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Tumor Brain 3T

Philips Healthcare – MR Gadopiclenol (VUEWAY®) Protocols

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Instructions And Patient Preparation

Instructions
• No patient preparation
• Contrast used to evaluate blood-brain barrier and for suspected tumor or infection
Position
Supine, head first
Coil
SENSE-Head-8 channel coil preferred
Landmark
Glabella

Contrast Agent Parameters

Contrast Agent Dose Injection Rate Dose Timing Method and Scan Delay
Gadopiclenol (VUEWAY) 0.05 mmol/kg 5 mL/sec Power injection
Saline Flush 10-20 mL 5 mL/sec Power injection
Comments Report agent administered and dose

Info Page

Scan Description Survey DWI AXIAL
SWIp
1m8s cs7
res0 8 x 5		 AXIAL
3D FFE SPGR T1
Pre		 AXIAL
3D FLAIR
+Gd		 AXIAL
T2 TSE
+Gd		 AXIAL
3D T1 TSE Fat Sat
+Gd		 AXIAL
3D FFE SPGR T1
+Gd
    View Image View Image View Image View Image View Image View Image View Image
Total scan duration 00:31.4 00:44.8 01:08.0 02:06.0 01:40.8 00:37.4 01:35.4 02:06.0
Rel. SNR 1 1 1 0 0 1 1 0
Act. TR(ms) ― 3732 ― ― ― 3120 600 ―
Act. TE(ms) ― 91 ― ― 347 80 35 ―
Act. TR/TE(ms) 11 / 4.6 ― ― 25 / 3.8 ― ― ― 25 / 3.9
Act. TR/TI(ms) ― ― ― ― 4800 / 1650 ― ― ―
Act. TR/TE1/delta TE(ms) ― ― 31 / 7.2 / 6.2 ― ― ― ― ―
ACQ matrix M x P 268 x 128 152 x 122 288 x 240 268 x 267 268 x 268 404 x 238 268 x 266 268 x 267
ACQ voxel MPS (mm) 0.97 / 2.03 / 10.0 1.51 / 1.88 / 4.00 0.80 / 0.80 / 2.50 0.90 / 0.90 / 1.80 0.90 / 0.90 / 1.80 0.57 / 0.76 / 5.00 0.90 / 0.90 / 1.80 0.90 / 0.90 / 1.80
REC voxel MPS (mm) 0.90 / 0.90 / 10.0 1.20 / 1.20 / 4.00 0.45 / 0.45 / 1.25 0.71 / 0.71 / 0.90 0.83 / 0.83 / 0.90 0.45 / 0.45 / 5.00 0.38 / 0.38 / 0.90 0.71 / 0.71 / 0.90
Scan percentage (%) 48 80 100 100 100 75 99 100
Packages ― 1 ― ― ― 2 ― ―
TFE shots 2 ― ― ― ― ― ― ―
TFE dur. shot / acq (ms) 1162.5 / 704.0 ― ― ― ― ― ― ―
TFE shot interval (ms) 1162.5 ― ― ― ― ― ― ―
Min. TI delay 397.4 ― ― ― ― ― ― ―
Min. slice gap (mm) ― 0 ― ― ― 5 ― ―
EPIfactor ― 41 ― ― ― ― ― ―
Act.slicegap (mm) ― ― -1.3 -0.9 -0.9 ― -0.9 -0.9
Act. WFS (pix) / BW (Hz) 3.101 / 140.1 ― 1.701 / 255.3 1.201 / 361.6 ― ― ― 1.201 / 361.6
Min. WFS (pix) / Max. BW (Hz) 0.587 / 740.3 ― 0.570 / 761.4 0.670 / 647.8 ― ― ― 0.512 / 848.0
Min. TR/TE(ms) 9.4 / 3.7 ― ― 17 / 3.8 ― ― ― 16 / 2.6
Min. TR/TE1/delta TE(ms) ― ― 29 / 5.2 / 5.7 ― ― ― ― ―
WFS (pix) / BW (Hz) ― 15.266 / 28.4 ― ― 0.512 / 848.0 2.555 / 170.0 1.662 / 261.3 ―
TSE es / shot(ms) ― ― ― ― 3.6 / 662 9.4 / 151 7.0 / 176 ―
TEeff / TEequiv(ms) ― ― ― ― 347 / 144 80 / 72 35 / 19 ―
Min. TR(ms) ― ― ― ― ― 3120 330 ―
Min. TR/TI(ms) ― ― ― ― 2462 / 50 ― ― ―
BW in EPI freq. dir. (Hz) ― 1447.8 ― ― ― ― ― ―
SPIR offset act./default (Hz) ― 220 [220] ― ― ― ― ― ―
Local torso SAR < 12 % < 32 % < 8 % < 67 % < 16 % < 100 % < 20 % < 63 %
Whole body SAR / level < 0.4 W/kg / normal < 1.0 W/kg / normal < 0.3 W/kg / normal < 2.2 W/kg / 1st level < 0.5 W/kg / normal < 3.2 W/kg / 1st level < 0.6 W/kg / normal < 2.0 W/kg / normal
SED 0.0 kJ/kg 0.0 kJ/kg 0.0 kJ/kg < 0.3 kJ/kg < 0.1 kJ/kg < 0.1 kJ/kg < 0.1 kJ/kg < 0.3 kJ/kg
Coil Power 0% 0% 0% 0% 0% 1% 0% 0%
Max B1+rms 0.79 uT 1.30 uT 0.65 uT 1.88 uT 0.98 uT 2.29 uT 1.02 uT 1.81 uT
PNS / level 53 % / normal 80 % / 1st level 78 % / normal 27 % / normal 68 % / normal 62 % / normal 73 % / normal 67 % / normal
dB/dt 46.6 T/s 105.0 T/s 61.9 T/s 16.1 T/s 79.5 T/s 81.5 T/s 84.1 T/s 88.5 T/s
Sound Pressure Level (dB) 10.4 14.5 8 -2 12.2 5 7.6 6.1
Boil-off (hPa/h) ― 12.3 5.8 1.5 1.3 2 1.7 2.5
Max Boil-off (hPa/h) ― 12.3 5.8 1.5 10 2 2.7 2.5
Boil-off (hPa) ― 0.2 0.1 0.1 0 0 0 0.1

