GE	Phillips
Adrenal MRI Body Pelvis MRI Liver MRI MRCP Set up of MRCP angled coronals Pancreas MRI Pelvis Fistula Abdominal/Pelvic Survey Kidney MRI Prostate MRI	Adrenal MRI Body Pelvis MRI Liver MRI MRCP Set up of MRCP angled coronals Pancreas MRI Pelvis Fistula Abdominal/Pelvic Survey Kidney MRI Prostate MRI
GE Adrenal MRI (2.14.06) Pre Contrast T2 FSE axial FS 8/2 (diaphragm to inferior renal poles) BREATHHOLD (if unable to hold breath, do resp triggered, but ONLY if patient is unable to hold breath) Dual T1 FMPSPGR axial 5/1mm(through adrenals) BREATHHOLD 3D T1 FAME axial FS 5mm thick BREATHHOLD (diaphragm to inferior renal poles) Post Contrast Venous phase- 3DT1 FAME axial FS 5mm thick BREATHHOLD (diaphragm to inferior renal poles) 70 second delay 3 minute coronal T1 FS FMPSPGR 5mm thick BREATHHOLD through adrenals and kidneys	PHILIPS Adrenal MRI (2.14.06) Pre Contrast T2 SPAIR axial 8/2 (diaphragm to inferior renal poles) resp triggered, (if unable to register well, do BREATHHOLD) Dual T1 axial FFE 5/1 (through adrenals) BREATHHOLD **if tiny adrenal lesion may do 3mm dual FFE on 3T*** 3D T1 THRIVE SPAIR axial 5mm thick BREATHHOLD (diaphragm to inferior renal poles) Post Contrast Venous phase- 3DT1 THRIVE SPAIR axial 5mm thick BREATHHOLD (diaphragm to inferior renal poles) 70 second delay 3 minute coronal T1 THRIVE SPAIR 5mm BREATHHOLD through adrenals and kidneys
GE Body pelvis MRI (2.14.06) Pre Contrast T2 FSE sagittal FS 5/1 exclude body wall T2 FSE angled coronal FS 5/1 exclude body wall (If patient has a uterus, angle so that slices are parallel to endometrial cavity) T1 FMPSPGR axial in phase 8/2 BREATHHOLD T1 FMPSPGR axial FS in phase 8/2 BREATHHOLD Post Contrast 70 second delay- FMPSPGR axial FS in phase 8/2 BREATHHOLD *If pelvis congestion syndrome a question, may do MRV (set up like for renal MRV with enough AP coverage to included pelvic veins, post gado 3D TOF) IMMEDIATELY BEFORE (70 second delay) axial T1 post cons* NO MRA acquisition needed.	PHILIPS Body pelvis MRI (2.14.06) Pre Contrast T2 SPAIR sagittal 5/1 exclude body wall T2 SPAIR angled coronal FS 5/1 exclude body wall (If patient has a uterus, angle so that slices are parallel to endometrial cavity) T1 THRIVE axial 5mm BREATHHOLD 3D T1 THRIVE SPAIR axial 5mm Post Contrast 70 second delay- 3D T1 THRIVE SPAIR axial 5mm *If pelvis congestion syndrome a question, may do MRV (set up like for renal MRV with enough AP coverage to included pelvic veins, post gado 3D TOF) IMMEDIATELY BEFORE (70 second delay) axial T1 post cons* NO MRA acquisition needed.
