{"id":4465,"date":"2025-10-31T16:17:51","date_gmt":"2025-10-31T16:17:51","guid":{"rendered":"https:\/\/protocols.nwforums.com\/index.php\/liver-pancreas-extracellular-ec-agent-3-0t-optional-mrcp\/"},"modified":"2026-01-07T20:12:45","modified_gmt":"2026-01-07T20:12:45","slug":"liver-pancreas-extracellular-ec-agent-3-0t-optional-mrcp","status":"publish","type":"page","link":"https:\/\/protocols.nwforums.com\/index.php\/liver-pancreas-extracellular-ec-agent-3-0t-optional-mrcp\/","title":{"rendered":"Liver\/Pancreas Extracellular Agent 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_LiverPancreasEC.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>ONLY if MRCP is ordered and indicated, run MRCP sequences<\/dd>\n<dt>Common Indications<\/dt>\n<dd>Suspected focal lesions, pancreatic disease<\/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=\"3\" style=\"border: 1px solid #999;padding: 8px\">Dose<\/th>\n<th colspan=\"2\" 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=\"3\" style=\"border: 1px solid #ccc;padding: 6px\">0.05 mmol\/kg up to a calculated volume of 10 mL<\/td>\n<td colspan=\"2\" 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=\"3\" style=\"border: 1px solid #ccc;padding: 6px\">50 mL<\/td>\n<td colspan=\"2\" 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 aorta @ mid liver &#8211; 12 sec delay<br \/>&#8226; Pre Portal Venous (70 sec after injection)<br \/>&#8226; Delayed phase (2-5 min after injection)<br \/>&#8226; Optional: 90 min for cholangiocarcinoma<\/td>\n<\/tr>\n<\/tbody>\n<tfoot>\n<tr>\n<td style=\"background: #fff;color: #000;font-weight: bold;padding: 8px;border: 1px solid #ccc\">Comments<\/td>\n<td colspan=\"1\" style=\"padding: 8px;border: 1px solid #ccc;text-align: center;vertical-align: middle\">Quiet breathing<\/td>\n<\/tr>\n<\/tfoot>\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 \/>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<th>AXIAL<br \/>T1 3D<br \/>Fat Sat<\/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 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_Ax_3D_T1_FS_Lava_ASPIR_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<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>2D<\/td>\n<td>3D<\/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>FAST SPGR<\/td>\n<td>LAVA Type in: efgre3d_aspir if available<\/td>\n<td>LAVA-Flex<\/td>\n<td>DWI EPI<\/td>\n<td>LAVA<\/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, ARC<br \/>TRf, FAST<\/td>\n<td>FAST, ZIP2, <br \/>EDR, ARC<\/td>\n<td>ARC, Art-Smartprep, EDR, ZIP2, FAST<\/td>\n<td>EDR, FAST,<br \/>ZIP2, ARC<\/td>\n<td>Resp Trig, <br \/>EPI, DIFF, ASSET<\/td>\n<td>ZIP2, FAST, ARC<\/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 \/>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<th>AXIAL<br \/>T1 3D<br \/>Fat Sat<\/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>#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<td>Def<\/td>\n<\/tr>\n<tr>\n<td>TR<\/td>\n<td>Min<\/td>\n<td>Min<\/td>\n<td>Def<\/td>\n<td>Def (4)<\/td>\n<td>Def<\/td>\n<td>MF<\/td>\n<td>Def<\/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>&#8212;<\/td>\n<td>InvTI Auto<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>InvTI Auto<\/td>\n<\/tr>\n<tr>\n<td>Flip Angle<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>15<\/td>\n<td>15<\/td>\n<td>12<\/td>\n<td>&#8212;<\/td>\n<td>15<\/td>\n<\/tr>\n<tr>\n<td>ETL<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>16<\/td>\n<td>&#8212;<\/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>143<\/td>\n<td>83<\/td>\n<td>90<\/td>\n<td>(Def)<\/td>\n<td>62<\/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>Sat Scr<br \/>Special Fat Sat<\/td>\n<td>&#8212;<\/td>\n<td>&#8212;<\/td>\n<td>Sat Scr<br \/>Special Fat Sat<\/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 \/>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<th>AXIAL<br \/>T1 3D<br \/>Fat Sat<\/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>288<\/td>\n<td>260<\/td>\n<td>&#8212;<\/td>\n<td>192<\/td>\n<td>288<\/td>\n<\/tr>\n<tr>\n<td>MATRIX phase<\/td>\n<td>192<\/td>\n<td>224<\/td>\n<td>224<\/td>\n<td>192<\/td>\n<td>200<\/td>\n<td>192<\/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>1<\/td>\n<td>1<\/td>\n<td>Def<\/td>\n<td>&#8212;<\/td>\n<td>1<\/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>0.9<\/td>\n<td>0.9<\/td>\n<td>1<\/td>\n<td>1<\/td>\n<td>0.9<\/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>S\/I<\/td>\n<td>R\/L<\/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, SI 2<\/td>\n<td>Ph 1.5, Sl 1.5<br \/>(can increase for poor breath holders)<\/td>\n<td>Ph 2, Sl 2<\/td>\n<td>Ph 2<\/td>\n<td>Ph 2, Sl 2<\/td>\n<\/tr>\n<tr>\n<td>User CV<\/td>\n<td>1, 240, 1<\/td>\n<td>&#8212;<\/td>\n<td>Fat Sat eff 1<br \/>FnLn Sup 0<\/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<td>&#8212;<\/td>\n<\/tr>\n<tr>\n<td>Other<\/td>\n<td>&#8212;<\/td>\n<td>Max echos 240<\/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 800 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<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 ARC<\/th>\n<th>CORONAL<br \/>ARC SSFSE<\/th>\n<th>AXIAL<br \/>RT T2<br \/>Fat Sat<\/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<th>AXIAL<br \/>T1 3D<br \/>Fat Sat<\/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>38<\/td>\n<td>38<\/td>\n<td>40<\/td>\n<td>40<\/td>\n<td>38<\/td>\n<\/tr>\n<tr>\n<td>Slice Thickness<\/td>\n<td>8<\/td>\n<td>5<\/td>\n<td>5<\/td>\n<td>3.6<\/td>\n<td>3.6<\/td>\n<td>3<\/td>\n<td>5<\/td>\n<td>3.6<\/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>&#8212;<\/td>\n<td>1<\/td>\n<td>0<\/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>70 Locs PRN<\/td>\n<td>70 Locs PRN<\/td>\n<td>90 Slices<\/td>\n<td>PRN<\/td>\n<td>70 Locs 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>3:30<\/td>\n<td>0:23<\/td>\n<td>0:17<\/td>\n<td>0:22<\/td>\n<td>@ 2:29<\/td>\n<td>0:23<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Print Instructions And Patient Preparation Instructions ONLY if MRCP is ordered and indicated, run MRCP sequences Common Indications Suspected focal lesions, pancreatic disease 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) 0.05 [&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":[47,43,53],"tags":[],"class_list":["post-4465","page","type-page","status-publish","hentry","category-3-0t","category-ge","category-liver"],"_links":{"self":[{"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages\/4465","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=4465"}],"version-history":[{"count":2,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages\/4465\/revisions"}],"predecessor-version":[{"id":5548,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages\/4465\/revisions\/5548"}],"wp:attachment":[{"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/media?parent=4465"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/categories?post=4465"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/tags?post=4465"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}