Geometry

Scan Description Survey DWI AXIAL
SWIp
1m8s cs7
res0 8 x 5		 AXIAL
3D FFE SPGR T1
Pre		 AXIAL
3D FLAIR
+Gd		 AXIAL
T2 TSE
+Gd		 AXIAL
3D T1 TSE Fat Sat
+Gd		 AXIAL
3D FFE SPGR T1
+Gd
                 
Nucleus ― H1 H1 H1 H1 H1 H1 H1
SmartSelect ― yes yes yes yes yes yes yes
Coil 1 (exclude) ― None None None None None None None
Uniformity Classic CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR
FOV AP (mm) 260 230 230 240 240 230 240 240
FOV FH (mm) 260 149 138 169 169 150 169 169
FOV RL (mm) ― 230 192 240 240 181 240 240
    stack RL (mm) 50 ― ― ― ― ― ― ―
ACQ voxel size AP (mm) 2 1.9 0.8 0.9 0.9 0.6 0.9 0.9
ACQ voxel size FH (mm) 1 ― 2.5 1.8 1.8 ― 1.8 1.8
ACQ voxel size RL (mm) ― 1.5 0.8 0.9 0.9 0.8 0.9 0.9
Slice thickness (mm) 10 4 ― ― ― 5 ― ―
Recon voxel size AP (mm) 0.9 1.2 0.4 0.7 0.8 0.4 0.4 0.7
Recon voxel size FH (mm) 0.9 ― 1.3 0.9 0.9 ― 0.9 0.9
Recon voxel size RL (mm) ― 1.2 0.4 0.7 0.8 0.4 0.4 0.7
Fold-over suppression no no no no no no no no
Slice oversampling ― ― default default default ― user defined default
    oversample factor ― ― ― ― ― ― 1.3 ―
ENCASE enable ― ― no no ― ― ― no
RF select. FOS ― ― ― ― no ― no ―
Reconstruction matrix 288 192 512 336 288 512 640 336
SENSE no yes no no no no no no
    Preduction (AP) ― 3 ― ― ― ― ― ―
MB SENSE ― no ― ― ― ― ― ―
CS-SENSE ― no yes yes yes yes yes yes
    reduction ― ― 7 7 12 3 8.5 7
    denoising ― ― system default system default system default system default system default system default
k-t Acceleration ― no no no no no no no
Stacks 3 1 1 1 1 1 1 1
    current A ― ― ― ― ― ― ―
    type parallel parallel ― ― ― parallel ― ―
    slices 3 30 110 188 188 30 188 188
    slice gap user defined user defined ― ― ― user defined ― ―
    gap (mm) 10 1 ― ― ― 0 ― ―
    slice orientation sagittal transverse transverse transverse transverse transverse transverse transverse
    fold-over direction AP AP RL RL RL RL RL RL
    fat shift direction F P P P P P P P
Minimum number of packages ― 1 ― ― ― 1 ― ―
Multi-chunk ― ― no no no ― no no
Slice scan order default default ― ― ― default ― ―
Stack scan order ascend ― ― ― ― ― ― ―
Stack sort order no ― ― ― ― ― ― ―
O-MAR ― ― ― ― no no no ―
Large table movement ― no no no no no no no
Plan Align no no no no no no no no
REST slabs 0 0 0 1 0 1 0 1
    type ― ― ― parallel ― parallel ― parallel
    thickness (mm) ― ― ― 60 ― 60 ― 60
    position ― ― ― feet ― feet ― feet
    gap ― ― ― default ― default ― default
    power ― ― ― 1 ― 1 ― 1
Interactive positioning ― no no no no no no no
Allow table movement ― no no no no no no no
Patient position ― head first head first head first head first head first head first head first
Patient body position ― head first head first head first head first head first head first head first
Patient orientation ― supine supine supine supine supine supine supine
Patient body orientation ― supine supine supine supine supine supine supine

