Neuroradiology MRI protocols

Neuro MRI Protocols
Routine Brain G- (G+)
1. 3 plane Loc
2. ASSET Calibration
3. Sag T1
4. Ax DWI
5. Ax FLAIR
6. Ax T1
7. Ax T1 + Gd
8. Sag BRAVO +Gd
9. Cor T1 FS +Gd
10. Ax T2 FSE (after Gd)
11. reformat: Ax BRAVO +Gd along ACPC
Routine Brain Options
1.
2.
3.
4.
Cor FSPGR BRAVO
Ax DTI ASSET
DWI Propeller
Ax SWI
CEskey MRA s/p coiling
1. 3DTOF 3SLAB MT FS 9min
2. Dyn 3DTOF (+Gd)
GBM
1. ASSET Calibration
2. Sag T1
3. Ax DWI ASSET
4. Ax FLAIR
5. Ax T1
6. Perfusion 40 phases
7. Ax T1 +Gd
8. Sag BRAVO +Gd
9. Cor T1 FS +Gd
10. Ax T2 ASSET (after Gd)
11. reformat: Ax BRAVO +Gd along ACPC
GBM Optional
Brain, COW, Carotid
HNS Coil, prefer GE scanner
1. ASSET Calibration
2. 3DTOF 3Slab MT FS ASSET
3. Sag T1
4. Ax DWI
5. Ax FLAIR
6. Ax T2 FSE
7. Ax T1
8. COW 3 slab TOF SPGR
9. Carotid: Ax 2DTOF FSPGR
10. Carotid: Cor Dyn TRICKS/TWIST
updated 7/2014
12. Ax scout for MRS T1 MEMP +Gd
13. Probe-Sv 144
Dementia
1.
2.
3.
4.
5.
6.
7.
3 plane Loc
ASSET Calibration
Sag T1
Ax DWI
Ax T2
Ax FLAIR
Cor 3D BRAVO
Neuro MRI Protocols
ESP Brain
1.
2.
3.
4.
5.
6.
7.
8.
ASSET Calibration
Ax DTI
Sag T1
Cor 3D BRAVO
Cor T2 thin Obl
Ax FLAIR
Cor FLAIR 3/0
Ax SWI
Intracranial hemorrhage
1. 3Plane Loc SSFSE
2. ASSET Calibration
3. Sag T1
4. Ax T2 ASSET
5. Ax DWI ASSET
6. Ax FLAIR
7. Ax SWI/SWAN
8. Ax T1
9. Ax T1 +Gd
10. Cor T1 SE FS +Gd
MS Brain +Gd
1.
2.
3.
4.
5.
6.
7.
8.
3Plane Loc SSFSE
ASSET Calibration
Sag T1
Ax DWI ASSET
Sag FC TRF FLAIR (not volumetric)
Ax T1 SE MEMP
Ax T1 SE MEMP +Gd
Ax T2 FSE (after Gd)
updated 7/2014
Quick Brain
1.
2.
3.
4.
5.
3Plane Loc SSFSE
ASSET Calibration
Sag T2 SSFSE
Ax T2 SSFSE
Cor T2 SSFSE
Infant Brain (0-2 yo)
1.
2.
3.
4.
5.
6.
7.
8.
3Plane Loc SSFSE
ASSET Calibration
Sag T1
Ax T2 FSE-XL
Ax FLAIR
Ax DWI
Cor 3D BRAVO
Ax T1 FSE-XL
Pediatric Brain (2-12 yo)
1.
2.
3.
4.
5.
6.
7.
3Plane Loc SSFSE
ASSET Calibration
Sag T1
Ax T2 FSE-XL
Ax T2 FLAIR
Ax DWI
Ax T1 FSE-XL
Fiducial Stealth +Gd
1.
2.
3.
4.
3Plane Loc SSFSE
ASSET Calibration
AX BRAVO + GD
if no Gd: Ax T2 FSE 2/0
Neuro MRI Protocols
IAC
Fiducial Pre-op AVM
1. COW 4 Slab
2. Ax BRAVO +Gd
RT Brain
1.
2.
3.
4.
5.
6.
3Plane Loc SSFSE
ASSET Calibration
Ax BRAVO
Ax T2 FLAIR +Gd
Ax T1 +Gd
Ax BRAVO +Gd
Frame Parkinson Disease
1.
2.
3.
4.
5.
6.
3Plane Loc SSFSE
ASSET Calibration
Sag T1
Cor T2
Cor IR
Ax SPGR 3D VOL
fMRI PRISM
1.
2.
3.
4.
5.
6.
3Plane Loc SSFSE
ASSET Calibration
Ax T2 propeller
fMRI task
Ax FSPGR BRAVO
DTI 2mm 20 directions
updated 7/2014
1. 3Plane Loc SSFSE
2. ASSET Calibration
3. Sag T1
4. Ax DWI ASSET
5. Ax 3D FIESTA
6. Ax FLAIR
7. Ax T2 FSE thin brainstem
8. Ax FSE T1 thin pre
9. Ax FSE T1 thin FS +Gd
10. Cor FSE T1 FS +Gd
11. Ax T1+Gd (whole head)
Cholesteatoma
1.
