Standard Imaging Protocols - vRad€¦ · Standard Imaging Protocols This document includes typical...

Virtual Radiologic | A MEDNAX Company (NYSE: MD) | p 800.737.0610 | www.vrad.com 82.E.DR.0716

Standard Imaging Protocols

This document includes typical imaging protocols for diagnostic imaging. vRad teleradiologists

expect to see imaging resulting from the use of these or substantially similar protocols in

situations where there is no contraindication or facility requirement that requires a different

protocol.

Neither vRad nor vRad radiologists are responsible for establishing or approving protocols in

use at the place of service. The imaging facility is responsible for assessing each patient’s needs,

applying appropriate standards of care, and following the facility’s protocols.

The decision to administer intravenous contrast to a patient is a complex and local one, made

onsite by clinical teams and onsite physicians using best practices, even in the absence of a local

radiology group. The presence of a thorough contrast protocol is necessary as is clinical

expertise and judgment for individual patients. For this reason, vRad does not provide blanket

contrast protocols.

http://www.vrad.com/

Virtual Radiologic | A MEDNAX Company (NYSE: MD) | p 800.737.0610 | www.vrad.com

Table of contents

CT ............................................................................................................................................................................................ 4

CTA: AAA-aorta ................................................................................................................................................................... 4

CTA: Aortic chest ................................................................................................................................................................. 5

CTA: PE Chest ...................................................................................................................................................................... 6

CT: Abdomen ....................................................................................................................................................................... 7

CT: Abdomen/pelvis (1st evaluation) ................................................................................................................................... 8

CT: Abdomen/pelvis (2nd evaluation) .................................................................................................................................. 9

CT: Chest ........................................................................................................................................................................... 10

CT: Chest, hi-res ................................................................................................................................................................ 11

CT: Sinus, complete ........................................................................................................................................................... 12

CT: Cystography ................................................................................................................................................................ 13

CT: Extremities-Joints ........................................................................................................................................................ 13

CT: Facial Bones or Orbits ................................................................................................................................................. 14

CT: Head ............................................................................................................................................................................ 14

CT: Kidneys ........................................................................................................................................................................ 15

CT: KUB .............................................................................................................................................................................. 15

CT: Pancreas ...................................................................................................................................................................... 16

CT: LTD Sinus ..................................................................................................................................................................... 16

CT: C-Spine ........................................................................................................................................................................ 17

CT: L-Spine ......................................................................................................................................................................... 17

CT: Neck, soft tissue .......................................................................................................................................................... 18

CT: Liver, tri-phase ............................................................................................................................................................ 19

CT: Temporal Bones .......................................................................................................................................................... 20

MR ......................................................................................................................................................................................... 21

MR: Ankle .......................................................................................................................................................................... 21

MR: Ankle, achilles ............................................................................................................................................................ 22

MR: Elbow ......................................................................................................................................................................... 23

MR: Forefoot infection ...................................................................................................................................................... 24

MR: Hips ............................................................................................................................................................................ 25

MR: Hips, arthrogram with 1% gadolinium ....................................................................................................................... 26

MR: Hips, AVN ................................................................................................................................................................... 27

MR: Hips, post-injection .................................................................................................................................................... 28



MR: Knee, routine ............................................................................................................................................................. 29

MR: Knee, arthrogram ...................................................................................................................................................... 30

MR: Knee with growth plate ............................................................................................................................................. 31

MR: Knee, trauma, no history of surgery .......................................................................................................................... 32

MR: Knee with history of surgery ..................................................................................................................................... 33

MR: Liver, standard ........................................................................................................................................................... 34

MR: Liver, standard (no breath hold) ................................................................................................................................ 35

MR: Liver, cirrhosis/shunt ................................................................................................................................................. 36

MR: Liver, ferridex ............................................................................................................................................................. 38

MR: Pancreas .................................................................................................................................................................... 39

MR: Pelvis .......................................................................................................................................................................... 40

MR: Pelvis, complete......................................................................................................................................................... 41

MR: Pelvis, limited ............................................................................................................................................................ 42

MR: Pelvis, relaxation........................................................................................................................................................ 43

MR: Pelvis, perineal fistula ................................................................................................................................................ 44

MR: Pelvis, fibroid embolization (pre and post) ............................................................................................................... 45

MR: Renal Arteries ............................................................................................................................................................ 46

MR: Renal Mass................................................................................................................................................................. 47

MR: Shoulder .................................................................................................................................................................... 48

MR: Shoulder, Post-injection ............................................................................................................................................ 49

MR: Standard Adrenal ....................................................................................................................................................... 50

MR: Thoracic Aorta/Mediastinum .................................................................................................................................... 51

MR: Wrist .......................................................................................................................................................................... 52



CT

CTA: AAA-aorta

SERIES 1

PARAMETERS

Slice Thickness 2.5

Index 1.25

FOV PT SIZE OR SMALLER

Algorithm STD

CONTRAST

Oral NO!

IV YES

Amount 150CCS

Bolus 4-5CCS/SEC

Delay 20-25 SEC

SCANNING

Anatomical Start TOP OF DIAPHRAGM

Anatomical Stop THROUGH ILIACS

Inspiration YES

FILMING/WINDOWING

Soft Tissue YES

Lung Windows NO

Bone Windows NO

Reformations YES

NOTES: NO ORAL CONTRAST. 3D RECONSTRUCTS DONE POST PROCESSING FOR AORTA ONLY



CTA: Aortic chest

SERIES 1

PARAMETERS

Slice Thickness 2.5

Index 1.25

FOV PT. SIZE

Algorithm STD

CONTRAST

Oral NO

IV YES

Amount 150CCS

Bolus 4-5 CCS/SEC

Delay 20 SEC

SCANNING

Anatomical Start ABOVE AORTIC ARCH

Anatomical Stop BELOW KIDNEYS

Inspiration YES

Expiration NO

FILMING/WINDOWING

Soft Tissue YES

Lung Windows YES

Bone windows NO

Reformations YES

NOTES: 3D REFORMATIONS DONE FOR AORTA



CTA: PE Chest

SERIES 1

PARAMETERS

Slice Thickness 2.5

Index 1.25

FOV PT. SIZE

Algorithm STD

CONTRAST

Oral NO

IV YES

Amount 150CCS

Bolus 4CCS/SEC

Delay 18 SEC

SCANNING

Anatomical Start ABOVE APICES

Anatomical Stop BASE OF LUNGS

Inspiration YES

Expiration NO

FILMING/WINDOWING

Soft Tissue YES

Lung Windows YES

NOTES: FOR SLOWER SCANNERS-BE SURE TO SCAN THROUGH HILUM WITH BOLUS AND THEN GO BACK AND SCAN

THROUGH TOP OF LUNGS TO NOT MISS BOLUS IN PULMONARY ARTERIES.



CT: Abdomen

SERIES 1

PARAMETERS

Slice Thickness 5

Index 5

FOV PT SIZE

Algorithm STD

CONTRAST

Oral YES

IV

Amount 150 CCS

Bolus 3CCS/SEC

Delay 60SEC

SCANNING

Anatomical Start TOP OF DIAPHRAGM

Anatomical Stop CREST OR BELOW ABD. ORGANS

Inspiration YES

FILMING/WINDOWING

Soft Tissue YES

Lung Windows YES

NOTES: PATIENT TO DRINK ORAL CONTRAST 1-1 1/2 HRS. PRIOR TO START OF SCAN. GIVE PATIENT ONE MORE DOSE

RIGHT BEFORE STARTING SCAN.



CT: Abdomen/pelvis (1st evaluation)

ABD/PELVIS abdominal/pelvic pain NOS (first evaluation), cancer staging (first evaluation), abdominal/pelvic trauma.

(cystogram may be indicated in cases of pelvic trauma)

SERIES 1 2 3

PARAMETERS

Slice Thickness 5 5

Index 5 5

FOV PT. SIZE PT. SIZE

Algorithm STD STD

CONTRAST

Oral YES

IV YES

Amount 150CCS 50cc in 250CC SALINE

Bolus 3CCS/SEC.

