stanford dr dake mri mrv protocol 1.5 tesla

5/12/2018 Stanford Dr Dake MRI MRV Protocol 1.5 Tesla - slidepdf.com

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Dear Mark, The protocols look very professional and correct. If you were just focusing exclusively on the veins and did no

want to include the standard sequences for imaging the brain for MS, you could pare down the overall numbe

sequences, but most institutions don’t charge that way. They bill by the body part, so the actual number of individual sequences protocoled by the radiologist don’t factor into the overall charge. That being said, you co

remove #6, 7, and 8 (keeping 4 and 5) which really are for evaluating the brain not veins. The other billing subtlety you should be aware of is this type of scan could be construed as a HEAD and NECK opposed to HEAD/NECK. Like I said, most all centers bill by body part and it is important to know that they ar

not billing separately for two body parts to fulfill this protocol. Yes, this will only cover the 1.5 T machines, nothing higher strength. Best regards, MICHAEL D. DAKE, M.D. Stanford University School of Medicine Falk Cardiovascular Research Center



Dr. Dake MRI/MRV Protocol Sequences

1. 3PL SSFSE LOC 2. CALIBRATION SCAN BH 3. 3D FSPGR BRAVO 4. AX GRE UPPER 5. AX GRE LOWER 6. AX T2 FLAIR 7. SAG T2 8. AX GRE 9. COR 2D TOF

10. ASL CSF PERFUSION NO GAD 11. AX T1 PRE 12. SAG TRICKS PRE 13. SAG TRICKS POST 14. 4D FLOW 15. AX T1 POST WB



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: 3PL SSFSE LOC 1/15

PATIENT POSITION IMAGING PARAMETERS

SCAN TIMING SCAN RANGE

IMAGE ENHANCE AC TIMING

CONTRASTTRICKS

FMRI

SAT ASSET

GATING TRIGGER USER CVS

MULTI-PHASE

OTHERS MULTI STATION

Patient Entry Head First Gradient Mode: WHOLE

Patient Position Supine Imaging Mode: 2D

Coil Configuration HDNV Array Pulse Sequence: Spin Echo

Plane 3 Plane Imaging Options: Seq, Fast, SS

Series Description 3PL SSFSE LOC Acceleration Factor: 1.00

TE 90 FOV 96.0

TR Minimum Slice Thickness 8.0

Receiver bandwidth 83.33 Slice Spacing 2.0

Filter Choice None Freq 384

Phase 192

Freq DIR Unswap

# of Acq Before Pause 0

Phase FOV 1.00

Auto Shim Auto

Phase Correction No

Auto Trigger Type Off User CV2 240.00

PSD Trigger Internal # of Acquisition 0

Slice Order Interleaved Separate Series 0

View Order Bottom/Up Mask Phase 0

# of Repetitions Rest 0 Mask Pause 0

# of Repetitions Active 0

Tag Type None Slice Acceleration Factor 1.00

Phase Acceleration Factor 1.00

Pause On/Off On Contrast Yes/No No

Auto Subtract 0 Auto SCIC Off

Number of Stations 0 Protocol Notes Place single axial slice at

level of C4 (below mandible)

