{"id":4622,"date":"2025-10-31T16:19:52","date_gmt":"2025-10-31T16:19:52","guid":{"rendered":"https:\/\/protocols.nwforums.com\/index.php\/mra-head-3t\/"},"modified":"2026-01-07T20:14:48","modified_gmt":"2026-01-07T20:14:48","slug":"mra-head-3t","status":"publish","type":"page","link":"https:\/\/protocols.nwforums.com\/index.php\/mra-head-3t\/","title":{"rendered":"MRA Head 3T"},"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\/Siemens_CNS3T_MRAhead.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; Sequences are in addition to Routine Adult Brain protocol<br \/>&#8226; For hyperacute patient, assess for penumbra<\/dd>\n<dt>Position<\/dt>\n<dd>Supine, head first<\/dd>\n<dt>Coil<\/dt>\n<dd>20 channel Head\/Neck coil or better<\/dd>\n<dt>Landmark<\/dt>\n<dd>Glabella<\/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=\"1\" style=\"border: 1px solid #999;padding: 8px\">Dose<\/th>\n<th colspan=\"3\" style=\"border: 1px solid #999;padding: 8px\">Injection Rate<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border: 1px solid #ccc;padding: 6px\">Gadopiclenol (VUEWAY)<\/td>\n<td colspan=\"1\" style=\"border: 1px solid #ccc;padding: 6px\">0.05 mmol\/kg<\/td>\n<td colspan=\"3\" style=\"border: 1px solid #ccc;padding: 6px\">CORONAL TWIST Inject 1-2 mL contrast<br \/>Inject remaining contrast CE MRV Post &#8211; 2 measurements<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc;padding: 6px\">Saline Flush<\/td>\n<td colspan=\"1\" style=\"border: 1px solid #ccc;padding: 6px\">20 mL<\/td>\n<td colspan=\"3\" style=\"border: 1px solid #ccc;padding: 6px\">1-1.5 mL\/sec<\/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\">&#8226; For bifurcations. 3D TOF if unable to do Carotid CEMRA or CEMRA is inadequate<br \/>&#8226; Report agent administered and dose<br \/>&#8226; Use minimal dose for patients with a GFR &lt;60 mL\/sec<\/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>3D TOF MRA<\/th>\n<th>Pre<br \/>CE MRA<\/th>\n<th>CORONAL<br \/>TWIST<br \/>Inject 1-2 mL Contrast<\/th>\n<th>Post<br \/>CE MRA<br \/>Inject Remaining Contrast <br \/>2 Measurements<\/th>\n<\/tr>\n<tr>\n<th>&nbsp;<\/th>\n<th>\n<a href=\"javascript:void(0);\" onclick=\"showImageWithCaption('3D TOF MRA', '\/wp-content\/uploads\/2025\/protocols\/MRAHead_3T_3DTOFMRA.jpg', 'MRA Head 3T', 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('CE MRA PRE', '\/wp-content\/uploads\/2025\/protocols\/MRAHead_3T_CEMRAPRE.jpg', 'MRA Head 3T', 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 TWIST', '\/wp-content\/uploads\/2025\/protocols\/MRAHead_3T_TWISTCORONAL.jpg', 'MRA Head 3T', 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 CE MRA', '\/wp-content\/uploads\/2025\/protocols\/MRAHead_3T_CEMRAPOST2measurements.jpg', 'MRA Head 3T', 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<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Sequence