Hepatobiliary/GI Clinical Protocols: Living Related Liver Donor














New York University School of Medicine Department of Radiology
Suggestions/Comments

Hepatobiliary/GI Clinical Protocols

Living Related Liver Donor

Last Updated: 6/12/2003

Phased array coil centered over liver.

30 cc Gadolinium contrast (*)

Teslascan Dosage-see bottom of page—MUST GET CONSENT (2 copies)

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

Run sequences in the order listed.

Body radiologist to monitor

Sequence	Plane	Comment	Film #
HASTE	Cor	No fat sat. 4 mm slices	2
HASTE	Ax	No fat sat. 5 mm slices
Thick Slab	Obl	Straight (Try to get FOV ~ 250)	1
Thick Slab	Obl	30° to the right (Try to get FOV ~ 250)	1
3D PACE	Cor/Obl	Coronal usually better. If need to, slightly oblique due to patient’s body habitus.	1
T1 in/out	Ax		2,1
VIBE	Ax	Try to get effective thickness 2mm. Include pancreas in FOV.	0
3D FLASH	Cor		0
Timing Run	Ax	Thru porta hepatis– 1cc at 2cc/sec followed by 20 cc saline at 2cc/sec Use Standard Timing Formula	0
3D FLASH	Cor	1 measure	0
VIBE	Ax	1 measure	1
		LEAVE PATIENT IN MAGNET INJECT TESLASCAN. WAIT 10 MINUTES AND BE READY FOR FIRST POST VIBE
		THE REST OF THE STUDY IS DONE ON INSPIRATION
VIBE	Obl Cor	High Resolution (~1x1mm) FA=35 PARALLEL TO INTRAHEP DUCTS	0
VIBE	Ax	High resolution (~1 x 1 mm) FA=35	0
Do Subtraction		Arterial phase – pre-contrast	0

Teslascan	Dosage
Wt (lbs)	Vol (cc)
88	4
110	5
132	6
154	7
176	8
198	9
220	10
242	11
254	12
330	15

(*) 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.