Suggestions/Comments

 

Hepatobiliary/GI Clinical Protocols

Routine Pancreas & Biliary MR without Contrast

Last update: 6/12/2003

The patients should fast four hours prior to the study.

Phased array coil centered over liver.

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.

Sequence

Plane

Comment

Film #

HASTE

Cor

No fat sat. 4 mm slices

2

HASTE

Ax

Run concatenated. No fat sat. 4 mm slices.

1

3D PACE

Cor or Obl

Coronal usually better. If need to, slightly oblique due to patient’s body habitus.

1

Thick Slab

Cor

Straight
Use 2 posterior sat bands for all thick slabs.
(Try to get FOV ~ 250)

1

Thick Slab

Obl

30° to the right (Try to get FOV ~ 250)

1

Thick Slab

Obl

30° to the left (Try to get FOV ~ 250)

1

STIR

Ax

Run concatenated.
If bad ghosting, run Ax HASTE with fat sat (8mm 0.2 gap)

2

T1 in/out

Ax

cover entire liver

2,1

VIBE

Ax

Try to get effective thickness 2mm.
Include pancreas in FOV.
Use FOV as small as possible. If >375 needed call MD.

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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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