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1 MRI-Neuro Protocols Brain Protocols... 2 WITH AND WITHOUT... 3 WITHOUT CONTRT... 4 HHT... 5 MS WITH AND WITHOUT CONTRT... 6 MS WITHOUT CONTRT... 7 PEDIATRIC... 8 PEDIATRIC WITH CONTRT... 9 PITUITARY NO OP PITUITARY POST OP TEMPORAL LOBES HIGH RESOLUTION... Error! Bookmark not defined. VENOUS INFARCT/ SINUS THROMBOSIS... Error! Bookmark not defined.

2 Brain Protocols

3 WITH AND WITHOUT COR T1 OPTIONAL SAG T1 T2 FLAIR DWI POST POST AX GRE PATIENT COIL TYPE HEAD HEAD HEAD HEAD HEAD HEAD HEAD HEAD POSITION PLANE SAG COR PARAMETERS MODE 2D 2D 2D 2D 2D 2D 2D 2D USER CV S PSD FLAIR SE SE IR EPI SE SE SE GRE SCAN TIMING FLIP ANGLE 20 TE MIN-FULL MIN-FULL MIN-FULL MIN-FULL 15 TR TI 2200 AUTO CF WATER WATER WATER WATER WATER WATER WATER WATER FOV # S 5/0 5/0 5/0 5/0 5/0 5/0 5/0 5/0 NEEDED SAT I I I I I I/FS I I MATRIX 256X X X X X X X X192 S/I A/P A/P A/P A/P A/P S/I A/P 28 ENTIRE EXAMPLE S EXAMPLE S EXAMPLE S EXAMPLE S EXAMPLE S EXAMPLE S

4 WITHOUT CONTRT SAG T1 T2 FLAIR DWI PATIENT COIL TYPE HEAD HEAD HEAD HEAD POSITION PLANE SAG PARAMETERS MODE 2D 2D 2D 2D SE SE IR EPI USER CV S PSD FLAIR SCAN TIMING FLIP ANGLE TE MIN-FULL TR TI 2200 AUTO CF WATER WATER WATER WATER FOV /0 5/0 5/0 5/0 # S NEEDED SAT I I I I MATRIX 256X X X X192 S/I A/P A/P A/P ENTIRE

5 HHT SAG T1 T2 GRE DWI FLAIR POST FS COR T1 POST MRA COW +/- GADO PATIENT COIL TYPE HEAD HEAD HEAD HEAD HEAD HEAD HEAD HEAD HEAD POSITION PLANE SAG COR PARAMETER MODE 2D 2D 2D 2D 2D 2D 2D 2D 3D SE SE GRE EPI IR SE SE SE USER CV S PSD FLAIR SCAN TIMING FLIP ANGLE TE MIN-FULL MIN-FULL MIN-FULL MIN-FULL 4.6 TR TI 2200 AUTO CF WATER WATER WATER WATER WATER WATER WATER WATER WATER AT THIS LET FOV /0 5/0 5/0 5/0 5/0 5/0 5/0 5/ # S SLAB NEEDED SAT I I I I I I I/FS I S MATRIX 256X X X X X X X X X256 S/I A/P A/P A/P A/P A/P A/P S/I A/P ENTIRE ANGLE ON ANGLE ON ANGLE ON ANGLE ON ANGLE ON ANGLE ON HOSP IS 2 SLABS HCH AND CAMT IS 1 SLAB

6 MS WITH AND WITHOUT CONTRT SAG T1 T2 SAG FLAIR FLAIR DWI POST COR T1 POST PATIENT COIL TYPE HEAD HEAD HEAD HEAD HEAD HEAD HEAD HEAD POSITION PLANE SAG SAG COR PARAMETERS MODE 2D 2D 2D 2D 2D 2D 2D 2D SE SE IR IR EPI SE SE SE USER CV S PSD FLAIR FLAIR SCAN TIMING FLIP ANGLE TE MIN-FULL MIN-FULL MIN-FULL MIN- FULL TR TI AUTO CF WATER WATER WATER WATER WATER WATER WATER WATER FOV /0 5/0 3/0 5/0 5/0 5/0 5/0 5/0 # S NEEDED SAT I I I I I I I/FS I MATRIX 256X X X X X X X X256 S/I A/P S/I A/P A/P A/P A/P S/I ENTIRE ANGLE ON

7 MS WITHOUT CONTRT SAG T1 T2 FLAIR DWI SAG FLAIR PATIENT COIL TYPE HEAD HEAD HEAD HEAD HEAD POSITION PLANE SAG SAG PARAMETERS MODE 2D 2D 2D 2D 2D SE SE IR EPI IR USER CV S PSD FLAIR FLAIR SCAN TIMING FLIP ANGLE TE MIN-FULL TR TI AUTO CF WATER WATER WATER WATER WATER FOV /0 5/0 5/0 5/0 3/0 # S NEEDED SAT I I I I I MATRIX 256X X X X X256 S/I A/P A/P A/P S/I ENTIRE

