Hepatobiliary/GI Clinical Protocols: Non-Breath Hold Liver














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

Hepatobiliary/GI Clinical Protocols

Non-Breath Hold Liver

Last update: 4/1/2002

ONLY USE THIS PROTOCOL AT THE DIRECTION OF THE BODY RADIOLOGIST IN PATIENTS WHO ARE UNABLE TO BREATH-HOLD OR WHO ARE UNABLE TO FOLLOW BREATHING INSTRUCTIONS.

Phased array coil centered over the liver.

Weight based Gadolinium contrast (*), 15cc if pt is less than 180 pounds; otherwise 20cc Gd

Run sequences in the order listed.

Sequence	Plane	Comment	Film #
NBH-STIR	Ax	Run concatenated. If bad quality, run Ax HASTE with fat sat (8mm 0.2 gap)	2
Turbo FLASH Out-of-phase	Ax		1
Turbo FLASH In-phase	Ax		2
HASTE	Cor	No fat sat. 4mm slices.	2
HASTE	Ax	Concatenated, No fat sat. 4mm slices	2
Sat up	Ax		0
Timing Run	Ax	Thru kidneys – 1cc at 2cc/sec followed by 20 cc saline at 2cc/sec	0
Turbo FLASH In-phase	Ax	3 measures (0, 60, 180 sec) Start scanning at time to peak. Consider a 4^th delayed measure.	1,2,1

(*) 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.