Instructions And Patient Preparation
- Instructions
- Respiratory bellows & peripheral gating optional: Reformat all Sagittal MRA into Axial and Coronal planes
- Common Indications
- Aortic aneurysm, dissection, coarctation
- Position
- Supine
- Coil
- 8-32 channel Body Array, 8 channel Cardiac, GEMS Array
- Landmark
- Nipple Line
Contrast Agent Parameters
| Contrast Agents | Dose | Injection Rate | Dose Timing Method and Scan Delay | |||||
|---|---|---|---|---|---|---|---|---|
| Gadopiclenol (VUEWAY) | 0.05 mmol/kg up to a calculated volume of 10 mL OK to cap at 10 mL max volume for patients larger than 100 kg |
Dilute to 30 mL @ 1.5 mL/sec | Fluoro trigger to peak arterial opacification of thoracic aorta | |||||
| Saline Flush | 50 mL | 1.5 mL/sec | Immediately following gadolinium | |||||
| Comments | Breathing | Expiration | Pre during fluoro trigger Post 1 Expiration |
Post 2 LOW FLIP Expiration |
Expiration | Expiration | Expiration Flow analysis gated. 3 Slices (at, above, below) |
Quiet breathing Optional: Vasculitis |
Imaging Parameters
| Scan Description | 3PL LOCALIZER SSFSE ARC |
AXIAL SSFP Non-Gated |
SAGITTAL 3D MRA |
SAGITTAL 3D MRA LOW FLIP |
CORONAL T1 3D |
AXIAL T1 3D |
Optional: OBLIQUE 2D PC Flow Analysis |
Optional: Vasculitis AXIAL RT T2 Fat Sat |
|---|---|---|---|---|---|---|---|---|
| View Image | View Image | View Image | ||||||
| Mode | 2D | 2D | 3D | 3D | 3D | 3D | 2D | 2D |
| Pulse Sequence | SSFSE | FIESTA | ceMRA-XV | ceMRA-XV | LAVA-Flex | LAVA-Flex | FAST Vasc PC | FRFSE-XL |
| Imaging Options | EDR, SEQ, ARC, FAST, SS | SEQ, FAST, ASSET |
FAST, EDR, ARC, ZIP2, ZIP512, FluoroTrig |
FAST, EDR, ARC, ZIP2, ZIP512 |
EDR, FAST, ZIP2, ARC |
EDR, FAST, ZIP2, ARC |
GAT, ASSET, SEQ, FAST |
TRf, FAST, RespTrig |
Scan Parameters
| Scan Description | 3PL LOCALIZER SSFSE ARC |
AXIAL SSFP Non-Gated |
SAGITTAL 3D MRA |
SAGITTAL 3D MRA LOW FLIP |
CORONAL T1 3D |
AXIAL T1 3D |
Optional: OBLIQUE 2D PC Flow Analysis |
Optional: Vasculitis AXIAL RT T2 Fat Sat |
|---|---|---|---|---|---|---|---|---|
| TE | 90 | Min | Min | Min | Min | Min | Def | 90 |
| TR | Min | Def | Def | Def | Def | Def | Def (5.4) | Def |
| Flip Angle | — | 60 | 28 | 15 | 12 | 12 | 45 | — |
| ETL | — | — | — | — | — | — | — | 16 |
| Bandwidth | 83 | 125 | 83 | 62 | 90 | 90 | 31 | 50 |
| SAT | — | — | — | — | — | — | — | Fat Sat |
Acquisition Parameters
| Scan Description | 3PL LOCALIZER SSFSE ARC |
AXIAL SSFP Non-Gated |
SAGITTAL 3D MRA |
SAGITTAL 3D MRA LOW FLIP |
CORONAL T1 3D |
AXIAL T1 3D |
Optional: OBLIQUE 2D PC Flow Analysis |
Optional: Vasculitis AXIAL RT T2 Fat Sat |
|---|---|---|---|---|---|---|---|---|
| MATRIX freq | 288 | 256 | 256 | 256 | 320 | 320 | 256 | 320 |
| MATRIX phase | 160 | 192 | 192 | 192 | 192 | 192 | 160 | 224 |
| NEX | Def | 1 | 1 | 1 | 1 | 1 | 1 | 2 |
| Phase FOV | 1 | 0.9 | 0.8 | 0.8 | 0.9 | 0.8 | 0.8 | 0.8 |
| Freq Direction | Def | R/L | S/I | S/I | S/I | R/L | R/L | R/L |
| 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 | — | Turbo 2 Elip Cent 1 Slice Res 78% |
Turbo 2 Elip Cent Slice Res 78% |
Min ARC Ph OS 24 Min ARC Sl OS 24 Turbo 2 ARC 2 |
Min ARC Ph OS 24 Min ARC Sl OS 24 Turbo 2 ARC 2 |
Flow Quant 1 | Blur Can 1 Fat Eff 1 EnFnL Sup 0 |
| Other | — | — | — | — | — | — | Gate Tab: Arryth Rej Wn 10 Trig Del Min Phases 20 VPS 8 Vasc Tab: Recon Ph Diff VENC 150-200 FlwDr Slice Collape Off Fl Anlys On |
— |
Scanning Range
| Scan Description | 3PL LOCALIZER SSFSE ARC |
AXIAL SSFP Non-Gated |
SAGITTAL 3D MRA |
SAGITTAL 3D MRA LOW FLIP |
CORONAL T1 3D |
AXIAL T1 3D |
Optional: OBLIQUE 2D PC Flow Analysis |
Optional: Vasculitis AXIAL RT T2 Fat Sat |
|---|---|---|---|---|---|---|---|---|
| FOV | 40 | 36 | 36-40 | 36-40 | 38 | 36 | 36 | 36 |
| Slice Thickness | 8 | 6 | 2 | 2 | 3 | 3 | 5 | 5 |
| Spacing | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Number of Slices | 5-8 each Plane | 40 Slices | 70 Slices PRN | 70 Slices PRN | 116 Slices | 128 Slices | 4-8 Segmentation | 40-50 Slices |
| Approx. Scan Time | 0:46-0:54 | ± 16 sec per BH | ± 20 sec per BH | ± 20 sec per BH | 0:23 | 0:23 | ± 20 sec per BH | ± 5:00 |
