MR Abdomen and Pelvis W/WO BODY Protocol

Scan notes:

  • Send ADC maps
  • Send Subtractions
  • FOV: do not include patient’s arms

Breath Holds:

  • Scan on expiration.
  • Monitor that patient is breath-holding. Breathe the patient slowly so they have time to follow instructions. Do not start scan until the patient has stopped breathing.
  • Give 2L O2 if it will help with breath-holds UNLESS PATIENT HAS COPD OR ANOTHER REASON NOT TO GIVE O2.

Last updated: 4/12/19
Charge as: Abdomen and Pelvis W/WO
Scanner preference: Preferred on 1.5T
Coil: Torso Coil

Plane Weighting Mode Slice Gap FAT SAT FOV Notes
COR ABD/PELVIS T2 SS BH 7mm 1mm None Fit to Patient. 2 stacks 2 Stacks. Include entire liver through perineum. Mobi-View into one fused image.
AX ABD/PELVIS T1 Dual Echo SPGR BH 2 stacks 7mm 1mm None Fit to Patient. 2 stacks 2 Stacks. Scan liver through pelvis. Do not interleave images.
AX ABD T2 DWI 7mm 1mm SPIR Fit to Patient Liver through bottom of kidneys. Trigger & track. Free-breathing sequence, so please position slices accordingly.
AX PELVIS T2 DWI 7mm 1mm SPIR Fit to Patient Iliac crest through perineum. Trigger & track. Free-breathing sequence, so please position slices accordingly.
AX ABD/PELVIS T2 SS 5mm 1mm None 20-24mm/ Fit to Patient 2 Stacks. Include entire liver through perineum. Freq A-P to avoid bowel motion ghosting into uterus and bladder.
AX ABD/PELVIS T2 TSE RT 7mm 1mm SPAIR Fit to Patient 2 Stacks. Include entire liver through perineum.
AX (Optional)ABD/PELVIS T2 SSFSE RT 7mm 1mm Yes Fit to Patient Include entire liver through perineum. Optioinal sequence if T2 SPAIR is poor quality
AX PELVIS T1 3D THRIVE BH Yes Fit to Patient Breath Hold. Iliac crest through perineum.
AX ABD T1 3D mDixon pre BH Yes Fit to Patient Breath Hold. Liver through lower abdomen. Ensure quality before contrast injection, ie wrap. Check if there is mottling (SENSE break-through) in the center of the image.

Contrast injection

Dose by weight. 2cc/sec with saline chaser. Bolus Track. Trigger when bolus reaches SMA.

Plane Weighting Mode Slice Gap FAT SAT FOV Notes
AX- ABD T1 3D mDixon x3 phases BH Yes Fit to Patient Liver through lower abdomen. Exact parameters as the pre-mDixon. Do all 3 phases (Arterial, Arterial/Venous, Delay) one right after another, as soon as the patient can hold their breath again.
AX- PELVIS T1 3D THRIVE BH Yes Same as pre Same as pre
AX- ABD (4 MIN DELAY) T1 3D mDixon BH Yes Same as pre Same as pre
SAG- PELVIS T2 TSE 5mm 1mm None 24mm/ Fit to Patient Mid-femoral head to mid-femoral head. Same as female pelvis protocol. Freq A-P to avoid bowel motion ghosting into uterus and bladder. Consider using an anterior Sat band if lots of abdominal wall motion.
MR Abdomen and Pelvis WWO BODY Protocol image