GE Liver MRI (2.14.06) Pre Contrast T2 FSE axial FS 8/2 (through liver) BREATHHOLD (if unable to hold breath, do resp triggered, but ONLY if patient is unable to hold breath) Dual T1 FMPSPGR axial 8/2 (through liver) BREATHHOLD T1 FAME axial FS 5mm thick BREATHHOLD (through liver) Post Contrast Fluoro triggered (Twinspeed)/ bolus tracking (echospeed) FOR ARTERIAL PHASE! Arterial and 70 sec (portal venous phase) delay- T1 FAME axial FS 5mm thick BREATHHOLD (through liver); 3 minute delay T1 FMPSPGR coronal in phase FS 5/1 BREATHHOLD (diaphragm to iliac crests)	PHILIPS Liver MRI (2.14.06) Pre Contrast T2 SPAIR axial 8/2 (diaphragm to inferior renal poles) resp triggered, (if unable to register well, do BREATHHOLD) Dual T1 FFE axial 8/2 (through liver) BREATHHOLD -may try 6mm thickness if liver size permits T1 THRIVE axial SPAIR 5mm thick BREATHHOLD (through liver) Post Contrast BOLUS TRACK FOR ARTERIAL PHASE! Arterial and 70 sec (portal venous phase) delay- T1 THRIVE axial FS 5mm thick BREATHHOLD (through liver); 3 minute delay T1 THRIVE axial FS 5mm BREATHHOLD (diaphragm to iliac crests)
GE MRCP (2.14.06) ALWAYS PART OF EITHER A LIVER OR PANCREAS PROTOCOL Prep: Patient should be NPO for 6 hours. Give Gastromark ONLY if NPO, 15 minutes prior to scan. Pre Contrast SSFSE axial FS thin slice 4/0; TE 90 (through pancreas and biliary tree) BREATHHOLD- need these because cannot see stones on radial!) SSFSE angled coronal FS thin slice 4/0; TE 90 (through pancreas and biliary tree-align with bifurcation of portal vein at level of porta hepatis) BREATHHOLD- ditto need SSFSE RADIAL FS; TE 1400, 18 slices, 7 degree, CW (center over vessels with slice #1 at 12 o'clock) BREATHHOLDS T2 FSE axial FS 8/2 (through liver) BREATHHOLD (if unable to hold breath, do resp triggered, but ONLY if patient is unable to hold breath) Dual T1 FMPSPGR axial 8/2 (through liver) BREATHHOLD 3D T1 FAME axial FS 5mm (top of liver through pancreas) BH Post Contrast Fluoro/bolus tracking FOR ARTERIAL PHASE! IF HEPATIC QUESTION: Arterial and 70 second (portal venous phase) delay FAME axial FS in phase 5mm (top of liver through pancreas) BREATHHOLD 3 minute delay T1 FMPSPGR 5/1 coronal FS (through pancreas and liver) IF PANCREATIC QUESTION: 35 (pancreatic parenchymal) and 70 second (portal venous phase) delay FAME axial 5mm FS (top of liver through pancreas) BH 3 minute delay T1 FMPSPGR FS in phase coronal 5/1 (through pancreas and liver)	PHILIPS MRCP (2.14.06) ALWAYS PART OF EITHER A LIVER OR PANCREAS PROTOCOL Prep: Patient should be NPO for 6 hours. Give Gastromark ONLY if NPO, 15 minutes prior to scan. Pre Contrast 3D high res MRCP MIP- send rotated saved series to PACS SSFSE RADIAL FS; TE 1400, 18 slices, 7 degree, CW (center over vessels with slice #1 at 12 o'clock) BREATHHOLDS T2 SPAIR axial 8/2 (through liver) resp triggered, (if unable to register well, do BREATHHOLD) Dual T1 FFE axial 6-8mm/2 (through liver) BREATHHOLD 3D T1 THRIVE SPAIR axial 5mm (top of liver through pancreas) BREATHHOLD Post Contrast BOLUS TRACK FOR ARTERIAL PHASE! IF HEPATIC QUESTION: Arterial and 70 second (portal venous phase) delay THRIVE SPAIR axial in phase 5mm (top of liver through pancreas) BH 3 minute delay T1 THRIVE SPAIR 5mm coronal FS (top of liver through pancreas) IF PANCREATIC QUESTION: 35 (pancreatic parenchymal) and 70 second (portal venous phase) delay THRIVE SPAIR axial 5mm (top of liver through pancreas) 3 minute delay T1 THRIVE SPAIR 5mm coronal (through pancreas and liver) ***IF PANCREATIC QUESTION and PT on 3T, get DIFFUSION B=1000******
Set up of MRCP angled coronals: Thin 4/0 SSFSE MRCP images should be aligned with the main branching of the portal vein (see arrow), and include central intrahepatic duct bifurcation to head of pancreas (see solid lines).	Set up of MRCP angled coronals: Thin 4/0 SSFSE MRCP images should be aligned with the main branching of the portal vein (see arrow), and include central intrahepatic duct bifurcation to head of pancreas (see solid lines).