(RETROGRADE via FOLEY)

Delay 60SEC 120 SEC

SCANNING

Anatomical Start DIAPHRAGM DIAPHRAGM TOP OF CREST

Anatomical Stop SYMPHYSIS SYMPHYSIS SYMPHYSIS

Inspiration YES YES YES

Expiration

FILMING/WINDOWING

Soft Tissue YES YES YES

Lung Windows YES

Bone Windows YES

Reformations SAG AND COR FOR TRAUMA

NOTES: ORAL CONTRAST GIVEN 1 1/2 HRS. TO 2 HRS. BEFORE STARTING SCAN-GIVEN IN 1 1/2 CUP DOSES EVERY 1/2

HOUR. *cystogram to be performed retrograde via foley catheter following catheter placement by urologist or

emergency physician



CT: Abdomen/pelvis (2nd evaluation)

ABD/PELVIS abdominal/pelvic pain NOS (second evaluation), duodenal ulcer, appendicitis, intestinal obstruction or

perforation, cholecystitis, pyelonephritis, diverticulitis, crohn's disease/ulcerative colitis, infectious colitis, abdominal

abscess, intestinal or cutaneous fistula, cancer follow-up (second evaluation)

SERIES 1

PARAMETERS

Slice Thickness 5

Index 5

FOV PT. SIZE

Algorithm STD

CONTRAST

Oral YES

IV YES

Amount 150CCS

Bolus 3CCS/SEC.

Delay 60SEC

SCANNING

Anatomical Start DIAPHRAGM

Anatomical Stop SYMPHYSIS

Inspiration YES

FILMING/WINDOWING

Soft Tissue YES

Lung Windows YES

Reformations SAG AND COR FOR DIVERTICULITIS, ABSCESS, CROHN'S/ULCERATIVE COLITIS, AND FISTULA

NOTES: ORAL CONTRAST GIVEN 1 1/2 HRS. TO 2 HRS. BEFORE STARTING SCAN-GIVEN IN 1 1/2 CUP DOSES EVERY 1/2

HOUR.



CT: Chest

SERIES 1

PARAMETERS

Slice Thickness 5

Index 5

FOV PT. SIZE

Algorithm STD

CONTRAST

Oral NO

IV YES

Amount 100CCS

Bolus 2-3 CCS/SEC

Delay 25 SEC.

SCANNING

Anatomical Start ABOVE APICES

Anatomical Stop ADRENAL

Inspiration YES

Expiration NO

FILMING/WINDOWING

Soft Tissue YES

Lung Windows YES

Bone Windows NO

Reformations NO

NOTES: FOR INTERVAL FOLLOW UP FOR NODULE SCAN MAY BE DONE UNENHANCED ONLY. LIMITED EXAM MAY BE

DONE THROUGH NODULE ONLY AT THE RADS REQUEST.



CT: Chest, hi-res

SERIES 1 2 3 4

PARAMETERS ROUTINE CHEST SUPINE INSPIRATION

SUPINE EXPIRATION

PRONE INSPIRATION

Slice Thickness 5 1.25 1.25 1.25

Index 5 25 CM 25 CM 25CM

FOV PT. SIZE 25-30CM 25-30CM 25-30CM

Algorithm STD. BONE BONE BONE

CONTRAST

Oral NO NO NO NO

IV NO NO NO NO

SCANNING

Anatomical Start ABOVE APICES 10-12 SLICES

THRU 10-12 SLICES

THRU 10-12 SLICES

THRU

Anatomical Stop LUNG BASES LUNG FIELDS LUNG FIELDS LUNG FIELDS

Inspiration YES YES NO YES

Expiration NO NO YES NO

FILMING/WINNING

Soft Tissue YES

Lung Windows YES YES YES YES

Bone Windows NO

Reformations NO

BE SURE TO RESCOUT PT. IN PRONE POSITION



CT: Sinus, complete

SERIES 1 2

PARAMETERS PRONE CORONAL SUPINE AXIAL

Slice Thickness 2.5

2.5

Index 2.5 2.5

FOV 15 15

Algorithm BONE BONE

CONTRAST

Oral NO NO

IV FOR TUMOR FOR TUMOR

Amount 100CCS NO MORE CONTAST

Bolus GIVEN

SCANNING

Anatomical Start FRONTAL SINUS

TOP OF FRONTAL

Anatomical Stop THROUGH SPHENOID

THROUGH SPHENOID

Inspiration NO NO

Expiration NO NO

FILMING/WINDOWING

Soft Tissue FOR TUMOR FOR TUMOR

Lung Windows YES

YES



CT: Cystography

SERIES 1

PARAMETERS

Slice Thickness 5

Index 5

FOV PT. SIZE

Algorithm STD.

CONTRAST

Oral NO

IV

Amount 250 CCS SALINE AND 50CCS CYSTO-

CONRAY INTO BLADDER

SCANNING

Anatomical Start CREST


FILMING/WINDOWING

Soft Tissue YES

Bone Windows YES

NOTES: THIS EXAM DONE FOR BLADDER TRAUMA OR BLADDER TUMORS OR FISTULAS RETROGRADE FILLING OF

BLADDER THROUGH FOLEY CATHETER. FOR TRAUMA-CATHETER PLACED BY ER PHYSICIAN

CT: Extremities-Joints

SERIES 1

PARAMETERS

Slice Thickness 1.25

Index .625 OR THIN AS POSSIBLE

FOV SMALL TO FIT ANATOMY

Algorithm BONE

CONTRAST

Oral NO

IV NO

SCANNING

Anatomical Start

THROUGH AREA OF INTEREST OR SPECIFIED BY REFERRING PHYSICIAN

FILMING/WINDOWING

Lung Windows NO

Bone Windows YES

NOTES: SCAN IN AXIAL PLANE AND RECONSTRUCT IN CORONAL AND SAGITTAL PLANES POST PROCESSING UNLESS

ORDERING PHYSICIAN HAS SPECIFIC REQUEST



CT: Facial Bones or Orbits

SERIES 1 2


Slice Thickness 1.25 1.25

Index 1.25 1.25

FOV 15-18 15-18

Algorithm BONE BONE

CONTRAST

Oral NO NO

IV NO NO

SCANNING

Anatomical Start FRONTAL BONE FRONTAL SINUS

Anatomical Stop THROUGH THROUGH

Inspiration MANIBULAR CONDYLES MANIBULAR

FILMING/WINDOWING

Soft Tissue YES FOR TUMOR YES FOR TUMOR

Bone Windows YES YES

Notes: IV CONTRAST GIVEN FOR TUMOR OR CELLULITIS-100CCS

CT: Head

SERIES 1

PARAMETERS

Slice Thickness 5

Index 5

FOV 22

Algorithm STD-REPROCESS IN BONE

CONTRAST

Oral NO

IV

Amount 50CCS

Bolus HAND INJECT

SCANNING

Anatomical Start BASE OF SKULL-LINE UP BASE OF SKULL TO

FRONTAL BONE

Anatomical Stop VERTEX

FILMING/WINDOWING

Soft Tissue YES

Long Windows NO

Bone Windows YES

NOTES:

NON CONTRAST CONTRAST-50CCS CVA TUMOR TRAUMA METS HEADACHES ANEURYSM



CT: Kidneys

SERIES 1 2 3

PARAMETERS UNENHANCED ARTERIAL KIDNEYS ROUTINE ABD.

Slice Thickness 5 5 5

Index 5 5 5

FOV PT. SIZE PT. SIZE PT. SIZE

Algorithm STD. STD. STD.

CONTRAST

Oral YES YES NO MORE IV /ORAL

IV NO YES CONTRAST GIVEN

Amount 150CCS

Bolus 3CCS/SEC

Delay 25 SEC. 30 SEC AFTER ARTERIAL

SCAN FINISHED

SCANNING

Anatomical Start ABOVE

KIDNEYS ABOVE KIDNEYS TOP OF LIVER

Anatomical Stop BELOW

KIDNEYS BELOW KIDNEYS CREST OR BELOW ABD.

ORGANS

Inspiration YES YES

Expiration NO NO

FILMING/WINDOWING

Soft Tissue YES YES

Reformations COR

NOTES: ORAL CONTRAST GIVEN PER ROUTINE ABD. PROTOCOL

CT: KUB

Nephrolithiasis (stones, urolithiasis, “flank pain and hematuria”)

SERIES 1

SCAN

Slice Thickness 5

Index 5

FOV PT SIZE

Algorithm STD.