Station Number 0

3PL SSFSE LOC

3PL SSFSE LOC



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: Calibration Scan BH 2/1




CONTRAST

TRICKS

FMRI

MULTI-PHASE

MULTI STATION

GATING TRIGGER

ASSET

SAT



Coil Configuration HDNV Head Pulse Sequence: Gradient Echo

Plane Axial Imaging Options: Fast, Calib

Series Description Calibration scan BH Acceleration Factor: 1.00

Number of echoes 1 FOV 30.0

Slice Thickness 12.0

Slice Spacing 0.0

Filter Choice None Freq DIR R/L

Auto Shim Auto

Phase Correction No

PSD Trigger Interna Auto Trigger Type Off

Slice Order Interleaved

View Order Bottom/Up

# of Repetitions Rest 0


Tag Type None # of Acquisition 0

Separate Series 0

Mask Phase 0

Mask Pause 0

Pause On/Off On Slice Acceleration Factor 1.00

Auto Subtract 0 Phase Acceleration Factor 1.00 Auto SCIC Off

Number of Stations 0 Contrast Yes/No No

Station Number 0

Calibration S

can BH

Calibration S

can BH



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: 3D FSPGR BRAVO 3/15




CONTRAST

TRICKS

FMRI

MULTI-PHASE

MULTI STATION

GATING TRIGGER

ASSET

SAT




Plane Axial Imaging Options: Fast, Calib

Series Description 3D FSPGR BRAVO Acceleration Factor: 1.00

Number of echoes 1 FOV 30.0

Slice Thickness 12.0

Slice Spacing 0.0


Phase 256

Freq DIR A/P

Phase FOV 1.00

Auto Shim Auto

Phase Correction No

PSD Trigger Internal Auto Trigger Type Off






Separate Series 0

Mask Phase 0

Mask Pause 0


Auto Subtract 0 Phase Acceleration Factor 2.00

Auto SCIC 2


Station Number 0

3D FSPGR BRAV

O

3D FSPGR BRAV

O



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: AX GRE UPPER 4/1



IMAGE ENHANCE ACQ TIMING

CONTRASTTRACKER

FMRI

TRICKS ASSET

GATING TRIGGER SAT

MULTI-PHASE


Patient Entry Head First Gradient Mode: ZOOM


Coil Configuration HDNV Array Pulse Sequence: Gradient Echo

Plane AXIAL Imaging Options: FC, NPW, CCOMP

Series Description AX GRE UPPER Acceleration Factor: 1.00

Flip Angle 30 FOV 24.0

TE Min Full Slice Thickness 5.0

Number of Echoes 1 Slice Spacing 0.0

TR 34.0

Receiver bandwidth 31.25


Phase 192

Freq DIR A/P

NEX 2.00


Auto Shim Auto

Phase Correction No

Auto Trigger Type Off Tag Type None








Auto SCIC Off

Tracker Length 200.0 Contrast Yes/No No

Tracker Thickness 20.0

Number of Stations 0 Protocol Notes Use PG Gating

Station Number 0

AX GRE UPPER

A

AX GRE UPPER



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: AX GRE LOWER 5/15




CONTRAST

TRICKS

FMRI

MULTI-PHASE

MULTI STATION

GATING TRIGGER

ASSET

SAT



Coil Configuration HDNV Array Pulse Sequence: Gradient Echo

Plane Axial Imaging Options: FC, NPW, CCOMP

Series Description AX GRE LOWER Acceleration Factor: 1.00


TE Min Full Slice Thickness 5.0

Number of echoes 1 Slice Spacing 0.0

TR 34.0

Receiver Bandwidth 31.25


Phase 192

Freq DIR A/P

NEX 2.00

# of Acq. Before Pause 0

Auto Shim Auto

Phase Correction No







Separate Series 0

Mask Phase 0

Mask Pause 0



Auto SCIC Off


Station Number 0

AX GRE LO

ER

AX GRE LO

ER



