{"id":4453,"date":"2025-10-31T16:17:42","date_gmt":"2025-10-31T16:17:42","guid":{"rendered":"https:\/\/protocols.nwforums.com\/index.php\/perianal-fistula-mri-1-5t\/"},"modified":"2026-01-07T20:12:44","modified_gmt":"2026-01-07T20:12:44","slug":"perianal-fistula-mri-1-5t","status":"publish","type":"page","link":"https:\/\/protocols.nwforums.com\/index.php\/perianal-fistula-mri-1-5t\/","title":{"rendered":"Perianal Fistula MRI 1.5T"},"content":{"rendered":"<div style=\"justify-content: space-between;align-items: flex-start;margin-bottom: 2rem;flex-wrap: wrap;gap: 1rem\">\n<div>\n<\/div>\n<div id=\"protocol-actions\" style=\"gap: 0.75rem;align-items: center;flex-shrink: 0\">\n<a href=\"\/wp-content\/uploads\/2025\/protocols\/GE_BodyMRI15T_PerianalFistula.pdf?v=20261005\" target=\"_blank\" style=\"color: white;background: linear-gradient(135deg, #0066cc, #00a8cc);padding: 8px 20px;border-radius: 6px;font-weight: 600;text-decoration: none\">Print<\/a><\/p>\n<\/div>\n<\/div>\n<section>\n<h3>Instructions And Patient Preparation<\/h3>\n<dl>\n<dt>Instructions<\/dt>\n<dd>&#8226; Center at pubic symphysis\/greater trochanters to include the entire anus <br \/>&#8226; Oblique axis refers to the sphincter<\/dd>\n<dt>Common Indications<\/dt>\n<dd>Perianal fistula, abscess, rectovaginal\/rectovesical fistula<\/dd>\n<dt>Position<\/dt>\n<dd>Supine<\/dd>\n<dt>Coil<\/dt>\n<dd>32 channel Torso, GEMS Body array, or Air coil<\/dd>\n<dt>Landmark<\/dt>\n<dd>Iliac Crest<\/dd>\n<\/dl>\n<\/section>\n<section>\n<h3>Contrast Agent Parameters<\/h3>\n<table style=\"border-collapse: collapse;width: 100%\">\n<thead style=\"border: 1px solid #999;padding: 8px\">\n<tr>\n<th colspan=\"1\" style=\"border: 1px solid #999;padding: 8px\">Contrast Agent<\/th>\n<th colspan=\"4\" style=\"border: 1px solid #999;padding: 8px\">Dose<\/th>\n<th colspan=\"1\" style=\"border: 1px solid #999;padding: 8px\">Injection Rate<\/th>\n<th colspan=\"3\" style=\"border: 1px solid #999;padding: 8px\">Dose Timing Method and Scan Delay<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border: 1px solid #ccc;padding: 6px\">Gadopiclenol (VUEWAY)<\/td>\n<td colspan=\"4\" style=\"border: 1px solid #ccc;padding: 6px\">0.05 mmol\/kg up to a calculated volume of 10 mL<\/td>\n<td colspan=\"1\" style=\"border: 1px solid #ccc;padding: 6px\">2 mL\/sec<\/td>\n<td colspan=\"3\" style=\"border: 1px solid #ccc;padding: 6px\">Pre &#8211; 1 min<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc;padding: 6px\">Saline Flush<\/td>\n<td colspan=\"4\" style=\"border: 1px solid #ccc;padding: 6px\">50 mL<\/td>\n<td colspan=\"1\" style=\"border: 1px solid #ccc;padding: 6px\">2 mL\/sec<\/td>\n<td colspan=\"3\" style=\"border: 1px solid #ccc;padding: 6px\">Immediately following gadolinium<\/td>\n<\/tr>\n<tr>\n<td style=\"background: #fff;color: #000;font-weight: bold;padding: 8px;border: 1px solid #ccc\">Comments<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">&#8212;<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Rectum and perineum<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Rectum to perineum<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Rectum to perineum<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Rectum to perineum<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Pre, 1 min,<br \/>No breath hold<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Post<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Optional: <br \/>For surg. material<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n<section>\n<h3>Imaging Parameters<\/h3>\n<table>\n<thead>\n<tr>\n<th>Scan Description<\/th>\n<th>3PL<br \/>LOCALIZER<br \/>SSFSE<\/th>\n<th>SAGITTAL<br \/>T2<\/th>\n<th>AXIAL <br \/>OBLIQUE<br \/>w\/wo Fat Sat<br \/>T2 FSE<\/th>\n<th>CORONAL<br \/>OBLIQUE<br \/>w\/wo Fat Sat<br \/>T2 FSE<\/th>\n<th>AXIAL<br \/>T2 CUBE<br \/>Fat Sat<\/th>\n<th>Post<br \/>OBLIQUE<br \/>AXIAL<br \/>T1 3D<\/th>\n<th>Post<br \/>OBLIQUE CORONAL<br \/>T1 3D<\/th>\n<th>AXIAL<br \/> In\/Out Phase<\/th>\n<\/tr>\n<tr>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>\n<a href=\"javascript:void(0);\" onclick=\"showImageWithCaption('SAGITTAL T2 Fat Sat', '\/wp-content\/uploads\/2025\/protocols\/PerianalFistula_15T_SagT2FatSat_Vueway.jpg', 'Courtesy of Ali Pirasteh, MD.', 160, 550); return false;\" style=\"color: white;background: linear-gradient(135deg, #0066cc, #00a8cc);padding: 6px 16px;border-radius: 6px;font-weight: 600;text-decoration: none\">View Image<\/a>\n<\/th>\n<th>\n<a href=\"javascript:void(0);\" onclick=\"showImageWithCaption('AXIAL OBLIQUE T2 Fat Sat', '\/wp-content\/uploads\/2025\/protocols\/PerianalFistula_15T_OblAxT2FatSat_Vueway.jpg', 'Courtesy of Ali Pirasteh, MD.', 160, 550); return false;\" style=\"color: white;background: linear-gradient(135deg, #0066cc, #00a8cc);padding: 6px 16px;border-radius: 6px;font-weight: 600;text-decoration: none\">View Image<\/a>\n<\/th>\n<th>\n<a href=\"javascript:void(0);\" onclick=\"showImageWithCaption('CORONAL OBLIQUE T2 Fat Sat', '\/wp-content\/uploads\/2025\/protocols\/PerianalFistula_15T_OblCorT2FatSat_Vueway.jpg', 'Courtesy of Ali Pirasteh, MD.', 160, 550); return false;\" style=\"color: white;background: linear-gradient(135deg, #0066cc, #00a8cc);padding: 6px 16px;border-radius: 6px;font-weight: 600;text-decoration: none\">View Image<\/a>\n<\/th>\n<th>\n<a href=\"javascript:void(0);\" onclick=\"showImageWithCaption('AXIAL T2 CUBE Fat Sat', '\/wp-content\/uploads\/2025\/protocols\/PerianalFistula_15T_AxT2CubeFatSat_Vueway.jpg', 'Courtesy of Ali Pirasteh, MD.', 160, 550); return false;\" style=\"color: white;background: linear-gradient(135deg, #0066cc, #00a8cc);padding: 6px 16px;border-radius: 6px;font-weight: 600;text-decoration: none\">View Image<\/a>\n<\/th>\n<th>\n<a href=\"javascript:void(0);\" onclick=\"showImageWithCaption('OBLIQUE AXIAL T1 Pre and Post', '\/wp-content\/uploads\/2025\/protocols\/PerianalFistula_15T_OblAxT1PrePost_Vueway.jpg', 'Courtesy of Ali Pirasteh, MD.', 160, 550); return false;\" style=\"color: white;background: linear-gradient(135deg, #0066cc, #00a8cc);padding: 6px 16px;border-radius: 6px;font-weight: 600;text-decoration: none\">View Image<\/a>\n<\/th>\n<th>\n<a href=\"javascript:void(0);\" onclick=\"showImageWithCaption('Post OBLIQUE CORONAL T1', '\/wp-content\/uploads\/2025\/protocols\/PerianalFistula_15T_OblCorT1Post_Vueway.jpg', 'Courtesy of Ali Pirasteh, MD.', 160, 550); return false;\" style=\"color: white;background: linear-gradient(135deg, #0066cc, #00a8cc);padding: 6px 16px;border-radius: 6px;font-weight: 600;text-decoration: none\">View Image<\/a>\n<\/th>\n<th>&nbsp;<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Mode<\/td>\n<td>&#8212;<\/td>\n<td>2D<\/td>\n<td>2D<\/td>\n<td>2D<\/td>\n<td>3D<\/td>\n<td>3D<\/td>\n<td>3D<\/td>\n<td>3D<\/td>\n<\/tr>\n<tr>\n<td>Pulse