CONTRAST

Oral NO

IV NO

SCANNING

Anatomical Start TOP OF LIVER


Inspiration YES

FILMING/WINDOWING

Soft Tissue YES

Reformations RECONSTRUCT PELVIS AT 3.75 mm, COR REFORMATS



CT: Pancreas

SERIES 1 2 3

PARAMETERS LOCALIZER ARTERIAL PANCREAS ROUTINE ABD.

Slice Thickness 7.5 2.5 5

Index 7.5 2.5 5

FOV PT. SIZE 20-25CM. PT. SIZE


CONTRAST

Oral YES YES YES

IV NO YES

Amount 150CCS. NO MORE

Bolus 3-4CCS/SEC ADDITIONAL CONTRAST

Delay 25 SEC. 30 SEC. AFTER ARTERIAL PHASE IS

COMPLETE

SCANNING

Anatomical Start TOP OF LIVER

JUST ABOVE PANC. TOP OF LIVER

Anatomical Stop CREST

JUST BELOW PANC. CREST OR BELOW ABD. ORGANS


Expiration NO NO NO

FILMING/WINDOWING


Lung Windows YES

NOTES: FOLLOW ROUTINE ABD PROTOCOL FOR ORAL CONTRAST-HAVE PATIENT DRINK 1 MORE FULL GLASS OF WATER

BEFORE START OF SCAN TO FILL DUODENAL SWEEP.

CT: LTD Sinus

SERIES 1

SCAN PRONE CORONAL


Index 3.75

FOV 15

Algorithm BONE

CONTRAST

Oral NO

IV NO

SCANNING

Anatomical Start FRONTAL SINUS

Anatomical Stop THROUGH SPHENOID

FILMING/WINDOWING

Soft Tissue NO

Lung Windows YES

Bone Windows NO

Reformations NO



CT: C-Spine

SERIES 1

SCAN SUPINE


Index 1.25

FOV 11

Algorithm DETAIL

CONTRAST

Oral NO

IV NO

SCANNING

Anatomical Start BASE OF SKULL

Anatomical Stop THROUGH T1

Inspiration NO

Expiration NO

FILMING/WINDOWING

Soft Tissue YES

Lung Windows NO

Bone Windows YES

Reformations YES

Notes: RECONSTRUCTS DONE IN THE AXIAL AND SAGITTAL PLANES OBLIQUES DONE THROUGH FORAMINA ON RT AND

LT. SIDES CORONALS DONE FOR TRAUMA

CT: L-Spine

SERIES 1

SCAN

Slice Thickness 2.5

Index 2.5

FOV 15

Algorithm DETAIL

CONTRAST

Oral NO

IV NO

SCANNING

Anatomical Start T12

Anatomical Stop S1

Inspiration NO

Expiration NO

FILMING/WINDOWING

Soft Tissue YES

Lung Windows NO

Bone Windows YES

Reformations YES

Notes: REFORMATIONS: AXIALS DONE FROM TOP OF SUPERIOR VERTEBRAL BODY TO 3MMS ABOUT 19-20 SLICES

SAGITTALS DONE THOUGH WHOLE SPINE CORONALS FOR TRAUMA OR MYELOGRAMS



CT: Neck, soft tissue

SERIES 1

SCAN SUPINE


Index 3.75

FOV 22

Algorithm STD

CONTRAST

Oral NO

IV YES

Amount 100-150CCS

Bolus 2-3CCS/SEC

Delay 20 SEC

SCANNING

Anatomical Start TOP OF FRONTAL SINUS

Anatomical Stop THROUGH AORTIC ARCH

Inspiration NO

Expiration NO

FILMING/WINDOWING

Soft Tissue YES

Lung Windows YES-IN LUNGS

Bone Windows YES

Reformations NO

NOTES: IF PT. HAS LUMP OR SWELLING-MARK WITH A BB



CT: Liver, tri-phase

SERIES 1 2 3

PARAMETERS UNENHANCED ARTERIAL PHASE PORTAL-VENOUS

Slice Thickness 5 5 5

Index 5 5 5

FOV PT. SIZE PT. SIZE PT. SIZE


CONTRAST

Oral YES YES NO MORE ORAL/IV

IV NO YES CONTRAST GIVEN

Amount 150CCS

Bolus 3CC/SEC

Delay 25-30 SEC 35 SEC FOLLOWING END

OF ARTERIAL PHASE

SCANNING

Anatomical Start TOP OF LIVER TOP OF LIVER TOP OF LIVER

Anatomical Stop

BOTTOM OF LIVER

BOTTOM OF LIVER BOTTOM OF LIVER


Expiration NO NO NO

FILMING/WINDOWING


NOTES: ORAL CONTRAST GIVEN PER ROUTINE ABD. PROTOCOL



CT: Temporal Bones

SERIES 1 2



1.25

Index 1.25 1.25

FOV 22 22

Algorithm BONE-RECON IN STD. BONE-RECON IN STD.

CONTRAST

Oral NO NO

IV NO NO

SCANNING

Anatomical Start THROUGH TEMPORAL

THROUGH TEMPORAL

Anatomical Stop BONES-FOR MASTOID

BONES-FOR MASTOIDS

Inspiration BE SURE TO COVER BE SURE TO COVER

Expiration THROUGH AIR CELLS THROUGH AIR CELLS

FILMING/WINDOWING

Soft Tissue YES YES

Bone Windows YES

YES

NOTES: REPROCESS EACH SIDE SEPARATELY INTO A SMALL FIELD OF VIEW. USE IV CONTRAST IF LOOKING FOR TUMOR.



MR

MR: Ankle

ortho

SERIES Scout 1 2 3 4 5 6 7

Patient Position Supine, Feet First

Coil Type Extremity

Scan Plane 3 Plane Loc Ax T2 Sag T2 Cor T1 Cor PD Cor T2

Pulse Sequence FSE FSE SE SE FSE

Image Options: None

FAT SAT X X X X

SAT X X X X X

OTHER NPW VRW GX NPW / VRW

NPW GX VRW GX VRW GX

NPW YES

SCAN TIMING

Flip Angle

Echo Train Length 4 6 6 6

# of Echoes 1 1 1 1 1

Echo Time (TE) 30 - 40

ms 90 11 17 50

Rep Time (RT) 3000 2500 500 1800 3000

SCANNING RANGE

Field of view 24 11 12 10 10 10

Scan Thickness 5 3 3 3 3 3

Interscan Space 2 0.5 1 0.5 0.5 0.5

Number of Slices

ACQUISITION RANGE

Acq Matrix 256 x 128

512 x 256

512 x 256

256 x 192

256 x 192

256 x 192

Nex/Imaging Time 2 2 2 2 2 2

Frequency Direction A / P S / I S / I S / I S / I

Receive Band Width 15:63 15:63 15:63 15:63

FREQUENCY MODES Prescan

Time Total Time

Imaging Time SHMC 0:00:33 0:04:54 0:02:45 0:03:20 0:01:59 0:03:18 0:04:30 0:21:19



MR: Ankle, achilles

5x ortho

SERIES Scout 1 2 3 4 8 9

PATIENT POSITION

Coil Type Extremity

PARAMETERS

Scan Plane Coronal Sag Sag Axial

Pulse Sequence T1 T1 T2 FSE T1

Image Options: None

FAT SAT X

SAT S / I S / I S / I

OTHER NPW NPW

NPW YES

SCAN TIMING

Echo Train Length 8

# of Echoes 1 1 1 1

Echo Time (TE) MIN MIN MIN MIN

Rep Time (RT) 300 500 2000 + 500

SCANNING RANGE

Field of view 20 16 16 10

Scan Thickness 3 3 4

Interscan Space 0.5 0.5 1

Number of Slices

ACQUISITION RANGE


512 x 256

512 x 256

256 x 224

Nex/Imaging Time 2 2 2



MR: Elbow

5x ortho

SERIES Scout 1 2 3 4 5 6 7 8

PATIENT POSITION

Patient Position SUPINE - ELBOW AT SIDE, THUMB UP UNLESS PAINFUL

Coil Type DEPENDENT UPON PATIENT SIZE AND ELBOW POSITION

PARAMETERS

Scan Plane

3 Plane Loc

COR OBL

COR OBL AXIAL AXIAL SAG SAG

Pulse Sequence T1 SE T2 FSE T1 SE T2 FSE T1 SE T2 FSE

Image Options: None PD

FLOW COMP

FAT SAT X X X

SAT S/I S/I S/I S/I S/I S/I

OTHER NPW NPW NPW

SCAN TIMING

Echo Train Length 4/8 SC 4/8 SC 4/8 SC

# of Echoes 1 1 1 1 1 1

Echo Time (TE) MIN 40 (50) MIN 50 MIN 40 (50)

