MR Liver Mass with MRCP W/WO with Eovist BODY Protocol

Scan Notes

Last updated: 1/31/2024
Charge as: Abdomen and MRCP W/WO
Scanner preference: 1.5T or 3T
Coil: Torso Coil

The MRCP sequences must be performed BEFORE the Eovist administration. Otherwise, the dense contrast blacks out the MRCP sequences.

  • Void before exam
  • Send ADC maps 
  • 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.
MRI Abd Pre Post Subtraction
Please check images to ensure contrast is present and subtractions have been generated. Manually generate subtractions if needed.
Plane Weighting Mode Slice Gap FAT SAT FOV Notes
Cor T2 SSFSE BH 7mm 1mm No Liver through bottom of kidneys Ensure liver is well-centered in coil to ensure good signal at dome.
Axial T1 Dual Echo SPGR BH 5mm 0.5mm No Entire liver May be separated into overlapping stacks if patient cannot breath-hold. Do not interleave images. Okay to use 6mm slice thickness with 1mm gap on MR1 and CHMR2.
Axial T2 bTFE BH 4mm -2mm No Perform 3 overlapping stacks. Do not interleave.
Cor T2 3D MRCP 1.4mm Yes Bottom 2/3 of liver through bottom of pancreas Please use navigator trigger & track.
Cor T2 Radial MRCP 40mm Yes Liver through bottom of kidneys Please use navigator trigger & track.
Axial T1 3D mDixon pre BH - - Yes Entire liver Ensure quality before contrast injection
Power Inject Contrast Bolus Track Trigger when bolus reaches SMA.
Axial T1 3D mDixon x3 phases BH - - Yes Entire liver Exact parameters as the pre-mDixon.
COR T1 3D mDixon 3 min post - - Yes Cover diaphragm to aortic bifurcation, abdominal wall to abdominal wall Perform @ 3 minutes post contrast
Axial T1 3D mDixon BH 4 min delay - - Yes Entire liver Timed exactly 4 mins post-injection.
Axial T2 TSE RT 5mm 0.5mm SPAIR Entire liver Okay to use 6mm slice thickness with 1mm gap on MR1 and CHMR2.
Axial T1 3D mDixon BH 10 min delay - - Yes Entire liver Timed exactly 10 mins post-injection.
Axial T2 DWI 7mm 1mm SPIR Liver through bottom of kidneys Trigger & Track
Axial T1 3D mDixon BH 20 min delay - - Yes Entire liver Timed exactly 20 mins post-injection.
Axial T2 SSFSE RT 5mm 0.5mm Yes Entire liver Optional sequence if T2 SPAIR is poor quality. Okay to use 6mm slice thickness with 1mm gap on MR1 and CHMR2.
MR Abdomen and Pelvis WWO BODY Protocol image
MR Adult Liver Mass WWO BODY Protocol image
MR Adult Liver Mass with MRCP WO BODY Protocol image