MR Brain + Frameless WWO Neuro Protocol
Scan notes:
EARPLUGS ONLY, NO HEADPHONES.
- Position sponges carefully at the level of the patient's chin if needed.
- NO ANGLES ON STEREOTACTIC SEQUENCES.
- COVER AT LEAST 1CM ABOVE VERTEX THROUGH SKULL BASE.
- COVER ENTIRE NOSE.
Last updated: 1/31/2020
Charge as: Brain WWO
Scanner preference: MR4, MR 2, DMR2, BEAVERTON
Coil: Head
EARPLUGS ONLY, NO HEADPHONES.
| Sequence | Plane | Slice/Gap | FatSat | FOV | CS Factor | Send to | Notes |
|---|---|---|---|---|---|---|---|
| DWI/SE EPI | AXIAL | 3mm/0.3mm | SPIR | 23cm | Pacs, Archive | Angle to Corpus. Cover skull base to vertex. | |
| ADC | AXIAL MPR | AUTO | Pacs, Archive | Auto-processed from DWI. | |||
| T1 | AXIAL 3D T1 TFE | 1mm/0mm | 23cm | 3.5 | Pacs, Archive | Include nose and just enough slices above the vertex to make it compatible with neuronavigation, no angulation | |
| T1 ax | (MPR) | 1mm/0mm | Pacs, Archive | MPR FROM 3DT1. True axial using AC-PC reference line | |||
| T1 cor | (MPR) | 1mm/1mm | Pacs, Archive | MPR FROM 3DT1. Use AC-PC as reference line | |||
| T1 sag | (MPR) | 1mm/1mm | Pacs, Archive | MPR FROM 3DT1. Standard angulation and coverage. | |||
| SWIp | AXIAL | 2mm/-1mm | 23cm | 4 | Pacs, Archive | Include all of brain (skull, scalp and nose not required). |
Contrast Injection
POWER INJECTION
DSC: Injection Rate: 4-5mL/sec. Start injection 8-10 seconds after beginning the sequence. For peds patients with smaller IVs, consult with Rad and peds RN or Anesthesiologist to determine a safe injection rate.
| Sequence | Plane | Slice/Gap | FatSat | FOV | CS Factor | Send to | Notes |
|---|---|---|---|---|---|---|---|
| DSC | AXIAL | Pacs, Archive, Intellispace | Cover lesion and as much brain tissue as possible. Do not add slices. Post process in Intellispace. | ||||
| FLAIR | AXIAL 3D BRAINVIEW | 1mm/0mm | 25cm | 8 | Pacs, Archive | Include nose and just enough slices above the vertex to make it compatible with neuronavigation, no angulation | |
| FLAIR ax | (MPR) | 1mm/0mm | Pacs, Archive | MPR FROM FLAIR AXIAL 3D BRAINVIEW. True axial using AC-PC reference line | |||
| FLAIR cor | (MPR) | 1mm/1mm | Pacs, Archive | MPR FROM FLAIR AXIAL 3D BRAINVIEW. Use AC-PC as reference line | |||
| FLAIR sag | (MPR) | 1mm/1mm | Pacs, Archive | MPR FROM FLAIR AXIAL 3D BRAINVIEW. Standard angulation and coverage. | |||
| T2 | AXIAL 3D BRAINVIEW | 1mm/0mm | 25cm | 7 | Pacs, Archive | Include nose and just enough slices above the vertex to make it compatible with neuronavigation, no angulation. No MPRs. | |
| T2 | AXIAL 3D BRAINVIEW | 1mm/0mm | 25cm | 7 | Pacs, Archive | Include nose and just enough slices above the vertex to make it compatible with neuronavigation, no angulation. No MPRs. | |
| +T1 TFE | AXIAL 3D T1 TFE | 1mm/0mm | 23cm | 3.5 | Pacs, Archive, Intellispace | Include nose and just enough slices above the vertex to make it compatible with neuronavigation, no angulation | |
| +T1 TFE ax | (MPR) | 1mm/0mm | Pacs, Archive | MPR FROM +T1 TFE. True axial using AC-PC reference line | |||
| +T1 TFE cor | (MPR) | 1mm/1mm | Pacs, Archive | MPR FROM +T1 TFE. Use AC-PC as reference line | |||
| +T1 TFE sag | (MPR) | 1mm/1mm | Pacs, Archive | MPR FROM +T1 TFE. Standard angulation and coverage. | |||
| +T1 FS TSE | AXIAL 3D BRAINVIEW | 1mm/0mm | YES | 28cm | 6 | Pacs, Archive | include nose and just enough slices above the vertex to make it compatible with neuronavigation, no angulation |
| +T1 FS TSE ax | (MPR) | 1mm/0mm | Pacs, Archive | MPR FROM +T1 FS TFE. True axial using AC-PC reference line | |||
| +T1 FS TSE cor | (MPR) | 1mm/1mm | Pacs, Archive | MPR FROM +T1 FS TFE. Use AC-PC as reference line | |||
| +T1 FS TSE sag | (MPR) | 1mm/1mm | Pacs, Archive | MPR FROM +T1 FS TFE. Standard angulation and coverage. |