Rep Time (RT) 500 + 2,500 500 + 4,000 500 + 2500

SCANNING RANGE

Field of view 11 11 11 11 13 13

Scan Thickness 3/3 SC 3/3 SC 3/3 SC 3/3 SC 3/3 SC 3/3 SC

Interscan Space 0 0 0 0 0 0

Number of Slices 23 19 17 21 17 17

ACQUISITION RANGE

Acq Matrix 256 X 224

256 X 224

256 X 224

256 X 224

256 X 224

256 X 224

Nex 2 2 2 2 2 2


Time Total Time

Imaging Time IIHF 0:03:52 0:04:45 0:03:52 0:03:52 0:03:52 0:06:15

Imaging Time IISH 0:06:15

Imaging Time IISC 0:06:15

Imaging Time SHMC 0:06:15

Imaging Time IIVC 0:06:15

Imaging Time SC Open 0:06:15

NOTES: ZIP 512 (LX)

ZIP 512 (LX)

256 / 224

256 / 224



MR: Forefoot infection

5x ortho

SERIES Scout 1 2 3 4 5

PATIENT POSITION

Patient Position Supine

Coil Type Solenoid

PARAMETERS

Scan Plane Obl - Cor

Obl - Cor

Obl - Sag Obl - Axial Obl - Cor

Pulse Sequence T2 -

FMPIR T1 T2 -

FMPIR T1 T1

Image Options: None

FAT SAT X X

SAT A / P A / P A / P A / P A / P

OTHER AUTOSHIM AUTOSHIM

NPW YES

SCAN TIMING

Echo Train Length 4 4

# of Echoes 1 1 1 1 1

Echo Time (TE) 23 MIN 23 MIN MIN

Rep Time (RT) 3500 500 2500 + 500 500

Inv Time (T1) 150 150

SCANNING RANGE

Field of view 8 8 8 8 8

Scan Thickness 3 3 3 3 3

Interscan Space 1 0.5 1 0.5 0.5

ACQUISITION RANGE


256 x 224

256 x 192 256 x 224 256 x 224

Nex/Imaging Time 2 2 2 2 2

Frequency Direction R / L R / L A / P R / L A / P

Receive Band Width 12.8 16 12.8 16 16



MR: Hips


PATIENT POSITION


Coil Type TORSOPA

PARAMETERS

Scan Plane 3-Plane Cor T1 Cor T2 Cor STIR Ax T1 Ax T2 Sag T1 Cor T2

Pulse Sequence Loc SE FSE FIR FSE SE FSE

Image Options: None

FAT SAT X X X

SAT GX Z - 512 Z - 512 S / I S / I (Z 512) S / I

OTHER NPW NPW V3W

NPW, VRW

NPW, Seq

VRW VRW GX VRW GX NPW GX VRW VRW GX

NPW YES

SCAN TIMING

Echo Train Length 16 8 16 4

# of Echoes 1 1 1 1 1 1

Echo Time (TE) MIN 80 50 MIN 80 50

Rep Time (RT) 500 4000 3800 500 4000 3000

Inv Time (T1) 150

SCANNING RANGE

Field of view 48 35 35 35 35 35 20 16

Scan Thickness 4 4 4 5 4 4 4 3

Interscan Space 3 1 1 1 1 1 1 1

Number of Slices

ACQUISITION RANGE


512 x 256

256 x 224

256 x 224

512 x 192

256 x 224

256 x 256

512 x 256

Nex/Imaging Time 2 2 4 2 3 3 2 2

Frequency Direction S / I S / I S / I R / L R / L A / P S / I

Receive Band Width 15:05 12:50 15:63 32:25 20:83 15:63 15:05

FREQUENCY MODES

Imaging Time IIHF 0:06:30

Imaging Time IISH 0:06:30

Imaging Time SHMC 0:01:14 0:04:24 0:03:44 0:03:40 0:04:56 0:02:48 0:04:24

NOTES:

To be done on patients under age 55



MR: Hips, arthrogram with 1% gadolinium

ortho

SERIES Scout 1 2 3 4

PATIENT POSITION


Coil Type Torso Flex (SC), 5" LOOP SHIC, VC (RAD TO

POSITION LOOP)

PARAMETERS

Scan Plane Cor Axial Cor - Obl

Sag - Obl Axial

Pulse Sequence T1 SE T1 SE T1 SE T2 Fast

Image Options: None

FAT SAT X X X X

SAT

OTHER NPW NPW NPW NPW

NPW YES

SCAN TIMING

# of Echoes 1 1 1

Echo Time (TE) MIN MIN MIN 20

Rep Time (RT) 500 500 500 2000

SCANNING RANGE

Field of view 14 - 16 14 - 16 14 - 16 14 - 16

Scan Thickness 3 / 3 SC 3 / 3 SC 3 / 3 SC 3

Interscan Space 0.5 / 0 0.5 / 0 0.5 / 0 0

ACQUISITION RANGE


256 x 224

256 x 224

Nex/Imaging Time 2 2 2

Contrast X X X X



MR: Hips, AVN

ortho

SERIES Scout 1 2 3 4

PATIENT POSITION


Coil Type Torso Flex (SC and SHIC), VC (RAD TO POSITION LOOP)

PARAMETERS

Scan Plane Axial Cor Cor Axial Sag - Obl

Pulse Sequence T1 SE T2 FSE T1 T1

Image Options: None

FAT SAT X

OTHER S / I S / I S / I S / I

NPW YES

SCAN TIMING

Echo Train Length 8 / 32

SC

# of Echoes 1 1 1 1

Echo Time (TE) MIN 102 MIN MIN

Rep Time (RT) 500 4000 600 600

SCANNING RANGE

Field of view

Min FOV to include

both hips

Min FOV to include

both hips

20 (Symptomatic

hip only)

Scan Thickness 4 4 4 4

Interscan Space 1 1 1 1

Number of Slices 36 24 22 22

ACQUISITION RANGE


512 x 256 256 x 256

256 x 256

Nex/Imaging Time 2 2 2 2

FREQUENCY MODES

Imaging Time IIHF 0:05:16 0:04:24 0:05:16 0:05:16

Imaging Time IISH 0:05:16 0:04:24 0:05:16 0:05:16



MR: Hips, post-injection

ortho

SERIES Scout 1 2 3 4 5 6 7 8 9

PATIENT POSITION


Coil Type Paddle

PARAMETERS

Scan Plane Ax Loc Cor Obl

T1 Ax T1 Sag Obl

T1 Ax T1

PD

Pulse Sequence GE SE SE SE FSE

Image Options: None

FAT SAT X X X X

OTHER SQ NP GX NP GX NP GX TRE NP

GX

NPW YES

SCAN TIMING

Echo Train Length 4

# of Echoes 1 1 1 1 1

Echo Time (TE) MIN MIN F MIN F MIN 17

Rep Time (RT) 178 500 500 500 2000

Flip Angle 10

degrees

SCANNING RANGE

Field of view 40 16 16 16 16

Scan Thickness 10 3 3 3 3

Interscan Space 1.5 0 0 0 0

ACQUISITION RANGE


256 x 224

256 x 224

256 x 224

256 x 224

Nex/Imaging Time 1 2 2 2 3

Frequency Direction R / L S / I R / L S / I R / L

FREQUENCY MODES Injection

Time Prescan

Time Total Time

Imaging Time IIHF 0:00:00 0:03:45

Imaging Time IISH 0:00:00 0:03:45

Imaging Time IISC 0:00:19 0:03:52 0:03:52 0:03:52 0:05:40 0:00:00 0:03:45 0:21:20

Imaging Time SHMC 0:00:00 0:03:45

Imaging Time IIVC 0:00:00 0:03:45

Imaging Time IISC Open 0:00:00 0:03:45



MR: Knee, routine

9x ortho

Knee for pain/meniscal tear


Patient Position Supine, Feet first

Coil Type Extremity

PARAMETERS

Scan Plane Axial/ 3

Plane Sag Axial Cor Obl Cor Obl Cor Obl

Pulse Sequence LRF FSE/PD FSE/PD FSE/PD FSH/T2 T1

Image Options:

