Hitachi - Echelon Oval HF Protocol - Body -

Abdomen - General; RAPID

Free Breath Scano / Smap

Ax T2 Fatsat Gated

MRCP Cor 3D

BH Scano / Smap

Cor T2 Fatsat BH

Cor T1 RSSG BH

Ax T1 RSSG BH In / Out Phase

Ax T2 FSE BH

Ax BASG BH

MRCP RADIAL

RAPID Ax TIGRE Pre

RAPID Ax TIGRE Post

 RAPID AX TIGRE 9 sec

 RAPID AX TIGRE 40 sec
 RAPID AX TIGRE 90 sec
 RAPID AX TIGRE 3 min

Ax T1 RSSG Fatsep BH Post

Ax DWI b = 50 BH

Ax DWI b = 500 BH

Hitachi - Echelon Oval HF Protocol - Body -

Adrenal
**ALL BH / Inspiration**

Scano / Shim / Smap

Cor T1 RSSG Fatsep

Cor T2 Fatsat (2 BH)

Cor BASG 

Ax T1 RSSG Fatsep

Ax T2 FSE

Ax T2 FSE Fatsat

Ax BASG

RAPID Ax TIGRE Pre

RAPID Ax TIGRE Post

 RAPID AX TIGRE Arterial

 RAPID AX TIGRE 90 sec
 RAPID AX TIGRE 3 min

Ax T1 RSSG Fatsep POST

Cor T1 RSSG Fatsep POST

Ax DWI b = 50

Ax DWI b = 500

Hitachi - Echelon Oval HF Protocol - Body -

Breast - Dense; Axial Dynamic
Scano SCA 

Shim Axial

S-Map

AX T2 FSE FAT SAT(BIL)

AX DWI 

Ax dynamic 8 sec AUTO Delay

Ax TIGRE-c DYNAMIC

Cor TIGRE-c POST GAD

Hitachi - Echelon Oval HF Protocol - Body -

Breast - Implants
Scano SCA

Shim Axial

S-MAP

AX T1 

AX T2 FSE

AX T2 FAT SAT

AX T2 FSE FAT SEP

REVIEW

AX FIR (SILICONE ONLY) + 224 Hz

SAG FIR (SILICONE ONLY) + 224 Hz

Hitachi - Echelon Oval HF Protocol - Body -

Breast - Routine; Axial Dynamic
Scano SCA 

Shim Axial

S-Map

AX T2 FSE FAT SAT(BIL)

AX DWI 

Ax dynamic 12 sec AUTO Delay

Ax TIGRE-c DYNAMIC

Cor TIGRE-c POST GAD

Hitachi - Echelon Oval HF Protocol - Body -

Breast (30 min) - Screening
Scano

SMap

Shim
Ax T2 FSE

Ax Dynamic Pre / Post

Hitachi - Echelon Oval HF Protocol - Body -

Enterography (75 min)
Free Breath Scano / SMap

Cor BASG Fatsat Motility

Cor BASG Motility

(BH done on expiration)

BH SMap

Cor T2 FSE BH

Cor BASG BH

Ax T2 FSE BH (Abd)

Ax BASG BH (Abd)

Ax T2 FSE BH (Pelvis)

Ax BASG BH (Pelvis)

Radial MRCP

Cor RSSG Fatsep 3D BH

Cor RSSG Fatsep BH

Cor TIGRE Pre

Post gad

Cor TIGRE Post (40 sec) BH

Cor RSSG Fatsep Post (80sec) BH

Cor TIGRE Post (2min) BH

Cor RSSG Fatsep 3D Post (2min+) BH

Cor RSSG Fatsep Post (2min+) BH

Hitachi - Echelon Oval HF Protocol - Body - Full
scan
Brain

Scano SCA

S-Map

MRA 3d TOF

Cor T2 Flair

Brain MIP

Neck

Scano SCA

S-Map

Carotids MRA 3d TOF

Cor T1 RSSG FatSep BH

Neck Carotids MIP

Cor Shim

Scanogram 2d TOF Sag/MIP

Rapid Cor VASC/ASL ARCH  resp gate

Arch ASL MIP

**Place Arms Up**

Abdomen

Scano SCA

Shim Axial

S-Map

Axial T2 FatSat (Respiratory Gated)