GE Pancreas MRI (2.14.06) Pre Contrast T2 FSE axial FS 8/2 (through liver and pancreas) BREATHHOLD (if unable to hold breath, do resp triggered, but ONLY if patient is unable to hold breath) SSFSE RADIAL FS; TE 1400, 18 slices, 7 degree, CW (center over vessels with slice #1 at 12 o'clock) BREATHHOLDS SSFSE axial FS thin slice 4/0; TE 90 (through pancreas and biliary tree) BREATHHOLD- need these because cannot see stones on radial!) T1 FAME axial FS 5mm thick BREATHHOLD (through liver and pancreas) Post Contrast 35 (pancreatic parenchymal) and 70 second (portal venous phase) delay FAME FS axial 5mm (top of liver through pancreas) BREATHHOLD 3 minute delay T1 FMPSPGR FS in phase coronal 5/1 BREATHHOLD (diaphragm to iliac crests)	PHILIPS Pancreas MRI (2.14.06) Pre Contrast T2 SPAIR axial 8/2 (diaphragm to inferior renal poles) resp triggered, (if unable to register well, do BREATHHOLD) 3D high res MRCP MIP- send rotated saved series to PACS MRCP RADIAL FS; TE 1400, 18 slices, 7 degree, CW (center over vessels with slice #1 at 12 o'clock) BREATHHOLDS T1 THRIVE SPAIR axial 5mm thick BREATHHOLD (through liver and pancreas) Post Contrast 35 (pancreatic parenchymal) and 70 second (portal venous phase) delay THRIVE SPAIR axial in phase 5mm (top of liver through pancreas) BREATHHOLD 3 minute delay THRIVE SPAIR 5mm coronal (diaphragm to iliac crests) ***IF PT on 3T, get axial DIFFUSION B=1000******
GE Pelvis fistula (2.14.06) Pre Contrast T2 FSE axial 3/0; 25 FOV (cover rectum approximately 42 slices) T2 FSE coronal 3/0; 25 FOV (mid bladder to coccyx approximately 42 slices) T2 FSE FS axial 3/0; 25 FOV (cover rectum approximately 42 slices) T2 FSE FS coronal 3/0; 25 FOV (mid bladder to coccyx approximately 42 slices) T1 FSE axial 3/0; 25 FOV T1 FSE coronal 3/0; 25 FOV T1 FSPGR axial in phase 6/2; 25 FOV Post Contrast Delay 3 minutes T1 FSPGR axial in phase 6/2; 25 FOV T1 FSPGR axial FS in phase 6/2; 25 FOV PLEASE- Be sure that inferior margins/slices include skin surface of perineum! **If rectovaginal fistula the question, consider T2FSE FS sagittal slices**	PHILIPS Pelvis fistula (2.14.06) Pre Contrast T2 axial 3/0; 25 FOV (cover rectum approximately 42 slices) T2 coronal 3/0; 25 FOV (mid bladder to coccyx approximately 42 slices) T2 SPAIR axial 3/0; 25 FOV (cover rectum approximately 42 slices) T2 SPAIR coronal 3/0; 25 FOV (mid bladder to coccyx approximately 42 slices) T1 FFE axial 3/0; 25 FOV T1 FFE coronal 3/0; 25 FOV T1 THRIVE axial in phase 5mm; 25 FOV Post Contrast Delay 3 minutes T1 THRIVE axial in phase 5mm; 25 FOV T1 THRIVE SPAIR in phase 5mm; 25 FOV PLEASE Be sure that inferior margins/slices include skin surface of perineum. **If rectovaginal fistula the question, consider T2 SPAIR sagittal slices** We will review these after 2 months to be sure that FFEs are adequate, and that TSEs not needed instead on Philips.
