{"id":4463,"date":"2025-10-31T16:17:50","date_gmt":"2025-10-31T16:17:50","guid":{"rendered":"https:\/\/protocols.nwforums.com\/index.php\/gynecologic-cancer-staging-3-0t\/"},"modified":"2025-10-31T16:17:50","modified_gmt":"2025-10-31T16:17:50","slug":"gynecologic-cancer-staging-3-0t","status":"publish","type":"page","link":"https:\/\/protocols.nwforums.com\/index.php\/gynecologic-cancer-staging-3-0t\/","title":{"rendered":"Gynecologic Cancer Staging 3.0T"},"content":{"rendered":"
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\n<\/div>\n
\nPrint<\/a><\/p>\n<\/div>\n<\/div>\n
\n

Instructions And Patient Preparation<\/h3>\n
\n
Instructions<\/dt>\n
• Small FOV: Centered on uterus
• Large FOV: Renal vein level to symphysis
• Oblique axis refers to the tumor axis in the uterus (varies for endometrium vs cervix)
• Vaginal gel: 30-60 mL
• For metal artifacts consider 1.5T, reduced FOV multishot DWI, changing readout direction<\/dd>\n
Common Indications<\/dt>\n
Staging endometrial, cervical, vaginal, vulvar, ovarian\/adnexal malignancy<\/dd>\n
Position<\/dt>\n
Supine<\/dd>\n
Coil<\/dt>\n
32 channel Torso, GEMS Body array, or Air coil<\/dd>\n
Landmark<\/dt>\n
Iliac Crest<\/dd>\n
Gadopiclenol (VUEWAY)<\/dt>\n
0.05 mmol\/kg up to a calculated volume of 10 mL<\/dd>\n
Saline Flush<\/dt>\n
50 mL<\/dd>\n
Comments<\/dt>\n
—<\/dd>\n<\/dl>\n<\/section>\n
\n

Contrast Agent Parameters<\/h3>\n\n\n\n\n\n
Contrast Agents<\/th>\nDose<\/th>\nInjection Rate<\/th>\nDose Timing Method and Scan Delay<\/th>\n<\/tr>\n
Gadopiclenol (VUEWAY)<\/td>\n0.05 mmol\/kg up to a calculated volume of 10 mL<\/td>\n2 mL\/sec<\/td>\nPre – Axial Late Arterial – Sagittal T1 90-120 sec – Axial T1 3-5 min post<\/td>\n<\/tr>\n
Saline Flush<\/td>\n50 mL<\/td>\n2 mL\/sec<\/td>\nImmediately following gadolinium<\/td>\n<\/tr>\n
Comments<\/td>\n—<\/td>\nAbove kidneys to below symphysis<\/td>\n—<\/td>\n—<\/td>\nBreath hold
Pre, Late Arterial,
3-5 min<\/td>\n		Breath hold
90-120 sec
postcontrast injection<\/td>\n		Axial DWI<\/td>\nOptional:
For ovaries<\/td>\n<\/tr>\n<\/table>\n<\/section>\n
\n

Imaging Parameters<\/h3>\n\n\n\n\n\n\n\n\n
Scan Description<\/th>\n3PL
LOCALIZER
SSFSE<\/th>\n		CORONAL
SSFSE<\/th>\n		SAGITTAL
T2<\/th>\n		AXIAL or OBLIQUE AXIAL
T2<\/th>\n		AXIAL
T1
LAVA-Flex<\/th>\n		SAGITTAL
T1
LAVA-Flex<\/th>\n		AXIAL
DWI<\/th>\n		CORONAL
T2<\/th>\n<\/tr>\n
 <\/th>\n <\/th>\n <\/th>\n\nView Image<\/a>\n<\/th>\n\nView Image<\/a>\n<\/th>\n\nView Image<\/a>\n<\/th>\n\nView Image<\/a>\n<\/th>\n <\/th>\n\nView Image<\/a>\n<\/th>\n<\/tr>\n<\/thead>\n
Mode<\/td>\n2D<\/td>\n2D<\/td>\n2D<\/td>\n2D<\/td>\n3D<\/td>\n3D<\/td>\n2D<\/td>\n2D<\/td>\n<\/tr>\n
Pulse Sequence<\/td>\nSSFSE<\/td>\nSSFSE<\/td>\nFRFSE-XL<\/td>\nFRFSE-XL<\/td>\nLAVA-Flex<\/td>\nLAVA-Flex<\/td>\nEPI-DIFF<\/td>\nFRFSE-XL<\/td>\n<\/tr>\n
Imaging Options<\/td>\nEDR, SEQ, SS,
ARC, FAST<\/td>\n		ZIP512, FAST<\/td>\nFC, TRf,
FAST, FR<\/td>\n		FC, TRf, FAST,
FR, NPW<\/td>\n		EDR, ZIP512,
ZIP2, ARC<\/td>\n		EDR, ZIP512,
ZIP2, ARC<\/td>\n		EPI, DIFF,
ASSET, 1 Shot<\/td>\n		FC, TRf,
FAST, FR<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n
\n

