BODY MRI PROTOCOLS 1.5T
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1 BODY MRI PROTOCOLS 1.5T
2 Table of Contents Non Specific Renals Adrenals Pancreas Liver Liver No Gad Liver Eovist Liver Iron Quant MRCP ENTEROGRAPHY FEMALE PELVIS 39- S/P HYSTERECTOMY MALE PELVIS PELVIS FISTULA. PELVIS H PROSTATE CA.. PROSTATE W/O PROBE SCROTUM
3 Non Specific 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Coronal SS-FSE min Sagittal SS-FSE Aial SS-FSE min min /2 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 45s, 3min. Separate Sequences and subtract if Possible *3
4 Non Specific 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial FRFSE Aial Fiesta Aial In/Out Phase Aial LAVA Multiphase Coronal LAVA Min Full Echoes /2 1 8/2 1 5/50 1 5/50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 45s, 3min. Separate Sequences and subtract if Possible *4
5 Notes: For non specific diagnosis Eg; Weight loss, pain, nausea, etc. Coverage is from above Liver/Spleen to aortic bifurcation and will include the Kidneys. All sequences are breath hold. Separate all dynamic sequences and perform subtraction on all timed views if possible. For L systems use FAME to replace LAVA. Please call for protocols if necessary.
6 Renals 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Coronal SS-FSE min Sagittal SS-FSE Aial SS-FSE min min /2 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 25s, 90s, 3min. Separate Sequences and subtract if Possible *6
7 Renals 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial FRFSE Aial Fiesta Aial In/Out Phase Kidneys Aial LAVA Multiphase Coronal LAVA Min Full Echoes /2 1 6/ /50 1 5/50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 25s, 90s, 3min. Separate Sequences and subtract if Possible *7
8 Notes: For renal specific diagnosis. Coverage is from above Liver/Spleen to aortic bifurcation and will include the Kidneys, ecept the In/Out of phase which is for kidneys All sequences are breath hold. Separate all dynamic sequences and perform subtraction on all timed views if possible. For L systems use FAME to replace LAVA Please call for protocols if necessary.
9 Adrenals 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Coronal SS-FSE min Sagittal SS-FSE Aial SS-FSE min min /2 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 45s, 3min. Separate Sequences and subtract if Possible *9
10 Adrenals 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial FRFSE Aial Fiesta Aial In/Out Phase Aial LAVA Multiphase Coronal LAVA Min Full Echoes /2 1 4/0 1 5/50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 45s, 3min. Separate Sequences and subtract if Possible 1 10 * 5/50
11 Notes: For adrenal specific diagnosis. Coverage is from above Liver/Spleen to aortic bifurcation and will include the Kidneys, ecept the In/Out of phase which is for adrenal glands All sequences are breath hold. Separate all dynamic sequences and perform subtraction on all timed views if possible. For L systems use FAME to replace LAVA Please call for protocols if necessary.
12 Pancreas 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Coronal SS-FSE min Sagittal SS-FSE Aial SS-FSE min min /2 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 25s, 60s, 2min. Separate Sequences and subtract if Possible *12
13 Pancreas 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial FRFSE Aial Fiesta Aial In/Out Phase Aial LAVA Multiphase Coronal LAVA Min Full Echoes /2 1 8/2 1 5/50 1 5/50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 25s, 60s, 2min. Separate Sequences and subtract if Possible 13 *
14 Notes: For pancreatic specific diagnosis. Coverage is from above Liver/Spleen to aortic bifurcation and will include the Kidneys. All sequences are breath hold. Separate all dynamic sequences and perform subtraction on all timed views if possible. For L systems use FAME to replace LAVA. Please call for protocols if necessary.
15 Liver 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Coronal SS-FSE min Sagittal SS-FSE Aial SS-FSE min min /2 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 25s, 60s, 2min, 5min. Separate Sequences and subtract if Possible *15
16 Liver 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial FRFSE Aial Fiesta Aial In/Out Phase Aial LAVA Multiphase Coronal LAVA Min Full Echoes /2 1 8/2 1 5/50 1 5/50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 25s, 60s, 2min, 5min. Separate Sequences and subtract if Possible 16 *
17 Notes: For Liver specific diagnosis. All liver eams need to be addressed to the radiologist for special instructions and protocol Coverage is from above Liver/Spleen to aortic bifurcation and will include the Kidneys. All sequences are breath hold. Separate all dynamic sequences and perform subtraction on all timed views if possible. For L systems use FAME to replace LAVA.
