MRA Neck WWO Neuro Protocol

Scan notes: If pediatric, use adult protocol with smaller FOV/S/G

Last updated:3/21/2019
Charge as: 
If ordered as Brain WO / MRA Head WO / CAROTIDS W/WO = MBRRNA-+
If ordered as Brain W/WO / MRA Head WO / CAROTIDS W/WO = MBRRNA+-
If ordered only as carotids, charge for MRA Neck W/WO.
Scanner preference: 1.5T or 3T
Coil: NV

Plane Weighting Mode Slice Gap FAT SAT FOV Notes
Axial 2D TOFprecontrast FFE 3mm -1mm None 20cm Aortic Arch to Basilar (cover Anterior)
COW T1 FAT SAT TSE 4mm 0.4mm SPIR 20cm Aortic Arch to Basilar (cover Anterior)

Contrast injection

Power inject contrast and 20cc saline flush @ 2.0 cc/sec. Trigger when you see contrast beginning to advance into the carotids.

Plane Weighting Mode Slice Gap FAT SAT FOV Notes
AXIAL CE 3D TOF 3D FFE 1.2mm 0mm None 35cm Include Carotids/ Vertebral in slice FOV MIP CAROTIDS BILATERAL,RIGHT SIDE, LEFT SIDE SEPARATE- 180 SPIN
MRA Neck WWO Neuro Radiology Protocol image that shows MR Techs when to trigger the bolus trak
MRA Neck WWO Neuro Radiology Protocol image 2 showing MR Techs where to trigger the bolus track