NEURORADIOLOGY

EXAM

INDICATION

COIL

Brain #1

Screen
8hrbrain
Altered mental
status
Dementia
Psychiatric
disorder
Headaches

PLANE

SEQUENCE

TR/TE/FA

Sag
Ax
Ax
Ax
AX
Cor

SE T1
EPI DW
SE T1
FSE FLAIR (TI2200)
FSE T2 (ET 13)
FSE T2 (ET 13)

550/12
5800/60
675/12
8800/120
5850/85
5850/85

FOV TH/SP
25
25
25
25
25
25

4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4

MATRIX
320X192
128X128
320X192
320X224
320X256
320X256

NEX FREQ
1
2
1
1
1
1

S/I
R/L
A/P
A/P
A/P
A/P

BW
22.73
22.73
31.25
19.23
19.23

GD
-

COMMENTS:
Axial scans should be parallel to the AC-PC line.
Add axial T1-MTC for suspected ALS.
For extrapyramidal disease use axial SE T2 instead of FSE.
EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

FOV TH/SP

MATRIX

NEX FREQ

BW

GD

Brain #2

Tumor

8hrbrain

Sag
Ax
Ax
Ax
AX
Cor
Cor
Ax
Ax*
Single
Voxel**
Multi
voxel

SE T1
EPI DW
SE T1
FSE FLAIR (TI2200)
FSE T2
FSE T2
SE T1
SE T1
FSE T1 (ET3)
Probe-PRESS

550/12
5800/60
675/12
8800/120
5850/85
5850/85
500/20
500/20
450/14
1500/35

25
25
25
25
25
25
25
25
25
2

4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
2/0

320X192
128X128
320X192
320X224
320X256
320X256
320X192
320X192
320X192
1X1

1
2
1
1
1
1
1
1
2
8

S/I
R/L
A/P
A/P
A/P
A/P
A/P
A/P
A/P
-

22.73
22.73
31.25
19.23
19.23
15.63
15.63
15.63
-

+
+
+
-

Probe -PRESS

1000/144

20

19.9

16X16

COMMENTS :
Add FLAIR post gad in suspected meningeal disease.
For brainstem and midline lesions get sagittal post gad instead of coronal.
For pineal lesions add thin sagittal T2 and T1 pre and post gad images.
* Optional to replace the SE T1 post gad.
** Single voxel spectroscopy (TE 35 and 144) on all new mass lesions. Multi voxel only on suspected gliomas. For
follow-up use TE 144.
EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

FOV TH/SP

MATRIX

NEX FREQ

BW

Brain #3

Infection
Meningitis

8hrbrain

Sag
Ax
Ax
Ax
AX
Cor
Cor
Ax
Ax*
Single
Voxel**
Multi
voxel

SE T1
EPI DW
SE T1
FSE FLAIR (TI2200)
FSE T2
FSE T2
SE T1
SE T1
FSE T1 (ET3)
Probe-PRESS

550/12
5800/60
675/12
8800/120
5850/85
5850/85
500/20
500/20
450/14
1500/35

25
25
25
25
25
25
25
25
25
2

4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
2/0

320X192
128X128
320X192
320X224
320X256
320X256
320X192
320X192
320X192
1X1

1
2
1
1
1
1
1
1
2
8

S/I
R/L
A/P
A/P
A/P
A/P
A/P
A/P
A/P
-

22.73
22.73
31.25
19.23
19.23
15.63
15.63
15.63
-

+
+
+
-

Probe -PRESS

1000/144

20

19.9

16X16

COMMENTS :
Add FLAIR post gad in suspected meningeal disease.
For brainstem and midline lesions get sagittal post gad instead of coronal.
For pineal lesions add thin sagittal T2 and T1 pre and post gad images.
* Optional to replace the SE T1 post gad.
** Single voxel spectroscopy (TE 35 and 144) on all new mass lesions. Multi voxel only on suspected gliomas. For

GD

follow-up use TE 144.