Sequence<\/td>\n<td>SSFSE<\/td>\n<td>FRFSE-XL<\/td>\n<td>FRFSE-XL<\/td>\n<td>FRFSE-XL<\/td>\n<td>CUBE T2<\/td>\n<td>LAVA-Flex<\/td>\n<td>LAVA-Flex<\/td>\n<td>FAST SPGR<\/td>\n<\/tr>\n<tr>\n<td>Imaging Options<\/td>\n<td>EC, SEQ, SS,<br \/>FAST, ARC<\/td>\n<td>FC, TRf,<br \/>FAST, FR<\/td>\n<td>FC, TRf,<br \/>FAST, FR<\/td>\n<td>NPW, FC, TRf,<br \/>FAST, FR<\/td>\n<td>EDR, FAST, FR,<br \/>ZIP512, ZIP2, ARC<\/td>\n<td>EDR, ZIP512,<br \/>ZIP2, FAST<\/td>\n<td>EDR, ZIP512, ZIP2, FAST, NPW<\/td>\n<td>EDR, FAST<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n<section>\n<h3>Scan Parameters<\/h3>\n<table>\n<thead>\n<tr>\n<th>Scan Description<\/th>\n<th>3PL<br \/>LOCALIZER<br \/>SSFSE<\/th>\n<th>SAGITTAL<br \/>T2<\/th>\n<th>AXIAL <br \/>OBLIQUE<br \/>w\/wo Fat Sat<br \/>T2 FSE<\/th>\n<th>CORONAL<br \/>OBLIQUE<br \/>w\/wo Fat Sat<br \/>T2 FSE<\/th>\n<th>AXIAL<br \/>T2 CUBE<br \/>Fat Sat<\/th>\n<th>Post<br \/>OBLIQUE<br \/>AXIAL<br \/>T1 3D<\/th>\n<th>Post<br \/>OBLIQUE CORONAL<br \/>T1 3D<\/th>\n<th>AXIAL<br \/> In\/Out Phase<\/th>\n<\/tr>\n<tr>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>TE<\/td>\n<td>90<\/td>\n<td>90<\/td>\n<td>90<\/td>\n<td>90<\/td>\n<td>Def<\/td>\n<td>Min Full<\/td>\n<td>Min Full<\/td>\n<td>#TEs 2<br \/>TE 1 Min (2.2)<br \/>TE 2 4.4<\/td>\n<\/tr>\n<tr>\n<td>TR<\/td>\n<td>Min<\/td>\n<td>Min<\/td>\n<td>3500<\/td>\n<td>3500<\/td>\n<td>2500<\/td>\n<td>Def<\/td>\n<td>Def<\/td>\n<td>Def (4)<\/td>\n<\/tr>\n<tr>\n<td>Flip Angle<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>15<\/td>\n<td>15<\/td>\n<td>&#8212;<\/td>\n<\/tr>\n<tr>\n<td>ETL<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>21<\/td>\n<td>21<\/td>\n<td>120<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>70<\/td>\n<\/tr>\n<tr>\n<td>Bandwidth<\/td>\n<td>62<\/td>\n<td>&#8212;<\/td>\n<td>31<\/td>\n<td>31<\/td>\n<td>62<\/td>\n<td>62<\/td>\n<td>62<\/td>\n<td>&#8212;<\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>&#8212;<\/td>\n<td>62<\/td>\n<td>Chem Sat Fat<\/td>\n<td>Chem Sat Fat<\/td>\n<td>Chem Sat Fat<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>31<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n<section>\n<h3>Acquisition Parameters<\/h3>\n<table>\n<thead>\n<tr>\n<th>Scan Description<\/th>\n<th>3PL<br \/>LOCALIZER<br \/>SSFSE<\/th>\n<th>SAGITTAL<br \/>T2<\/th>\n<th>AXIAL <br \/>OBLIQUE<br \/>w\/wo Fat Sat<br \/>T2 FSE<\/th>\n<th>CORONAL<br \/>OBLIQUE<br \/>w\/wo Fat Sat<br \/>T2 FSE<\/th>\n<th>AXIAL<br \/>T2 CUBE<br \/>Fat Sat<\/th>\n<th>Post<br \/>OBLIQUE<br \/>AXIAL<br \/>T1 3D<\/th>\n<th>Post<br \/>OBLIQUE CORONAL<br \/>T1 3D<\/th>\n<th>AXIAL<br \/> In\/Out Phase<\/th>\n<\/tr>\n<tr>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>MATRIX freq<\/td>\n<td>320<\/td>\n<td>256<\/td>\n<td>320<\/td>\n<td>320<\/td>\n<td>256<\/td>\n<td>280<\/td>\n<td>280<\/td>\n<td>256<\/td>\n<\/tr>\n<tr>\n<td>MATRIX phase<\/td>\n<td>224<\/td>\n<td>224<\/td>\n<td>224<\/td>\n<td>224<\/td>\n<td>256<\/td>\n<td>224<\/td>\n<td>224<\/td>\n<td>192<\/td>\n<\/tr>\n<tr>\n<td>NEX<\/td>\n<td>1<\/td>\n<td>1<\/td>\n<td>2<\/td>\n<td>2<\/td>\n<td>1<\/td>\n<td>1<\/td>\n<td>1<\/td>\n<td>1<\/td>\n<\/tr>\n<tr>\n<td>Phase FOV<\/td>\n<td>1<\/td>\n<td>1<\/td>\n<td>1<\/td>\n<td>NPW<\/td>\n<td>1<\/td>\n<td>1<\/td>\n<td>1<\/td>\n<td>0.75<\/td>\n<\/tr>\n<tr>\n<td>Freq