General Guidelines:

• Review the tech general tech guidelines BY CLICKING HERE.

• Everything that is post-contrast should have a pre-contrast with the exact same settings (TR, TE, Flip angle, etc...)

• CANCER BEING CONSIDERED:  should have at least one conventional T1 instead of FSE.  This give more signal intensity for bone marrow and shows metastases more conspicuously.

C-SPINE W/O

• 3 PL LOC                                23 SECS

• COR T2                                2-3 MINS

• SAG T1                                                   4-5 MINS

• SAG T2                                2-3 MINS

• SAG IR                                3-4 MINS

• AX T2                                3-4 MINS

• AX GRE                                              4-5 MINS

C-SPINE W & W/O

• 3 PL LOC                            23 SECS

• COR T2                                2-3 MINS

• SAG T1                                4-5 MINS

• SAG T2                                  2-3 MINS

• SAG IR                             3-4 MINS

• SAG T1 F/S                                4-5 MINS

• AX T2                                3-4 MINS

• AX GRE                                           4-5 MINS

• AX T2                             3-4 MINS

• SAG T1 F/S POST                        4-5 MINS

• AX T1 POST                                5-6 MINS

T-SPINE W/O

• 3 PL LOC                            23 SECS

• COR T2                             2-3 MINS

• SAG T1                                4-5 MINS

• SAG T2                                2-3 MINS

• SAG IR                                3-4 MINS

• AX T2                             3-4 MINS

T-SPINE W & W/O

3 PL LOC                                23 SECS

COR T2                                2 -3 MINS

SAG T1                             4-5 MINS

SAG T2                                   2-3 MINS

SAG IR                                3-4 MINS

SAG T1 F/S                            4-5 MINS

AX T2                                3-4 MINS

SAG T1 F/S POST                   4-5 MINS

AX T1 POST                              5-6 MINS

L-SPINE W/O

3 PL LOC                            23 SECS

COR T2                                2-3 MINS

SAG T1                                4-5 MINS

SAG T2                                           2-3 MINS

SAG IR                                3-4 MINS

AX T2                                3-4 MINS

L-SPINE W & W/O

3 PL LOC                                23 SECS

COR T2                                           2-3 MINS

SAG T1                             4-5 MINS

SAG T2                             2-3 MINS

SAG IR                             3-4 MINS

SAG T1 F/S                                4-5 MINS

AX T2                             3-4 MINS

SAG T1 F/S POST                        4-5 MINS

AX T1 POST                                5-6 MINS

PELVIS W/O

3 PL LOC                                23 SECS

AX T2                                 5-6 MINS

AX T1 F/S                                7-8 MINS

COR T2                                6-7 MINS

COR T1                             6-7 MINS

SAG T2                                          3-4 MINS 

PELVIS W & W/O

3 PL LOC                                23 SECS

AX T2                             5-6 MINS

AX T1 F/S                                7-8 MINS

COR T2                                       6-7 MINS

COR T1                                6-7 MINS

SAG T2                             3-4 MINS

AX T1 F/S POST                              7-8 MINS

COR T1 F/S POST                           7-8 MINS

NECK W/O

3 PL LO                                23 SECS

SAG T1                             3-4 MINS

SAG T2                             3-4 MINS

AX T2                                4-5 MINS

AX T1                                7-8 MINS

COR T1 F/S                            5-6 MINS

COR  IR                                7-8 MINS 

NECK W & W/O

3 PL LOC                                                   23 SECS

SAG T1                             3-4 MINS

SAG T2                             3-4 MINS

AX T2                                4-5 MINS

AX T1                                     7-8 MINS

COR T1 F/S                                5-6 MINS

COR  IR                                7-8 MINS

COR T1 F/S POST                           4-5 MINS

AX T1 F/S POST                                8-9 MINS 

ABDOMEN W & W/O

3 PL LOC                            23 SECS

ASSET CAL                                23 SECS

COR T2 SSFSE                                20-30 SECS

AX DE FSPGR                                30-40 SECS

AX T1 FSPGR O/P F/S                                                        1-2 MINS

AX T2 FRFSE F/S                                                           1-2 MINS

AX T2 SSFSE                                30-45 SECS

AX T1 FAME                           25-30 SECS

AX T1 FAME MULTI-PHASE POST                               1-2 MINS

COR FSPGR POST                                25-30 SECS 

MRCP

3 PL LOC                            23 SECS

