MR Pediatric Epilepsy Seizure Brain WWO Protocol-Ingenia

Revised 2/8/2019
Charge for Brain WWO
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

Scheduled on 3T ONLY unless patient has an implanted device
8CH Head or NV coil
Plane Weighting Mode Slice Gap FAT SAT FOV Scan Range
3D AXIAL SWI T1 FFE 2mm -1mm None 23cm Parallel to Temporal Lobe. Cover skull base to vertex.
AXIAL T2 TSE 3mm 1mm None 23cm Parallel to Temporal Lobe. Cover skull base to vertex.
AXIAL DWI 2mm Voxel SE EPI 3mm 0.3mm SPIR 23cm Angle to Corpus- Skull Base to Vertex
OBL COR T2 STIR TSE 2mm 0.2mm STIR 23cm Whole brain, perpendicular to temporal lobe
3D OBL COR Flair Brainview TSE IR - -0m None 25cm Whole brain, perpendicular to temporal lobe. Ok to add slices. Extend coverage beyond ears to avoid wrap.
SAG 3D T1 MPRAGE 3D TFE 1mm 1mm None 23cm Extend slice coverage 1-2 mm beyond the skin margin, not necessarily to cover the ears. This ensures adequate coverage/signal on the AX and COR MPRs. Generate OBL COR and AXIAL MPRs from this sequence. MPRAGE is the Same as 3DTFE and 3D FAST SPGR

GENERATE MPRS:
AX MPR:
1.3 x 1.3 angle to corpus
OBL COR MPR: 1 x 1 angle perpendicular to temporal lobe
cONTRAST INJECTION
AXIAL POST T1 TSE 3mm 1mm None 23cm Angle to Corpus- Skull Base to Vertex
COR POST T1 FAT SAT TSE 3mm 1mm SPIR 23m Angle to Corpus. Frontal through Occipital Bone
MR Peds brain & orbits w/wo 0-2 yrs old
MR ped Brain Epilepsy 2