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Updated 1/2002
Patient must void before study.
35 cc Gadolinium contrast (*)
O2 NC
CONSENT-generic kidney form
Assess the patient’s breath holding capability. If poor
capability, give oxygen. If the patient can’t hold his/her breath, call
body radiologist.
protocol is under BODY PROTOCOLS ->RENAL DONOR PROTOCOL
| Sequence |
Plane |
Comment |
Film # |
| Flash scout |
|
non breath hold |
|
| true fisp scout |
|
end exp breath hold |
|
| T1 in/out |
Ax |
|
2,1 |
| HASTE |
Cor |
No fat sat. 4-5 mm slices |
2 |
| 3D MRA precontrast |
Cor |
1.5mm.thick slices
Keep the slab as small as possible (usually 96mm or less)
through entire aorta and both kidneys (THE WHOLE KIDNEY) |
0 |
| T1 MAPPING |
Obl
Cor |
history to 3D MRA precontrast |
|
| Timing Run |
Ax |
Thru kidneys – 1cc at 2cc/sec followed
by 20 cc saline at 2cc/sec |
0 |
| 3D renal perfusion |
Obl
Cor |
PRECONTRAST 5 measures
history to 3D MRA |
0 |
| 3D renal perfusion |
Obl
Cor |
POSTCONTRAST 34 measures , INJECT
4 CC GAD AT 2CC/SEC, FOLLOWED BY 20 CC SALINE FLUSH, SEE PROTOCOL
SHEET FOR SPECIFIC INSTRUCTIONS ON BREATHHOLDING AND CALCULATING
TIME TO PEAK |
0 |
| 3D MRA postcontrast |
Obl
Cor |
ADD 10 mg (1cc)LASIX to line
USE FORMULA SCAN DELAY=TTP +5-TIME TO CENTER
2 measures 8 SEC gap, |
|
| VIBE |
Ax |
1 measure.
Run as soon as possible after the FLASH sequences. |
1 |
| 3D MRA |
Cor |
Delayed Urogram |
0 |
| Do Subtraction |
|
1-3D MRA Arterial phase – pre-contrast
2-3D MRA delayed urogram – pre-contrast |
0 |
(*) 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.
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