Axial T1 RSSG FatSep BH

Coronal T1 RSSG FatSep BH

MRCP Radial BH

Scanogram 2D TOP SAG W/MIP

Cor VASC/ASL  Renals

Renals ASL MIP

Sliding MIP

**Move coil down**

Pelvis

Scano SCA

Shim Axial

S-Map

Axial T1 RSSG FatSep BH

Coronal T1 RSSG FatSep BH

Axial T2 FSE FatSat

Hitachi - Echelon Oval HF Protocol - Body -

Kidney - Dynamic RAPID
**ALL BH / Inspiration**

Scano / Shim / Smap

Cor T1 RSSG Fatsep

Cor T2 FatSat 

Cor BASG 

Ax T1 RSSG Fatsep

Ax T2 FSE

Ax T2 FSE FatSat

Ax BASG

Ax TIGRE pre

Ax TIGRE post
  Ax TIGRE Arterial
 Ax TIGRE 90 sec
 Ax TIGRE 3 min

Ax T1 RSSG Fatsep POSTCor T1 RSSG Fatsep POSTAx DWI b = 50

Ax DWI b = 500

Hitachi - Echelon Oval HF Protocol - Body -

Kidney - Dyn 2 Phase RAPID
*ALL BH / Inspiration**

Scano / Shim / Smap

Cor T1 RSSG Fatsep

Cor T2 Fatsat 

Cor BASG 

Ax T1 RSSG Fatsep

Ax T2 FSE

Ax T2 FSE Fatsat

Ax BASG

Ax TIGRE pre

Ax TIGRE post

 Ax TIGRE 9 sec
 Ax TIGRE 40 sec
 Ax TIGRE 90 sec
 Ax TIGRE 3 min

Ax T1 RSSG Fatsep POSTCor T1 RSSG Fatsep POSTAx DWI b = 50

Ax DWI b = 500

Hitachi - Echelon Oval HF Protocol - Body -

Kidney - With CE
**ALL BH / Inspiration**

Scano / Shim / Smap

Cor T1 RSSG Fatsep

Cor T2 Fatsat (2 BH)

