Suggestions/Comments

 

Cardiac Clinical Protocols

Cardiac Mass

Last Updated: 11/7/2001

EKG leads.

Right sided IV.

Coils: phased array over chest.

20 cc Gadolinium contrast (*)

Assess the patient’s breath holding capability. If poor capability, give oxygen. If pt can’t hold his/her breath call body radiologist.

Call body radiologist.

Sequence

Plane

Comment

Film #

TrueFISP

Ax

 

 

DB Haste

Cor

Gated.
5mm, 20% gap

0

STIR

Ax

Only through mass
Gated.
Single slice

2

T1 TSE

Ax

Only through mass
Gated.
Try 6mm, 20% gap, no fat sat.
If poor quality, try single slice gated sequence.

2

 

 

 

2

GRE or TrueFISP cine

Best

Cine images through the lesion., if no lesion seen, at least get a 4 chamber cine
Try short and long axis.

0

3D VIBE

Ax

1 measure. Use FOV 450-475. 512 matrix.

0

Timing Run

Ax

Thru region of interest.
1cc of the contrast mix at 2cc/sec followed by 20 cc saline at 2cc/sec.
Use standard timing formula.

0

3D VIBE

Ax

3 measures (0,35,120 seconds)
Inject 20cc of mix at 2cc/sec followed by 20cc saline at 2cc/sec.
Standard timing formula.

0

MIP

 

Subtract if necessary.

2

(*) The use of gadolinium contrast material for these applications represents off-label usage in the U.S. Outside the U.S., please consult your country's regulations for local guidelines.

 

NOTE: These protocols apply to Siemens Symphony (with Quantum gradients) and Sonata systems. While they reflect the protocols used at NYU Medical Center, NYU is not responsible for their application elsewhere.

 


Department of Radiology
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