MR Frameless Only With Contrast Neuro Protocol - Ingenia

Scan notes:

  • PATIENT PREP: Earplugs only, no headphones. Position sponges carefully at the level of the patient's chin if needed.
  • CONTRAST & IV: PATIENT NEEDS A 20G OR BIGGER PERIPHERAL IV (unless for Peds) 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.
  • NO ANGLES ON STEREOTACTIC SEQUENCES. COVER AT LEAST 1CM ABOVE VERTEX THROUGH SKULL BASE. COVER ENTIRE NOSE.
  • 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 W
Scanner preference: Ingenia Scanners Only: MR4, MR 2, DMR2, BEAVERTON
Coil: Head

Contrast injection - POWER INJECTION. SEE ABOVE FOR INSTRUCTIONS

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.Send 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 to PACS
AXIAL 3D T1 POST 3D T1 FFESTEREOTACTIC 3D GRE 1.3mm 0mm None 25cm No angle. Cover at least 1cm above vertex through skull base. Cover entire nose.
AXIAL 3D T2 POST T2 STEREOTACTIC TSE 4mm 1mm None 23cm No angle. Cover at least 1cm above vertex through skull base. Cover entire nose.