Name<\/td>\n<td>fl_r<\/td>\n<td>fl<\/td>\n<td>fldyn<\/td>\n<td>fl<\/td>\n<\/tr>\n<tr>\n<td>Sequence Type<\/td>\n<td>Gre<\/td>\n<td>&#8213;<\/td>\n<td>&#8213;<\/td>\n<td>&#8213;<\/td>\n<\/tr>\n<tr>\n<td>Dimension<\/td>\n<td>3D<\/td>\n<td>3D<\/td>\n<td>3D<\/td>\n<td>3D<\/td>\n<\/tr>\n<tr>\n<td>Acceleration Mode<\/td>\n<td>CS<\/td>\n<td>GRAPPA<\/td>\n<td>GRAPPA<\/td>\n<td>GRAPPA<\/td>\n<\/tr>\n<tr>\n<td>Acceleration Factor PE<\/td>\n<td>&#8213;<\/td>\n<td>2<\/td>\n<td>2<\/td>\n<td>2<\/td>\n<\/tr>\n<tr>\n<td>Acceleration Factor 3D<\/td>\n<td>&#8213;<\/td>\n<td>2<\/td>\n<td>24<\/td>\n<td>2<\/td>\n<\/tr>\n<tr>\n<td>AutoAlign<\/td>\n<td>Head &gt; Brain<\/td>\n<td>Head &gt; Basis<\/td>\n<td>Head &gt; Basis<\/td>\n<td>Head &gt; Basis<\/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>3D TOF MRA<\/th>\n<th>Pre<br \/>CE MRA<\/th>\n<th>CORONAL<br \/>TWIST<\/th>\n<th>Post<br \/>CE MRA<\/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<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>TR<\/td>\n<td>21.0 ms<\/td>\n<td>3.72 ms<\/td>\n<td>2.20 ms<\/td>\n<td>3.72 ms<\/td>\n<\/tr>\n<tr>\n<td>TE<\/td>\n<td>3.69 ms<\/td>\n<td>1.33 ms<\/td>\n<td>0.91 ms<\/td>\n<td>1.33 ms<\/td>\n<\/tr>\n<tr>\n<td>Flip Angle<\/td>\n<td>20 deg<\/td>\n<td>25 deg<\/td>\n<td>15 deg<\/td>\n<td>25 deg<\/td>\n<\/tr>\n<tr>\n<td>Bandwidth<\/td>\n<td>187 Hz\/Px<\/td>\n<td>450 Hz\/Px<\/td>\n<td>720 Hz\/Px<\/td>\n<td>450 Hz\/Px<\/td>\n<\/tr>\n<tr>\n<td>Fat-Water Contrast<\/td>\n<td>Standard<\/td>\n<td>Standard<\/td>\n<td>Standard<\/td>\n<td>Standard<\/td>\n<\/tr>\n<tr>\n<td>Gradient Mode<\/td>\n<td>Fast<\/td>\n<td>Fast<\/td>\n<td>Fast<\/td>\n<td>Fast<\/td>\n<\/tr>\n<tr>\n<td>RF Pulse Type<\/td>\n<td>Normal<\/td>\n<td>Normal<\/td>\n<td>Fast<\/td>\n<td>Normal<\/td>\n<\/tr>\n<tr>\n<td>Asymmetric Echo<\/td>\n<td>Weak<\/td>\n<td>Allowed<\/td>\n<td>Strong<\/td>\n<td>Allowed<\/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>3D TOF MRA<\/th>\n<th>Pre<br \/>CE MRA<\/th>\n<th>CORONAL<br \/>TWIST<\/th>\n<th>Post<br \/>CE MRA<\/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<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Base Resolution<\/td>\n<td>352<\/td>\n<td>288<\/td>\n<td>256<\/td>\n<td>288<\/td>\n<\/tr>\n<tr>\n<td>Phase Resolution<\/td>\n<td>95%<\/td>\n<td>82%<\/td>\n<td>75%<\/td>\n<td>82%<\/td>\n<\/tr>\n<tr>\n<td>Slice Resolution<\/td>\n<td>67%<\/td>\n<td>70%<\/td>\n<td>75%<\/td>\n<td>70%<\/td>\n<\/tr>\n<tr>\n<td>Averages<\/td>\n<td>1<\/td>\n<td>1<\/td>\n<td>&#8213;<\/td>\n<td>1<\/td>\n<\/tr>\n<tr>\n<td>Concatenations<\/td>\n<td>6<\/td>\n<td>&#8213;<\/td>\n<td>&#8213;<\/td>\n<td>&#8213;<\/td>\n<\/tr>\n<tr>\n<td>FoV Read<\/td>\n<td>220 mm<\/td>\n<td>240 mm<\/td>\n<td>300 mm<\/td>\n<td>240 mm<\/td>\n<\/tr>\n<tr>\n<td>FoV Phase<\/td>\n<td>91%<\/td>\n<td>75%<\/td>\n<td>56%<\/td>\n<td>75%<\/td>\n<\/tr>\n<tr>\n<td>Phase Encoding Dir.