{"id":4458,"date":"2025-10-31T16:17:46","date_gmt":"2025-10-31T16:17:46","guid":{"rendered":"https:\/\/protocols.nwforums.com\/index.php\/adrenal-3-0t\/"},"modified":"2026-01-07T20:08:57","modified_gmt":"2026-01-07T20:08:57","slug":"adrenal-3-0t","status":"publish","type":"page","link":"https:\/\/protocols.nwforums.com\/index.php\/adrenal-3-0t\/","title":{"rendered":"Adrenal 3.0T"},"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_BodyMRI3T_Adrenal.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>Common Indications<\/dt>\n<dd>Characterization or follow up of adrenal mass, suspicion of pheochromocytoma (refractory hypertension, elevated plasma or urine catecholamines)<\/dd>\n<dt>Position<\/dt>\n<dd>Supine<\/dd>\n<dt>Coil<\/dt>\n<dd>32 channel Torso array, GEMS Body array, or Air coil<\/dd>\n<dt>Landmark<\/dt>\n<dd>Xyphoid<\/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\">Smart Prep Bolus Tracker &#8211; Peak Arterial plus 12 sec<\/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=\"border: 1px solid #ccc;padding: 6px\">Dynamic LAVA Notes<\/td>\n<td colspan=\"8\" style=\"border: 1px solid #ccc;padding: 6px\">&#8226; Pre Arterial: Smart Prep-Tracker in mid aorta &#8211; 12 sec delay<br \/>&#8226; 90-120 sec delay<br \/>&#8226; 3-5 min after injection<\/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\">Quiet breathing<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Expiration<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Kidneys\/Adrenals<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Proton Density <br \/>Fat-fraction <br \/>(PDFF) and R2* quantification (must be precontrast)<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Kidneys\/Adrenals<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Kidneys\/Adrenals<br \/>Pre, Late Arterial, <br \/>90-120 sec,<br \/>3-5 min<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Kidneys\/Adrenals<\/td>\n<td style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Optional: <br \/>Resp Trig<br \/>Kidneys\/Adrenals<\/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 ARC<\/th>\n<th>CORONAL<br \/>ARC SSFSE<\/th>\n<th>AXIAL<br \/>RT T2<br \/>Fat Sat<\/th>\n<th>AXIAL<br \/>IDEAL &#8211; IQ<\/th>\n<th>AXIAL<br \/>In\/Out Phase<\/th>\n<th>AXIAL<br \/>T1 3D<br \/>Fat Sat<\/th>\n<th>CORONAL<br \/>T1<br \/>LAVA-Flex<\/th>\n<th>AXIAL<br \/>DWI ASSET<\/th>\n<\/tr>\n<tr>\n<th>&nbsp;<\/th>\n<th>&nbsp;<\/th>\n<th>\n<a href=\"javascript:void(0);\" onclick=\"showImageWithCaption('CORONAL SSFSE', '\/wp-content\/uploads\/2025\/protocols\/LiverPancreasEC_3T_COR_SSFSE.jpg', 'Courtesy of Scott Reeder, MD, PhD.', 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 RT T2 2D FS RT', '\/wp-content\/uploads\/2025\/protocols\/GenericAbdPel_3T_Ax_RT_T2_FRFSE_Vueway.jpg', 'Courtesty 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 IDEAL - IQ', '\/wp-content\/uploads\/2025\/protocols\/Adrenal_3T_PDFFmap_R2Mmap_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 T1 In Phase\/Out Phase ', '\/wp-content\/uploads\/2025\/protocols\/GenericAbdPel_3T_Ax_T1_IP_OP_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 T1 3D FS (LAVA) ASPIR', '\/wp-content\/uploads\/2025\/protocols\/GenericAbdPel_3T_Ax3DT1FSLavaASPIRPreArterial_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<th>&nbsp;<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Mode<\/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<td>2D<\/td>\n<\/tr>\n<tr>\n<td>Pulse Sequence<\/td>\n<td>SSFSE<\/td>\n<td>SSFSE<\/td>\n<td>FRFSE-XL<\/td>\n<td>IDEAL-IQ<\/td>\n<td>FAST SPGR<\/td>\n<td>LAVA Type in: efgre3d_aspir if available<\/td>\n<td>LAVA-Flex<\/td>\n<td>DWI EPI<\/td>\n<\/tr>\n<tr>\n<td>Imaging Options<\/td>\n<td>SEQ, FAST, <br \/>SS, ARC<\/td>\n<td>EDR, FAST,<br \/>SS, ARC<\/td>\n<td>Resp Trig,<br \/>ARC, TRf, FAST<\/td>\n<td>FAST, EDR, <br \/>IDEAL, ARC<\/td>\n<td>FAST, ZIP2, ARC<\/td>\n<td>ARC, <br \/>Art-Smartprep, EDR, ZIP2, FAST<\/td>\n<td>EDR, FAST,<br \/>ZIP2, ARC<\/td>\n<td>Resp Trig, <br \/>EPI, DIFF, ASSET<\/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 ARC<\/th>\n<th>CORONAL<br \/>ARC SSFSE<\/th>\n<th>AXIAL<br \/>RT T2<br \/>Fat Sat<\/th>\n<th>AXIAL<br \/>IDEAL &#8211; IQ<\/th>\n<th>AXIAL<br \/>In\/Out Phase<\/th>\n<th>AXIAL<br \/>T1 3D<br \/>Fat Sat<\/th>\n<th>CORONAL<br \/>T1<br \/>LAVA-Flex<\/th>\n<th>AXIAL<br \/>DWI ASSET<\/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># Def (6) Shots<br \/>Min<\/td>\n<td>#TEs 2<br \/>TE 1 Min (1.1) <br \/>TE 2 2.3<\/td>\n<td>Def<\/td>\n<td>Def<\/td>\n<td>Min<\/td>\n<\/tr>\n<tr>\n<td>TR<\/td>\n<td>Min<\/td>\n<td>Min<\/td>\n<td>Def<\/td>\n<td>Def<\/td>\n<td>Def (4)<\/td>\n<td>Def<\/td>\n<td>MF<\/td>\n<td>Def<\/td>\n<\/tr>\n<tr>\n<td>TI<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>3<\/td>\n<td>&#8212;<\/td>\n<td>InvTI Auto<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<\/tr>\n<tr>\n<td>Flip Angle<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>3<\/td>\n<td>15<\/td>\n<td>15<\/td>\n<td>12<\/td>\n<td>&#8212;<\/td>\n<\/tr>\n<tr>\n<td>ETL<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>16<\/td>\n<td>100<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<\/tr>\n<tr>\n<td>Bandwidth<\/td>\n<td>83<\/td>\n<td>83<\/td>\n<td>62<\/td>\n<td>&#8212;<\/td>\n<td>143<\/td>\n<td>83<\/td>\n<td>90<\/td>\n<td>(Def)<\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>Sat Scr<br \/>Fat<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>Sat Scr<br \/>Special Fat Sat<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/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 ARC<\/th>\n<th>CORONAL<br \/>ARC SSFSE<\/th>\n<th>AXIAL<br \/>RT T2<br \/>Fat Sat<\/th>\n<th>AXIAL<br \/>IDEAL &#8211; IQ<\/th>\n<th>AXIAL<br \/>In\/Out Phase<\/th>\n<th>AXIAL<br \/>T1 3D<br \/>Fat Sat<\/th>\n<th>CORONAL<br \/>T1<br \/>LAVA-Flex<\/th>\n<th>AXIAL<br \/>DWI ASSET<\/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>288<\/td>\n<td>320<\/td>\n<td>320<\/td>\n<td>224<\/td>\n<td>288<\/td>\n<td>260<\/td>\n<td>&#8212;<\/td>\n<td>192<\/td>\n<\/tr>\n<tr>\n<td>MATRIX phase<\/td>\n<td>192<\/td>\n<td>224<\/td>\n<td>224<\/td>\n<td>160<\/td>\n<td>192<\/td>\n<td>200<\/td>\n<td>192<\/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>0.75<\/td>\n<td>1<\/td>\n<td>1<\/td>\n<td>Def<\/td>\n<td>&#8212;<\/td>\n<\/tr>\n<tr>\n<td>Phase FOV<\/td>\n<td>1<\/td>\n<td>1<\/td>\n<td>0.8<\/td>\n<td>0.8<\/td>\n<td>0.9<\/td>\n<td>0.9<\/td>\n<td>1<\/td>\n<td>1<\/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>R\/L<\/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>Ph 2<\/td>\n<td>Ph 2<\/td>\n<td>Ph 