18 Liver No Gad 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Coronal SS-FSE min Sagittal SS-FSE Aial SS-FSE min min /2 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Separate Sequences and subtract if Possible *18
19 Liver No Gad 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial FRFSE Aial Fiesta Aial In/Out Phase Min Full Echoes /2 1 8/2 Aial LAVA /50 Coronal LAVA /50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Separate Sequences and subtract if Possible 19 *
20 Liver No Gad 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial DWI B-Value 400 Aial DWI B-Value 0 Min Min Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Separate Sequences and subtract if Possible Run Multi Echo DWI if Available *20
21 Notes: For Liver specific diagnosis. All liver eams need to be addressed to the radiologist for special instructions and protocol Coverage is from above Liver/Spleen to aortic bifurcation and will include the Kidneys. All sequences are breath hold. For L systems use FAME to replace LAVA
22 Liver Eovist 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Coronal SS-FSE min Sagittal SS-FSE Aial SS-FSE min min /2 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 25s, 60s, 2min, 5min, 10min, 15min. Separate Sequences and subtract if Possible *22
23 Liver Eovist 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial FRFSE Aial Fiesta Aial In/Out Phase Aial LAVA Multiphase Coronal LAVA Min Full Echoes /2 1 8/2 1 5/50 1 5/50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Timing is 25s, 60s, 2min, 5min, 10min, 15min. Separate Sequences and subtract if Possible 23 *
24 Notes: For Liver specific diagnosis. All liver eams need to be addressed to the radiologist for special instructions and protocol Coverage is from above Liver/Spleen to aortic bifurcation and will include the Kidneys. All sequences are breath hold. Separate all dynamic sequences and perform subtraction on all timed views if possible. For HDT or higher systems unless specified by radiologist on a case by case basis.
25 Liver Iron Quant 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Coronal SS-FSE min Aial SS-FSE Aial FRFSE min /2.5 8/2 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Cover Liver on FGRE sequences Separate Sequences and subtract if Possible *25
26 Liver Iron Quant 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial In/Out Phase Aial T1 FGRE Aial PD FGRE Aial T2 FGRE TE=9 2 Echoes /2 1 5/50 Aial T2 FGRE TE= /50 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Cover Liver on FGRE sequences Separate Sequences and subtract if Possible 26 *
27 Liver Iron Quant 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial T2 FGRE TE= Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Cover Liver on FGRE sequences *27
28 Notes: For Liver specific diagnosis. All liver eams need to be addressed to the radiologist for special instructions and protocol Coverage is from above Liver/Spleen to aortic bifurcation and will include the Kidneys for all sequences up to and including the In/Out of phase. The following gradient series are TR, TE, And flip angle dependent and are not to be adjusted. The entire liver does not need to covered. See diagram. All sequences are breath hold.
29 Diagrams:
30 MRCP 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Coronal SS-FSE min Sagittal SS-FSE Aial SS-FSE min min /2 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. Separate Sequences and subtract if Possible *30
31 MRCP 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial Lava Aial Fiesta Aial In/Out Phase Min Full Echoes /2 1 8/2 Adjust to Body Habitus, Optimize TR on FRFSE, Cover from above Liver/Spleen to Aortic Bifurcation. *31
32 MRCP 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Obl Coronal MRCP Resp Trigger Aial Thin Slice MRCP SSFSE Cor Thin Slice MRCP SSFSE 34 3 Min Min Min /58 1 4/0 1 4/0 On MRCP sequences cover entire Biliary Tree *32
33 Notes: For Biliary specific diagnosis. Coverage is from above Liver/Spleen to aortic bifurcation and will include the Kidneys for all series up to the In/Out of phase. The sequences on the following page are specific for the biliary tree. All sequences are breath hold, ecept for 3D respiratory trigger MRCP coronal For L systems use FAME to replace LAVA, and use radial thick slice to replace 3D resp. trigger coronal
34 Enterography 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Coronal SS-FSE min Sagittal SS-FSE Aial SS-FSE min min /2 *34
35 Enterography 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial SSFSE Aial IR Cor LAVA Min Min Full Echoes /2 1 8/2 Cor LAVA +C /50 Aial LAVA +C /50 Adjust to Body Habitus, Coverage should be to adjusted to include abdominal portion of the small bowel (do not have to cover entire liver). Contrast imaging is not dynamic. 35 *
36 Enterography 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Sagittal FSPGR Fat Sat Aial FSPGR fat sat Aial FRFSE T In Phase In Phase /0 1 5/0.5 5/0 Patient should empty bladder prior to doing the above pelvic sequences. Coverage is for pelvis with small overlap of abdominal coverage. 36
37 Notes: For inflammatory bowel disease. Eg; Crohn's disease, ulcerative colitis. Coverage is from top of stomach to pubis symphysis. Separate abdomen and pelvic aial slices with overlap for better signal, fat suppression, and decreased artifacts. Follow prep in Enterography protocol memo. Post LAVA/Fame sequences are for small FOV pelvis, adjust coil as needed Only for systems with abd/pelvic multi channel coil.
