MR Brain Tumor WWO Neuro Protocol - Ingenia

Scan notes:

Adjust FOV and slices to best fit the patient's age and size:

  • 0-2 years: 3mm slices / 1mm gap /small FOV
  • 2-9 years: 4mm slices / 1mm gap / smaller FOV 
  • Over 9 years and adults: 4mm slices/1mm gap / larger FOV
     
  • Send to Pacs: DSC, DCE
  • Send to Intellispace: DSC, DCE, Post Ax T1
  • Post process: DSC only
  • Archive all sequences

Last updated:3/21/2019
Charge as: Brain WWO
Scanner preference: Ingenia Scanners Only: MR4, MR 2, DMR2, BEAVERTON
Coil: Head

POWER INJECTION
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.

Plane Weighting Mode Slice Gap FAT SAT FOV Notes
SAG 3D T1 T1 Brainview FFE - - None 23cm No angle. Add slices for whole brain coverage. MPR AX & COR planes: 2mm slt/0mm gap.
AXIAL T2 TSE 3-4mm 1mm None 20-23cm Angle to Corpus- Skull Base to Vertex
3D AXIAL SWI T1 FFE 2mm -1mm None 20cm Angle to Corpus- Skull Base to Vertex.Add slices = ok
3D COR FLAIR BRAINVIEW TSE IR - 0mm None 25cm Frontal through Occipital Bone.Angle perpendicular to Corpus.Add slices = ok
AXIAL DWI 2mm Voxel SE EPI 3mm 0.3mm SPIR 23cm Angle to Corpus- Skull Base to Vertex

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: determined by Peds Rn or Anesthesiologist.15mL saline flush.Center through lesion of interest.Do not add slices.Send to PACS
DSC run on both 1.5T & 3T - - - - - Inject 8-10 seconds after dynamics begin.2/3 total contrast amount.Injection rate: determined by Peds Rn or Anesthesiologist.15mL saline flush.Cover lesion and as much brain tissue as possible.Do not add slices.Post process in IntellispaceSend to PACS
COR T1 FAT SAT TSE 3-4mm 1mm SPIR 20-23cm Frontal through Occipital Bone
AXIAL 3D T1 POST T1 FFE Stereotactic 3D GRE 1.3mm 0mm None 25mm No angle. Cover at least 1cm above vertex through skull base. Cover entire nose. Generate SAG and COR MPR 2mm slt/0mm gap.
(Optional) AXIAL Post T1 TSE 3-4mm 1mm None 20-23cm Angle to Corpus- Skull Base to Vertex