8 PEDIATRIC OPTIONAL 2D COR MRV SAG T1 IR T2 FLAIR DWI PD OPTIONAL MRA HEAD PATIENT COIL TYPE HEAD HEAD HEAD HEAD HEAD HEAD HEAD HEAD POSITION PLANE SAG COR PARAMETERS MODE 2D 2D 2D 2D 2D 3D 2D 2D OPTIONAL GRE FSE SE IR EPI FL OR SPGR FL GRE USER CV S PSD FLAIR SCAN TIMING FLIP ANGLE TE TR TI AUTO CF WATER WATER WATER WATER WATER FOV ACCORDI NG TO HEAD SIZE ACCORDING TO HEAD SIZE ACCORDIN G TO HEAD SIZE ACCORDIN G TO HEAD SIZE ACCORDI NG TO HEAD SIZE ACCORDING TO HEAD SIZE 220 ACCORDING TO HEAD SIZE 4/.4 3/0 3/0 3/0 3/ /0 # S NEEDED NEEDED NEEDED NEEDED NEEDED NEEDED 128 NEEDED SAT I I I I I I MATRIX 256X X X X X X192 INTERP 256X192 S/I A/P A/P A/P A/P A/P A/P INCLUDE ALL OF DO FOR STROKE DO FOR VENOUS ISSUES DO SAG PC ALSO DO IF L/F HEMMORAGE, VC MALFORMATI ON, OR BIRTH TRAUMA

9 PEDIATRIC WITH CONTRT SAG T1 T2 FLAIR DWI PD T2 POST COR T1 POST PATIENT COIL TYPE HEAD HEAD HEAD HEAD HEAD HEAD HEAD HEAD POSITION PLANE SAG COR PARAMETER S MODE 2D 2D 2D 2D 2D 2D 2D 2D SE SE IR EPI FSE SE SE USER CV S PSD FLAIR SCAN TIMING FLIP ANGLE 15 TE MIN-FULL MIN-FULL MIN-FULL TR TI 2200 AUTO CF WATER WATER WATER WATER WATER WATER WATER AT THIS LET FOV ACCORDING TO HEAD SIZE ACCORDING TO HEAD SIZE ACCORDING TO HEAD SIZE ACCORDING TO HEAD SIZE /0 3/0 3/0 3/0 3/0 3/0 5/0 5/0 # S NEEDED NEEDED NEEDED NEEDED NEEDED NEEDED SAT I I I I I I/ FS I MATRIX 256X X X X X X X256 S/I A/P A/P A/P A/P S/I A/P S/I ENTIRE EXAMPLE S EXAMPLE S

10 PITUITARY NO OP SAGITTAL T1 T1 T2 DYNAMIC SAGITTAL T1 POST FS T1 POST FS PATIENT COIL TYPE HEAD HEAD HEAD HEAD HEAD HEAD POSITION PLANE SAG COR SAG COR SAG COR PARAMETERS MODE 2D 2D 2D 2D 2D 2D SE SE SE SE SE SE USER CV S PSD SCAN TIMING FLIP ANGLE TE MIN-FULL MIN-FULL MIN-FULL 17 MIN-FULL MIN-FULL TR TI AUTO CF WATER WATER WATER WATER WATER WATER FOV /0 3/0 3/0 3/0 3/0 3/0 # S THE SCANNER SAT I I I S/I I I MATRIX 256X X X X X X256 S/I S/I S/I R/L S/I S/I PITUITARY PITUITARY PITUITARY PIT REPEAT NEEDED PER SCANNER PITUITARY PITUITARY

11 PITUITARY POST OP SAGITTAL T1 T1 T2 SAGITTAL T1 POST FS T1 POST FS PATIENT COIL TYPE HEAD HEAD HEAD HEAD HEAD POSITION PLANE SAG COR SAG SAG COR PARAMETERS MODE 2D 2D 2D 2D 2D SE SE SE SE SE USER CV S PSD SCAN TIMING FLIP ANGLE TE MIN-FULL MIN-FULL MIN-FULL MIN-FULL MIN-FULL TR TI AUTO CF WATER WATER WATER WATER WATER FOV /0 3/0 3/0 3/0 3/0 # S SAT I I I I I MATRIX 256X X X X X256 S/I S/I S/I S/I S/I PITUITARY PITUITARY PITUITARY PITUITARY PITUITARY

