MR Pediatric Brain Tumor W/WO Protocol-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
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.

    Prep Power injector to 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
    AXIAL T2 TSE 3-4mm 1mm None 20cm Angle to Corpus- Skull Base to Vertex
    AXIAL T1 TSE 3-4mm 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.
    3D AXIAL SWI T1 FFE 2mm -1mm None 20cm Angle to Corpus- Skull Base to Vertex
    AXIAL DWI 2mm Voxel SE EPI 3mm 0.3mm SPIR 20cm Angle to Corpus- Skull Base to Vertex
    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 T1 TSE 3-4mm 1mm None 20cm Angle to Corpus- Skull Base to Vertex
    COR T1 FAT SAT TSE 3-4mm 1mm SPIR 20cm Frontal through Occipital Bone
    SAG T1 TSE 3-4mm 1mm None 20cm Angle to Corpus- Skull Base to Vertex
    Optional:SAG 3D T1 SPGR 3D TFE 2MM 0MM None 20cm Optional if specifically protocoled or requested by the order/comments. Scalp to scalp. Generate AX MPR 2mm skip 0
    MR Peds brain & orbits w/wo 0-2 yrs old
    MR Peds brain & orbits w/wo 0-2 yrs old