Cor BASG 

Ax T1 RSSG Fatsep

Ax T2 FSE

Ax T2 FSE Fatsat

Ax BASG

Pre / Post FLUTE Renal

Ax T1 RSSG Fatsep POSTCor T1 RSSG Fatsep POSTAx DWI b = 50

Ax DWI b = 500

Hitachi - Echelon Oval HF Protocol - Body -

Liver - Eovist
Free Breath Scanno / Smap

RADAR Ax T2 FatSat

MRCP Cor 3D

BH Scano / Smap

Cor T2 Fatsat BH

Cor T1 RSSG BH

Ax T1 RSSG in / Out Phase BH

Ax T2 BH

Ax BASG BH

MRCP RADIAL

RAPID Ax TIGRE Pre w/ FLUTE

RAPID Ax TIGRE Post

 RAPID AX TIGRE 9 sec

 RAPID AX TIGRE 60 sec
 RAPID AX TIGRE 2 min
Ax T1 RSSG Fatsep BH

Ax DWI b = 50 BH

Ax DWI b = 500 BH

Ax TIGRE 20 min post

Cor TIGRE 20 min post

Hitachi - Echelon Oval HF Protocol - Body -

Liver - RAPID
scano / shim / smap BH

Cor T2 FatSat BH

Ax T1 RSSG In / Out Phase BH

Ax T2 BH

Ax BASG BH

MRCP Radial

RAPID AX TIGRE Pre

RAPID AX TIGRE Post

 RAPID AX TIGRE 9 sec

 RAPID AX TIGRE 40 sec
 RAPID AX TIGRE 90 sec
 RAPID AX TIGRE 3 min

AX T1 RSSG FatSep Post BH

AX DWI b = 50 BH

AX DWI b = 500 BH

Hitachi - Echelon Oval HF Protocol - Body -

Liver - RAPID Triple Phase Arterial
Free Breath Scanno / Smap

RADAR Ax T2 Fatsat

MRCP Cor 3D
BH Scano / Smap

Cor T2 Fatsat BH

Cor T1 RSSG BH

Ax T1 RSSG in / Out Phase BH

Ax T2 BH

Ax BASG BH

MRCP RADIAL

RAPID Ax TIGRE Pre 

RAPID Ax TIGRE Post

 RAPID AX TIGRE 9 sec

 RAPID AX TIGRE 40 sec
 RAPID AX TIGRE 90 sec
 RAPID AX TIGRE 3 min

Ax T1 RSSG Fatsep BH

Ax DWI b = 50 BH

Ax DWI b = 500 BH

Hitachi - Echelon Oval HF Protocol - Body -

Pectoralis Muscle (45 min)
RAPID AX T1

RAPID AX T2

RAPID AX T2 FatSat

RAPID COR T2 FSE

COR T2 FatSat

Hitachi - Echelon Oval HF Protocol - Body -

Pelvis - Female
Ax T1 FSE Pelvis
Ax STIR Pelvis

Cor STIR Pelvis

RADAR Sag T2 FSE

RADAR Cor T2 FSE

POST Contrast

Ax T1 FatSat

Ax T1 FSE

Cor T1 FSE

Hitachi - Echelon Oval HF Protocol - Body -

Pelvis - Soft tissue
Ax T1 FS

Ax T2 FatSat

Cor T1 FSE

Cor T2 FatSat

Sag T2 FSE

POST Contrast

Ax T1 FatSat subtract

Ax T1 FSE

Cor T1 FSE

Add the subtraction card and run on the axials

Hitachi - Echelon Oval HF Protocol - Body -

Prostate
Scano-SCA

S-Map

SAG T2 FSE
AX T2 FSE

COR T2 FSE

AX isoFSE

AX DWI MULTI-B

AX T1 FSE

AXIAL TIGRE-DYNAMIC

AX T1 FSE POST

Hitachi - Echelon Oval HF Protocol - MSK -

Ankle (45 min) - Achilles
Ax t1 fse

Ax pd fse fat sat (te 36)

Cor t2 fse 

Sag t1 fse

Sag t2 fse fat sat

Sag t2 adage 3d (1.5 thickness) reformat if 3d is ordered

Hitachi - Echelon Oval HF Protocol - MSK -

Ankle (45 min) - Achilles / Posterior Tibial
Tendon (PTT) combo
(Foot neutral position for achilles)

Ax pd fs

Ax T2 fse

Ax t1 fse

Cor t2 fse

Sag T1 FSE

Sag T2 FS
Sag T2* ADAGE 3D (if 3d ordered 1.5 with reformats, if not ordered 1.7 no reformat)

Repostion Plantor Ankle Flexed

Ax /obl pd fs along peroneal or post tib tendons

*If metal hardware in ankle or foot replace pd fs and t2 fs with stir

Hitachi - Echelon Oval HF Protocol - MSK -

Ankle (45 min) - Routine
sag t2 fse fs

sag t1 fse

ax pd fse fs

ax t2 fse

cor t2 fse fs

sag t2 adage 3d (reformat 1.5 if 3d is ordered ) if no 3d ordered can go to 1.7 (reformat ax and cor if dx is
peroneal or peroneus tear)

ax t1 fse add for peroneal or peroneus tear

Hitachi - Echelon Oval HF Protocol - MSK -

Elbow (30 min)
scano ax

scano sca

shim ax

s-map

ax t2 fse

ax stir

cor ti fse

cor stir

sag pd fse fs
Hitachi - Echelon Oval HF Protocol - MSK -
Femur (45 min)
Ax T1

Ax T2

Ax STIR

Cor T1

Cor T2 FatSat

Sag T2 FatSat

Hitachi - Echelon Oval HF Protocol - MSK -

Finger
AX T1

AX T2

AX STIR

SAG T1

SAG T2

SAG STIR

COR PD fatsat

COR T2 ADAGE 3D

Hitachi - Echelon Oval HF Protocol - MSK - Foot

(45 min)
Ax fse t1

Ax t2 fse

Ax PD FatSat for dx: plantar plate tear

Cor t2 fse

Sag t1 fse
Sag pd fse fs - do earlier in exam - reduce motion

Sag t2* Adage 3d (1.5 thickness) reformat if 3d ordered

Toe 45

Ax fse t2

Ax T1

Ax PD FatSat for dx: plantar plate tear

Cor fse t2

Sag fse t1

Sag pd fs - do earlier in exam - reduce motion.