2, Sl 2<\/td>\n<td>Ph 2, SI 2<\/td>\n<td>Ph 1.5, Sl 1.5. (can increase for poor breath holders)<\/td>\n<td>Ph 2, Sl 2<\/td>\n<td>Ph 2<\/td>\n<\/tr>\n<tr>\n<td>User CV<\/td>\n<td>1, 240, 1<\/td>\n<td>&#8212;<\/td>\n<td>Blur canc 1<br \/>Fat Sat eff 1<br \/>FnLn Sup 0<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>CV6 1<br \/>For Smartprep:<br \/>CV2 40<br \/>CV4 (acq delay) 12<\/td>\n<td>Turbo Arc 2<\/td>\n<td>Rmp smp 1<br \/>Recon Type 1<br \/>Grad opt 1<br \/>Enh Prep 1<\/td>\n<\/tr>\n<tr>\n<td>Other<\/td>\n<td>&#8212;<\/td>\n<td>Max # of <br \/>echos 240<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>DWI b val 50<br \/>1 nex <br \/>b val 400-800<br \/>4 nex <br \/>Diff dr 3 in 1<br \/>OptTE On <br \/>Dual SE Off <br \/>Resp. 2 RR <br \/>Tr Pt 30% <br \/>Tr Wd 30%<br \/>Del Min<\/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 ARC<\/th>\n<th>CORONAL<br \/>ARC SSFSE<\/th>\n<th>AXIAL<br \/>RT T2<br \/>Fat Sat<\/th>\n<th>AXIAL<br \/>IDEAL &#8211; IQ<\/th>\n<th>AXIAL<br \/>In\/Out Phase<\/th>\n<th>AXIAL<br \/>T1 3D<br \/>Fat Sat<\/th>\n<th>CORONAL<br \/>T1<br \/>LAVA-Flex<\/th>\n<th>AXIAL<br \/>DWI ASSET<\/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>40<\/td>\n<td>36<\/td>\n<td>40<\/td>\n<td>38<\/td>\n<td>38<\/td>\n<td>40<\/td>\n<td>40<\/td>\n<\/tr>\n<tr>\n<td>Slice Thickness<\/td>\n<td>8<\/td>\n<td>4<\/td>\n<td>4<\/td>\n<td>6<\/td>\n<td>3.6<\/td>\n<td>3.6<\/td>\n<td>3<\/td>\n<td>4<\/td>\n<\/tr>\n<tr>\n<td>Spacing<\/td>\n<td>0<\/td>\n<td>0<\/td>\n<td>1<\/td>\n<td>0<\/td>\n<td>0<\/td>\n<td>0<\/td>\n<td>&#8212;<\/td>\n<td>1<\/td>\n<\/tr>\n<tr>\n<td>Number of Slices<\/td>\n<td>21 Slices<\/td>\n<td>PRN<\/td>\n<td>&#8212;<\/td>\n<td>32 Locs<\/td>\n<td>70 Locs PRN<\/td>\n<td>70 Locs PRN<\/td>\n<td>90 Slices<\/td>\n<td>PRN<\/td>\n<\/tr>\n<tr>\n<td>Approx. Scan Time<\/td>\n<td>0:13<\/td>\n<td>0:25\/acq<\/td>\n<td>4:00 &plusmn;<\/td>\n<td>0:20<\/td>\n<td>0:23<\/td>\n<td>0:17<\/td>\n<td>0:22<\/td>\n<td>@ 2:29<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Print Instructions And Patient Preparation Common Indications Characterization or follow up of adrenal mass, suspicion of pheochromocytoma (refractory hypertension, elevated plasma or urine catecholamines) Position Supine Coil 32 channel Torso array, GEMS Body array, or Air coil Landmark Xyphoid Contrast Agent Parameters Contrast Agent Dose Injection Rate Dose Timing Method and Scan Delay Gadopiclenol (VUEWAY) [&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":[47,55,43],"tags":[],"class_list":["post-4458","page","type-page","status-publish","hentry","category-3-0t","category-adrenal-renal","category-ge"],"_links":{"self":[{"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages\/4458","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=4458"}],"version-history":[{"count":6,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages\/4458\/revisions"}],"predecessor-version":[{"id":5539,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages\/4458\/revisions\/5539"}],"wp:attachment":[{"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/media?parent=4458"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/categories?post=4458"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/tags?post=4458"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}