38 Patient prep Scheduling and Prep: Low-residue diet for 5 days before the procedure is ideal but not required, nor any other specific bowel prep. Prescriptions needed for eam is 20 mg Metoclopramide (Reglan) and 1 mg glucagon from the Referring MD. If pt is Diabetic glucagon is NOT administered Patients must fast for 6 hours prior to eam time. Pre-Eam Procedure: Patients need to arrive to the center at least 1 hour before the eam. Upon arrival, patient is to take 20 mg Metoclopramide (Reglan) orally. Patient is then given 1350 ml total (3-450 ml bottles) of Breeza (Oral contrast) to drink. 1 bottle is given at the time of arrival, and another 1 bottle minutes later. (Last bottle is reserved for just before the start of eam. Start of Eam: Glucagon 1 mg is administered intravenously for seconds to reduce bowel peristalsis.
39 Female Pelvis 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Sagittal FRFSE T /0 Obl parallel to uterus FRFSE T2 Oblique perpendicul ar to uterus FRFSE T /0 2 5/0 *39
40 Female Pelvis 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial T2 FRFSE large FOV /1.5 Aial T2 FRFSE fat sat largeg FOV Aial FSPGR / /0 A FSPGR fat sat /0 A FSPGR Fat sat pre /0 *40
41 Female Pelvis 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice A FSPGR fat sat post Sag FSPGR fat sat post /0 1 5/0 A Lava Fat sat pre / A Lava Fat sat 30, 60, 90 sec / *41
42 Female Pelvis Hysterectomy 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Sagittal FRFSE T /0 Coronal FRFSE T /0 Aial FRFSE T2 Optional /0 *42
43 Female Pelvis Hysterectomy-1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial T2 FRFSE large FOV Aial T2 FRFSE fat sat lg FOV Aial FSPGR / / /0 A FSPGR fat sat /0 A FSPGR Fat sat pre /0 *43
44 Female Pelvis Hysterectomy-1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice A FSPGR fat sat post Sag FSPGR fat sat post /0 1 5/0 A Lava Fat sat pre / A Lava Fat sat 30, 60, 90 sec / *
45 Male Pelvis - 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Sagittal FRFSE T /0 Coronal FRFSE T /1 Aial T Min full /1 *45
46 Male Pelvis -1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial T2 FRFSE /1 Aial T2 FRFSE fat sat Aial FSPGR /1 1 5/1 A FSPGR fat sat /1 A FSPGR Fat sat pre /1 *46
47 Male Pelvis -1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice A FSPGR fat sat post Sag FSPGR fat sat post /1 1 5/1 A Lava Fat sat pre / A Lava Fat sat 30, 60, 90 sec / *47
48 Pelvis Fistula - 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Sagittal FRFSE T /1 Aial FRFSE T /1 Aial T Min full /1 *48
49 Pelvis Fistula -1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial IR /1 Aial FSPGR /1 A FSPGR fat sat /1 A FSPGR fat sat +C /1 Cor FSPGR Fat sat +C /1 *49
50 Pelvis Fistula -1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Sag FSPGR fat sat +C /1 Optional A Lava Fat sat pre / A Lava Fat sat 30, 60, 90 sec / *50
51 Male Pelvis H Prostate CA- 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Sagittal FRFSE T /1 Coronal IR /1 Coronal T Min full /1 *51
52 Male Pelvis H Prostate CA-1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial T2 FRFSE /1 Aial T2 FRFSE fat sat Aial FSPGR /1 1 5/1 A FSPGR fat sat /1 A FSPGR Fat sat pre /1 *52
53 Male Pelvis H Prostate CA-1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice A FSPGR fat sat post Sag FSPGR fat sat post /1 1 5/1 A Lava Fat sat pre / A Lava Fat sat 30, 60, 90 sec / *53
54 Prostate w/o probe - 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Coronal T Min Full /1 Aial T Min Full /0 Aial T2 FRFSE /0 *54
55 Prostate w/o probe -1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial FSPGR Fat sat Sagittal T /0 4 4/0.4 Aial T /0.4 Aial FSPGR /0.4 A FSPGR Fat sat pre /0.4 *55
56 Prostate w/o probe -1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice A FSPGR fat sat post A FSPGR fat sat post / /0 *56
57 Scrotum - 1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Aial T2 FRFSE /1 Coronal FRFSE T /1 Sagittal T /0.4 *57
58 Scrotum -1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial T /0.4 Coronal T /0.4 Aial FSPGR /1 A FSPGR Fat sat /1 A FSPGR Fat sat post /1 *58
59 Scrotum -1.5T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Sag FSPGR fat sat post /1 *59
60 Rectal Cancer - 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice 3-PLANE LOC 48 MIN Calibration scan 48 Sagittal FRFSE T /0.5 Aial FRFSE T /0.5 Cor FRFSE T /0.5 Aial T Min-Full /1 Freq direction - Sag A/P, Cor S/I, A R/L. 48 *
61 Rectal Cancer - 3T Sequence FOV TR TE TI Flip ETL BW Matri Ne Slice Aial IR /1 Aial FSPGR BH /1 A FSPGR fat sat pre BH /1 A FSPGR fat sat post BH /1 Cor FSPGR Fat sat post BH /1 Sag FSPGR fat sat post BH /1 49 *
62 Notes Notes Notes:
63 Diagrams:
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