Cor t1 (optional if for fx)

Sag t2 adage 3d (1.5 thickness with reformats on all)

For osteo dx - see osteo protocol

Hitachi - Echelon Oval HF Protocol - MSK - Foot

/ Toe (45 min) - Osteo
AX T1

AX T2

AX STIR

COR T1

COR STIR

SAG STIR

SAG T1

SAG T1 3D RSSG WATER EXCITATION optional if time, if not ordered

If foot is ordered, but referring MD mentions a particular toe, toe osteo protocol should be used
instead of foot. Osteo toe has smaller FOV, and slice thickness.

Hitachi - Echelon Oval HF Protocol - MSK -

Forearm (45 min)
Scano cor / ax

Scano sca

s-map 

shim ax

ax stir

ax t1 fse

cor t1 fse

cor t2 fse fs

sag T2* adage

Hitachi - Echelon Oval HF Protocol - MSK -

Hand (45 min) - Decub
Cor T1 FSE

Cor STIR

Cor T2 ADAGE

Sag STIR

Ax T1 FSE

Ax PD FatSat - tendon only

Hitachi - Echelon Oval HF Protocol - MSK - Hip

(45 min)
Cor T1 Bilateral

Unilateral 

Ax T1

Ax PD FatSat straight no angle 

Ax BASG w/ radial reformats

Cor PD FatSat
Cor T2 ADAGE

Sag 3D ADAGE

Hitachi - Echelon Oval HF Protocol - MSK - Hip

(45 min) - Replacement
Make sure if you pull in a card it is a PRIME sequence

Cor t1 fse bil (metal)

Ax t1 fse (metal)

Ax t2 fse (metal) - optional

Ax pd fse fat sep - optional

Cor t1 fse (metal) - optional

Cor t2 fse (metal) - optional

Cor pd fse fat sep

Sag pd fse fat sep

Hitachi - Echelon Oval HF Protocol - MSK - Hip

- Pediatric
1) Cor STIR bilat

Unilateral all the rest

2) Ax t1 true axial or shallow axial rather than oblique image through the femoral neck.

3) Ax BASG 3D angled to be different than Ax t1. Millimeters slice. Reformat with thicker slab slices 4
mm gap 0. Sequence should be angled more in keeping with axis of the femoral neck off of coronal
reference. No Radial reformats needed.

4) Cor pd fse fs

5) Sag t2 adage 3D thins - Pay attention to include the outside or lateral margin of the greater trochanter
and continue medial to the acetabulum. Eval gluteus medius and minimus insertion of the trochanter.

6) Opt AX PD FatSat
Hitachi - Echelon Oval HF Protocol - MSK -
Humerus (45 min)
Sag T1

Sag T2* ADAGE

Cor T1

Ax T2

Ax STIR

Hitachi - Echelon Oval HF Protocol - MSK -

Knee (30 min)
Scano cor

Scano sa

Ax shim

s-map

ax isoFSE pd fatsat

sag pd fse fs

cor t2 adage 3D

cor t1 fse - over 50 or

sag t1 fse - under 50

ax 3d basg - Optional if pushed for time and can do 2/2 just through patella (also if any of the other scans
need to be repeated please repeat these first and then you can drop the basg if time does not allow)

Hitachi - Echelon Oval HF Protocol - MSK -

Knee (30 min) - Routine; Cartilage Mapping
Sag T2 Relax Map-Eval cartilage, cartilage sequence

Coronal T2 Relax Map-medial or lateral femoral condyle (MFC, LFC)

OBL Ax T2 Relax Map Patellofemoral joint (PFC), Femoral Trochlea-perpendicular to patella off sagittal
(like BASG)
T2 Relax Map post processing

Axial 3d BASG

If knee contains a lot of metal hardware replace the Ax 3D BASG with an Axial Stir