Contrast

Scan Description Survey DWI AXIALSWIp1m8s cs7 res0 8 x 5 AXIAL3D FFE SPGR T1Pre AXIAL3D FLAIR +Gd AXIALT2 TSE +Gd AXIAL3D T1 TSE Fat Sat+Gd AXIAL3D FFE SPGR T1+Gd
Scan type &#8213 Imaging Imaging Imaging Imaging Imaging Imaging Imaging Scan type —
Scan mode M2D MS 3D 3D 3D MS 3D 3D Scan mode —
Modified SE &#8213 no &#8213 &#8213 &#8213 no no &#8213 Modified SE —
Contrast enhancement T1 &#8213 T1 T1 &#8213 &#8213 &#8213 T1 Contrast enhancement —
Acquisition mode &#8213 cartesian cartesian cartesian cartesian cartesian cartesian cartesian Acquisition mode —
Fast Imaging mode TFE EPI none none TSE TSE TSE none Fast Imaging mode —
3D VIEW &#8213 &#8213 &#8213 &#8213 Brain FLAIR &#8213 Brain T1 &#8213 3D VIEW —
TFE factor 64 &#8213 &#8213 &#8213 &#8213 &#8213 &#8213 &#8213 TFE factor —
TSE factor &#8213 &#8213 &#8213 &#8213 178 16 20 &#8213 TSE factor —
Echoes 1 1 4 1 1 1 1 1 Echoes —
TE in-phase shortest user defined shortest shortest user defined shortest user defined TE —
Flip angle (deg) 15 90 17 30 &#8213 90 90 30 Flip angle (deg) —
Refocusing control &#8213 &#8213 &#8213 &#8213 constant constant constant &#8213 Refocusing control —
TR user defined shortest user defined user defined user defined range user defined user defined TR —
Halfscan no yes no no no no no no Halfscan —
Water-fat shift user defined minimum user defined user defined maximum maximum maximum user defined Water-fat shift —
IR delay (ms) &#8213 &#8213 &#8213 &#8213 1650 &#8213 &#8213 &#8213 IR delay (ms) —
RF Shims fixed fixed fixed adaptive fixed adaptive fixed adaptive RF Shims —
Shim default auto auto auto default default auto auto Shim —
mDIXON no no no no no no no no mDIXON —
Fat suppression no SPIR no no SPIR no SPAIR no Fat suppression —
Grad Rev Fat suppr &#8213 yes &#8213 &#8213 no no no &#8213 Grad Rev Fat suppr —
Water suppression no no no no no no no no Water suppression —
TFE prepulse invert &#8213 &#8213 &#8213 &#8213 &#8213 &#8213 &#8213 TFE prepulse —
BB pulse &#8213 no &#8213 &#8213 no no no &#8213 BB pulse —
MTC no no no no no no no no MTC —
T2prep &#8213 &#8213 &#8213 &#8213 yes &#8213 &#8213 &#8213 T2prep —
APT &#8213 no &#8213 &#8213 &#8213 no no &#8213 APT —
Custom prepulse &#8213 no no no no no no no Custom prepulse —
MDME &#8213 no no no no no no no MDME —
Diffusion mode &#8213 DWI no no no no no no Diffusion mode —
T1 mapping &#8213 no no no no no no no T1 mapping —
Transmit channels &#8213 both both both both both both both Transmit channels —
SAR mode high high high high high high high high SAR mode —
B1 mode default default default default default default default default B1 mode —
SAR allow first level yes yes yes yes yes yes yes yes SAR allow first level —
Patient pregnancy &#8213 no no no no no no no Patient pregnancy —
Patient WB SAR [W/kg] &#8213 — — — — — — — Patient WB SAR [W/kg] —
Patient Head SAR [W/kg] &#8213 — — — — — — — Patient Head SAR [W/kg] —
Patient max. dB/dt [T/s] &#8213 — — — — — — — Patient max. dB/dt [T/s] —
Max slewrate [T/m/s] &#8213 — — — — — — — Max slewrate [T/m/s] —
Max. B1+rms [uT] &#8213 — — — — — — — Max. B1+rms [uT] —
PNS mode low high moderate high moderate high moderate high PNS mode —
Gradient mode default maximum maximum maximum maximum maximum maximum maximum Gradient mode —
SofTone mode no no no ComforTone no no no no SofTone mode —

