MR Brain Frameless Stereotactic W or WWO + Perfusion Neuro Protocol

Scan Notes: 

Earplugs only. 

No headphones. 

Use positioning sponges carefully at the level of the patient’s chin if needed. 

No angles. 

Cover the entire nose. 

Cover below skull base to at least 1 cm above Vertex. 

Include additional air on top of scan for slice wrap. 

PATIENT NEEDS A 20G OR BIGGER PERIPHERAL IV

Prep Power injector to split contrast injection for 2 injections:

DCE: Use 1/3 of the total contrast amount. Injection rate: 4-5ml/sec. Start injection AT THE SAME TIME YOU BEGIN Dynamic 8. 15ml Saline chaser

DSC: Use 2/3 of the total contrast amount. Injection Rate: 4-5mL/sec. Start injection 8-10 seconds after beginning the sequence.

Last updated:3/21/2019

Charge as: Brain W or Brain WWO

Scanner preference: 1.5T or 3T

Coil: Head

Plane Weighting Mode Slice Gap FAT SAT FOV Notes
AXIAL pre (run only if requested) 3D T1 FFE 3D GRE 1.3 mm 0mm None 25cm No angles. INCLUDE ADDITIONAL AIR ON TOP OF SCAN FOR SLICE WRAP

Contrast injection

Plane Weighting Mode Slice Gap FAT SAT FOV Notes
DCE only available on 3T - - - - - Inject on 8th dynamic.1/3 total contrast amount.Injection rate: 4-5cc/sec. 15mL saline flush.Center through lesion of interest.Do not add slices.Post process in IntellispaceSend everything to PACS
DSC run on both 1.5T & 3T - - - - - Inject 8-10 seconds after dynamics begin.2/3 total contrast amount.Injection rate: 4-5cc/sec. 15mL saline flush.Cover lesion and as much brain tissue as possible.Do not add slices.Post process in IntellispaceSend everything to PACS
AXIAL 3D T1 FFE 3D GRE 1.3 mm 0mm None 25cm No angles. INCLUDE ADDITIONAL AIR ON TOP OF SCAN FOR SLICE WRAP
AXIAL T2 VISTA TSE 1.3mm 0mm None 25cm No angles. INCLUDE ADDITIONAL AIR ON TOP OF SCAN FOR SLICE WRAP
AXIAL (run only if requested) FLAIR TSE 1.3mm 0mm None 25cm No angles. INCLUDE ADDITIONAL AIR ON TOP OF SCAN FOR SLICE WRAP
MR Brain Frameless Stereotactic WO, W or WWO Neuro Protocol