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 |
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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 |