Scan Parameters<\/h3>\n\n\n\n\n\n\n\n\n\n\n\n
Scan Description<\/th>\n3PL
LOCALIZER
SSFSE<\/th>\n		CORONAL
SSFSE<\/th>\n		SAGITTAL
T2<\/th>\n		AXIAL or OBLIQUE AXIAL
T2<\/th>\n		AXIAL
T1
LAVA-Flex<\/th>\n		SAGITTAL
T1
LAVA-Flex<\/th>\n		AXIAL
DWI<\/th>\n		CORONAL
T2<\/th>\n<\/tr>\n
 <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n<\/tr>\n<\/thead>\n
TE<\/td>\n90<\/td>\n90<\/td>\n103<\/td>\n103<\/td>\nDef<\/td>\nDef<\/td>\nMin<\/td>\n103<\/td>\n<\/tr>\n
TR<\/td>\nMin<\/td>\nMin<\/td>\n3400<\/td>\n3400<\/td>\nDef<\/td>\nDef<\/td>\n6000<\/td>\n3400<\/td>\n<\/tr>\n
Flip Angle<\/td>\n—<\/td>\n—<\/td>\n—<\/td>\n—<\/td>\n15<\/td>\n15<\/td>\n—<\/td>\n—<\/td>\n<\/tr>\n
ETL<\/td>\n—<\/td>\n—<\/td>\n21<\/td>\n21<\/td>\n—<\/td>\n—<\/td>\n—<\/td>\n21<\/td>\n<\/tr>\n
Bandwidth<\/td>\n83<\/td>\n83<\/td>\n62<\/td>\n62<\/td>\n142<\/td>\n142<\/td>\n—<\/td>\n62<\/td>\n<\/tr>\n
SAT<\/td>\n—<\/td>\n—<\/td>\nSat Scr
Ant Sat<\/td>\n		Sat Scr
Ant Sat<\/td>\n		—<\/td>\n—<\/td>\n—<\/td>\n—<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n
\n