12 STROKE (LIMITED-NON-STUDY PTS) T2 FLAIR DWI PATIENT COIL TYPE HEAD HEAD HEAD POSITION PLANE PARAMETERS MODE 2D 2D 2D SE IR EPI USER CV S PSD FLAIR SCAN TIMING FLIP ANGLE TE TR TI 2200 AUTO CF WATER WATER WATER FOV /0 5/0 5/0 # S SAT I I I MATRIX 256X X X192 A/P A/P A/P OPTIONAL PERFUSION MD CHECK WHEN COMPLETED TO SEE IF ADDITIONAL ARE NEEDED

13 VENOUS INFARCT/ SINUS THROMBOSIS SAG T1 T2 FLAIR DWI POST COR 3D 2D COR MRV PATIENT COIL TYPE HEAD HEAD HEAD HEAD HEAD HEAD HEAD HEAD POSITION PLANE SAG COR COR PARAMETERS MODE 2D 2D 2D 2D 2D 2D 3D 2D SE SE IR EPI SE SE FL OR SPGR FL USER CV S PSD FLAIR SCAN TIMING FLIP ANGLE TE MIN-FULL MIN-FULL MIN-FULL TR TI 2200 AUTO CF WATER WATER WATER WATER WATER WATER WATER FOV /0 5/0 5/0 5/0 5/0 5/ # S NEEDED * 128 SAT I I I I I I/FS I MATRIX 256X X X X X X X256 S/I A/P A/P A/P A/P A/P ENTIRE FROM BACK OF HEAD THRU NOSE *IS DEPENDENT UPON PT HEAD SIZE 256X90 INTERP DO SAG PC ALSO

14 3-PLANE LOC FSE T1 POST FS T1 POST FS HI RES HI RES HI RES HI RES HI RES PATIENT HEAD COIL TYPE COIL COIL COIL COIL COIL POSITION PLANE PARAMETERS MODE 2D 2D 2D 2D 2D 2D FSE FSE FSE FSE FSE USER CV S PSD SCAN TIMING FLIP ANGLE TE MIN# MIN # MIN # MIN # TR TI AUTO CF WATER WATER WATER WATER WATER FOV /0 3/0 3/0 3/0 3/0 # S NEEDED TO THE ENTIRE AREA OF THE IAC S SAT S/I S/I S/I S/I/ FS S/I/ FS MATRIX 256X X X X X256 USE THE HEAD COIL IF YOU DO NOT HAVE A HI RES TMJ COIL THIS SCAN IS OF THE IAC S NO WHOLE IMAGING UNLESS SPECIFIED BY THE RADIOLOGIST

15 Head & Neck Protocols

16 HORNERS SYNDROME 3-PLANE LOC FS T1 T2 FS STIR POST T1 POST FS PATIENT HEAD/NE HEAD/NEC HEAD/NEC HEAD/NEC HEAD/NEC HEAD/NEC HEAD/NEC COIL TYPE CK K K K K K K POSITION PLANE PARAMETERS MODE 2D 2D 2D 2D 2D 2D 2D FSE FSE FSE FSE FSE USER CV S PSD SCAN TIMING FLIP ANGLE TE MIN # MIN # MIN # MIN # TR TI AUTO CF WATER WATER WATER WATER WATER WATER AT THIS LET FOV FOV NEEDS TO GO FROM TOP OF TEMPORAL BONE TO AORTIC ARCH 5/0 5/0 5/0 5/0 5/0 5/0 # S NEEDED TO AREA OF INTEREST SAT S/I/FS S/I S/I/FS S/I S/I S/I/ FS MATRIX 256X X X X X X256 IF HISTORY IS SOCIATED WITH TRAUMA OR NECK FRACTURE A TRIPLE SAG C-SPINE MAY BE ADDED. DOUBLE CHECK WITH THE RADIOLOGIST BEFORE PROCEEDING WITH THIS. YOU WILL ALSO NEED TO ORDER A LIMITED C-SPINE. OPTIONAL 3D FSE OPTIONAL SAGITTAL 3D FSE 3-PLANE LOCALIZER 3D FSE OPTIONAL CISS PATIENT COIL TYPE HI RES COIL HI RES COIL HI RES COIL HI RES COIL HI RES COIL POSITION PLANE SAGITTAL VARIES PARAMETERS MODE 3D 3D 3D 3D MRA DYNAMIC ARCH HEAD/NEC K

17 USER CV S SCAN TIMING PSD FLIP ANGLE TE TR TI AUTO CF WATER WATER WATER WATER FOV 2 SLABS # S SLAB SLAB THE NERVE OF SLAB EACH IAC SAT MATRIX REFORMAT TO ENTIRE IAC ENTIRE IAC DO ON PATIENTS 18 OR YOUNGER DO IF SPECIFIED BY RADIOLOGIST