None

FAT SAT X X X X

SAT S/I S/I S/I S/I S/I


NPW YES

SCAN TIMING

Echo Train

Length

4 6 4 - 5 10

# of Echoes 1 1 1 1 1 1

Echo Time (TE) 9 20 40 25 50 17

Rep Time (RT) 500 2000 -

2500

3000-

4000 2400 3000-

4000 400

Flip Angle 25

SCANNING RANGE

Field of view 18 14 12 12 12 20

Scan Thickness 5 3.5 4 4 4 4

Interscan Space 1.5 0.5 1 1 1 1

Number of

Slices 23/7 23 23 15-17 15-17 15-17

ACQUISITION RANGE

Acq Matrix 256 x

128

512 X

224

512 X

224

512 X

224

512 X

224

256 x

128

Nex 75 1 2 2 2 1

Frequency

Direction

R/L S/I A/P S/I S/I S/I

Receive Band

Width

16K 16 16 16 / 32 16 16

IMAGING TIME Prescan

Time

Total

Time

Imaging Time

IIHF

0:00:50 0:02:45 0:04:07 0:03:23 0:03:07 0:00:56 0:04:30 0:19:38

Imaging Time

IISH

0:00:50 0:02:45 0:04:07 0:03:23 0:03:07 0:00:56 0:04:30 0:19:38

Imaging Time

IISC

0:00:50 0:02:45 0:04:07 0:03:23 0:03:07 0:00:56 0:04:30 0:19:38

Imaging Time

SHMC

0:00:58 0:02:45 0:03:41 0:03:00 0:03:07 0:00:45 0:04:30 0:18:46

Imaging Time

IIVC

0:00:50 0:03:40 0:04:48 0:04:30 0:04:00 0:01:00 0:04:30 0:23:18



MR: Knee, arthrogram

5x ortho


PATIENT POSITION


Coil Type Extremity

PARAMETERS

Scan Plane Axial/ 3 Plane Sag Sag Cor Obl Cor Obl AX

Pulse Sequence LRF FSE/PD T1 FSE/T2 T1 T1

Image Options: None

FAT SAT X X X X


OTHER NPW NPW NPW

SCAN TIMING

Flip Angle


# of Echoes 1 1 1 1 1 1

Echo Time (TE) 9 20 MIN 50 MIN MIN

Rep Time (RT) 500 2000 - 2500 500+

3000- 4000

500 - 800

500 - 800

Flip Angle 25

SCANNING RANGE

Field of view 18 14 14 12 12 12

Scan Thickness 5 3.5 3.5 4 4 4

Interscan Space 1.5 0.5 0.5 1 1 1

Number of Slices 23/7 23 23 15-17 15-17 20

ACQUISITION RANGE


512 X 224

512 X 224

512 X 224

513 X 224

514 X 224

Nex 75 1 1 2 2 2

Frequency Direction R/L S/I S/I S/I S/I R/L

Receive Band Width 16K 16 16 16 16 16


Time Total Time

Imaging Time IIHF 0:00:50 0:02:45 0:04:00 0:03:07 0:07:45 0:07:45 0:07:45 0:33:57

Imaging Time IISH 0:00:50 0:02:45 0:04:00 0:03:07 0:07:45 0:07:45 0:07:45 0:33:57



Imaging Time IIVC 0:00:50 0:03:40 0:05:53 0:04:00 0:05:53 0:08:00 0:07:45 0:36:01



MR: Knee with growth plate

5x ortho

SERIES Scout 1 2 3 4 5 6 7 8 9

PATIENT POSITION


Coil Type Extremity

PARAMETERS

Scan Plane Axial/ 3 Plane Sag Axial Cor Obl Cor Obl Cor Obl

Sag Obl ACL

Axial or Coronal

Pulse Sequence LRF FSE/PD FSE/PD FSE/PD FSH/T2 T1 FSE/PD FGRE

Image Options: None

FAT SAT X X X X X

SAT S/I S/I S/I S/I S/I S/I S/I

OTHER NPW NPW NPW NPW NPW

NPW YES

SCAN TIMING

Echo Train Length 4 6 4 - 5 10 8

# of Echoes 1 1 1 1 1 1 1 1

Echo Time (TE) 9 20 40 25 50 17 60 9

Rep Time (RT) 500 2000 - 2500

3000- 4000 2400

3000- 4000

500 - 800 2000 30

Flip Angle 25 50

SCANNING RANGE

Field of view 18 14 12 12 12 12 12 10

Scan Thickness 5 3.5 5 4 4 4 3 1.5

Interscan Space 1.5 0.5 1 1 1 1 0 0

Number of Slices 23/7 23 19-20 15-17 15-17 15-17 10 60

ACQUISITION RANGE


512 X 224

512 X 224

512 X 224

512 X 224

256 x 192

256 x 224

256 x 192

Nex 75 1 2 2 2 2 2 1

Frequency Direction R/L S/I A/P S/I S/I S/I A/P

DEFAULT

Receive Band Width 16K 16 16 16 / 32 16 16 16 16

IMAGING TIME Total Time

Imaging Time IIHF 0:00:50 0:02:45 0:03:41 0:03:41 0:03:07 0:03:20 0:01:56 0:06:12 0:25:32

Imaging Time IISH 0:00:50 0:02:45 0:03:41 0:03:41 0:03:07 0:03:20 0:01:56 0:06:12 0:25:32

Imaging Time IISC 0:00:58 0:02:25 0:04:00 0:02:40 0:03:16 0:03:44 0:02:43 0:06:12 0:25:58





MR: Knee, trauma, no history of surgery

9x ortho

SERIES Scout 1 2 3 4 5 6 7 8

PATIENT POSITION


Coil Type Extremity

PARAMETERS

Scan Plane Axial/ 3 Plane Sag Axial Cor Obl Cor Obl Cor Obl

Sag Obl ACL

Pulse Sequence LRF FSE/PD FSE/PD FSE/PD FSH/T2 T1 FSE/PD

Image Options: None

FAT SAT X X X X X

SAT S/I S/I S/I S/I S/I S/I


NPW YES

SCAN TIMING

Echo Train Length 4 6 4 - 5 10 8

# of Echoes 1 1 1 1 1 1 1

Echo Time (TE) 9 20 40 25 50 17 60

Rep Time (RT) 500 2000 - 2500

3000- 4000 2400

3000- 4000 400 2000

Flip Angle 25

SCANNING RANGE

Field of view 18 14 12 12 12 20 12

Scan Thickness 5 3.5 4 4 4 4 3

Interscan Space 1.5 0.5 1 1 1 1 0

Number of Slices 23/7 23 23 15-17 15-17 15-17 10

ACQUISITION RANGE


512 X 224

512 X 224

512 X 224

512 X 224

256 x 128

256 x 224

Nex 75 1 2 2 2 1 3

Frequency Direction R/L S/I A/P S/I S/I S/I A/P

Receive Band Width 16K 16 16 16 / 32 16 16 16


Time Total Time

Imaging Time IIHF 0:00:50 0:02:45 0:04:07 0:03:23 0:03:07 0:00:56 0:02:52 0:06:15 0:24:15

Imaging Time IISH 0:00:50 0:02:45 0:04:07 0:03:23 0:03:07 0:00:56 0:02:52 0:06:15 0:24:15

Imaging Time IISC 0:00:50 0:02:45 0:04:07 0:03:23 0:03:07 0:00:56 0:02:52 0:06:15 0:24:15

Imaging Time SHMC 0:00:58 0:02:45 0:03:41 0:03:00 0:03:07 0:00:45 0:02:36 0:06:15 0:23:07

Imaging Time IIVC 0:00:50 0:03:40 0:04:48 0:04:30 0:04:00 0:01:00 0:04:00 0:06:15 0:29:03



