MRI Protocol
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Liver MRI with contrast
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Indications:liver lesion characterization; metastatic disease workup; screening for HCC in chronic liver diseases
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Contrasttyperatevolumesaline flush
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Multihance
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Acquisitionsequencefat satcomments
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Cor/AxT2 HASTE/SSFSEN
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AxT2 TSE/FSEYResp. triggered, BLADE/PROPELLER. If cannot acquire good result run FS AX HASTE/SSFSE.
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AxT1 GRE IN/OPPn/a
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AxDWIn/a
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AxT1 VIBE/LAVA pre-GdYpre-contrast
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AxT1 VIBE/LAVA post-GdYcare bolus arterial phase: breath hold and start scan immediately after Gd reaches heart
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AxT1 VIBE/LAVA post-GdYportal phase: begin 10 sec after arterial phase complete (70 sec)
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AxT1 VIBE/LAVA post-GdYequilibrium phase: start 3-5 min after contrast injection.
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CorT1 VIBE/LAVA post-GdYwait 15-20 sec to recover breath, then run
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AxT1 VIBE/LAVA post-GdYwait additional 5 min: ONLY RUN if indication includes hemangioma or cholangiocarcinoma (otherwise equilibrium is last sequence)
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Comments:care bolus: coronal fast gradient refocused sequence to trigger arterial phase at the moment contrast reaches the heart. Patient must hold breath at this moment and arterial phase run immediately.
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Liver MRI without contrast
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Indications:liver lesion characterization; metastatic disease workup; screening for HCC in chronic liver diseases
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Comments:contrast strongly preferred - if non-contrast study ordered, indication should be reviewed by radiologist
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Acquisitionsequencefat satcomments
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Cor/AxT2 HASTE/SSFSEN
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AxT2 TSE/FSEYResp. triggered, BLADE/PROPELLER. If cannot acquire good result run FS AX HASTE.
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AxT1 GRE IN/OPPn/a
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AxDWIn/a
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AxT1 VIBE/LAVAY
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CorT1 VIBE/LAVAY
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Comments:
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Liver MRI with Eovist
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Indications:suspect FNH (focal nodular hyperplasia); metastatic workup; cirrhosis screening; biliary reconstruction, bile leak
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Comments:Eovist will be specifically requested. If unsure call radiologist.
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Contrasttyperatevolumesaline flush
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Eovist
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Acquisitionsequencefat satcomments
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Cor/AxT2 HASTE/SSFSEN
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AxT1 GRE IN/OPPn/a
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AxT1 VIBE/LAVA pre-GdYpre-contrast
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AxT1 VIBE/LAVA post-GdYcare bolus arterial phase: breath hold and start scan immediately after Gd reaches heart
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AxT1 VIBE/LAVA post-GdYportal phase: begin 10 sec after arterial phase complete
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AxDWIn/a
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AxT1 VIBE/LAVA post-GdYequilibrium phase: start 5 min after portal phase complete.
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AxT2 TSE/FSEYresp. triggered, BLADE/PROPELLER. If cannot acquire good result run FS AX HASTE/SSFSE.
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AxT1 VIBE/LAVA post-GdYtotal 20 min. delay after contrast injection
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CorT1 VIBE/LAVA post-GdY
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Comments:care bolus
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