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

Brain #4

Trauma

8hrbrain

Sag
Ax
Ax
Ax
AX
Cor
Ax

SE T1
EPI DW
SE T1
FSE FLAIR (TI2200)
FSE T2 (ET 13)
FSE T2 (ET 13)
GRE T2

550/12
5800/60
675/12
8800/120
5850/85
5850/85
500/30/20

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

Brain #5

Hemorrhage

8hrbrain

Sag
Ax
Ax
Ax
AX
Cor
Ax
Cor
Ax
Ax*

SE T1
EPI DW
SE T1
FSE FLAIR (TI2200)
FSE T2 (ET13)
FSE T2 (ET13)
GRE T2
SE T1
SE T1
FSE T1 (ET3)

550/12
5800/60
675/12
8800/120
5850/85
5850/85
500/30/20
500/20
500/20
450/14

FOV TH/SP
25
25
25
25
25
25
25

4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4

FOV TH/SP
25
25
25
25
25
25
25
25
25
25

4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4

MATRIX
320X192
128X128
320X192
320X224
320X256
320X256
320X192

MATRIX
320X192
128X128
320X192
320X224
320X256
320X256
320X192
320X192
320X192
320X192

NEX FREQ
1
2
1
1
1
1
1

S/I
R/L
A/P
A/P
A/P
A/P
A/P

NEX FREQ
1
2
1
1
1
1
1
1
1
2

S/I
R/L
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P

BW
22.73
22.73
31.25
19.23
19.23
25

BW
22.73
22.73
31.25
19.23
19.23
25
15.63
15.63
15.63

GD
-

GD
+
+
+

COMMENTS :
* Optional to replace the SE T1 post gad.

EXAM

INDICATION

COIL

Brain #6

Demyelinating 8hrbrain
disease

PLANE

SEQUENCE

TR/TE/FA

Sag
Ax
Ax
Ax
AX
Cor
Sag
Cor
Ax
Ax*

SE T1
EPI DW
SE T1
FSE FLAIR (TI2200)
FSE T2 (ET 13)
FSE T2 (ET13)
FSE FLAIR (TI2200)
SE T1
SE T1
FSE T1 (ET3)

550/12
5800/60
675/12
8800/120
5850/85
5850/85
8800/120
500/20
500/20
450/14

FOV TH/SP
25
25
25
25
25
25
25
25
25
25

4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
3/0
4/0.4
4/0.4
4/0.4

MATRIX
320X192
128X128
320X192
320X224
320X256
320X256
320X224
320X192
320X192
320X192

NEX FREQ
1
2
1
1
1
1
1
1
1
2

S/I
R/L
A/P
A/P
A/P
A/P
A/P
A/P
A/P
A/P

BW
22.73
22.73
31.25
19.23
19.23
31.25
15.63
15.63
15.63

GD
+
+
+

COMMENTS :
* Optional to replace the SE T1 post gad.
EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

Brain #7

Seizure new
Onset

8hrbrain

Sag
Ax
Ax
Ax
Ax
Cor
Cor
Ax
Ax*

SE T1
GRE T2
EPI DWI SE
FSE FLAIR (TI 2200)
FSE T2 (ET 19)
FSE T2 (ET19)
SE T1
SE T1
FSE T1(ET3)

550/12
500/35/20
5800/60/15
8800/120
2800/102
5850/85
500/20
500/20
450/14

COMMENTS:
* Optional to replace the SE T1 post gad.

FOV TH/SP
25
25
25
25
25
25
25
25
25

4/0.4
4/0.4
5/1.5
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4

MATRIX
320X192
288X192
128X128
320X192
320X256
320X256
320X192
320X192
320X192

NEX FREQ
1
1
2
1
2
1
1
1
2

S/I
A/P
R/L
A/P
A/P
A/P
A/P
A/P
A/P

BW
22.73
15.63
31.25
31.25
19.23
15.63
15.63
15.63

GD
+
+
+

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

Brain #8

Seizure
possible
mesial
temporal
sclerosis

8hrbrain

Sag
Ax
Cor
Ax
Ax
Cor
Cor
Ax

SE T1
GRE T2
FSPGR IrPrep
EPI DWI SE
FSE FLAIR (TI 2200)
FSE T2 (ET 19)
FSE FLAIR (TI 2200)
FSE T2 (ET 19)

550/12
500/35/20
500/7/15
5800/60
8800/120
2800/102
8800/120
2800/102

FOV TH/SP
25
25
26
25
25
25
25
25

4/0.4
5/1.5
1.2/0
5/1.5
4/0.4
3/0.4
3/0.4
4/0.4

MATRIX
320X192
288X192
288X288
128X128
320X192
320X256
320X224
320X256

NEX FREQ
1
1
1
2
1
2
1
2

S/I
A/P
S/I
R/L
A/P
A/P
A/P
A/P

BW
22.73
15.63
12.5
31.25
31
31.25
31.25

GD
-

COMMENTS:
Thin coronal slices perpendicular to the long axis of the hippocampus.

