MR Renal Mass W/WO Protocol

Scan Notes

Last updated: 4/12/19
Charge as: Abdomen W/WO
Scanner preference: 1.5T 
Coil: Torso Coil

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.
  • Send ADC maps and subtractions
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 5mm 0.5mm No Liver through bottom of kidneys Ensure kidneys are well-centered in coil to ensure good signal at dome.
Axial T1 Dual Echo SPGR BH 3mm 0.5mm No Liver through bottom of kidneys May be separated into overlapping stacks if patient cannot breath-hold. Do not interleave images.
Cor T1 3D mDixon pre BH 3mm 0.5mm No Check before giving contrast. Minimize SENSE if there is mottling in the center of the image. Consider not using SENSE and allowing wrap into the peripheral image, but not into the kidneys
Axial T1 3D mDixon pre BH - - Yes Both kidneys Check before giving contrast. Minimize SENSE if there is mottling in the center of the image.
Power Inject Contrast Bolus Track Trigger when bolus reaches the SMA
Axial T1 3D mDixon post BH x3 phases - - Yes Both kidneys Check before giving contrast. Minimize SENSE if there is mottling in the center of the image.
COR T1 3D mDixon post BH - - Yes Both kidneys EXACT parameters as the COR mDixon precontrast.
Axial T1 3D mDixon 4 minute post BH - - Yes Both kidneys 4-minute post
Axial T2 TSE RT 5mm 1mm SPAIR Liver through bottom of kidneys
Axial T2 DWI 7mm 1mm SPIR Liver through bottom of kidneys. Trigger & track. Free-breathing sequence, so please position slices accordingly.
MR Adult Liver Mass WWO BODY Protocol image
MR Abdomen and Pelvis WWO BODY Protocol image