GE Abdominal/Pelvic Survey (2.14.06) Pre Contrast T2 FSE axial FS 8/2 (diaphragm to symphysis) BREATHHOLD (if unable to hold breath, do resp triggered, but ONLY if patient is unable to hold breath) Dual T1 FMPSPGR axial 8/2 (diaphragm to symphysis) BREATHHOLD ***If on echospeed, need in-phase through pelvis, but in AND out of phase through upper abdomen.*** T1 FAME axial FS 5mm thick BREATHHOLD (through liver and pancreas) Post Contrast 70 second delay- T1 FAME axial FS 5mm thick BREATHHOLD (top of liver through kidneys); T1 FAME FS axial 5mm BREATHHOLD through remainder of abd and pelvis.	PHILIPS Abdominal/Pelvic Survey (2.14.06) Pre Contrast T2 SPAIR axial 8/2 (diaphragm to inferior renal poles) resp triggered, (if unable to register well, do BREATHHOLD) Dual T1 FFE axial 8/2 (diaphragm to symphysis) BREATHHOLD T1 THRIVE SPAIR axial 5mm thick BREATHHOLD (through liver and pancreas) Post Contrast 70 second delay- T1 THRIVE SPAIR axial 5mm thick BREATHHOLD (top of liver through kidneys); T1 THRIVE SPAIR BREATHHOLD through remainder of abd and pelvis.
GE Kidney MRI (2.14.06) Pre Contrast T2 FSE axial FS 8/2 (liver through kidneys) BREATHHOLD (if unable to hold breath, do resp triggered, but ONLY if patient is unable to hold breath) Dual T1 FMPSPGR axial 5-6/1.5 (through kidneys) BREATHHOLD T1 FAME FS axial 5mm (through kidneys) BREATHHOLD Post Contrast 25, 90 second delay- T1 FAME FS axial 5mm (top of liver through kidneys) BREATHHOLD 3 minute delay FMPSPGR coronal in phase FS 8/2 BREATHHOLD (diaphragm to iliac crests) OPTIONS: *Consider adding 3D TOF renal MRA/MRV between FAME pre and post if partial nephrectomy a question.* Drop 25 sec THRIVE. Do not do MR Urograms on GEs at this time.	PHILIPS Kidney MRI (2.14.06) Pre Contrast T2 SPAIR axial 8/2 (diaphragm to inferior renal poles) resp triggered, (if unable to register well, do BREATHHOLD) Dual T1 axial FFE 5/1 (through kidneys) BREATHHOLD T1 THRIVE SPAIR axial 5mm (through kidneys) BREATHHOLD Post Contrast 25, 90 second delay- T1 THRIVE SPAIR axial 5mm (top of liver through kidneys) BREATHHOLD (same as precontrast in case subtraction images are needed!) 3 minute delay T1 THRIVE SPAIR 5mm coronal BREATHHOLD (diaphragm to iliac crests) OPTIONS: *Consider adding 3D TOF renal MRA/MRV between THRIVE pre and post if partial nephrectomy a question.* Drop 25 sec THRIVE. MRUrogram: At end of exam do MRA- type sequence: CORONAL kidneys through bladder base
GE Prostate MRI (2.14.06) Body coil T2 FSE axial FS 7/3 crest through pubis FOV 34 T1 SE axial 7/3 crest through pubis FOV 34 Endorectal coil T2 FRFSE 3/1 axial, coronal, sagital: FOV 12, 256/256 T1 SE axial FOV 12 356/160	PHILIPS Prostate MRI (2.14.06) Being evaluated. Must be done on 3T. Check with attending body imager.
3/9/06