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

Brain #9

Seizure
possible
dysplasia

8hrbrain

Sag
Ax
Ax
Ax
AX
Cor
Cor

SE T1
EPI DW
SE T1
FSE FLAIR (TI2200)
FSE T2 (ET 13)
FSE T2 (ET 13)
FSPGR IrPrep

550/12
5800/60
675/12
8800/120
5850/85
5850/85
500/7/15

Delayed
development

FOV TH/SP
25
25
25
25
25
25
26

4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
1.2/0

MATRIX
320X192
128X128
320X192
320X224
320X256
320X256
288X288

NEX FREQ
1
2
1
1
1
1
1

S/I
R/L
A/P
A/P
A/P
A/P
S/I

BW
22.73
22.73
31.25
19.23
19.23
12.5

GD
-

COMMENTS:
If there is a known EEG focus (not temporal), do the coronal thin T2 and FLAIR (from the MTS protocol) in the
suspicious EEG location. If any abnormality noticed, then give gad.

EXAM

INDICATION

Brain #10 Suspected

venous or
sinus
thrombosis

COIL

PLANE

SEQUENCE

TR/TE/FA

8hrbrain

Sag
Ax
Ax
Ax
AX
Cor
Ax
Cor
Cor

SE T1
EPI DW
SE T1
FSE FLAIR (TI2200)
FSE T2 (ET 19)
FSE T2 (ET 19)
GRE T2
2DTOF SPGR
3DTOF FSPGR
(CEMRV)

550/12
5800/60
675/12
8800/120
5850/85
5850/85
500/30/20
21/4/60
9/2/15

FOV TH/SP
25
25
25
25
25
25
25
20
26

4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
1.6/0
1.2/0

MATRIX
320X192
128X128
320X192
320X224
320X256
320X256
320X192
288X160
288X288

NEX FREQ
1
2
1
1
1
1
1
1
1

S/I
R/L
A/P
A/P
A/P
A/P
A/P
S/I
A/P

BW
22.73
22.73
31.25
19.23
19.23
25
19.23
15.63

GD
+

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

Brain
#11

Stroke
TIA
Vertebralbasilar
disease
Infarct

NV Head
neck_a

Sag
Ax
Ax
Ax
Ax
Ax

SE T1
EPI DWI SE
FSE FLAIR (TI2200)
GRE T2
FSE T2 (ET 19)
3DTOF SPGR (32lc)

550/12
5800/60
8800/124
525/25/20
2800/102
20/2.4/20

25
25
25
25
25
26

4/0.4
5/0
4/0.4
4/0.4
4/0.4
2/0

320X192
128X128
320X224
256X192
256X224
320X224

1
1
1
1
1
1

S/I
R/L
A/P
A/P
A/P
A/P

22.73
31.2
25
31.25
31.25

--

3DTOF FSPGR

6.6/1.4/45

30

1.8/0

416X224

S/I

41.7

1650/38/70

25

5/0

96X96

R/L

-----

NV Head
neck_med Cor

FOV TH/SP

MATRIX

NEX FREQ

BW

GD

(CEMRA)

NV Head
neck_a

Ax

Mph EPI GRE

(perfusion)

COMMENTS:
Gd - 20ml @ 2 ml/s for MRA and at 3-5 ml/s for perfusion.
Post contrast images only if subacute stroke (2-12 weeks) is suspected
EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

Brain #12

AVM
aneurysm

8hrbrain

Sag
Ax
Ax
Ax
AX
Cor
Ax
Ax

SE T1
EPI DW
SE T1
FSE FLAIR (TI2200)
FSE T2 (ET 19)
FSE T2 (ET 19)
GRE T2
3DTOF SPGR

550/12
5800/60
675/12
8800/120
5850/85
5850/85
500/30/20
25/0.3/20

FOV TH/SP
25
25
25
25
25
25
25
24

4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
4/0.4
1/0

MATRIX
320X192
128X128
320X192
320X224
320X256
320X256
320X192
384X256

NEX FREQ
1
2
1
1
1
1
1
1

S/I
R/L
A/P
A/P
A/P
A/P
A/P
A/P

BW
22.73
22.73
31.25
19.23
19.23
25
22.73

GD
-

COMMENTS:
For giant aneurysm, do CEMRA.

