Optimizing the Use of New Technologies for GE Healthcare MR Scanners

Body MR Imaging

MRCP / PANCREAS 1.5T

INSTRUCTIONS AND PATIENT PREPARATION
Instructions

Arms up if possible
Breath hold may be either inspiration or expiration, but it is important to be consistent
FOV for ASSET large enough for a 4 cm margin around tissue - to reduce artifacts

Position

Supine, feet first

Coil

8 or 12 channel body array. Use torso coil on larger patients; consider cardiac coil on smaller patients. Coil mode is full

Landmark

CONTRAST AGENT PARAMETERS

Contrast Agents

Dose

Injection Rate

Dose Timing Method and Scan Delay

Gadolinium-Based
Contrast Agents

0.1 mmol/kg

2 mL/sec

Arterial phase: 20 sec

Portal venous phase: directly after arterial phase
Equilibrium phase >3 min

High-Relaxivity
Gadolinium-Based
Contrast Agents

0.05-0.1 mmol/kg

2 mL/sec

Arterial phase: 15 sec (20 sec if >60 yr)

Portal Venous phase: directly after arterial phase
Equilibrium phase >3 min
Delayed liver parenchymal imaging 60-120 min if contrast agent is biliary excreted
Contrast-enhanced MRCP 60-120 min if contrast agent is biliary excreted

Saline Flush

20 mL

2 mL/sec

Dynamic LAVA
Notes

Prescan
Arterial phase
Venous phase
Equilibrium scan

Scan Pre phase, then check for coverage and artifacts

For Arterial phase use a dynamic 20 sec scan delay (antecubital IV), optional fluorotrigger/smart prep (advanced user)
Scan Portal Venous phase at earliest moment possible, but allow patient to catch breath (approx 15-20 sec)
Wait >/=3 min for Equilibrium phase

Comments

Use weight-based approach

Report agent, administered dose, and rate
Contrast used to evaluate for mass
Injection rate 2 mL/sec, consider 3 mL/sec for patients with cirrhosis
Use minimal dose for patients with a GFR <60 mL/sec; optional fluorotriggering

IMAGING PARAMETERS
Scan Plane

Sequence Name

3PL

ASSET CAL

CORONAL

AXIAL

AXIAL

AXIAL

AXIAL

CORONAL

CORONAL

CORONAL

AXIAL

AXIAL

LOCALIZER

CALIBRATION
BODY FULL

SSFSE T2

SSFSE
T2 FS

T2 FSE
RESP TRIG

T2 FSE
BREATH HOLD

IN AND OUT
OF PHASE

3D MRCP
RESP TRIG

MRCP
THICKS

MRCP
THINS

3D LAVA
PRE

3D LAVA
DYNAMIC
Yes

Primary Sequence

Yes

Yes

Yes

Yes

Yes

Alternative

Yes

Yes

Alternate

Alternative

Yes

Mode

2D

Calibration

2D

2D

2D

2D

2D

3D

2D

2D

3D

3D

Gradient

Whole

Whole

Whole

Whole

Whole

Whole

Whole

Whole

Whole

Whole

Whole

Whole

Pulse Sequence

SSFSE

Calibration

SSFSE

SSFSE

FSE-XL

FRFSE

SSFSE

SSFSE

LAVA

LAVA

Breath hold

FRFSE
FC, Seq,
EDR, TRF,
Fast, ZIP512,
FR,FTR

SPGR

FC, TRF,
RT, Fast,
ZIP512, FR

Fast

FC, Seq,
EDR, Fast,
SS

Imaging Options

Breath hold

Breath hold

Breath hold

EDR, Fast,
ZIP512

Fast, RT,
ZIP2, FR

Fast, ASSET,
ZIP2

Fast, ASSET,
ZIP2, MPh

Optimizing the Use of New Technologies for GE Healthcare MR Scanners

Body MR Imaging

MRCP / PANCREAS 1.5T

INSTRUCTIONS AND PATIENT PREPARATION
LOCALIZER

ASSET CAL

COR T2
SSFSE

AX SSFSE
T2 FS

AX T2 FSE
RESP TRIG

AX T2 FSE
BREATH HOLD

AX IN AND
OUT OF
PHASE

COR 3D MRCP
RESP TRIG

COR MRCP
THICKS

COR MRCP
THINS

AX 3D
LAVA PRE

AX 3D LAVA
DYNAMIC

TE

90

90

180

80-110

90-100

2.2 / 4.4

Resp rate
determined

800-1000

200

2.2

2.2

TR

Min

Min

Min

2000-2500

150-200

Resp rate
determined

Min

Min

Min

Min

TI

Flip Angle

90

12-15

12-15

Scan Description

ETL
Bandwidth
SAT

</=16

23

83.33

31.25

31.25

31.25

31.25

83.33 / 83.33

31.25

31.25

31.25

62-83

62-83

Fat

Fat

S/I

Fat

Fat

Fat

Special

Special

LOCALIZER

ASSET CAL

COR T2
SSFSE

AX SSFSE
T2 FS

AX T2 FSE
RESP TRIG

AX T2 FSE
BREATH HOLD

AX IN AND
OUT OF
PHASE

COR 3D MRCP
RESP TRIG

COR MRCP
THICKS

COR MRCP
THINS

AX 3D
LAVA PRE

AX 3D LAVA
DYNAMIC

256

416

320

384

320

320

320

256

256

320

320

128
1

256
1

224
1

224
3

224
1

192
0.5

224
2

256
1

256
1

192
1

192
1
0.90

ACQUISITION PARAMETERS
Scan Description
MATRIX

freq
phase

NEX
Phase FOV

Full

Full

Full

0.75

0.75

0.75

Full

Full

Full

Full

Freq Direction

Unswap

S/I

S/I

R/L

R/L

R/L

S/I

S/I

S/I

R/L

R/L

Image Enhance

PURE

PURE

PURE

PURE

PURE

PURE

PURE

PURE

PURE

PURE

FC Direction

Slice

Slice

Freq

Freq

CV2 = 256

AX 3D
LAVA PRE

AX 3D LAVA
DYNAMIC

User CV

CV2 = 240

CV2 = 240

CV2 = 240

CV7 = 1

CV7 = 1

CV8 = 1

CV1 = 1,
CV2 = 256

LOCALIZER

ASSET CAL

COR T2
SSFSE

AX SSFSE
T2 FS

AX T2 FSE
RESP TRIG

AX T2 FSE
BREATH HOLD

AX IN AND
OUT OF
PHASE

COR 3D MRCP
RESP TRIG

COR MRCP
THICKS

COR MRCP
THINS

40-44

48

34-36

40

40

40

40

32-40

32-36

34-36

40

40

15

5-7

5-7

5-7

1.4-2

40-50

4-5 mm

4-5 mm

0-1

0-1

1-2

1-2

1-2

To cover
anatomy

To cover
anatomy

To cover
anatomy

Radial coverage
of pancreas

To cover
pancreas

50 locs

50 locs

20 sec/9 slices

19 sec/22 slices

5-7 min

3 sec/slice

37 sec/24 slices

22 sec

22 sec x 3

SCANNING RANGE
Scan Description
FOV
Slice Thickness
Spacing
Number of Slices
Scan Time
Total Scan Time

Offset: c-15,
s-2, a-2

40-48

15 slices

15 slices

To cover
anatomy

18 sec

13 sec

22 sec

22 sec

5-7 min

15-25 min