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: AX T2 FLAIR 6/15




CONTRAST

USER CVS

FMRI

MULTI STATION

GATING TRIGGER

ASSET

SAT

TRICKS

MULTI PHASE

OTHER TRACKER



Coil Configuration HDNV Head Pulse Sequence: T2flair

Plane Axial Imaging Options: FC, TRF, Fast

Series Description AX T2 FLAIR Acceleration Factor: 1.00

TE 98.0 FOV 24.0

Number of Echoes 1 Slice Thickness 4.0

TR 8800.0 Slice Spacing 0.0

T1 2200



Phase 192

Freq DIR A/P

NEX 1.00

Auto Shim Auto

Phase Correction No

Flow Dir. Compensation Slice


User CV20 0




# of Repetitions REST 0 Mask Pause 0

# of Repetitions ACTIVE 0

Slice Acceleration Factor 1.00

Tag Type None Phase Acceleration Factor 1.00

Contrast Yes/No No

Pause On/Off On

Auto Subtract 0

Auto SCIC On Number of Stations 0

Station Number 0

Tracker Length 200.00

Tracker Thickness 20.0 Protocol Notes Whole Brain

AX T2 FLAIR

AX T2 FLAIR



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: SAG T2 7/15

PATIENT POSITION IMAGING PARAMETERSPATIENT POSITION IMAGING PARAMETERS



CONTRAST

USER CVS

FMRI

MULTI STATION

GATING TRIGGER

ASSETSAT

TRICKS

MULTI PHASE

OTHER



Coil Configuration HDNV Head Pulse Sequence: FRFSE-XL

Plane Sagittal Imaging Options: FC, TRF, FR, Fast

Series Description SAG T2 Acceleration Factor: 1.00

TE 85.0 FOV 24.0



Echo Train Length 14



Phase 256

Freq DIR S/I

NEX 2.00

Phase FOV 1.00

Auto Shim Auto

Phase Correction No

Flow Dir. Compensation Freq





# of Repetitions REST 0 Mask Pause 0

# of Repetitions ACTIVE 0




Auto Subtract 0

Auto SCIC On

Protocol Notes Whole Brain Number of Stations 0

Station Number 0

SAG T2

SAG T2



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: AX GRE 8/15




CONTRAST

TRICKS

FMRI

MULTI-PHASE

MULTI STATION

GATING TRIGGER

ASSET

SAT




Plane Axial Imaging Options: FC

Series Description AX GRE Acceleration Factor: 1.00


TE 30.0 Slice Thickness 5.0

Number of echoes 1 Slice Spacing 1.5

TR 600.0



Phase 192

Freq DIR A/P

NEX 1.00

Phase FOV 0.75

Auto Shim Auto

Phase Correction No







Separate Series 0

Mask Phase 0

Mask Pause 0



Auto SCIC On


Station Number 0

AX GRE

AX GRE



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: COR 2D TOF 9/15




CONTRASTTRICKS

FMRI

SAT ASSET

MULTI-PHASE

OTHERS

MULTI STATION

GATING TRIGGER

VASCULAR



Coil Configuration HDNV Head Pulse Sequence: Vasc TOF SPGR

Plane CORONAL Imaging Options: EDR

Series Description COR 2D TOF Acceleration Factor: 1.00


TE Minimum Slice Thickness 1.5

Number of Echoes 1 Slice Spacing 0.0

TR 40.0



Phase 192

Freq DIR S/I

NEX 1.00

Auto Trigger Type Off # of Acq Before Pause 0

Phase FOV 1.00

Auto Shim Auto

Phase Correction No






SAT Location I Slice Acceleration Factor 1.00

Tag Type None Phase Acceleration Factor 1.00

# of Collapse Images On Number of Stations 0 # of Projection Images 19


Auto Subtract 0

Auto SCIC On

Protocol Notes Whole brain for sagittal sinus

COR 2D TOF

COR 2D TOF



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: ASL CSF PERFUSION NO GAD 10/