18 ORBIT WITH AND WITHOUT CONTRT 3-PLANE LOC T1 T2 FS STIR POST FS T1 POST FS PATIENT COIL TYPE POSITION PLANE PARAMETERS MODE 2D 2D 2D 2D 2D 2D USER CV S SCAN TIMING FSE FSE FSE FSE FSE FSE PSD FLIP ANGLE TE MIN # MIN# MIN# MIN # MIN# TR TI AUTO CF WATER WATER WATER WATER WATER WATER FOV # S 3/.3 3/.3 3/.3 3/.3 3/.3 3/.3 NEEDED THRU ORBIT NEEDED THRU ORBIT NEEDED THRU ORBIT NEEDED THRU ORBIT NEEDED THRU ORBIT NEEDED THRU ORBIT SAT S/I S/I S/I FS S/I S/I FS S/I FS MATRIX 256X X X X X X256 SET-UP IN SCANNERS A/P S/I A/P S/I A/P S/I INCLUDE FROM CHIM THRU ORBITS INCLUDE FROM CHIM THRU ORBITS INCLUDE FROM CHIM THRU ORBITS IF REQUESTED WITH IMAGING DO WHOLE SAG T1, T2, FLAIR, AND POST F.S. PAROTID/ 7 TH NERVE 3-PLANE LOC T2 FS T1 STIR POST FS T1 POST FS OPT SAGITTAL T1 POST FS

19 HEAD/ HEAD/ HEAD/ HEAD/ HEAD/ HEAD/ HEAD/ PATIENT COIL TYPE NECK NECK NECK NECK NECK NECK NECK HEAD/NECK POSITION PLANE SAGITTAL PARAMETERS MODE 2D 2D 2D 2D 2D 2D 2D FSE FSE FSE FSE FSE FSE FSE USER CV S PSD SCAN TIMING FLIP ANGLE TE MIN# 85 MIN# 45 MIN# MIN# MIN# TR TI 150 AUTO CF WATER WATER WATER WATER WATER WATER WATER FOV /0 4/0 4/0 4/0 4/0 4/0 4/0 # S NEEDED NEEDED NEEDED NEEDED NEEDED NEEDED NEEDED SAT FS FS FS MATRIX 256X X X X X X X256 SET-UP BY EACH AREA A/P A/P S/I S/I A/P S/I INCLUDE ALL OF T-BONE TO HYOID INCLUDE ALL OF T- BONE TO HYOID BACK OF CORD-NOSE PULSATILE TINNITUS BACK OF CORD-NOSE INCLUDE ALL OF T- BONE TO HYOID T1 POST FS BACK OF CORD-NOSE MRA COW POST CONTRT SAGITTAL T1 T2 FLAIR PRE T1 POST FS PATIENT COIL TYPE HEAD HEAD HEAD HEAD HEAD HEAD HEAD POSITION PLANE SAGITTAL PARAMETERS MODE 2D 2D 2D 2D 2D 2D 3D FSE FSE FSE FSE FSE FL IF ABNORMAL FACIAL NERVE ENHANCEMENT

20 USER CV S PSD SCAN TIMING FLIP ANGLE 30 TE MIN-FULL MIN # MIN # MIN # 4 TR TI 2200 AUTO CF WATER WATER WATER WATER WATER WATER FOV /0 5/0 5/0 3/0 3/0 3/0 0.8 # S NEEDED SLAB SAT I I I MATRIX 256X X X192 3/0 3/0 3/0 256X192 S/I A/P A/P A/P A/P A/P ENTIRE WHOLE WHOLE IAC IAC TRIGEMINAL/TIC DOULOREUX 3-PLANE LOC DO ON 3T WHENEVER POSSIBLE FSE T2 FLAIR TOF MRA COW AND VB SPGR POST GADO HEAD/ TEMP COILS IAC T1 POST FS PATIENT HEAD HEAD HEAD HEAD COIL TYPE POSITION PLANE COR COR PARAMETERS MODE 2D 2D 3D 3D 2D SPGR OR FSE FL FL SE USER CV S PSD CUT OUTS INCLUDE ALL THE VESSELS

21 SCAN TIMING FLIP ANGLE 45 TE MIN MIN-FULL TR TI 2200 AUTO CF WATER WATER WATER WATER FOV # S /0 5/0 1.2/0 5/0 2- SLABS COW AND VERTIBULAR BILAR SLAB 28 SAT I I I MATRIX 256X X X X256 SET-UP IN THE SCANNER A/P A/P S/I S/I THIS WILL BE TWO SCANS ENTIRE