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Runoff Abdomen To Lower Extremity MRA 3.0T

GE Healthcare – MR Gadopiclenol (VUEWAY®) Protocols

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Instructions And Patient Preparation

Instructions
Coil coverage from toes to diaphragm
Common Indication
Peripheral arterial disease (PAD)
Position
Toes should be inside bottom edge of coil
Coil
GEMS Peripheral Vascular (PV) coil with Body Array or Air Coil
Landmark
Landmark where you center the Body Array Coil

Contrast Agent Parameters

Contrast Agents Dose Injection Rate Dose Timing Method and Scan Delay
Gadopiclenol (VUEWAY) 0.075 mmol/kg up to a calculated volume of 10 mL
OK to cap at 20 mL max volume
Dilute to 30 mL
See specific instructions below for Calf and Thigh Stations For Abdomen Station: Fluoro trigger to peak arterial opacification at level of bifurcation 2 mL/sec
Saline Flush 60 mL See below 2 mL/sec immediately following gadolinium
Dynamic Notes TRICKS timing:
1. Start scan
2. Mask runs as clock counts down
3. Inject at 0:00
4. Clock will reset
5. Scan will continue to acquire multiple phases
Calf TRICKS contrast: 1.5 mL/sec = 8-10 mL
Thigh TRICKS contrast: 1.5 mL/sec = 10-12 mL
Flush: 1.5 mL/sec = 20 mL
Foot-mid Calf: I200-S82, 30 x 22
Calf-low Thigh: S76-S380, 30 x 22
Thigh: S372-S654, 36 x 36
Pelvis-Abdomen: S642-S948, 36 x 36
Abdomen-Diaphragm: S918-> PRN

Imaging Parameters

Scan Description 3PL
LOCALIZER
SSFSE
x3 Abdomen – Pelvis, Thighs, Lower Legs
MRA
ILIACS-Bifurc
AXIAL
SSFP Non-Gated
CORONAL
3D +C TRICKS
Lower Leg
CORONAL
3D +C TRICKS
Thighs
CORONAL
MRA ARC DUR
Fluoro Trigger
CORONAL
MRA ARC
LOW FLIP
               
Mode 2D 2D 2D 3D 3D 3D 3D
Pulse Sequence SSFSE Vasc TOF Loc FIESTA TRICKS TRICKS ceMRA-XV ceMRA-XV
Imaging Options SEQ, FAST,
SS, ARC
FC, SS, FAST SEQ, EDR,
FAST, ASSET
FAST, ZIP2,
ZIP512, ARC
FAST, ZIP2,
ZIP512, ARC
EDR, FAST,
ZIP512, ZIP2, ARC
EDR, FAST,
ZIP512, ZIP2, ARC

Scan Parameters

Scan Description 3PL
LOCALIZER
SSFSE
x3 Abdomen – Pelvis, Thighs, Lower Legs
MRA
ILIACS-Bifurc
AXIAL
SSFP Non-Gated
CORONAL
3D +C TRICKS
Lower Leg
CORONAL
3D +C TRICKS
Thighs
CORONAL
MRA ARC DUR
Fluoro Trigger
CORONAL
MRA ARC
LOW FLIP
               
TE 80 Min #TEs 1
TE Min
Min Min #TEs 1
TE Min
#TEs 1
TE Min
TR Min Min Def (3.8) Def (2.7) Def (2.9) Def (3.5) Def (4)
Flip Angle — 60 60 30 30 28 15
Bandwidth 83 83 125 90 90 83 62

Acquisition Parameters

Scan Description 3PL
LOCALIZER
SSFSE
x3 Abdomen – Pelvis, Thighs, Lower Legs
MRA
ILIACS-Bifurc
AXIAL
SSFP Non-Gated
CORONAL
3D +C TRICKS
Lower Leg
CORONAL
3D +C TRICKS
Thighs
CORONAL
MRA ARC DUR
Fluoro Trigger
CORONAL
MRA ARC
LOW FLIP
               
MATRIX freq 384 256 256 256 256 288 288
MATRIX phase 160 128 224 224 224 192 256
NEX Def 1 1 1 1 1 1
Phase FOV 1 — 1 0.75 0.8 1 1
Freq Direction Unswapped R/L R/L — — S/I S/I
Accel Ph 2 — Ph 2 Ph 2, Sl 2 Ph 2, Sl 2 Ph 2, Sl 2 Ph 2, Sl 2
Adv CV 0, 240, 0 Sat Gap 10 — Turbo 2 Turbo 2 Turbo 2
Min ARC OS 36
Min ARC Sl OS 24
Elip Cent 1
Turbo 2
ARC 2
Slice Res 78%
Turbo 2
Elip Cent 1
Turbo 2
ARC 2
Slice Res 78%
Other — — — TRICKS tab:
Temp Phs 13
Pause Off
Subtracted
Delay Min
Temp Res 7.8
TRICKS tab:
Temp Phs 9
Pause Off
BOTH
Delay Min
Temp Res 8.9
— —

Scanning Range

Scan Description 3PL
LOCALIZER
SSFSE
x3 Abdomen – Pelvis, Thighs, Lower Legs
MRA
ILIACS-Bifurc
AXIAL
SSFP Non-Gated
CORONAL
3D +C TRICKS
Lower Leg
CORONAL
3D +C TRICKS
Thighs
CORONAL
MRA ARC DUR
Fluoro Trigger
CORONAL
MRA ARC
LOW FLIP
               
FOV 48 40 36 48 44 38 38
Slice Thickness 8 5 6 2 2 2 2
Spacing 0 0 1 0 0 0 0
Number of Slices 21 Slices PRN 40 Slices 64 Slices 64 Slices 70 Slices PRN 70 Slices PRN
Approx Scan Time ± 1 min each 1:30 ± 23 sec per BH 2:05 (0:32) 1:47 (0:32) 0:23 0:22