Genitourinary Clinical Protocols: Routine Hematuria














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

Genitourinary Clinical Protocols

Routine Hematuria

Updated 12/2002

Phased array coil centered over kidneys and pelvis.

Arms propped up anterior to coil.

20 cc Gadolinium contrast (*)

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 #
T2 TSE	Sag	Non-breath-hold. (through bladder) (4mm 0.2 gap)	2
T2 TSE	Ax	Non-breath-hold. (4mm 0.2 gap)	2
T1 in/out	Ax	Coverage, bifurcation to pubic symphysis.	2
VIBE	Ax	Thru pelvis	0
VIBE	Ax	Thru kidneys with overlap with pelvis	0
HASTE	Cor	from kidneys to bladder
T1 in/out	Ax	Thru kidneys
3D FLASH	Cor	Precontrast. Through kidneys and bladder (include posterior bladder to make sure distal ureters are covered). Give lasix (1cc) before timing run.	0
Timing Run	Ax	Thru kidneys – 1cc at 2cc/sec followed by 20 cc saline at 2cc/sec	0
3D FLASH	Cor	Two measures (with 7 sec between) and 3^rd delayed urogram. Second measure may be done on inspiration. Standard timing run.	0
VIBE	Ax	History to prior through kidneys	1
VIBE	Ax	History to prior through bladder	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.