ASSET CAL                                23 SECS

COR T2 SSFSE                                20-30 SECS

AX T2 SSFSE                                                20-30 SECS

AX T2 FRFSE F/S                            1-2 MINS

3D MRCP RT R                                8-9 MINS

THICK SLAB                                  1-2 MINS

THIN SLAB                           1-2 MINS

AX T1 FSPGR F/S                                1-2 MINS

AX DUAL ECHO FSPGR                                1-2 MINS

SHOULDER

3 PL LOC                                23 SECS

AX T2* GRE                                6-7 MINS

COR T2 F/S                            4-5 MINS

COR PD                                3-4 MINS

COR IR                                6-7 MINS

SAG T1                                4-5 MINS

SAG PD F/S                                3-4 MINS 

PELVIS/HIP

3 PL LOC                                23 SECS

COR T1                                5-6 MINS

COR IR                             4-5 MINS

AX T2 F/S BILAT                                4-5 MINS

AX PD BILAT                                                   4-5 MINS

SAG T2 F/S                                2-3 MINS

COR PD UNI                            2-3 MINS 

KNEE

3 PL LOC                                23 SECS

AX T2 * GRE                                5-6 MINS

SAG PD F/S                                3-4 MINS

SAG PD                                3-4 MINS

COR T1                                              5-6 MINS

COR PD F/S                            5-6 MINS 

ANKLE W/O

3 PL LOC                                23 SECS

AX PD                             3-4 MINS

AX T2 F/S                                4-5 MINS

SAG IR                             4-5 MINS

SAG T1                                4-5 MINS

COR PD F/S                                            5-6 MINS 

ANKLE W & W/O

3 PL LOC                                23 SECS

AX PD                             3-4 MINS

AX T2 F/S                                                        4-5 MINS

AX T1 F/S                            4-5 MINS

SAG IR                                4-5 MINS

SAG T1                                4-5 MINS

COR PD F/S                                5-6 MINS

AX T1 F/S POST                           4-5 MINS

COR T1 POST                                3-4 MINS 

WRIST

3 PL LOC                                          23 SECS

COR T2* GRE                            3-4 MINS

COR T1                                3-4 MINS

AX PD                                3-4 MINS

AX T2 * GRE                            3-4 MINS

SAG PD F/S                            2-3 MINS

SAG T2 F/S                                2-3 MINS

AX T2 F/S                            3-4 MINS

T1 3D FSPGR                          4-5 MINS 

FOOT W/O

3 PL LOC                                23 SECS

AX PD                                5-6 MINS

AX T2 F/F                                                     4-5 MINS

COR T2 F/S                            4-5 MINS

COR T1                                4-5 MINS

SAG IR                                4-5 MINS

SAG PD                                3-4 MINS 

FOOT W & W/O

3 PL LOC                                23 SECS

AX PD                                5-6 MINS

AX T2 F/F                                4-5 MINS

AX T1 F/S                                4-5 MINS

COR T2 F/S                                4-5 MINS

COR T1                                          4-5 MINS

SAG IR                                4-5 MINS

SAG PD                                3-4 MINS

AX T1 F/S POST                                4-5 MINS

COR T1 POST                                4-5 MINS 

ELBOW

3 PL LOC                                23 SECS

AX T1                             3-4 MINS

AX PD F/S                            3-4 MINS

COR T1                             3-4 MINS

COR IR                                                 4-5 MINS

SAG T1                             3-4 MINS

SAG IR                             4-5 MINS 

BRACHIAL PLEXUS W & W/O

3 PL LOC                                         23 SECS

COR T1                             6-7 MINS

COR T2                             3-4 MINS

SAG T2                             4-5 MINS

AX T1                             7-8 MINS

AX T2                             2-3 MINS

AX T1 F/S POST                           10-11 MINS

COR T1 F/S POST                           13-14 MINS

MR ABDOMEN:

• Localizer

• Asset Cal BH - Don't need to send to PACS

• Coronal T2 SSFSE BH

• Axial FSPGR BH

• Axial T1 FSPGR O/P FS

• Ax T2 FRFSE BH FS

• Ax T2 SSFSE BH

• Ax FAME T1 BH Pre, 2.5 mm

• Ax FAME T1 BH Multiphase, 2.5 mm (Coming out very grainy), 350 images, Acc 45008

• Cor FSPGR 3D BH, 2 mm

MR ABDOMEN - MRCP

• 3D MRCP RTrAsset comes out nice

• Screen save, thin slab, thick slab MRCP are not coming out well.  2009.02.12; Accession #2658

MR BRACHIAL PLEXUS:

• AX T1, 3MM

• AX T2, 3MM

• COR T1, 3MM

• COR T2, 3MM

• AX T1 FS, POST-CONTRAST, 3MM

• COR T1 FS, POST-CONTRAST, 3MM

MRI Brain W & W/O:

