MR Pediatric Acute Stroke Protocol

Revised 08/30/2016
Charge for Brain WO
Also referred to as "Rapid Swift" Protocol
Patients less than 16 yrs old.
16 or older use Adult Stroke Protocol.
Head Coil
  Mode Slice Gap FAT SAT FOV Scan Range
Localizer(REF scan)
AXIAL DWI 2mm Voxel SE EPI 3mm 0.3mm SPIR 20cm Angle to Corpus- Skull Base to Vertex
COW 3d TOF 3D FFE 1mm 0mm None 20cm COW ONLY- Include PICA
AXIAL T2* GRE GRE 3-4mm 1mm None 20cm Angle to Corpus- Skull Base to Vertex
AXIAL FLAIR TSE 3-4mm 1mm None 20cm Angle to Corpus- Skull Base to Vertex
NOTE: This is only for the acute stroke in kids where they are considering emergent intervention. We will still have our old stroke protocol for non-emergent cases. The goal is to attempt this unsedated if possible. That is why we do the DWI first. If the kids won't hold still for anything else, then we stop.