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Last updated: 6/12/2001
EKG leads.
See coil selection below.
40cc Gadolinium contrast (*)
+ 20 cc saline. Fill saline side with 60cc.
Assess the patient’s breath holding capability. If poor
capability, give oxygen. If pt can’t hold his/her breath call body radiologist.
Station 1 = Abdomen / Pelvis
Station 2 = Pelvis / Thigh
Station 3 = Legs
Station 4 = Feet
NOTE: FOV for ALL stations
should overlap so that there are no gaps.
| Sequence |
Plane |
Station |
Comment |
Film # |
| |
|
4 |
PLACE FEET IN THE HEAD COIL. |
|
| TOF |
Obl
Ax |
4 |
3mm sections with at least 0.5mm
overlap.
Plane is perpendicular sole of foot. |
0 |
| MIP |
|
4 |
MD to check MIP.
Print only AP and Lateral for each foot. |
2 |
| |
|
3 |
PLACE LEGS ON THE SPINE COIL. |
|
| TOF |
Ax |
3 |
3mm sections with at least 0.5mm
overlap.
Plane is perpendicular sole of foot. |
0 |
| MIP |
|
3 |
MD to check MIP.
Print only AP and Lateral for each leg. |
2 |
| |
|
1 |
REPOSITION FOR UPPER ABDOMEN /
PELVIS
Use body coil. Kidneys at the top of the field. |
|
| TrueFISP |
Ax |
1 |
Used to plan the 3D slab |
0 |
| 3D FLASH |
Cor |
1 |
1 measure. Use FOV 450-475. 512
or 256 matrix. |
0 |
| Timing Run |
Ax |
1 |
Thru femoral heads – 2cc of the
contrast mix at 2cc/sec followed by 20 cc saline at 2cc/sec. Use
timing formula. |
0 |
| 3D FLASH |
Ax |
1 |
2 measures (7 sec gap; 2nd
run may be done on inspiration)
Inject 20cc of mix at 2cc/sec followed by 20cc saline at 2cc/sec. |
0 |
| VIBE |
Ax |
1 |
1 measure (Up to 5mm thickness) |
1 |
| MIP |
|
1 |
Subtract if necessary. |
2 |
| |
|
2 |
REPOSITION FOR PELVIS / THIGHS |
|
| TrueFISP |
Ax |
2 |
Used to plan the 3D slab. |
2 |
| 3D Flash |
Cor |
2 |
1 measure. Use FOV 450-475. 512
matrix. |
0 |
| 3D Flash |
Cor |
2 |
Add 10sec to the time to peak.
Inject 40cc of mix at 2cc/sec followed by 20cc saline at 2cc/sec. |
0 |
| Do Subtraction |
|
2 |
Arterial phase – pre-contrast |
0 |
| MIP |
|
2 |
Subtraction. |
2 |
(*) 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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