MR Brain WWO Neuro Protocol

Problems with patient motion?

3D imaging and compressed sense are very susceptible to patient motion. If you have exhausted the usual motion-combatting strategies (padding, medication, etc.), then switch to seqeunces less sensitive to motion including radial k-space sampling (PROPELLER, BLADE, MultiVane, StarVibe), single-shot, or just routine 2D sequences. 

Last updated: 1/21/22
Charge as: Brain WWO
Scanner preference: Any scanner except MR1
Coil: Head

Protocol for all scanners except MR1

Plane Weighting Mode Slice (mm) Gap (mm) FAT SAT FOV (cm) MPR Notes
AXIAL DWI EPI 3 0.3 YES 23 no Angle to Corpus. Cover Skull Base to Vertex. Send only B1000 & ADC.
AXIAL T1 3D TFE 1 0 no 23 no NO ANGLE. Cover at least 1cm above vertex through skull base. Cover entire nose.
AXIAL T2 3D TSE 1 0 no 23 no NO ANGLE. Cover at least 1cm above vertex through skull base. Cover entire nose.
AXIAL SWI 3D GRE 2 -1 no 23 no Angle to Corpus. Cover skull base to vertex. Ok to add slices. Run Ven Bold on MR1 and MR2.
HAND INJECT CONTRAST
SAG FLAIR 3D IR-TSE 1 0 YES 23 no NO ANGLE. Cover ears and nose. Spacing and gap are variable.
AXIAL T1 3D TFE 1 0 no 23 no NO ANGLE. Cover at least 1cm above vertex through skull base. Cover entire nose.
SAG T1 3D TSE 1 0 YES 23 AXIAL, COR NO ANGLE. Cover ears and nose. Spacing and gap are variable.

Protocol for MR1

Plane Weighting Mode Slice (mm) Gap (mm) FAT SAT FOV (cm) MPR Notes
AXIAL DWI EPI 3 0.3 YES 23 no Angle to Corpus. Cover Skull Base to Vertex. Send only B1000 & ADC.
SAG T1 3D TFE 1 0 no 23 no NO ANGLE. Cover at least 1cm above vertex through skull base. Cover entire nose.
AXIAL T2 3D TSE 2 0 no 23 no NO ANGLE. Cover at least 1cm above vertex through skull base. Cover entire nose.
AXIAL VEN BOLD 3D GRE 2 -1 no 23 no Angle to Corpus. Cover skull base to vertex. Ok to add slices. Run Ven Bold on MR1 and MR2.
HAND INJECT CONTRAST
SAG FLAIR 3D IR-TSE 2 -1 YES 23 no NO ANGLE. Cover ears and nose. Spacing and gap are variable.
SAG T1 3D TFE 1 0 no 23 no NO ANGLE. Cover at least 1cm above vertex through skull base. Cover entire nose.
COR T1 2D TSE 4 1 YES 23 no Angle to corpus.
MR Brain WO Neuro Protocol - Ingenia scanner Image