MR: Knee with history of surgery

5x ortho

SERIES Scout 1 2 3 4 5 6 7 8 9

PATIENT POSITION


Coil Type Extremity

PARAMETERS

Scan Plane Axial/ 3 Plane Sag Sag Axial Cor Obl Cor Obl Cor Obl

Sag Obl ACL

Pulse Sequence LRF FSE/PD T2 FSE/PD FSE/PD FSH/T2 T1 FSE/PD

Image Options: None

FAT SAT X X X X X

SAT S/I S/I S/I S/I S/I S/I S/I


NPW YES

SCAN TIMING

Echo Train Length 4 6 6 4 - 5 10 8

# of Echoes 1 1 1 1 1 1 1 1

Echo Time (TE) 9 20 90 40 25 50 17 60

Rep Time (RT) 500 2000 - 2500 4000

3000- 4000 2400

3000- 4000 400 2000

Flip Angle 25

SCANNING RANGE

Field of view 18 14 14 12 12 12 20 12

Scan Thickness 5 3.5 3.5 4 4 4 4 3

Interscan Space 1.5 0.5 0.5 1 1 1 1 0

Number of Slices 23/7 23 23 23 15-17 15-17 15-17 10

ACQUISITION RANGE


512 x 224

512 x 224

512 x 224

512 x 224

512 x 224

256 x 128

256 x 224

Nex 75 1 1 2 2 2 1 3

Frequency Direction R/L S/I S/I A/P S/I S/I S/I A/P

Receive Band Width 16K 16 16 16 16 / 32 16 16 16


Time Total Time

Imaging Time IIHF 0:00:50 0:02:45 0:04:13 0:04:07 0:03:23 0:03:07 0:00:56 0:02:52 0:07:00 0:25:00

Imaging Time IISH 0:00:50 0:02:45 0:04:13 0:04:07 0:03:23 0:03:07 0:00:56 0:02:52 0:07:00 0:25:00

Imaging Time IISC 0:00:50 0:02:45 0:04:13 0:04:07 0:03:23 0:03:07 0:00:56 0:02:52 0:07:00 0:25:00

Imaging Time SHMC 0:00:58 0:02:45 0:04:05 0:03:41 0:03:00 0:03:07 0:00:45 0:02:36 0:07:00 0:23:52

Imaging Time IIVC 0:00:50 0:03:40 0:04:48 0:04:30 0:04:00 0:01:00 0:04:00 0:07:00 0:29:48



MR: Liver, standard

SERIES Scout 1 2 3 4 5 6 7 8

PATIENT POSITION

Patient Position FEET FIRST

Coil Type TORSO

PARAMETERS

Scan Plane 3 PLANE LOC COR AX AX AX AX AX AX AX

Pulse Sequence SPGR SSFSE SSFSE SSFSE FMPSP

GR FMPSPG

R FSE 3D SAT FAT FMPSPGR

Image Options: None

IN PHASE

OUT PHASE

FLOW COMP YES

FAT SAT YES YES SPEC FAT YES

SAT SI SI SI SI SIA AP

OTHER R TRIG

SCAN TIMING

Echo Train Length 16

# of Echoes 1

Echo Time (TE) MIN 90 90 180 4.2 2.1(MIN) 90 MIN MIN

Rep Time (RT) MIN NA NA NA 120 120 4000 MIN 120

Inv Time (T1)

Flip Angle NA NA NA 80 80 15 90

SCANNING RANGE

Field of view 48 40X40 32X24 32X24 32X24 32X24 32X24 38 32X24

Scan Thickness 7 8 8 8 8 8 8 6 8

Interscan Space 2 0 0 0 0 0 2 0 0

Number of Slices 11

ACQUISITION RANGE

Acq Matrix 256X128 256X1

60 256X1

60 256X1

60 256X19

2 256X192 256X2

56 24\56X256 256X192

Nex 1 0.5 0.5 0.5 1 1 2 0.5 1

Frequency Direction SI SI RL RL RL RL RL RL RL

Receive Band Width 31 31 31 32 43 31 31 32

NOTES:

PRE/POSTX3 NO ZIP(512ZIP) TIME TO 15SEC,32SLICES



MR: Liver, standard (no breath hold)


PATIENT POSITION


Coil Type TORSO

PARAMETERS

Scan Plane 3 PLANE LOC COR AX AX AX AX AX

Pulse Sequence SPGR SSFSE SSFSE SSFSE T1 SE T1 SE FSE

Image Options: None

FLOW COMP YES

FAT SAT YES YES YES

SAT SI SI SIA SIA SIA

OTHER RESP

COMP RESP

COMP R TRIG

SCAN TIMING

Echo Train Length 16

# of Echoes 1

Echo Time (TE) MIN 102 102 180 MIN MIN 90

Rep Time (RT) MIN N/A N/A N/A 500 500 4000

SCANNING RANGE

Field of view 48 40X40 32X24 32X24 32X32 32X32 32X24

Scan Thickness 7 8 8 8 8 8 8

Interscan Space 2 0 0 0 1 1 2

Number of Slices 11

ACQUISITION RANGE

Acq Matrix 256X128 256X160 256X192 256X192 256X192 256X128 256X256

Nex 1 0.5 0.5 0.5 2 2 2

Frequency Direction SI SI RL RL RL RL RL

Receive Band Width 31 31 31 16 16 31

Contrast

NOTES: FS 120,TE NOT OVER 500



MR: Liver, cirrhosis/shunt

SERIES Scout 1 2 3 4 5 6 7 8 9

PATIENT POSITION


Coil Type TORSO

PARAMETERS

Scan Plane

3 PLANE LOC COR AX AX AX AX AX AX AX

Pulse Sequence SPGR SSFSE SSFSE SSFSE

FMPSPGR FMPS[GR 2D TOF

2D CINE PC

3D FAT SAT

FMPSPGR

Image Options: None IN PHASE

OUT PHASE

ACQ IN SI FLOW DIRECTION

PRE&POSTX3

FAT SAT YES SPECFAT YES

SAT SI SI SI SI AP

OTHER VENC30

SCAN TIMING

# of Echoes 1

Echo Time (TE) MIN 90 90 180 4.2 2.1 (MIN ) MIN MIN MIN MIN

Rep Time (RT) MIN N/A N/A N/A 120 120 25 25 MIN 120

Flip Angle 80 80 50 20 15 90

SCANNING RANGE

Field of view 48 40X40 32X24 32X24 32X24 32X24 32X24 32X24 32X24 32X24

Scan Thickness 7 10 8 8 8 8 2.5 8 7 8


Number of Slices 11



ACQUISITION RANGE

Acq Matrix 256X128 245X160 245X160 256X160 256X128 256X128 256X128 256X160 256X192 256X192

Nex 1 0.5 0.5 0.5 1 1 NONE 1 0.5 1

Frequency Direction SI SI RL RL RL RL RL

Receive Band Width 31 31 31 32 32 32 16 31 32

Contrast YES YES YES

Contrast

NOTES: INCLUDE ENTIRE LIVER& SPLEEN

CARDIAC REORDERED PSD IS FGREC

CARDIAC REORDERED PSD ID FGREC

INCLUDE ENTIRE SHUNT

MODOFY CV TO MAG MASK,NO DYN RANGE

NO ZOP,(512ZIP)TIME TO 15SEC,32 SLICE

CARDIAC REORDERED PSD IS FGREC

SINGLE SLICE PHASE DIFF



MR: Liver, ferridex

SERIES Scout 1 2 3 4 5 6 7 8

PATIENT POSITION


Coil Type TORSO

PARAMETERS

Scan Plane 3 PLANE LOC COR AX AX AX AX AX AX AX

Pulse Sequence SPGR SSFSE SSFSE SSFSE FSE FMPSP

GR FMPSPGR FSE FMPSPGR

Image Options: None

IN PHASE

OUT PHASE

FLOW COMP YES YES

FAT SAT YES YES YES

SAT SI SI SI SI SI SI

OTHER R TRIG RESP COMP R TRIG

RESP COMP

SCAN TIMING


# of Echoes 1 1

Echo Time (TE) MIN 102 92 180 60 4.2 2.1 (MIN

TE) 60 4.2

Rep Time (RT) MIN N/A N/A N/A 4000 150 120 4000 150

Flip Angle 80 80 80

SCANNING RANGE

Field of view 48 40X40 32X24 32X24 32X24 32X24 32X24 32X24 32X24

Scan Thickness 7 8 8 8 8 8 8 8 8


Number of Slices 11

ACQUISITION RANGE

Acq Matrix 256X128 256X16

0 256X19

2 256X19

2 256X25

6 256X19

2 256X192 256X256 256X192

Nex 1 0.5 0.5 0.5 2 1 1 2 1

Frequency Direction SI SI RL RL RL RL RL RL RL

Receive Band Width 31 31 31 31 32 32 31 32

Contrast YES YES



MR: Pancreas Standard


PATIENT POSITION


Coil Type TORSO

PARAMETERS

Scan Plane 3 PLANE LOC COR AX AX AX COR COR AX

Pulse Sequence SPGR SSFSE

FMPSPGR-IN SSFSE T1 SE

SSFSE MRCP

SSFSE MRCP 3D FAT SAT

Image Options: None

FAT SAT X X

SAT NONE SI SI SIA

OTHER RESP

SCAN TIMING

# of Echoes 1

Echo Time (TE) MIN 180 4.2 90 MIN MAX

MAX MIN

Rep Time (RT) MIN N/A 120 N/A 500 N/A N/A MIN

Flip Angle N/A N/A 20

SCANNING RANGE

Field of view 48 40X40 32X24 32X24 32X32 28 28 32X24

Scan Thickness 7 6 8 8 8 5CM 5

5


0

Number of Slices 11

ACQUISITION RANGE

Acq Matrix 256X12

8 256X192 256X192 256X160 256X128 256X160 256X160

Nex 1 0.5 1 0.5 2 0.5

Frequency Direction SI SI RL RL RL SI SI RL


Contrast YES YES

Contrast

NOTES:

TW0 BREATH HOLDS LIVER&PANCREAS

ONE BREATH HOLD

ONE BREATH HOLD

PRE/POST X3TIME TO 3SEC



MR: Pelvis


PATIENT POSITION


Coil Type TORSO

PARAMETERS

Scan Plane 3 PLANE LOC COR SAG AX AX AX AX AX

Pulse Sequence SPGR FSE FSE T1 SE T2 FSE FMSPGR BR HOLD FMPSPGR

Image Options: None

FAT SAT YES YES YES

SAT SI SI SI SI SIAP AP SIAP


SCAN TIMING

# of Echoes 1

Echo Time (TE) MIN 90 90 MIN 90 90 MIN MIN

Rep Time (RT) MIN 4000 4000 500 4000 400 120 400

Flip Angle 90 90

SCANNING RANGE

Field of view 48 24X24 20X20 20X20 20X20 20X20 24X24 20X20

Scan Thickness 7 5 4INTER 5 4INTER 5 6 5


ACQUISITION RANGE

Acq Matrix 256X128 256X256 256X256 256X192 256X256 256X128 256X128 256128

Nex 1 2 2 2 2 2 1 2

Frequency Direction SI SI SI AP AP AP

LR AP

Receive Band Width 32 32 16 32 32

32 32

Contrast YES YES

Contrast

NOTES:

USE 1MG GLUCAGON IM PRIOR TO STUDY



MR: Pelvis, complete

ovarian, prostate, bladder, endometrial, and rectal tumors


PATIENT POSITION


Coil Type TORSO

PARAMETERS

Scan Plane 3 PLANE LOC COR SAG AX AX AX AX AX

Pulse Sequence SPGR FSE FSE T1 SE T2 FSE FMSPGR BR HOLD

FMPSPGR

Image Options: None

FAT SAT YES YES YES

SAT SI SI SI SI SIAP AP SIAP


SCAN TIMING

# of Echoes 1

Echo Time (TE) MIN 90 90 MIN 90 90 MIN MIN

Rep Time (RT) MIN 4000 4000 500 4000 400 120 400

Flip Angle 90 90

SCANNING RANGE

Field of view 48 24X24 20X20 24X24 20X20 20X20 24X24 20X20

Scan Thickness 7 5 4INTER 5 4INTER 5 6 5


Number of Slices 11

ACQUISITION RANGE

Acq Matrix 256X12

8 256X256 256X256 256X192 256X256 256X128 256X128

256x128

Nex 1 2 2 2 2 2 1 2

Frequency Direction SI SI SI AP AP AP LR AP

Receive Band Width 32 32 16 32 32 32 32

Contrast YES YES



MR: Pelvis, limited

endometriosis, ovarian cysts, uterine fibroids (non-embolization), chronic pelvic pain

SERIES Scout 1 2 3 4 5

PATIENT POSITION


Coil Type TORSO

PARAMETERS

Scan Plane 3 PLANE LOC COR SAG AX AX AX

Pulse Sequence SPGR FSE FSE T1 SE T2 FSE FMSPGR

Image Options: None

FAT SAT YES

SAT SI SI SI SI SIAP

OTHER NPW NPW NPW

SCAN TIMING

Echo Train Length

# of Echoes 1

Echo Time (TE) MIN 90 90 MIN 90 90

Rep Time (RT) MIN 4000 4000 500 4000 400

SCANNING RANGE

Field of view 48 24X24 20X20 24X24 20X20 20X20

Scan Thickness 7 5 4INTER 5 4INTER 5


Number of Slices 11

ACQUISITION RANGE

Acq Matrix 256X128 256X256 256X256 256X192 256X256 256X128

Nex 1 2 2 2 2 2





MR: Pelvis, relaxation

cystocele, enterocele, rectocele


PATIENT POSITION


Coil Type TORSO

PARAMETERS

Scan Plane 3 PLANE LOC COR SAG AX AX AX SAG

Pulse Sequence SPGR FSE FSE SE T1 T2 FSE FMPSPGR SSFSE DYNAMIC

Image Options: None NPW NPW NPW

FAT SAT YES

SAT SI SI SI SI SI

OTHER

SCAN TIMING

# of Echoes 1

Echo Time (TE) MIN 90 90 MIN 90 MIN 90

Rep Time (RT) MIN 4000 4000 500 4000 400 N/A

Inv Time (T1)

Flip Angle 90

SCANNING RANGE

Field of view 48 24X24 20X20 20X20 20X20 20X020

Scan Thickness 7 5 4 INTER 5 4INTER 5 5


Number of Slices 11

ACQUISITION RANGE


Nex 1 2 2 2 2 2 0.5

Frequency Direction SI SI SI AP AP AP SI


Contrast


Time

NOTES:

10 SLICES PERFORM 4TIMES



MR: Pelvis, perineal fistula

extend FOV to cover perineum and buttocks

SERIES Scout 1 2 3 4 5 6 7 8

PATIENT POSITION


Coil Type TORSO

PARAMETERS

Scan Plane 3 PLANE LOC COR SAG AX AX AX AX AX AX

Pulse Sequence SPGR FSE FSE T1 SE T2 FSE FMSPGR BR HOLD T1 T1

Image Options: None

FAT SAT YES YES YES YES

SAT SI SI SI SI SIAP AP SIAP SIAP


SCAN TIMING

# of Echoes 1

Echo Time (TE) MIN 90 90 MIN 90 90 MIN MIN MIN

Rep Time (RT) MIN 4000 4000 500 4000 400 120 500 500

Flip Angle 90

SCANNING RANGE

Field of view 48 24X24 20X20 24X24 20X20 20X20 24X24 24X24 20X20

Scan Thickness 7 5 4INTER 5 4INTER 5 6 5 5


Number of Slices 11

ACQUISITION RANGE

Acq Matrix 256X128 256X256 256X256 256X192 256X256 256X128 256X128 256x128 256x128

Nex 1 2 2 2 2 2 1 2 2


LR AP AP


32 32 32

Contrast YES YES YES

center right, left or midline as dictated by series 6,7 findings



MR: Pelvis, fibroid embolization (pre and post)


