MR Routine Total Spine WWO
Common Indications:
Tumor, infection, postoperative spine. For MS patients, please use MS/cord lesion protocol. For Pediatric spine tumor patients, please use the pediatric-specific spine protocols.
Coverage on axial T2s:
Cervical spine: Foramen magnum to mid T1 vertebral body. 14 x 14 FOV.
Lumbar Spine: T11-T12 disc to S2-S3 'disc'. 20 x 20 FOV.
Coverage on sagittals:
Left-right coverage must include all of the vertebral bodies.
Other notes:
Last updated: 9/26/22
Charge as: Total Spine WWO
Scanner preference: 1.5T or 3T preferred. Avoid MR1.
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 (mm) | Notes |
|---|---|---|---|---|---|---|---|---|
| Upper Station - Pre-contrast | ||||||||
| SAG | T2 | 3D TSE | 1 | 0 | no | AXIAL 1/0 | ||
| SAG | T2 | 2D TSE | 3 | 0.3 | Dixon: InPhase & Water only | no | ||
| SAG | T1 FLAIR | 2D IR-TSE | 3 | 0.3 | no | no | ||
| Cervical only: | ||||||||
| AXIAL | T2 | 2D TSE | 3 | 0.3 | no | 14 | no | |
| Lower Station - Pre-contrast | ||||||||
| SAG | T2 | 3D TSE | 1 | 0 | no | AXIAL 1/0 | ||
| SAG | T2 | 2D TSE | 3 | 0.3 | Dixon: InPhase & Water only | no | ||
| SAG | T1 FLAIR | 2D IR-TSE | 3 | 0.3 | no | no | ||
| Lumbar only | ||||||||
| AXIAL | T2 | 2D TSE | 4 | 1 | no | 20 x 20 | no | No sat band |
| HAND INJECT CONTRAST | ||||||||
| Upper Station - Post-contrast | ||||||||
| SAG | T1 | 2D TSE | 3 | 0.3 | Dixon: InPhase & Water only | no | ||
| Lower Station - Post-contrast | ||||||||
| SAG | T1 | 2D TSE | 3 | 0.3 | Dixon: InPhase & Water only | no | ||
| Whole spine | ||||||||
| AXIAL | T1 | VIBE/THRIVE | 3 | 0 | YES | 15 | no | Use 3-4 stations to cover whole spine. |