Hitachi - Echelon Oval HF Protocol - MSK -

Knee (Metal)
AX T2 METAL 200 FOV, TE 120, TR 6000, BW 130 2 SLICE THICKNESS, 4 INTERVAL

COR PD METAL 200 FOV, TE 10 TR 6000 BW 130 2 SLICE THICKNESS, 4 INTERVAL

COR STIR METAL 200 FOV, TE12.2 TR 6000 BW 130 primeFIR 2 SL THICK, 4 INTERVAL

SAG PD METAL 200 FOV, T2 10 TR6000 BW 1602 SLICE THICKNESS, 4 INTERVAL

SAG STIR METAL 200 FOV, TE 12.2, TR 6000, BW 130. primeFIR 2 SL THICK, 4 INTER

SAG T1 METAL UNDER 50  200 FOV, TE 10, TR 570, BW 130, NEX 6

COR T1 METAL OVER 50 200 FOV, TE 10, TR 570 BW 130 NEX 4

Hitachi - Echelon Oval HF Protocol - MSK -

Sacroiliac (SI) Joint (45 min)
Ax T1 FSE

Ax T2 FSE

Cor T1 FSE

Cor T2 FSE

Cor PD FSE FatSat

Cor STIR

Sag PD FSE FatSat

Sag STIR  

Hitachi - Echelon Oval HF Protocol - MSK -

Scapula (45 min)
Ax T1
Ax PD FatSat

Cor T2

Sag pd FatSat

Hitachi - Echelon Oval HF Protocol - MSK -

Shoulder (30 min)
scano cor / ax

scano sc

shim ax

s-map

axial t2* adage 2mm

sag t2 fse fs

cor pd fse fs

cor t1 fse

Hitachi - Echelon Oval HF Protocol - MSK -

Thigh (45 min) - Hamstring
Ax t1 fse

Ax t2 fse

Cor t2 fse fs

Cor t2 fse

Sag t1 fse

Sag t2 fse fs

Hitachi - Echelon Oval HF Protocol - MSK -

Thumb
Ax T1

AX T2
Ax STIR

Sag T1

Cor T1

Cor T2

Cor STIR

Cor T2 FatSat

Cor T2 ADAGE 3D

Hitachi - Echelon Oval HF Protocol - MSK -

Tibia / Fibula (45 min)
Ax t2 fse

Ax t1 fse

Sag stir

Sag t1

Cor t1 fse

Cor t2 fse fs

Hitachi - Echelon Oval HF Protocol - MSK -

Wrist (30 min) - Decub or Superman
Ax PD FatSat

Cor PD FatSat

Cor T2 ADAGE 3D

Cor T1

Sag T2 ADAGE 3D

Hitachi - Echelon Oval HF Protocol - MSK -

Wrist - Scaphoid Decub or Superman
Ax PD FatSat
Cor T1 angled with scaphoid

Cor PD FatSat

Sag T1 angled with scaphoid

Cor T2 ADAGE 3D

Sag T2 ADAGE 3D

Hitachi - Echelon Oval HF Protocol - Neuro -

Brachial Plexus (60 min) - Arm down and arm
up; Pre and post
Scano SCA :48

AX Shim :34

SMAP :35

RAPID Cor T2 isoFSE  5:08

RAPID Cor T1 RSSG 3D 3:24

Cor PD FSE FatSep 3:23

Cor T1 FSE FatSep 2:59

RAPID Cor T2 ADAGE 2:53

UNI Ax T1 FSE 2:35

UNI AX PD FSE FatSep 3:52

UNI SAG T1 FSE 2:49

UNI SAG PD FSE FatSep 3:13

UNI COR T1FSE FatSep 3:53

PRE / POST FLUTE SUBCLAVIANS

UNI COR T1 FSE FatSep 3:53

RAPID COR T1 RSSG 3D POST 3:24

COR T1 FSE FatSep 2:59

CLAVICLE 45
Ax T1

Ax STIR

Cor T1

Cor STIR

Sag T1

Sag T2

Hitachi - Echelon Oval HF Protocol - Neuro -

Brain and Orbits
Scano SCA / S-Map

Sag T1

Sag T2 FLAIR

Ax T2 FSE

Ax T2 FLAIR

Ax T1 FSE

Ax Shim

RAPID Ax BSI

RAPID Ax DWI

Ax T2 FSE FatSat thins

Ax T1 FSE FatSat thins

Post Contrast

Ax T1 FSE

Cor T1 FSE

Ax T1 FSE FatSat Thins

Cor T1 FSE FatSat Thins

Ax T1 FSE FatSat
Hitachi - Echelon Oval HF Protocol - Neuro -
Brain (30 min - wo) (45 min - w/wo) - Routine
Scano SCA / S-Map