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

Base of
Skull #1

Tumor
Infection
Clivus tumor

8hrbrain

Sag
Ax
Ax
Ax
Ax
Cor
Cor
Ax
Sag

SE T1
EPI DW
SE T1
FSE FLAIR (TI2200)
FSE T2 (ET 19)
FSE T2 (ET 19)
SE T1
SE T1
SE T1

550/12
5800/60
675/12
8800/120
5850/85
5850/85
500/20
500/20
500/20

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

Sella #1

Pituitary
dysfunction
Sellar or
Suprasellar
mass

8hrbrain

Sag
Cor
Cor
Cor
Cor
Sag

SE T1
SE T1
FSE T2 (ET 15)
FSE T1 (ET 5) (X6)
SE T1
SE T1

450/17
475/17
3100/120
525/17
475/17
450/17

FOV TH/SP
25
25
20
25
24
24
20
20
20

4/0.4
4/0.4
3/0.3
4/0.4
3/0.3
3/0.3
3/0.3
3/0.3
3/0.3

FOV TH/SP
18
18
18
18
18
18

2.5/0.2
2.5/0.2
2.5/0.2
2.5/0.2
2.5/0.2
2.5/0.2

MATRIX
320X192
128X128
256X192
320X224
320X256
320X256
320X192
320X192
320X192

MATRIX
288X192
288X224
288X224
224X224
288X224
288X192

NEX FREQ
1
2
2
1
2
2
2
2
2

S/I
R/L
A/P
A/P
A/P
A/P
A/P
A/P
A/P

NEX FREQ
2
2
4
1
2
2

S/I
S/I
S/I
S/I
S/I
S/I

BW
22.73
19.23
31.25
19.23
19.23
15.63
15.63
15.63

BW
12.5
12.5
14.71
15.63
12.5
12.5

GD
+
+
+

GD
+
+

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

IAC #1

CPA tumor
Neurosensory
hearing loss
Post IAC
surgery
Pre cochlear
implant
th
7 nerve palsy
labyrinthitis

8hrbrain

Sag
Ax
Cor
Ax
Ax
Ax
Ax
Cor

SE T1
EPI DWI SE (B100)
FSE T2 (ET 19)
FSE T2 (ET 19)
SE T1
GRE FIESTA -C
SE T1
SE T1

550/12
5800/60
2800/102
2800/102
575/12
4.5/1.5/65
450/20
450/20

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

Orbit #1

Proptosis
Orbital mass
Cellulitis
Graves
Cranial nerve

8hrbrain

Ax
Cor
Ax
Ax
Cor

FSE T2 (ET 24)

FSE T2 (ET 24)
SE T1
SE T1
SE T1

5000/85
5000/85
400/12
650/13
650/3

FOV TH/SP
25
25
25
25
20
18
20
20

4/0.4
4/0.4
2.5/0
2.5/0
2.5/0
0.8/0
2.5/0
2.5/0

FOV TH/SP
16
16
16
16
16

3/0
3/0
3/0
3/0
4/0

MATRIX
320X192
128X128
320X256
320X256
256X192
320X256
320X256
320X192

MATRIX
320X224
320X224
320X192
320X192
320X192

NEX FREQ
1
2
2
2
2
3
1
1

S/I
R/L
A/P
A/P
A/P
unswa
AP
AP

NEX FREQ
4
4
3
2
2

BW
22.73
31
31.25
19.23
62.5
15.63
15.63

BW

A/P
A/P
A/P
A/P
S/I

31.25
31.25
22.73
22.83
22.83

GD
+
+

GD
+
+

COMMENTS:
Add brain if visual field defect and cranial nerve deficits
Axial parallel and coronal perpendicular to the optic nerves.
If the lesion is restricted to the globe, use a 3-5 surface coil to improve signal and increase resolution (matrix and
thickness).

EXAM

INDICATION

COIL

PLANE

Face #1

Tumor
Infection
ENT tumor
Sinus infection

NV angio Cor
med
Ax
Ax
Sag
Ax
Cor

SEQUENCE

TR/TE/FA

FSE T1 (ET 3)
FSE T1 (ET 3)
FSE T2 (ET 32)
FSE T1 (ET 6)
FSE T1 (ET 3)
FSE T1 (ET 3)

575/7
625/7
5000/85
800/7
700/8
600/7

FOV TH/SP
24
20
20
24
20
24

3/1
4/0.4
4/0.4
3/1
4/0.4
3/1

MATRIX
256X192
256X192
256X192
256X192
256X192
256X192

NEX FREQ
4
4
3
4
2
3

S/I
R/L
R/L
A/P
R/L
S/I

BW
41.67
41.67
41.67
41.67
35.71
41.67

GD
+
+

COMMENTS :
Try to include the neck in at least one plan to look for lymph nodes.

