43411
43433
MR Brain Routine IVcon wo/w Spect w/Perf IMG15485
Machine Model: Siemens Only
Generated:
2025-05-13 15:53:16
1 *
2
3
4
5
Plane Axial Axial Axial Sagittal Axial
Sequence DWI (B=0,1000) T2 TSE T1 TSE T1 TSE SVS (single-voxel spectroscopy) TE=30ms
Timing --- --- Pre-Contrast Pre-Contrast Pre-Contrast
Thickness - Spacing 4 mm - 1 mm 4 mm - 1 mm 4 mm - 1 mm 4 mm - 1 mm 20 mm^3 -
FOV 220-260mm approx. 200mm approx. 200mm approx. 200mm 20mm
6
Power inject 1.5mL Gadavist @ 1mL/sec; wait 2-3 min before starting perfusion sequence, then inject remainder of dose (4mL/sec) @ start of 5th measurement
7 **
8 ***
9 ****
Plane Axial Axial Axial Axial
Sequence SVS (single-voxel spectroscopy) TE=144ms EP 2D perfusion T2 FS FLAIR TSE T1 TSE
Timing Pre-Contrast Inject at start of fifth measurement Post-Contrast Post-Contrast
Thickness - Spacing 20 mm^3 - 4 mm - 1 mm 4 mm - 1 mm 4 mm - 1 mm
FOV 20mm approx.200-230mm approx. 200mm approx. 200mm
10
11
sp 1
sp 2
sp 3
Plane Axial Axial
sp 1
sp 2
sp 3
Sequence 3D SWI 3D T1 MPRAGE isotropic
sp 1
sp 2
sp 3
Timing Post-Contrast Post-Contrast
sp 1
sp 2
sp 3
Thickness - Spacing 2 mm - mm 1 mm - mm
sp 1
sp 2
sp 3
FOV approx. 220mm 256mm
sp 1
sp 2
sp 3
Special Instructions:

* Ensure phase enc. direction is A>P
** May add slices as long as TR stays between 1500-2000ms
*** Must be at least 2 concatenations/covers/acquisitions
**** Exact copy of pre-contrast Axial T1; if patient has moved, add FS
Indications: No indications found.
Call radiologist for placement spectroscopy series (#5-6); usually centered on largest tumor or area of pathology
#4
#1-3,7-10
#11
Align series #1-3,7-10 parallel with subcallosal plane
See spectroscopy (series #5,6) instructions on next page
#5
#6