PATIENT POSITION


Coil Type TORSO

PARAMETERS

Scan Plane 3 PLANE LOC COR SAG AX AX AX SAG

Pulse Sequence SPGR FSE FSE T1 SE FMSPGR FMPSPGR FMPSPGR

Image Options: None

FAT SAT YES YES YES

SAT SI SI SI SIAP SIAP SIAP


SCAN TIMING

# of Echoes 1

Echo Time (TE) MIN 90 90 MIN 90 MIN MIN

Rep Time (RT) MIN 4000 4000 500 400 400 400

Flip Angle 90 90

SCANNING RANGE


Scan Thickness 7 5 4INTER 5 5 5 5


Number of Slices 11

ACQUISITION RANGE

Acq Matrix 256X128 256X256 256X256 256X192 256X128 256x128 256x128

Nex 1 2 2 2 2 2 2

Frequency Direction SI SI SI AP AP AP AP


Contrast YES YES



MR: Renal Arteries


PATIENT POSITION


Coil Type TORSO

PARAMETERS

Scan Plane 3 PLANE LOC COR SAG AX AX AX COR

Pulse Sequence SPGR SSFSE SSFSE T1 SE 3D-PC FMPSPGR 3D EFGRE

Image Options: None

FAT SAT YES SPEC FAT

SAT SI I

SCAN TIMING

# of Echoes 1

Echo Time (TE) MIN 90 MIN MIN MIN MIN MIN

Rep Time (RT) MIN N/A MIN 400 MIN 120 MIN

Flip Angle 90 45 90 60

SCANNING RANGE

Field of view 48 40 28 TO FIT 28X21 TO FIT 28

Scan Thickness 7 8 NONE 5 2 7 2.5MM

Interscan Space 2 0 1 0 0

Number of Slices 11

ACQUISITION RANGE


Nex 1 0.5 1 2 1 1 0.5

Frequency Direction SI SI SI RL RL RL SI


Contrast YES

Contrast

NOTES: INCLUDE KIDNEYS 32 SLICES VENC20

MULTI BREATH HOLDS

PRE/POSTX2 SLICE ZIP(512ZIP) EXTEND TO COVER CELIAC & SMA



MR: Renal Mass


PATIENT POSITION


Coil Type TORSO

PARAMETERS

Scan Plane 3 PLANE LOC COR AX AX AX COR AX

Pulse Sequence SPGR SSFSE SSFSE

FMPSPGR IN

FMPSPGR OUT 3D FMPSPGR

Image Options: None

FAT SAT SPECFAT YES

SAT SI

SCAN TIMING

# of Echoes 1

Echo Time (TE) MIN 90 180 4.2 2.1 MIN MIN

Rep Time (RT) MIN NA NA 120 120 MIN 150

Flip Angle 90 90 15 90

SCANNING RANGE




Number of Slices 11

ACQUISITION RANGE


Nex 1 0.5 0.5 0.5 0.5 0.5 1

Frequency Direction SI SI RL RL RL SI RL


Contrast

NOTES:

TO COVER MASS

TO COVER MASS

PRE/POSTX3 TIME TO 15 SEC

ONE BREATH

HOLD



MR: Shoulder 5x ortho

SERIES Scout 1 2 3 4 5 6 7 8

PATIENT POSITION

Patient Position Supine, Head first

Coil Type Shoulder

PARAMETERS

Scan Plane Axial/ 3 Plane Cor Obl Cor Obl Axial Axial Sag Obl

Pulse Sequence GRE FSE SE FSE PD FSE T2 FSE

Image Options: None

FLOW COMP X X X

FAT SAT X X X X


OTHER

NPW Sequential NPW NPW NPW

NPW Tailored

RF NPW

NPW YES

SCAN TIMING

Echo Train Length 6 4 8/6 6

# of Echoes 1 1

Echo Time (TE) 8 69 17 19 76 64

Rep Time (RT) 18 3000 550 1650 3000 3000

Flip Angle 10

SCANNING RANGE

Field of view 24 12 12 12 12 12

Scan Thickness 7 3.5 3.5 3.5 3.5 3.5

Interscan Space 2 0.5 0.5 0.5 0.5 0.5

Number of Slices 12 18 18 18 18 21

ACQUISITION RANGE

Acq Matrix 256 x 128 256 x 192

256 x 192

256 x 192

256 x 192

256 x 192

Nex 0.75 2 2 2 2 2

Frequency Direction R/L A/P A/P R/L R/L S/I



Time Total Time






NOTES: Trailer RF



MR: Shoulder, Post-injection


PATIENT POSITION

Patient Position Supine, Head First

Coil Type Shoulder ABER Paddles

PARAMETERS

Scan Plane Ax Loc Cor T1 Cor T2 Sag T1 Ax T1 Cor Loc T1

Pulse Sequence GE SE FSE SE SE GE SE

Image Options: None

FAT SAT X X X X

OTHER NP GR TRE NP

GX NP GX NP NP GX

NPW YES

SCAN TIMING

Echo Train Length 8

# of Echoes 1 1 1 1 1 1 1

Echo Time (TE) MIN MIN 64 MIN MIN MIN MIN

Rep Time (RT) 250 500 3300 500 500 250 500

Flip Angle 20

degrees 20

degrees

SCANNING RANGE

Field of view 24 12 12 12 12 24 14


Interscan Space 1.5 0 0 0 0 1.5 1

ACQUISITION RANGE


256 x 224

256 x 224

256 x 224 256 x 224

256 x 128

256 x 192

Nex/Imaging Time 0.75 2 2 2 2 1 3

Frequency Direction R / L S / I S / I S / I R / L S / I S / I



MR: Standard Adrenal


PATIENT POSITION


Coil Type TORSO

PARAMETERS

Scan Plane 3 PLANE LOC COR AX AX AX AX COR

Pulse Sequence SPGR SSFSE FMPSPGR SSFSE FMPSPGR 3D FAT SAT

Image Options: None IN PHASE OUT PHASE

FAT SAT YES SPEC FAT*

SCAN TIMING

# of Echoes 1 FMPSPGR

Echo Time (TE) MIN 90 4.2 MIN 102 MIN MIN

Rep Time (RT) MIN MIN 120 120 N/A 120 MIN

Flip Angle N/A 90 90 N/A 90 15

SCANNING RANGE




Number of Slices 11

ACQUISITION RANGE


Nex 1 0.5 1 1 0.5 1 0.5

Frequency Direction SI SI RL RL RL RL SI


Contrast YES YES

Contrast

NOTES:

ABOVE ADRENALS TO MID RENAL

ABOVE ADRENALS TO MID RENALS

EXTEND TO COVER ABDOMEN&LIVER

*T1 24MSEC PRE/POST X3



MR: Thoracic Aorta/Mediastinum


PATIENT POSITION


Coil Type TORSO

PARAMETERS

Scan Plane 3 PLANE LOC COR AX AX SAG AX SAG

Pulse Sequence SPGR SSFSE FMPSPGR-

IN T1 SE T1 SE 2D TOF 3D FAT SAT

Image Options: None

EKG GATING

EKG GATING

FLOW COMP

FAT SAT SPEC FAT

SAT SI SI SI

OTHER

RESP COMP

EKG GATING

RESP COMP

SCAN TIMING

Echo Train Length

# of Echoes 1

Echo Time (TE) MIN 102 4.2 MIN MIN MIN MIN

Rep Time (RT) MIN N/A MIN 500 500 MIN MIN

Inv Time (T1)

Flip Angle 40 45 45

SCANNING RANGE


Scan Thickness 7 8 8 6 6 2.5 3


Number of Slices 11

ACQUISITION RANGE


Nex 1 0.5 1 2 2 1 0.5

Frequency Direction SI SI RL RL SI RL SI


Contrast YES

NOTES: BREATH HOLD

BREATH HOLD

SPOILED

PRE/POSTX2 TIME TO 12 SEC SLICE

ZIP



MR: Wrist 5x ortho


PATIENT POSITION

Patient Position Head First, Prone

Coil Type CTLMid

PARAMETERS

Scan Plane Cor Axial T2 Cor Dual

Echo Cor

MPGR Cor 3D Sag T1

Pulse Sequence SE FSE SE / PD GE SPGR SF

Image Options: None

FAT SAT X X

SAT S / I I I I

OTHER Gx Obl Gx Obl Gx, VB,

Obl Gx, VB Gx Obl NPW

SCAN TIMING

Echo Train Length 8 30 Flip 20 Flip

# of Echoes 1 1 2 1 1 1

Echo Time (TE) MIN 70 MIN/FULL 17 15 MIN/FULL

Rep Time (RT) 300 2500 2500 600 69 500

SCANNING RANGE

Field of view 24 8 8 8 8 10

Scan Thickness 4 3 2.5 2.5 1 3

Interscan Space 1.5 0 0.5 0.5 0

Number of Slices 11 28

ACQUISITION RANGE


256 x 224 256 x 224

256 x 224

256 x 256 256 x 224

Nex/Imaging Time 1 2 1 2 1 1

Frequency Direction S / I S / I S / I S / I S / I S / I

Contrast 15 12.5


Time Total Time





Imaging Time IIVC NA NA NA NA NA NA NA NA

Imaging Time IISC Open NA NA NA NA NA NA NA NA


Standard Imaging Protocols - vRad€¦ · Standard Imaging Protocols This document includes typical...

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Transcript of Standard Imaging Protocols - vRad€¦ · Standard Imaging Protocols This document includes typical...