EXAM

INDICATION

COIL

PLANE

Neck #1

Tumor
Infection

NV angio Cor
med
Ax
Ax
Sag
Ax
Cor

SEQUENCE

TR/TE/FA

FSE T1 (ET 3)
FSE T1 (ET 3)
FSE T2 (ET 32)
FSE T1 (ET 6)
FSE T1 (ET 3)
FSE T1 (ET 3)

575/7
625/7
5000/85
800/7
700/8
600/7

COMMENTS:
For larynx use FOV 16 or thinner slices (3mm).

FOV TH/SP
24
20
20
24
20
24

3/1
5/0.5
5/0.5
3/1
5/0.5
3/1

MATRIX
256X192
256X192
256X192
256X192
256X192
256X192

NEX FREQ
4
4
3
4
2
3

S/I
R/L
R/L
A/P
R/L
S/I

BW
41.67
41.67
41.67
41.67
35.71
41.67

GD
+
+

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

Neck #2

Carotid /
vertebral
disease

NV
angio
med

Ax*
Ax
Cor**

FSE T1 (ET 3)
2DTOF SPGR
3DTOF FSPGR

700/8
24/8/60
6.6/1.4/45

FOV TH/SP
20
18
30

5/0.5
1.8/0
1.8

MATRIX
256X192
288X128
416X224

NEX FREQ
2
1.5
1

R/L
A/P
S/I

BW
35.72
25
41.67

GD
+

COMMENTS :
Aortic arch to circle of willis
*only when dissection is suspected
** Gd 20ml @ 2ml/s
If not following a brain scan, also include Sag T1 and Ax DWI, T2, and FLAIR of the brain using the same coil (as in
the stroke protocol)

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

C-Spine
#1

Disk disease
Pain
Radiculopathy

USCT12

Sag
Sag
Ax
Ax

FSE T2 (ET 33)

FSE T1 (ET 4)
FSE T2 (ET 29)
TOF GRE

3700/85
600/9
3150/110
47/8.8/5

FOV TH/SP
25
25
22
22

3/1
3/1
4/0
4/0

MATRIX
320X192
320X192
256X192
384X192

NEX FREQ
4
4
3
1

A/P
A/P
R/L
R/L

BW
41.67
31.25
31.25
7.81

GD
-

COMMENTS:
For scoliosis, tethered cord and neurofibromatosis, add coronal.

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

C-Spine
#2

Trauma

USCT12

Sag
Sag
Sag
Ax
Ax

FSE T2 (ET 33)

FSE T1 (ET 4)
FSE-IR T2
(ET12/TI150)
FSE T2 (ET 29)
TOF GRE

3700/85
600/9
3250/24
3150/110
47/8.8/5

FOV TH/SP
25
25
25
22
22

3/1
3/1
3/1
4/0
4/0

MATRIX
320X192
320X192
288X192
256X192
384X192

NEX FREQ
4
4
3
3
1

A/P
A/P
A/P
R/L
R/L

BW
41.67
31.25
41.67
31.25
7.81

GD
-

COMMENTS:
Possible to add sagittal T2 GRE to r/o hemorrhage.

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

C-Spine
#3

Tumor
Infection
MS
Syrinx
Transverse
Myelitis

USCT12

Sag
Sag
Ax
Ax

FSE T2 (ET 33)

FSE T1 (ET 4)
FSE T2 (ET 29)
FSE T1 (ET 3)

3700/85
600/9
3150/110
700/10

25
25
20
20

3/1
3/1
4/0
4/0

320X192
320X192
256X192
256X192

4
4
3
4

A/P
A/P
R/L
R/L

41.67
31.25
31.25
20.83

Sag
Ax

FSE T1 (ET 4)
FSE T1 (ET 3)

550/14
700/10

25
20

3/1
4/0

256X192
256X192

3
3

A/P
R/L

15.63
20.83

+
+

COMMENTS:
For scoliosis, tethered cord and neurofibromatosis, add coronal.