2.
3.
4.
5.
6.
7.
8.
3Plane Loc SSFSE
ASSET Calibration
Ax DWI (Propeller/Resolve) 3/0 Tbone
Ax 3D FIESTA
Ax T2 FSE 3mm brainstem
Ax T1 FSE 3mm
Ax T1 FSE FS + Gd 3mm
Cor T1 FS + Gd 3mm
Pituitary Routine
1. 3Plane Loc SSFSE
2. ASSET Calibration
3. Sag FSE T1 thin Pituitary
4. Cor T2 FSE thin 2/0 pituitary
5. Ax FLAIR
6. Cor FSE T1 thin Pre
7. Cor T1 FS thin +Gd
8. Sag T1 thin +Gd
Option: Cor T1 Dynamic +Gd pituitary
Neuro MRI Protocols
Pineal
1. 3Plane Loc SSFSE
2. ASSET Calibration
3. Sag T1 2/1 midline
4. Ax T2
5. Ax FLAIR
6. Sag 3D FIESTA midline
7. Ax T1
8. Ax T1 +Gd
9. Cor T1 FS +Gd 3/1 pineal only
10. Sag T1 thin +Gd 2/1 midline
Skullbase
1. 3Plane Loc SSFSE
2. ASSET Calibration
3. Sag T1
4. Ax DWI (Propeller/Resolve)
5. Ax FLAIR
6. Ax T2 FSE FS 3mm
7. Cor T2 FSE FS 3mm
8. Ax T1 pre 3mm
9. Ax T1 +Gd 3mm
10. Cor T1 FS +Gd 3mm
Trigeminal Nerve
1. 3Plane Loc SSFSE
2. ASSET Calibration
3. Sag T1
4. Ax DWI
5. Ax T2
6. Ax FLAIR
7. Cor FIESTA
8. Cor T2 FSE FS 3mm
9. Ax T1 3mm trigeminal
10. Cor T1 3mm trigeminal
11. Ax T1 FS +Gd 3mm
12. Cor T1 FS +Gd 3mm
updated 7/2014
Orbits
1.
2.
3.
4.
5.
6.
7.
8.
3Plane Loc SSFSE
ASSET Calibration
Sag T1
Cor STIR Orbit or IDEAL
Ax T1 thin Orbit
Cor T1 thin Orbit
Ax T1 FS (DIXON) thin +Gd
Cor T1 FS (DIXON) thin +Gd
Face
1.
2.
3.
4.
5.
6.
Cor T1
Ax T1
Ax T2 FSE FS
Cor T2 FSE FS
Ax T1 FSE +Gd
Cor T1 FSE FS +Gd
TMJ with cine
1.
2.
3.
4.
5.
6.
7.
3Plane Loc SSFSE
ASSET Calibration
Cor FSE T1 thin
closed mouth
Sag FSE T1 thin closed mouth
Sag FSE T1 thin open mouth
Cine SPGR
Rhinorrhea CSF
1.
2.
3.
4.
5.
3Plane Loc SSFSE
ASSET Calibration
Sag T1
Cor T1 2/2
Sag T2 FS FRFSE_XL 2/2 (inc matrix,
320 phases)
6. CorT2 FS FRFSE_XL 2/2 (inc matrix,
320 phases)
7. Cor FIESTA
Neuro MRI Protocols
Soft Tissue Neck
1.
2.
3.
4.
5.
6.
Sag T1
Ax T2 FS
Ax T1
Ax T1 FS +Gd
Cor T1 FS +Gd
Ax T1 +Gd
Belden Neck protocol
1. 3Plane Loc SSFSE
2. ASSET Calibration
3. Ax T1
4. Ax T2 FS
5. DTI 2mm 20 directions
6. DWI propeller
7. DCE Dynamic Dry run
8. T1 MAP 30
9. T1 MAP 20
10. T1 MAP 15
11. T1 MAP 10
12. T1 MAP 5
13. DCE Dynamic +Gd
14. perfusion
15. Ax T1 FS +Gd
Brachial Plexus
1.
2.
3.
4.
5.
6.
7.
8.
Cor T1
Sag T1
Cor STIR
Sag STIR
Ax T1
Optional: Ax T1 FSE FS +Gd
Optional: Sag T1 FSE FS +Gd
Optional: Cor T1 FSE +Gd
3D MRA Spine
1. 3D MRA TOF
updated 7/2014
Scoliosis
1.
2.
3.
4.
5.
6.
7.
8.
9.
Cspine Sag T1
Cspine Sag T2
Cspine Cor T1
Tspine Sag T1
Tspine Sag T2
Tspine Cor T1
Lspine Sag T1
Lspine Sag T2
Lspine Ax T1 stack, T10-sacrum
Cervical Spine Radiculopathy
1.