Sag T1

Sag isoT2 FLAIR 1.2 or 1.3 mpr all 3 planes 1.8 thickness

Ax T2 FSE

Ax T2 FLAIR

Ax T1 FSE

Ax Shim

RAPID Ax BSI mip

RAPID Ax DWI

Post C:

Ax T1 FSE

Cor T1 FSE

Ax T1 FLAIR thinner slices

Hitachi - Echelon Oval HF Protocol - Neuro -

Internal auditory canal (IAC)
Scano SCA / S-Map

Sag T1 FSE 

Ax T2 FLAIR

Ax T2 FSE

Cor T1 FSE

Ax T2 FSE Thins

Ax Shim

RAPID Ax DWI
Post Contrast

Ax T1 FSE Thins

Cor T1 FSE 

Ax T1 FSE

Hitachi - Echelon Oval HF Protocol - Neuro -

Pituitary
Scano SCA / S-Map

Sag T1 FSE Thins

Sag isoFSE T2 Flair 1.3 MPR all 3 planes 1.8

Axial T2 Flair

Axial DWI

Cor T1 Thins

Cor T1 thins dynamic pre and 13 post 2:55

Cor T1 thins Post

Sag T1 thins Post

Hitachi - Echelon Oval HF Protocol - Neuro -

Sacrum / Coccyx (45 min)
Ax T1 FSE

Cor T1 FSE

Cor T2 FSE

Sag T2 FSE

Sag STIR

Post Contrast

Cor T1 FSE

Ax T1 FSE
Ax T1 FSE FatSat

Hitachi - Echelon Oval HF Protocol - Neuro -

Spine (30 min) - Cervical
sag iso fse t2 (recon oblique to both sides, ax and cor / sag)

sag fse t1

RAPID ax t2*adage 

sag stir recent trauma (six months or less) and for 25 and under

Hitachi - Echelon Oval HF Protocol - Neuro -

Spine (45 min) - Cervical MS
Sag fse t2 fs

Sag PD

Sag T1

RAPID AX T2* ADAGE

Ax T1 PRE

Sag T1 POST

Ax T1 POST

Hitachi - Echelon Oval HF Protocol - Neuro -

Spine (30 min) - Lumbar
Sag T2 fse

Sag T1 fse

Sag stir (only if trauma in the last six months or 25 and under)

Ax T2 fse

Do straight stacked T1 axial if time, but optional

Hitachi - Echelon Oval HF Protocol - Neuro -
Spine (30 min) - Lumbar; Pediatric 17 and
younger; Spondylolysis or Listhesis; Occasionally
for disc herniation
Cor STIR

Sag T2 isoFSE (Reform cor / sag)

Sag T1

Axial T2 FatSat block L2-S1

Hitachi - Echelon Oval HF Protocol - Neuro -

Spine (45 min) - Lumbar, with and without
sag iso fse t2 - (reformat cor)

sag t1

ax t2fse 

ax t1 pre

sag stir pre (not optional) 

post

ax t1

sag t1

Hitachi - Echelon Oval HF Protocol - Neuro -

Spine (30 min) - Thoracic
good cor loc

Sag t2 fse

sag fse t1

ax t2 adage

sag stir if recent trauma or 25 and under

Hitachi - Echelon Oval HF Protocol - Neuro -
Subthalamic nucleus (STN) (60 min)
Scano SCA / S-Map

Sag T2 FSE 

Cor T2 FSE FatSat

Cor T1 FSE FatSep

Ax T1 FSE

Ax T2 FSE FatSat

Post Contrast

Ax T1 FSE 

Cor T1 FSE FatSep 

Hitachi - Echelon Oval HF Protocol - Neuro -

Temporomandibular joint (TMJ)
Scano SCA / S-Map 45 use micro coil

Sag T1 FSE closed

Sag T2 FSE closed

Cor T1 FSE FatSat RT closed

Cor T1 FSE FatSat LT closed

Sag T1 FSE open

Sag T2 FSE open