Motion

Scan Description Survey DWI AXIAL
SWIp
1m8s cs7
res0 8 x 5		 AXIAL
3D FFE SPGR T1
Pre		 AXIAL
3D FLAIR
+Gd		 AXIAL
T2 TSE
+Gd		 AXIAL
3D T1 TSE Fat Sat
+Gd		 AXIAL
3D FFE SPGR T1
+Gd
                 
Cardiac synchronization no no no no no no no no
Heart rate > 250 bpm ― no no no no no no no
Respiratory compensation no no no no no no no no
Navigator respiratory comp ― no no no no no no no
Flow compensation no no yes no no no no no
Temporal slice spacing ― default ― ― ― default ― ―
Motion smoothing ― ― ― ― no no no ―
fMRI echo stabilisation ― ― no no ― ― ― no
NSA 1 1 1 1 1 1 1 1
MRE enable no no no no no no no no

Dynamic Angio

Scan Description Survey DWI AXIAL
SWIp
1m8s cs7
res0 8 x 5		 AXIAL
3D FFE SPGR T1
Pre		 AXIAL
3D FLAIR
+Gd		 AXIAL
T2 TSE
+Gd		 AXIAL
3D T1 TSE Fat Sat
+Gd		 AXIAL
3D FFE SPGR T1
+Gd
                 
Angio / Contrast enh. no ― no no ― ― ― no
Quantitative flow ― ― no no ― ― ― no
CENTRA ― ― ― ― no ― no ―
Manual start no no no no no no no no
Dynamic study no no no no no no no no
Arterial Spin labeling ― no no no no no no no

Post Processing

Scan Description Survey DWI AXIAL
SWIp
1m8s cs7
res0 8 x 5		 AXIAL
3D FFE SPGR T1
Pre		 AXIAL
3D FLAIR
+Gd		 AXIAL
T2 TSE
+Gd		 AXIAL
3D T1 TSE Fat Sat
+Gd		 AXIAL
3D FFE SPGR T1
+Gd
                 
Preparation phases auto auto auto auto auto auto auto auto
Interactive F0 no no no no no no no no
Quick Survey default default default default default default default default
SmartPlan survey ― no no no no no no no
B0 field map ― no no no no no no no
B1 field map ― no no no no no no no
MIP/MPR no no no no no no no no
SWIp ― ― yes no ― ― ― no
Images M, no, no, no M, (3) no SW-M, (3) no M, (3) no M, (3) no M, (3) no M, (3) no M, (3) no
Autoview image M M ― M M M M M
Calculated images no, no, no, no (4) no ― (4) no ― (4) no (4) no (4) no
Reference tissue White matter Grey matter White matter White matter Grey matter Grey matter White matter White matter
Recon compression No No No No No No No No
Preset window contrast soft soft soft soft soft soft soft soft
Reconstruction mode immediate real time real time immediate real time real time immediate immediate
Save raw data no no no no no no no no
Hardcopy protocol no no no no no no no no
Image filter system default system default system default system default system default system default system default system default
Uniformity correction no no no no yes no no no
Geometry correction default default default default default default default default
EPI geometry correction ― no ― ― ― ― ― ―
ADC correction ― no ― ― ― ― ― ―
Elliptical k-space shutter ― ― default no default ― default no
Free rotatable ― no no no no no no no