Acquisition Parameters<\/h3>\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Scan Description<\/th>\n3PL
LOCALIZER
SSFSE<\/th>\n		CORONAL
SSFSE<\/th>\n		SAGITTAL
T2<\/th>\n		AXIAL or OBLIQUE AXIAL
T2<\/th>\n		AXIAL
T1
LAVA-Flex<\/th>\n		SAGITTAL
T1
LAVA-Flex<\/th>\n		AXIAL
DWI<\/th>\n		CORONAL
T2<\/th>\n<\/tr>\n
 <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n<\/tr>\n<\/thead>\n
MATRIX freq<\/td>\n288<\/td>\n256<\/td>\n320<\/td>\n320<\/td>\n264<\/td>\n264<\/td>\n192<\/td>\n320<\/td>\n<\/tr>\n
MATRIX phase<\/td>\n192<\/td>\n224<\/td>\n224<\/td>\n224<\/td>\n224<\/td>\n224<\/td>\n192<\/td>\n224<\/td>\n<\/tr>\n
NEX<\/td>\n1<\/td>\n1<\/td>\n2<\/td>\n2<\/td>\n1<\/td>\n1<\/td>\n—<\/td>\n2<\/td>\n<\/tr>\n
Phase FOV<\/td>\n1<\/td>\n1<\/td>\n1<\/td>\n1<\/td>\n1<\/td>\n1<\/td>\n1<\/td>\n1<\/td>\n<\/tr>\n
Freq Direction<\/td>\n—<\/td>\nS\/I<\/td>\nS\/I<\/td>\nA\/P<\/td>\nR\/L<\/td>\nR\/L<\/td>\nS\/I<\/td>\nS\/I<\/td>\n<\/tr>\n
Accel<\/td>\nPh 2<\/td>\n—<\/td>\n—<\/td>\n—<\/td>\n—<\/td>\n—<\/td>\n—<\/td>\n—<\/td>\n<\/tr>\n
User CV<\/td>\n1, 240, 1<\/td>\n1, 240, 1<\/td>\n—<\/td>\n—<\/td>\nTurbo 1<\/td>\nTurbo 1<\/td>\nRamp samp 1
Flair Inv 0
Grad opt 1<\/td>\n		—<\/td>\n<\/tr>\n
Other<\/td>\n—<\/td>\n—<\/td>\n—<\/td>\n—<\/td>\nPrecontrast: Water, Fat, In Phase, Out Phase acquired<\/td>\n—<\/td>\nDWI b val 0-50
6 nex
Diff Dir ALL
b val 400-1000
6 nex
Opt TE On<\/td>\n		—<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n
\n

Scanning Range<\/h3>\n\n\n\n\n\n\n\n\n\n\n
Scan Description<\/th>\n3PL
LOCALIZER
SSFSE<\/th>\n		CORONAL
SSFSE<\/th>\n		SAGITTAL
T2<\/th>\n		AXIAL or OBLIQUE AXIAL
T2<\/th>\n		AXIAL
T1
LAVA-Flex<\/th>\n		SAGITTAL
T1
LAVA-Flex<\/th>\n		AXIAL
DWI<\/th>\n		CORONAL
T2<\/th>\n<\/tr>\n
 <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n <\/th>\n<\/tr>\n<\/thead>\n
FOV<\/td>\n48<\/td>\n36<\/td>\n28<\/td>\n28<\/td>\n32<\/td>\n32<\/td>\n30<\/td>\n28<\/td>\n<\/tr>\n
Slice Thickness<\/td>\n8<\/td>\n5<\/td>\n2.9<\/td>\n2.9<\/td>\n3.2<\/td>\n3.2<\/td>\n4<\/td>\n2.9<\/td>\n<\/tr>\n
Spacing<\/td>\n0<\/td>\n1<\/td>\n0.3<\/td>\n0.3<\/td>\n0<\/td>\n0<\/td>\n0.5<\/td>\n0.3<\/td>\n<\/tr>\n
Number of Slices<\/td>\n21 Slices<\/td>\nSlices PRN<\/td>\n15 Slices\/acq<\/td>\n15 Slices\/acq<\/td>\n104 Locs<\/td>\n104 Locs<\/td>\n30 Slices<\/td>\n15 Slices\/acq<\/td>\n<\/tr>\n
Approx. Scan Time<\/td>\n0:19<\/td>\n0:18\/acq<\/td>\n4:00 ±<\/td>\n4:00 ±<\/td>\n0:24<\/td>\n0:24<\/td>\n2:26<\/td>\n4:00 ±<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n","protected":false},"excerpt":{"rendered":"

Print Instructions And Patient Preparation Instructions • Small FOV: Centered on uterus• Large FOV: Renal vein level to symphysis• Oblique axis refers to the tumor axis in the uterus (varies for endometrium vs cervix)• Vaginal gel: 30-60 mL• For metal artifacts consider 1.5T, reduced FOV multishot DWI, changing readout direction Common Indications Staging endometrial, cervical, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[47,43,54],"tags":[],"class_list":["post-4463","page","type-page","status-publish","hentry","category-3-0t","category-ge","category-pelvis"],"_links":{"self":[{"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages\/4463","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=4463"}],"version-history":[{"count":0,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages\/4463\/revisions"}],"wp:attachment":[{"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/media?parent=4463"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/categories?post=4463"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/tags?post=4463"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}