<\/td>\n<td>R &gt;&gt; L<\/td>\n<td>R &gt;&gt; L<\/td>\n<td>R &gt;&gt; L<\/td>\n<td>R &gt;&gt; L<\/td>\n<\/tr>\n<tr>\n<td>Phase Oversampling<\/td>\n<td>0%<\/td>\n<td>0%<\/td>\n<td>0%<\/td>\n<td>0%<\/td>\n<\/tr>\n<tr>\n<td>Slice Oversampling<\/td>\n<td>25%<\/td>\n<td>20%<\/td>\n<td>17%<\/td>\n<td>20%<\/td>\n<\/tr>\n<tr>\n<td>Phase Partial Fourier<\/td>\n<td>Off<\/td>\n<td>7\/8<\/td>\n<td>7\/8<\/td>\n<td>7\/8<\/td>\n<\/tr>\n<tr>\n<td>Slice Partial Fourier<\/td>\n<td>Off<\/td>\n<td>Off<\/td>\n<td>Off<\/td>\n<td>Off<\/td>\n<\/tr>\n<tr>\n<td>Flow compensation<\/td>\n<td>Slice\/Read<\/td>\n<td>&#8213;<\/td>\n<td>&#8213;<\/td>\n<td>&#8213;<\/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>3D TOF MRA<\/th>\n<th>Pre<br \/>CE MRA<\/th>\n<th>CORONAL<br \/>TWIST<\/th>\n<th>Post<br \/>CE MRA<\/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<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Elliptical Filter<\/td>\n<td>Off<\/td>\n<td>Off<\/td>\n<td>On<\/td>\n<td>Off<\/td>\n<\/tr>\n<tr>\n<td>Raw Filter<\/td>\n<td>Off<\/td>\n<td>Off<\/td>\n<td>Off<\/td>\n<td>Off<\/td>\n<\/tr>\n<tr>\n<td>Distortion Correction<\/td>\n<td>2D<\/td>\n<td>2D<\/td>\n<td>2D<\/td>\n<td>2D<\/td>\n<\/tr>\n<tr>\n<td>Distance Factor<\/td>\n<td>-21%<\/td>\n<td>20%<\/td>\n<td>&#8213;<\/td>\n<td>20%<\/td>\n<\/tr>\n<tr>\n<td>Slice Thickness<\/td>\n<td>0.4 mm<\/td>\n<td>1.0 mm<\/td>\n<td>1.7 mm<\/td>\n<td>1.0 mm<\/td>\n<\/tr>\n<tr>\n<td>Slices per Slab<\/td>\n<td>48<\/td>\n<td>160<\/td>\n<td>96<\/td>\n<td>160<\/td>\n<\/tr>\n<tr>\n<td>Acquisition Time<\/td>\n<td>4:31 min<\/td>\n<td>25 sec<\/td>\n<td>1:05 min<\/td>\n<td>25 sec<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Print Instructions And Patient Preparation Instructions &#8226; Sequences are in addition to Routine Adult Brain protocol&#8226; For hyperacute patient, assess for penumbra Position Supine, head first Coil 20 channel Head\/Neck coil or better Landmark Glabella Contrast Agent Parameters Contrast Agent Dose Injection Rate Gadopiclenol (VUEWAY) 0.05 mmol\/kg CORONAL TWIST Inject 1-2 mL contrastInject remaining contrast [&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":[47,48,44],"tags":[],"class_list":["post-4622","page","type-page","status-publish","hentry","category-3-0t","category-brain","category-siemens"],"_links":{"self":[{"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages\/4622","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=4622"}],"version-history":[{"count":7,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages\/4622\/revisions"}],"predecessor-version":[{"id":5692,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/pages\/4622\/revisions\/5692"}],"wp:attachment":[{"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/media?parent=4622"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/categories?post=4622"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/protocols.nwforums.com\/index.php\/wp-json\/wp\/v2\/tags?post=4622"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}