CONTRASTTRICKS

FMRI

SAT ASSET

MULTI-PHASE

MULTI STATION





Plane Axial Imaging Options: Fast, MPh

Series Description ASL CSF PERFUSION PSD Name 3DPCFSEASL

NO GAD Acceleration Factor: 1.00

TE Minimum FOV 22.0


TR Minimum Location per Slab 36

Receiver bandwidth 62.50 Overlap Locations 0


Phase 6

Freq DIR A/P NEX 4.00


Auto Shim Auto

Phase Correction Yes


PSD Trigger Internal Slice per Location 3

Slice Order Interleaved # of Acquisition 0

View Order Bottom/Up Separate Series 0

# of Repetitions Rest 0 Mask Phase 0

# of Repetitions Active 0 Mask Pause 0




Auto Subtract 0

Auto SCIC Off

Number of Stations 0

Station Number 0

3PL SSFSE LOC

3PL SSFSE LOC



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: AX T1 PRE 11/1




CONTRASTTRICKS

FMRI

SAT ASSET


MULTI-PHASE

MULTI STATION OTHERS



Coil Configuration HDNV Head Pulse Sequence: Spin Echo

Plane Axial Imaging Options: None

Series Description AX T1 PRE Acceleration Factor: 1.00

TE Min Full FOV 24.0





Phase 192

Freq DIR A/P

NEX 1.00

Phase FOV 0.75

Auto Shim Auto

Phase Correction No










Auto Subtract 0

Auto SCIC On

Number of Stations 0 Protocol notes R Range 500-600

Station Number 0

AX T1 PRE

AX T1 PRE



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: SAG TRICKS MRA PRE 12/1




CONTRASTTRICKS

FMRI

SAT ASSET


MULTI-PHASE

MULTI STATION



Coil Configuration HDNV Array Pulse Sequence: TRICKS

Plane Sagittal Imaging Options: Fast, ZIP2

Series Description SAG TRICKS MRA PRE Acceleration Factor: 1.00

FLIP ANGLE 30 FOV 96.0


Number of Echoes 1



Phase 192

Freq DIRS/I

NEX 1.00

Phase FOV 0.50

Auto Shim Auto

Phase Correction No









Output Temporal Phases 1

Delay Time after Mask Minimum Contrast Yes/No No

Pause On/Off On

Auto Subtract 0

Auto SCIC Off


Station Number 0

SAG TRICKS

R

A PRE

SAG TRICKS

R

A PRE



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: SAG TRICKS MRA POST 13/1




CONTRASTTRICKS

FMRI

SAT ASSET


MULTI-PHASE

MULTI STATION



Coil Configuration HDNV Array Pulse Sequence: TRICKS

Plane Sagittal Imaging Options: Fast, ZIP2

Series Description SAG TRICKS MRA POST Acceleration Factor: 1.00

FLIP ANGLE 30 FOV 40.0


Number of Echoes 1



Phase 192

Freq DIRS/I

NEX 1.00

Phase FOV 0.50

Auto Shim Auto

Phase Correction No









Output Temporal Phases 12

Delay Time after Mask Minimum Contrast Yes/No Yes

Pause On/Off On

Auto Subtract 0

Auto SCIC Off


Station Number 0

SAG TRICKS

R

A pOST

SAG TRICKS

R

A pOST



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: 4D FLOW 14/1




CONTRAST

ASSET

FMRI

VASCULAR


MULTI-PHASE


SAT

TRICKSCINE


Patient Position Supine Imaging Mode: 3D Coil Configuration HDNV Head Neck Pulse Sequence: Vasc PC

Plane OBLIQUE Imaging Options: RC, Gat, EDR, ZIP2

Series Description 4D FLOW PSD Name mm4dflow

Acceleration Factor 1.00



Receiver bandwidth 14.71 Location Per Slab 30

Overlap Locations 0

Freq 256

Filter Choice None Phase 128

Freq DIR S/I

NEX 1.00 Phase FOV 0.70

Auto Shim Auto

Phase Correction No

Auto Trigger Type On User CVD 2.00

Trigger Type 0 User CV2 3.00

Views per Segment 4 User CV4 1.00

User CV5 4.00

User CV12 150.00

PSD Trigger Internal User CV13 150.00

Slice Order Interleaved User CV14 150.00


# of Repetitions REST 0

# of Repetitions ACTIVE 0 # of Acquisition 0

Separate Series 0

Mask Phase 0

Mask Pause 0

Tag Type None

Flow Analysis All



Contrast Yes/No No

Pause On/Off On

# of Cardiac Phases 20 Auto Subtract 0

to Reconstruct Auto SCIC Off

Number of Stations 0 Protocol Notes Use respiratory bellows

Station Number 0 and PG gating

4D FLO

4D FLO



Protocol: DAKE, Revised Dec 9 ,2009 SCAN: AX T1 POST WB 15/1




CONTRAST

ASSET

FMRI

VASCULAR

GATING TRIGGER


TRICKSCINE

MULTI-PHASE

SAT


Patient Position Supine Imaging Mode: 2D Coil Configuration HDNV Head Pulse Sequence: Spin Echo

Plane Axial Imaging Options: None

Series Description AX T1 POST WB Acceleration Factor 1.00

TE Min Full FOV 24.0


TR 550.00 Location Per Slab 30

Receiver Bandwidth 19.23 Overlap Locations 0


Phase 192

Freq DIR A/P

NEX 2.00

Phase FOV 0.75 Auto Shim Auto

Phase Correction No

PSD Trigger Internal



# of Acquisition 0 # of Repetitions REST 0

Separate Series 0 # of Repetitions ACTIVE 0

Mask Phase 0

Tag Type None Auto Trigger Type Off

Flow Analysis All


Phase Acceleration Factor 1.00 Contrast Yes/No Yes

Pause On/Off On

# of Cardiac Phases 20 Auto Subtract 0

to Reconstruct Auto SCIC Off

Number of Stations 0 Protocol Notes Use respiratory bellow

Station Number 0 and PG gating

Ax T1 POST

B

Ax T1 POST

B

stanford dr dake mri mrv protocol 1.5 tesla

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