2.
3.
4.
5.
Sag T1
Sag T2
Ax T2 FSE at disc spaces 2/1
Ax GRE
Optional: Bilateral Sag oblique T2
FSE 2/1
6. Optional: Sag T2 SPACE and
reformat sag oblique
Cervical Spine Myelopathy
1.
2.
3.
4.
5.
6.
7.
8.
Sag T1 2mm/skip 0
Sag T2 2mm/skip 0
Ax T2 FSE
Sag DWI
Optional: Ax T1
Optional: Sag T1 +Gd 2mm/skip 0
Optional: Ax T1 +Gd
Optional: Sag 3D T1 MPRAGE (TR
3000 ms, TE 4.5 s, TI 750 mc, flip
angle 8)
Neuro MRI Protocols
Cervical Spine Trauma
1.
2.
3.
4.
5.
Sag T1
Sag T2
Sag STIR
Ax T2
Optional for cord injury: sag GRE
Thoracic Spine Radiculopathy
1. Sag T1
2. Sag T2
3. Ax T2 FSE at disc spaces
Thoracic Spine Myelopathy
1.
2.
3.
4.
5.
6.
Sag T1 2mm/skip 0
Sag T2 2mm/skip 0
Ax T2 FSE
Optional: Ax T1
Optional: Sag T1 +Gd 2mm/skip 0
Optional: Ax T1 +Gd
Thoracic Spine Trauma
1.
2.
3.
4.
5.
Sag T1
Sag T2
Sag STIR
Ax T2
Optional for cord injury: sag GRE
Lumbar Spine
1.
2.
3.
4.
5.
Sag T1
Sag T2
Ax T2
Sag SPACE T2 with Ax reformats
Optional: Ax T1
updated 7/2014
6. Optional: Sag T1 +Gd
7. Optional: Ax T1 +Gd
Lumbar Spine Trauma
1.
2.
3.
4.
Sag T1
Sag T2
Sag STIR
Ax T2
Tethered Cord
1.
2.
3.
4.
5.
6.
7.
Cspine: Sag T2
Tspine: Sag T2
Lspine: Sag T2
Lspine: Sag T1
Lspine: Ax T2 FS (stacked)
Lspine: Ax T1 (stacked)
Optional: Cor T1 conus
Sacral Spine
1.
2.
3.
4.
5.
Cor STIR
Sag T1
Sag T2
Ax T2
Ax T1
Sacrum/SI Joints
1.
2.
3.
4.
5.
Cor STIR
Ax T2 FS
Cor Oblique T1
Cor Oblique T2 FS
Ax T1
Neuro MRI Protocols
Spine Intradural Screen
1.
2.
3.
4.
5.
6.
7.
8.
9.
Cspine Sag T1 +Gd
Cspine Ax T1 +Gd
Tspine Sag T1 +Gd
Tspine Ax T1 +Gd
Lspine Sag T1 +Gd
Lspine Ax T1 +Gd
After contrast: Cspine Sag T2 FSE
After contrast: Tspine Sag T2 FSE
After contrast: Lspine Sag T2 FSE
Spine Intramedullary/
Intradural Full
1. Cspine Sag T1
2. Cspine Sag T2
3. Cspine Ax T1
4. Cspine Ax T2
5. Tspine Sag T1
6. Tspine Sag T2
7. Tspine Ax T1
8. Tspine Ax T2
9. Lspine Sag T1
10. Lspine Sag T2
11. Lspine Ax T1
12. Lspine Ax T2
13. Cspine Sag T1 +Gd
14. Cspine Ax T1 +Gd
15. Tspine Sag T1 +Gd
16. Tspine Ax T1 +Gd
17. Lspine Sag T1 +Gd
18. Lspine Ax T1 +Gd
Bone Met Survey
1. Cspine Sag T1
2. Cspine Sag STIR
3. Cspine Ax T2
updated 7/2014
4. Tspine Sag T1
5. Tspine Sag STIR
6. Tspine Ax T2
7. Lspine Sag T1
8. Lspine Sag STIR
9. Lspine Ax T2
10. Cspine Sag T1 FS +Gd
11. Tspine Sag T1 FS +Gd
12. Lspine Sag T1 FS +Gd
Lumbosacral Plexus
1.
2.
3.
4.
Ax T1
Ax T2
Cor T1
3D Coronal STIR SPACE
Diskitis-Osteomyelitis,
Epidural Abscess
1.
2.
3.
4.
5.
6.
7.
Sag T1
Sag T2
Sag STIR
Ax T1
Ax T2
Sag T1 FS +Gd
Ax T1 +Gd
!
Paraspinal mass
1.
2.
3.
4.
5.
6.
7.
8.
9.
Sag T1
Sag T2 FS
Ax T1
Ax T2
Cor STIR
Ax T1 +Gd
Sag T1 FS +Gd
Cor T1 FS +Gd
Ax T1 FS + Gd thin through mass

Download Report