FOV TH/SP

MATRIX

NEX FREQ

BW

GD

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

T-Spine
#1

r/o disk
disease
pain
radiculopathy

USCT
234

Sag
Sag
Sag
Ax

FSE (ET 3)
FSE T2 (ET 27)
FSE T1 (ET 3)
FSE T2 (ET 21)

67/10
3500/120
600/9
5100/120

FOV TH/SP
48
36
36
18

3/1
3/1
3/1
4/0.4

MATRIX
512X384
416X224
320X192
256X192

NEX FREQ
2
4
4
4

S/I
A/P
A/P
A/P

BW
41.67
41.67
27.78
19.23

GD
-

COMMENTS:
For scoliosis, tethered cord and neurofibromatosis, add coronal.

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

T-Spine
#2

Tumor
Infection
MS
Syrinx
Transverse
Myelitis

USCT
234

Sag
Sag
Sag
Ax
Ax
Sag
Ax

FSE T1 (ET 3)
FSE T2 (ET 27)
FSE T1 (ET 3)
FSE T2 (ET 21)
FSE T1 (ET 3)
SE T1
FSE T1 (ET 3)

67/10
3500/120
600/9
5100/120
425/10
550/14
700/10

FOV TH/SP
48
36
36
18
18
36
18

3/1
3/1
3/1
4/0.4
4/0.4
3/1
4/0.4

MATRIX
512X384
416X224
320X192
256X192
256X192
256X192
256X192

NEX FREQ
2
4
4
4
4
2
3

S/I
A/P
A/P
A/P
A/P
A/P
A/P

BW
41.67
41.67
27.78
19.23
20.83
15.63
20.83

GD
+
+

COMMENTS:
For scoliosis, tethered cord and neurofibromatosis, add coronal.

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

T-Spine
#3

Trauma

USCT
234

Sag
Sag
Sag
Ax
Sag

FSE T1 (ET 3)
FSE T2 (ET 27)
FSE T1 (ET 3)
FSE T2 (ET 21)
FSE-IR T2 (ET 12 / TI
150)

67/10
3500/120
600/9
5100/120
3250/24

FOV TH/SP
48
36
36
18
36

3/1
3/1
3/1
4/0.4
3/1

MATRIX
512X384
416X224
320X192
256X192
288X192

NEX FREQ
2
4
4
4
3

S/I
A/P
A/P
A/P
A/P

BW
41.67
41.67
27.78
19.23
41.67

GD
-

COMMENTS:
Possible to add sagittal T2 GRE to r/o hemorrhage
EXAM

INDICATION

COIL

PLANE

L-Spine
#1

Disk disease
Pain
Radiculopathy

USLS456 Sag
Sag
Ax
Ax

SEQUENCE

TR/TE/FA

FSE T2 (ET 33)

FSE T1 (ET 4)
FSE T2 (ET 19)
FSE T1 (ET 4)

4000/120
650/8
3550/85
525/9

SEQUENCE

TR/TE/FA

FSE T2 (ET 33)

FSE T1 (ET 4)
FSE T2 (ET 19)
FSE T1 (ET 4)
FSE-IR T2 (ET 12 / TI
150)

4000/120
650/8
3550/85
525/9
3250/24

FOV TH/SP
26
26
21
21

4/1
4/1
4/1
4/1

MATRIX
416X224
320X192
288X192
288X192

NEX FREQ
4
4
4
2

A/P
A/P
A/P
A/P

BW
50
35.71
25
27.78

GD
-

COMMENTS

EXAM
L-Spine
#2

INDICATION
Trauma

COIL

PLANE

USLS456 Sag
Sag
Ax
Ax
Sag

COMMENTS

FOV TH/SP
26
26
21
21
26

4/1
4/1
4/1
4/1
4/1

MATRIX
416X224
320X192
288X192
288X192
288X192

NEX FREQ
4
4
4
2
3

A/P
A/P
A/P
A/P
A/P

BW
50
35.71
25
27.78
41.67

GD
-

EXAM

INDICATION

COIL

PLANE

L-Spine
#3

Post surgery
Diskitis
Osteomyelitis
Intradural
lesion

USLS456 Sag
Sag
Ax
Ax
Sag
Ax

SEQUENCE

TR/TE/FA

FSE T2 (ET 33)

FSE T1 (ET 4)
FSE T2 (ET 19)
FSE T1 (ET 4)
FSE T1 (ET 3)
FSE T1 (ET 4)

4000/120
650/8
3550/85
525/9
750/7
610/7

FOV TH/SP
26
26
21
21
26
21

4/1
4/1
4/1
4/1
4/1
4/1

MATRIX
416X224
320X192
288X192
288X192
320X192
256X192

NEX FREQ
4
4
4
2
4
2

A/P
A/P
A/P
A/P
A/P
A/P

BW
50
35.71
25
27.78
50
35

GD
+
+

COMMENTS:
For scoliosis, tethered cord and neurofibromatosis, add coronal. For infants, reduce FOV and SLTHK/SP
accordingly.

