T-spine AXIAL T2 |
L-spine SAGITTAL T1 |
L-spine SAGITTAL T2 |
L-spine SAGITTAL STIR |
L-spine AXIAL T2 |
Post C-spine AXIAL T1 |
Post C-spine SAGITTAL T1 FS |
Post T-spine AXIAL T1 |
Post T-spine SAGITTAL T1 FS |
Post L-spine AXIAL T1 |
Post L-spine SAGITTAL T1 FS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MATRIX freq | 256 | 320 | 320 | 260 | 288 | 320 | 384 | 288 | 320 | 320 | 320 | 256 | 320 | 256 | 320 | 256 | 384 | 256 | 384 |
| MATRIX phase | 128 | 224 | 256 | 260 | 224 | 256 | 256 | 192 | 224 | 224 | 224 | 224 | 224 | 192 | 224 | 192 | 256 | 192 | 256 |
| NEX | 1 | 3 | 4 | 3 | 2 | 4 | 2 | 3 | 2 | 3 | 4 | 1 | 2 | 3 | 3 | 2 | 3 | 2 | 3 |
| Freq DIR | ― | S/I | S/I | S/I | R/L | S/I | S/I | S/I | A/P | S/I | S/I | S/I | A/P | R/L | S/I | A/P | S/I | A/P | S/I |
| FC Direction | ― | No | Freq | No | Yes | Freq | No | Freq | Slice | ― | Freq | Slice | Slice | Slice | No | Slice | No | Slice | No |
Scanning Range
| Scan Description | 3PL LOCALIZER Upper and Lower |
C-spine SAGITTAL T1 FSE |
C-spine SAGITTAL T2 |
C-spine SAGITTAL STIR |
C-spine AXIAL T2 MERGE |
T-spine SAGITTAL T2 |
T-spine SAGITTAL T1 |
T-spine SAGITTAL STIR |
T-spine AXIAL T2 |
L-spine SAGITTAL T1 |
L-spine SAGITTAL T2 |
L-spine SAGITTAL STIR |
L-spine AXIAL T2 |
Post C-spine AXIAL T1 |
Post C-spine SAGITTAL T1 FS |
Post T-spine AXIAL T1 |
Post T-spine SAGITTAL T1 FS |
Post L-spine AXIAL T1 |
Post L-spine SAGITTAL T1 FS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FOV | 40 | 22 | 22 | 22 | 20 | 32 | 32 | 32 | 22 | 26 | 26 | 26 | 22 | 20 | 22 | 20 | 32 | 20 | 26 |
| Phase FOV | ― | 0.8 | 0.8 | 1 | 0.8 | 1 | 1 | 1 | 1 | .9 | .9 | .9 | .9 | 0.8 | 0.8 | 1 | 1 | 1 | 1 |
| Filter | ― | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE | PURE |
| Slice Thickness | 5 | 4 | 4 | 4 | 5 | 4 | 4 | 4 | 5 | 4 | 4 | 4 | 5 | 4 | 4 | 5 | 4 | 5 | 4 |
| Spacing % | 10 | .4 | .4 | .4 | 1 | .4 | .4 | .4 | 1 | .4 | .4 | .4 | 1 | Interleaved | .4 | 1 | .4 | 1 | .4 |
| Number of Slices | 10-15 each plane | 15 | 15 | 15 | 28-35 | 12-17 | 12-17 | 12-17 | 30-40 | 14-20 | 14-20 | 14-20 | 25-35 | 28-35 | 15 | 28-35 | 12-17 | 28-35 | 12-17 |
| Scan Time | 0:25 sec | ~3-4 min | ~3 min | ~4 min | ~5 min | ~4 min | ~2-3 min | ~4 min | ~4.5 min | ~3.5-4 min | ~3 min | ~4.5 min | ~4-6 min | ~3-4 min | 4 min | ~3-4 min | ~2-3 min | ~3-4 min | ~2-3 min |
