Enterography W/WO Large Bore Scanner BODY Protocol
Scan Notes:
Scan Notes:
- P.O. Protocol
- Patient fasting x 4-6 hours.
- 1350 cc PO contrast ingested over 1 hour.
- 450 cc during 0-15 min.
- 450 cc during 15-30 min.
- 450 cc during 30-45 min.
- 1 cup (8 oz) WATER on table.
- Void prior to getting on table.
- Supine positioning
- Glucagon
- CONTRAINDICATIONS: allergy, pheochromocytoma, insulinoma.
- 0.5 mg IM pre-imaging
- 0.5 mg IV pre-contrast
- Flush with sterile water IV
- Send patient home with graham crackers. Encourage carbohydrates.
- Charge for Glucagon and Gadolinium
Last updated: 1/22/2021
Charge as: Abdomen WWO
Scanner preference: MR2. Use “MRE Enterography” protocol for MR1
Coil: Torso Coil
Contrast: Gad and Glucagon
Breath Holds:
- Scan on expiration.
- Monitor that patient is breath-holding. Breathe the patient slowly so they have time to follow instructions. Do not start scan until the patient has stopped breathing.
- Give 2L O2 if it will help with breath-holds UNLESS PATIENT HAS COPD OR ANOTHER REASON NOT TO GIVE O2.
Glucagon Injection
RAD RN to inject 1st dose of glucagon before imaging
Plane | Weighting | Mode | Slice | Gap | FAT SAT | FOV | Notes |
---|---|---|---|---|---|---|---|
COR | T2 | SSTSE | 5MM | 1MM | N | Liver through Symphysis | Check images to make sure contrast has reached the large intestine. |
AX | T2 | SSTSE | 5MM | 1MM | N | Liver through Symphysis | May be separated into overlapping stacks. Do not interleave images. |
COR | T2 | BTFE | 6MM | 0.6MM | N | Liver through Symphysis | |
AX | T2 | BTFE | 6MM | 0.6MM | N | Liver through Symphysis | May be separated into overlapping stacks. Do not interleave images. |
COR | T2 | BTFE | 6MM | 0.6MM | Y | Liver through Symphysis | |
COR | T1 | 3D mDixon- Pre | 4MM | -2MM | Y | Liver through Symphysis |
Glucagon/Contrast injection
- Rad Rn injects 2nd Glucagon injection 0.5 mg through IV immediately prior to connecting power injector to patient
- Power Inject @ 3 mL/sec: image @ 45 sec delay
Plane | Weighting | Mode | Slice | Gap | FAT SAT | FOV | Notes |
---|---|---|---|---|---|---|---|
COR | T1 | 3D mDixon Post x3 | 4 mm | -2 mm | Y | Liver through Symphysis | |
AX | T1 | 3D mDixon | 4 mm | -2 mm | Y | Liver through Symphysis | May be separated into overlapping stacks. Do not interleave images |
COR | T1 | 3D THRIVE | 3 mm | -1.5 mm | Y | Liver through Symphysis | |
AX | T2 | DWI | 7 mm | 1 mm | Y | Liver though Symphysis |