MR Abdomen and Pelvis W/WO BODY Protocol
Last updated: 4/12/19
Charge as: Abdomen and Pelvis W/WO
Scanner preference: Preferred on 1.5T
Coil: Torso Coil
- Send ADC maps
- Send Subtractions
- FOV: do not include patient’s arms
Breath Holds:
- Scan on expiration.
- Monitor that patient is breath-holding. Breathe the patient slowly so they have time to follow instructions. Do not start scan until the patient has stopped breathing.
- Give 2L O2 if it will help with breath-holds UNLESS PATIENT HAS COPD OR ANOTHER REASON NOT TO GIVE O2.
Plane | Weighting | Mode | Slice | Gap | FAT SAT | FOV | Notes |
---|---|---|---|---|---|---|---|
COR ABD/PELVIS | T2 | SS BH | 7mm | 1mm | None | Fit to Patient. 2 stacks | 2 Stacks. Include entire liver through perineum. Mobi-View into one fused image. |
AX ABD/PELVIS | T1 | Dual Echo SPGR BH 2 stacks | 7mm | 1mm | None | Fit to Patient. 2 stacks | 2 Stacks. Scan liver through pelvis. Do not interleave images. |
AX ABD | T2 | DWI | 7mm | 1mm | SPIR | Fit to Patient | Liver through bottom of kidneys. Trigger & track. Free-breathing sequence, so please position slices accordingly. |
AX PELVIS | T2 | DWI | 7mm | 1mm | SPIR | Fit to Patient | Iliac crest through perineum. Trigger & track. Free-breathing sequence, so please position slices accordingly. |
AX ABD/PELVIS | T2 | SS | 5mm | 1mm | None | 20-24mm/ Fit to Patient | 2 Stacks. Include entire liver through perineum. Freq A-P to avoid bowel motion ghosting into uterus and bladder. |
AX ABD/PELVIS | T2 | TSE RT | 7mm | 1mm | SPAIR | Fit to Patient | 2 Stacks. Include entire liver through perineum. |
AX (Optional)ABD/PELVIS | T2 | SSFSE RT | 7mm | 1mm | Yes | Fit to Patient | Include entire liver through perineum. Optioinal sequence if T2 SPAIR is poor quality |
AX PELVIS | T1 | 3D THRIVE BH | Yes | Fit to Patient | Breath Hold. Iliac crest through perineum. | ||
AX ABD | T1 | 3D mDixon pre BH | Yes | Fit to Patient | Breath Hold. Liver through lower abdomen. Ensure quality before contrast injection, ie wrap. Check if there is mottling (SENSE break-through) in the center of the image. | ||
Power Inject Contrast | Bolus Track | Trigger when bolus reaches the SMA | |||||
AX- ABD | T1 | 3D mDixon x3 phases BH | Yes | Fit to Patient | Liver through lower abdomen. Exact parameters as the pre-mDixon. Do all 3 phases (Arterial, Arterial/Venous, Delay) one right after another, as soon as the patient can hold their breath again. | ||
AX- PELVIS | T1 | 3D THRIVE BH | Yes | Same as pre | Same as pre | ||
AX- ABD (4 MIN DELAY) | T1 | 3D mDixon BH | Yes | Same as pre | Same as pre | ||
SAG- PELVIS | T2 | TSE | 5mm | 1mm | None | 24mm/ Fit to Patient | Mid-femoral head to mid-femoral head. Same as female pelvis protocol. Freq A-P to avoid bowel motion ghosting into uterus and bladder. Consider using an anterior Sat band if lots of abdominal wall motion. |