Women's Imaging Clinical Protocols: Routine Urethra














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

Women's Imaging Clinical Protocols

Routine Urethra

Updated 6/29/2001

Orientation of high-resolution T2-weighted images.

Phased array coil centered over pelvis.

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

Call body radiologist.

Run sequences in the order listed

Sequence	Plane	Comment	Film #
T2 TSE	Sag	Non-breath-hold. (from female pelvis) (4mm 0.2 gap)	2
T2 TSE	Ax	Non-breath-hold. (from female pelvis) (4mm 0.2 gap)	2
T1 in/out	Ax		2,1
T2 TSE	Ax	512 Matrix. 3 mm with 0.2 gap. (From prostate) Use small FOV. Orient perpendicular to urethra; cover from bladder base to meatus (see below).	2
HASTE	Cor	Thru kidneys. Use body coil if necessary.	2
Dynamic true FISP	Sag	One sag image per second for 60 second Instruct patient to relax, then valsalva , then relax, then Kegel
VIBE	Ax	Small slab (bladder to urethra). Try for 2 mm thickness.	0
VIBE	Ax	Scan delay = 45 sec. 2 measures (0 and 180 sec).	1,2

(*) 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.