EXAM

INDICATION

COIL

PLANE

SEQUENCE

TR/TE/FA

Spine
survey
#1

Metastases
Non localized
infection
Acute
myelopathy/cord
compression

USCS
123

Sag
Sag

FSE T2 (ET 33)

FSE T1 (ET 4)

3500/120
650/8

28
28

3/1
3/1

256X224
320X192

4
4

A/P
A/P

50
35.71

USCTL
MID

Sag
Sag
Sag
Ax

FSE T2 (ET 27)

FSE T1 (ET 3)
FSE T1 (ET 3)
FSE T1 (ET 3)

3500/120
550/10
550/10
610/7

34
34
34
20

4/1
4/1
4/1
6/2.5

416X224
320X192
320X192
256X192

4
4
4
2

A/P
A/P
A/P
A/P

41.67
25
25
20.83

+
+

Sag
Ax

FSE T1 (ET 2)
SE T1

675/9
650/16

28
20

3/1
6/2

256X192
256X160

2
1

A/P
A/P

25
12.5

+
+

USCS
123

FOV TH/SP

MATRIX

NEX FREQ

BW

COMMENTS:
For scoliosis, tethered cord and neurofibromatosis add coronal. For infants, reduce FOV and SLTHK/SP accordingly.

KEY: The following are definitions of headings and abbreviations used in the protocols above.
2DTOF:

MR angio sequence using multislice acquisition and time-of-flight technique

3DTOF:

MR angio sequence using volume acquisition and time-of-flight technique

Asset:

GE brand name for parallel acquisition imaging (also known as SENSE and Ipad for other manufactures).

CONTRAST:

Gd (gadolinium, 0.2ml/kg, IV to a maximum of 20 ml).

EDR:

Extended Dynamic Range

ET:

Echo train for fast spin echo sequence

FA:

Flip Angle.

FC:

Flow compensation technique which utilizes additional gradients to refocus protons out of phase as a

GD

result of flow
FIESTA:

Fast Imaging Employing STeady-state Acquisition (GE brand name).

FLAIR:

Fluid attenuated inversion recovery

FOV:

Field of view for the acquisition

FREQ:

Frequency encoding selection; SI, RL, AP

FS:

Fat saturation, "chem. sat"

FSE:

Fast spin echo

FSPGR

GE brand name for a fast spoiled gradient echo pulse sequence.

GRE:

Gradient recalled echo; also known as fast scan, GRASS, or FISP.

MATRIX:

Number of data points acquired in the phase direction. The frequency direction is set at 256 data
points, except 512 for T2 FSE in the brain.

MPIR:

Multiplanar inversion recovery

MT:

Magnetization transfer

NEX:

Number of excitations. The number of times the acquisition sequence is repeated to increase signal to noise ratio

NP:

No phase wrap; eliminates wrap around artifact, or aliasing, in the phase encoding direction

phFOV:

Phase Field of View - For rectangular field-of-view with the shorter direction in the phase direction.

PLANE:

Anatomic plane of imaging desired

SE

Spin echo

Seq:

Sequential for sequential acquisition, instead of interleaved.

SP:

Interslice spacing (mm). INTERLV - interleaving results in a 100% slice gap between images with an automatic
second acquisition that images the slice gaps. Results in images with no slice gaps but without crosstalk artifact

ST:

Saturation subroutine which utilizes additional radiofrequency pulses to saturate spins outside the imaging volume
immediately prior to each slice select gradient to reduce artifacts. Pulses can be applied in one or all of 6 planes:
S - superior, I - inferior, A - anterior, P - posterior, R - right, L - left, C/S or C/I - moving sat pulses for time-of-flight
MR angio sequences

TE:

Echo time

TH:

Slice thickness (mm)

TR:

Pulse repetition time

TRF:

Tailored RF

VBw:

Variable Bandwidth

ZIP:

Zero-fill interpolation