Direction<\/td>\n<td>&#8212;<\/td>\n<td>S\/I<\/td>\n<td>R\/L<\/td>\n<td>S\/I<\/td>\n<td>R\/L<\/td>\n<td>R\/L<\/td>\n<td>S\/I<\/td>\n<td>R\/L<\/td>\n<\/tr>\n<tr>\n<td>Accel<\/td>\n<td>Ph 2<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>Ph 2, Sl 2<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>Ph 2, SI 2<\/td>\n<\/tr>\n<tr>\n<td>Adv CV<\/td>\n<td>1, 240, 1<\/td>\n<td>&#8212;<\/td>\n<td>Fat Sat Eff 1 <br \/>Cl annefact 1<\/td>\n<td>Fat Sat Eff 1<br \/>Cl annefact 1<\/td>\n<td>&#8212;<\/td>\n<td>User CV<br \/>Turbo 2<br \/>Centric 1<\/td>\n<td>User CV<br \/>Turbo 2<br \/>Centric 1<\/td>\n<td>&#8212;<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n<section>\n<h3>Scanning Range<\/h3>\n<table>\n<thead>\n<tr>\n<th>Scan Description<\/th>\n<th>3PL<br \/>LOCALIZER<br \/>SSFSE<\/th>\n<th>SAGITTAL<br \/>T2<\/th>\n<th>AXIAL <br \/>OBLIQUE<br \/>w\/wo Fat Sat<br \/>T2 FSE<\/th>\n<th>CORONAL<br \/>OBLIQUE<br \/>w\/wo Fat Sat<br \/>T2 FSE<\/th>\n<th>AXIAL<br \/>T2 CUBE<br \/>Fat Sat<\/th>\n<th>Post<br \/>OBLIQUE<br \/>AXIAL<br \/>T1 3D<\/th>\n<th>Post<br \/>OBLIQUE CORONAL<br \/>T1 3D<\/th>\n<th>AXIAL<br \/> In\/Out Phase<\/th>\n<\/tr>\n<tr>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>FOV<\/td>\n<td>48<\/td>\n<td>36<\/td>\n<td>26<\/td>\n<td>26<\/td>\n<td>26<\/td>\n<td>28<\/td>\n<td>28<\/td>\n<td>36<\/td>\n<\/tr>\n<tr>\n<td>Slice Thickness<\/td>\n<td>8<\/td>\n<td>2.4<\/td>\n<td>2.4<\/td>\n<td>2.4<\/td>\n<td>1.8<\/td>\n<td>2.6<\/td>\n<td>2.6<\/td>\n<td>5<\/td>\n<\/tr>\n<tr>\n<td>Spacing<\/td>\n<td>0<\/td>\n<td>.2<\/td>\n<td>.2<\/td>\n<td>.2<\/td>\n<td>0<\/td>\n<td>0<\/td>\n<td>0<\/td>\n<td>1<\/td>\n<\/tr>\n<tr>\n<td>Number of Slices<\/td>\n<td>21 Slices<\/td>\n<td>Slices PRN<\/td>\n<td>14 Slices\/acq<\/td>\n<td>13 Slices\/acq<\/td>\n<td>&#8212;<\/td>\n<td>80 Slices<\/td>\n<td>80 Slices<\/td>\n<td>70 Locs PRN<\/td>\n<\/tr>\n<tr>\n<td>Approx. Scan Time<\/td>\n<td>0:30<\/td>\n<td>5:00 &plusmn;<\/td>\n<td>5:00 &plusmn;<\/td>\n<td>5:00 &plusmn;<\/td>\n<td>5:00 &plusmn;<\/td>\n<td>1:30<\/td>\n<td>1:30<\/td>\n<td>0:23 per HB<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Print Instructions And Patient Preparation Instructions &#8226; Center at pubic symphysis\/greater trochanters to include the entire anus &#8226; Oblique axis refers to the sphincter Common Indications Perianal fistula, abscess, rectovaginal\/rectovesical fistula Position Supine Coil 32 channel Torso, GEMS Body array, or Air coil Landmark Iliac Crest Contrast Agent Parameters Contrast Agent Dose Injection Rate Dose [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[46,43,54],"tags":[],"class_list":["post-4453","page","type-page","status-publish","hentry","category-1-5t","category-ge","category-pelvis"],"_links":{"self":[{"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages\/4453","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/comments?post=4453"}],"version-history":[{"count":6,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages\/4453\/revisions"}],"predecessor-version":[{"id":5543,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages\/4453\/revisions\/5543"}],"wp:attachment":[{"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/media?parent=4453"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/categories?post=4453"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/tags?post=4453"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}