MR MS / Cord Lesion Total Spine WWO
Use this protocol for:
Demyelinating disease (Multiple sclerosis, NMO, ADEM), myelitis, spinal cord lesion, spinal cord tumor, neurosarcoidosis.
Coverage on sagittals:
Left-right coverage is less than our other spine protocols. Only the spinal cord and spinal canal need to be included. The neural foramina and other parts of the vertebrae do not need to be included.
Other notes:
Last updated: 1/21/22
Charge as: Total Spine WWO
Scanner preference: Avoid MR1, if possible.
Coil: On all of our systems except MR1, add the torso coil anteriorly in combination with the table top and/or NV array coils.
| Plane | Weighting | Mode | Slice (mm) | Gap (mm) | FAT SAT | FOV (cm) | MPR | Notes |
|---|---|---|---|---|---|---|---|---|
| Cervical spine | ||||||||
| SAG | STIR | 2D STIR | 3 | 0 | STIR | no | ||
| SAG | T2 | 2D TSE | 3 | 0 | no | no | ||
| SAG | PSIR | 2D PSIR | 3 | 0 | no | no | Send phase and magnitude images. | |
| AXIAL | T2 | 2D TSE | 3 | 0.3 | no | 15 | no | |
| Thoracic spine | ||||||||
| SAG | STIR | 2D STIR | 3 | 0 | STIR | no | ||
| SAG | T2 | 2D TSE | 3 | 0 | no | no | ||
| SAG | PSIR | 2D PSIR | 3 | 0 | no | no | Send phase and magnitude images. | |
| AXIAL | T2 | 2D TSE | 3 | 0.3 | no | 15 | no | |
| Lumbar spine | ||||||||
| SAG | STIR | 2D STIR | 3 | 0.3 | STIR | no | ||
| SAG | T2 | 2D TSE | 3 | 0.3 | no | no | ||
| SAG | T1 FLAIR | 2D TSE T1 FLAIR | 3 | 0 | no | no | ||
| AXIAL | T2 | 2D TSE | 3 | 0.3 | no | 15 | no | |
| Hand inject contrast. | ||||||||
| Upper station | ||||||||
| SAG | T1 | 2D TSE dixon | 3 | 0 | Dixon: InPhase & Water only | no | Use a double jump for sagittal post-contrast T1s. | |
| Lower station | ||||||||
| SAG | T1 | 2D TSE dixon | 3 | 0 | Dixon: InPhase & Water only | no | Use a double jump for sagittal post-contrast T1s. | |
| Whole spine | ||||||||
| AXIAL | T1 | 3D VIBE/THRIVE | 3 | 0 | YES | 15 | no | Use 3-4 stations to cover whole spine. |