NEURO MRI PROTOCOLS - Geisel School of Medicine

NEURO MRI PROTOCOLS

Updated 11/28/2018

BRAIN

SPINE

Routine Brain (-) (+/-) Quick Brain (-)

Pituitary (+/-) (Dynamic) Glioblastoma (GBM) (+/-)

Infant Brain 0-2 yrs. (-) (+/-) Pedi Brain 2-12 yrs. (-) (+/-)

Brain (-) / MRA Head (COW) (-) / MRA Neck (Arch) (+/-) (BCA) MRA Head Post Coil (-) (Eskey) (3T only) MRV Head (-) Intracranial Hemorrhage (ICH) (+/-) Dementia (-) ESP (-) MS Brain (-) (+/-) Pineal (+/-) Orbits (+/-) Face (+/-) Skull Base (+/-) Trigeminal (+/-) (3T only) Oropharyngeal Mass (+/-) (3T only)

Diamox Perfusion (+/-) Radiation Oncology/Therapy (RT) (+/-) Fiducial Med-Stealth (+/-)

Fiducial Pre-Op AVM (+/-)

ALA Pre-Op (+/-) ALA Post-Op (+/-)

Rhinorrhea (CSF Leak Head) (-) CSF Flow (-) Sialography (+/-) Internal Auditory Canal (IAC) (+/-) Pre-Cochlear Implant (-) Cholesteatoma (+/-) (3T only) TMJ (-) Soft Tissue Neck (+/-) Brachial Plexus (-) (+/-)

Cervical Radiculopathy (-) Cervical Myelopathy (MS) (-) (+/-) Cervical Trauma (-) Thoracic Radiculopathy (-)

Thoracic Myelopathy (MS) (-) (+/-) Thoracic Trauma (-)

Lumbar Routine (-) (+/-) Lumbar Trauma (-)

Sacrum (-) Lumbar Sacral Plexus (-) Lumbar-Cath Tip (+/-) Tethered Cord (-) Scoliosis (-) CSF Leak Spine (-) Met Survey (+/-) Drop Mets (+/-) Radiation Spine (+/-)

Intramedullary Mass Full (+/-) Intradural Screen (+)

Paraspinal Mass (+/-) Diskitis/Osteo/Abcess (+/-)

Spinal MRA (+/-)

Routine Brain (-) (+/-)

Sagittal T1

Axial DWI

Axial FLAIR

Axial T1

Axial T2 FSE (after contrast)

Axial T1 Post

Coronal T1 FS Post

Axial BRAVO Post

-with SAG REFORMAT

Axial

Coronal

Sagittal

Sequence

SAG T1

AX DWI

AX FLAIR AX T1 AX T2 Post AX T1 Post COR T1 FS Post AX BRAVO Post

TR

TE

FOV FREQ PHASE

SLICE

GAP

MATRIX PHASE FREQ

PHASE DIR

NEX

SCAN DIR

OTHER

2000 9

240

100

5

1

256

320

A/P

1 L->R

6400 98 220

100

5

1

192

192

A/P

3

F->H

b-values 0 and 1,000

9000 81 220

75

5

2

168

320

R/L

1 F->H

2000 9

220

75

5

2

180

320

R/L

2 F->H

5000 100 220

75

5

2

228

512

R/L

2 F->H

2000 9

220

75

5

2

180

320

R/L

2 F->H

345 12 220

100

5

2

224

320

R/L

2 A->P

1470 2.62 260

100

1.5 0.75 320

320

A/P

1 F->H No Angle

Quick Brain (-) SAG T2 SSFSE AXIAL T2 SSFSE COR T2 SSFSE

Sequence

SAG T2 SSFSE AX T2 SSFSE COR T2 SSFSE

TR

TE

FOV FREQ PHASE

SLICE

GAP

MATRIX PHASE FREQ

PHASE DIR

NEX

SCAN DIR

1500 80 220 100

5

1 256 320 A/P 1 L->R

1500 80 220 100

5

1 256 320 R/L 1 F->H

1500 80 220 100

5

1 256 320 R/L 1 P->A

OTHER

Infant Brain 0-2 Yrs. (-)(+/-)

SAGITTAL T1 AXIAL DWI AXIAL T2 AXIAL T2 FLAIR AXIAL T1 CORONAL BRAVO AXIAL T1 Post CORONAL T1 FS Post AXIAL 3D BRAVO Post

Sequence

SAG T1

AX DWI

AX T2 AX T2 FLAIR AX T1 COR BRAVO AX T1 Post COR T1 FS Post AX 3D BRAVO Post

TR

TE

FOV FREQ PHASE

650 7.1 160

100

7100 104 200

100

4240 113 180

75

9000 81 180

75

418 8.2 180

75

1900 2.65 180

100

418 8.2 180

75

541 10 160

100

1470 2.62 260

100

SLICE

GAP

MATRIX PHASE FREQ

PHASE DIR

NEX

SCAN DIR

3

1

205

256 A/P 2 L->R

3

1

192

192 A/P 3 F->H

3

1

269

448 R/L

2 F->H

3

1

168

320 R/L

2 F->H

3

1

154

256 R/L

2 F->H

1.5 .75 256 256 R/L 1 A->P

3

1

154

256 R/L

2 F->H

3

1

240

320 R/L

3 A->P

1.5 .75 256 256 R/L 1 F->H

OTHER b-values 0,

800 and 1,000

No angle

Pedi Brain 2-12 Yrs. (-)(+/-)

SAGITTAL T1 AXIAL DWI AXIAL T2 AXIAL T2 FLAIR AXIAL T1 AXIAL T1 Post CORONAL T1 FS Post AXIAL 3D BRAVO Post

Sequence

SAG T1

AX DWI

AX T2 AX T2 FLAIR AX T1 AX T1 Post COR T1 FS Post AX 3D BRAVO Post

TR

TE

FOV FREQ PHASE

650 7.1 180 100

7100 98 220 100

4240 113 180 100 9000 81 180 100 418 6.4 180 100 418 6.4 180 100 541 10 160 100 1470 2.62 260 100

SLICE

GAP

MATRIX PHASE FREQ

PHASE DIR

NEX

SCAN DIR

3

1 205 256 A/P 2 L->R

4

1 192 192 A/P 3 F->H

4

1 358 448 R/L 2 F->H

4

1 224 320 R/L 2 F->H

4

1 205 256 R/L 2 F->H

4

1 205 256 R/L 2 F->H

4

1 240 320 R/L 2 A->P

1.5 .75 256 256 R/L 1 F->H

OTHER b-values 0 and 1,000

No angle

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