MR Pediatric Brain + Frameless W/WO-Ingenia

Revised- 2/8/2019
Charge for Brain W/WO
Ingenia Systems Only: MR4, MR2, DMR2, Beaverton

0 Months to 2 Years - 3mm Slices, 1mm Gap
2 Years to 9 Years - 4mm Slices, 1mm Gap
Above 9 years use Adult Protocol

NO PADDING OR HEADPHONES DUE TO STEREOTACTIC SEQUENCES

POWER INJECTIONS WITH SMALL IVs:
  • If the exam is with pediatric sedation, you need to let the pediatric sedation team know what size IV you need prior to them getting the patient prepped.
  • It is ok to use small IVs if that is appropriate for patient size. Hand inject during perfusion scanning instead of using the power injector, and make a note/screenshot for the rads.

    Split contrast injection for 2 injections:
  • DCE: Use 1/3 of the total contrast amount. Injection rate: 4-5ml/sec. Start injection AT THE SAME TIME YOU BEGIN Dynamic 8. 15ml Saline chaser
  • DSC: Use 2/3 of the total contrast amount. Injection Rate: 4-5mL/sec. Start injection 8-10 seconds after beginning the sequence.
  • Head Coil. Ingenia Systems Only.
    Plane Weighting Mode Slice Gap FAT SAT FOV Scan Range
    SAG T1 TSE 3-4mm 1mm None 20cm Scalp to Scalp
    AX T1 TSE 3-4mm 1mm None 20cm Angle to Corpus - Skull Base to vertex
    AXIAL T2 STEREOTACTIC TSE 4mm 1mm None 23cm NO ANGLE. COVER AT LEAST 1CM ABOVE VERTEX THROUGH SKULL BASE.
    COVER ENTIRE NOSE
    3D AXIAL SWI T1 FFE 2mm -1mm None 20cm Angle to Corpus- Skull Base to Vertex
    3D COR Flair BrainView TSE IR - 0mm None 25cm Angle to Midline - Add slices to include 1cm beyond ears to include air. This avoids wrap.
    INJECT CONTRAST - POWER INJECTION. SEE ABOVE FOR INSTRUCTION
    DCE only available on 3T - - - - - Inject on 8th dynamic.
    1/3 total contrast amount.
    Injection rate: determined by Peds Rn or Anesthesiologist.
    15mL saline flush.
    Center through lesion of interest.
    Do not add slices.
    Send to PACS
    DSC run on both 1.5T & 3T - - - - - Inject 8-10 seconds after dynamics begin.
    2/3 total contrast amount.
    Injection rate: determined by Peds Rn or Anesthesiologist.
    15mL saline flush.
    Cover lesion and as much brain tissue as possible.
    Do not add slices.
    Post process in Intellispace
    Send to PACS
    AXIAL 3D T1 POST T1 FFE STEREOTACTIC 3D GRE 1.3mm 0mm None 25cm NO ANGLE. COVER AT LEAST 1CM ABOVE VERTEX THROUGH SKULL BASE. COVER ENTIRE NOSE
    SAG 3D T1 POST T1 BRAINVIEW FFE - - SPIR 23cm Whole brain coverage.
    MPR Axial & Coronal planes: 0 gap, 2mm slt.
    Ok to angle, Ok to add slices.
    COR POST T1 FAT SAT TSE 3-4mm 1mm SPIR 20cm Same as Pre
    SAG POST T1 TSE 3-4mm 1mm None 20cm Same as Pre
    Run in addition to Sag 3D Brainview
    MR Peds brain & orbits w/wo 0-2 yrs old
    MR Peds brain & orbits w/wo 0-2 yrs old