• Localizer

• Asset  Cal

• Sag T1 Sl Th 5 mm Slice 1.5

• O/Ax DWI   Sl Th 5 mm Slice 1.5

• AX FRFSE T2  Sl Th 5 mm Slice 1.5

• AX T2 FLAIR  Sl Th 5 mm Slice 1.5

• AX T1 SE Sl Th 5 mm Slice 1.5

• AX T2* GRE (TRAUMA –BLEED) Sl Th 5 mm Slice 1.5

• IF POST-CONTRAST, ADD THESE:

• AX T1 SE +C Sl Th 5 mm Slice 1.5

• COR T1 SE +C Sl Th 5 mm Slice 1.5

MR Elbow:

• Cor T1

• Cor T2 FS (Poor spatial resolution; maybe switch to STIR)

• Sag T1

• Sag T2 FS (Poor spatial resolution; maybe switch to STIR)

• Ax T1 SE

MR Foot:

• Make sure the entire foot from calcaneus to distal phalanges are in the field of view

• Axial PD FSE, 4mm, 2.0 min

• Axi T2 FS, 4mm, 2.0 min

• Sag T1 FSE, 3.5, 3.5 min

• Sag STIR, 3.5 mm, 4.0 min

• Coronal PD FS, 4 mm, 2.3 min

• Tarsal Tunnel View (perpendicular to tarsal tunnel) PD, 3 mm, 2.5 min

MR Hip

• If they only order one hip, you should try to get high resolution images of that one side.  Don't need both sides.

• Axial FSE PD—4MM-1:45

• Axial FSE PD FS-4MM—1:45

• Cor T1 SE-4MM-4MIN (both hips)

• Cor STIR-4MM-4:14 (both hips)

• Sag FSE PD FS-4MM-1:45

• Sag FSE T1, High ResolutioN-4MM-1:30

• Ax FSE T1 OPT, High Resolution-5MM-5:15

MRA Lower Extremities:

• 3D TOP TE MINIMUM FLIP ANGLE 30 TIME 17 SEC

• 3D MID TE MINIMUM FLIP ANGLE 30 TIME 16 SEC

• 3D BOTTOM TE MINIMUM FLIP ANGLE 30 TIME 1:06

MR Knee

• Sag T1, 4mm

• Sag T2, 4mm

• Sag STIR, 4mm

• Axial T2, 4mm

• Axial GRE T2*, 4mm

MR Pelvis

• Localizer (3-plane), 27i

• Localizer (3-plane), 27i

• T2 SSFSE BH (coronal), 28i

• T2 FrFSE (coronal), 30i

• T2 FSE (sagittal), 24i

• T1 FSPGRE FS O/P (axial), 31i - edge artifact is not there.  was this done right?

• T1 FSPGRE FS I/P (axial), 31i

• T2 FRFSE BH FS (axial), 31i

• Obl FSE parallel/perp to uterus can be thrown out.

• T1 FSE (coronal), 28i

CANCER BEING CONSIDERED:  should have atleast one conventional T1 instead of FSE.  This give more signal intensity for bone marrow and shows metastases more conspicuously.

CONTRAST:

• T1 FSPGR FS GD (axial), 33i

• T1 FSPGR FS GD (coronal), 33i

• T1 FSPGR FS GD (sagittal), 33i - aren't post-contrast the past phases? can throw out sagittal one.

MR Shoulder

• axial PD FSE fatSat, 4.0 mm; (2.5 min)

• Cor T2 FatSat; 4.0 mm, 4.0 mm; (3.0 min)

• Coronal PD FSE, 4.0 mm; (2.5 min)

• Coronal T2, 4.0 mm; (?)

• Sag T2 FatSat, 4.0 mm; (3.0 min)

MR Spine - All parts

• For cancer or bone lesions, include a sagittal T1 SE (Note FSE).  The FSE does not have enough T1 intensity for bone marrow.
• For post-contrast studies, do the precontrast using the exact same scan parameters.

MR SPINE, CERVICAL

• sag T1---2MIN. 3MM
• sag T2---2 ½ MIN 3MM
• sag STIR---3 ½ MIN 3MM
• axial T2---4MIN 3MM
• axial GRE (T2*)---6MIN 3MM -----////4MM=5MIN    ////  5MM=3 1/2MIN
• For cancer or bone lesions, include a sagittal T1 SE (NOT FSE).  The FSE does not have enough T1 intensity for bone marrow.
• Post Contrast Patients Add: T1 Fat-Sat Sagittal Pre/Post with same TR/TE and flip

For questions, please contact a local radiologist or a teleradiologist.

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