MR Imaging System

Model AIRIS-II Series

Contrast Enhanced MRA Measurement Function

INSTRUCTION MANUAL

Tokyo, Japan
Q1E-BM5294-5

Copyright © Hitachi Medical Corporation. 2000-2003. All rights reserved.

 CONTENTS
Page
1. Overview ........................................................................................................................................ 1

2. General Imaging Procedure ......................................................................................................... 2

2.1 Overall Flow ......................................................................................................................... 2
2.2 Test Injection........................................................................................................................ 3
2.3 Main Scan............................................................................................................................. 4

3. Measurement Operation............................................................................................................... 9
3.1 Test Injection ........................................................................................................................ 9
3.1.1 Setting Basic Group .................................................................................................... 9
3.1.2 Setting Dynamic Group ............................................................................................ 10
3.1.3 Starting Stop Watch.................................................................................................. 10
3.1.4 Starting Measurement.............................................................................................. 11
3.2 Main Scan........................................................................................................................... 14
3.2.1 Setting Basic Group .................................................................................................. 14
3.2.2 Setting Particular Group .......................................................................................... 15
3.2.3 Setting Dynamic Group ............................................................................................ 17
3.2.4 Starting scan ............................................................................................................. 23
3.2.5 Starting Creating MIP images ................................................................................. 25
4. Cautions ...................................................................................................................................... 26

5. Specifications .............................................................................................................................. 27

(1) Q1E-BM5294
1. Overview
Contrast Enhanced MR Angiography (CE-MRA) allows you to acquire images of better
contrast by intravenously injecting a low invasive contrast agent (Gd-DTPA). CE-MRA
obtains contrast of blood vessels by T1 shortening effect of contrast agent, thus shortens scan
time. On the contrary, ordinary MRA using the TOF sequence acquires blood flow images
depending on velocity of blood flow and it is apt to miss signals at a bent or stricture, so it
cannot be a method to show true intravascular information. Also, it needs large amount of
images, that is, long scan time.
Fig. 1.1 shows a conceptual Diagram of CE-MRA.
agent in blood vessel
Density of contrast

Contrast agent

in blood vessel
Signal intensity
injected Scan timing is
important
(Test injection, etc.)

Measurement Measurement
Time
1 2
Fast 3D GE RS-SARGE
Scan time: Several ~ several tens seconds

3D data before 3D data after

injecting injecting
contrast agent contrast agent
Subtraction
process
Projection
process

3D subtraction MRA Projected blood vessel image

Fig.1.1 Conceptual Diagram of CE-MRA

To visualize a target blood vessel of high contrast in CE-MRA, it needs to carry out scan at the
time when density of the contrast agent in the target blood vessel is the highest. In addition,
to improve visualization capability, it suppresses background signals by subtracting the image
before the contrast agent travels to the target blood vessel (Measurement 1 in Fig. 1.1) from
the image after contrast agent travels to the target blood vessel (Measurement 2 in Fig. 1.1).
Also, applying projection process (MIP) to the acquired subtraction image allows you to obtain
an image of higher contrast.

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2. General Imaging Procedure
2.1 Overall Flow
Fig. 2.1.1 shows general procedure of CE-MRA imaging. After acquiring scanogram at two
planes, scan called the test injection is performed to obtain a time for the contrast agent to
travel to the target blood vessel.
By utilizing the time for the contrast agent to travel to the target blood vessel with the test
injection, the main scan can visualize the target blood vessel of high contrast.

Main scan
Scanogram 1 Scanogram 2 Test Injection Projection
(3D GE RSSG
(SAG plane) (TRS plane) (2D GE RSSG, process
TR/TE shortened
COR plane (MIP)
new sequence),
Dynamic
COR plane
Dynamic Scan)

Time

Fig. 2.1.1 Procedure of CE-MRA Imaging

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2.2 Test Injection
To visualize the target blood vessel of high contrast in CE-MRA, timing of the main scan is
important. To obtain the optimum timing of this main scan, a scan called the test injection
is performed before the main scan. The test injection injects little amount of contrast
agent (1~2ml) to obtain Contrast Travel Time at the target blood vessel. A conceptual
diagram of this test injection is shown in Fig. 2.2.1.

Injection
*1 Contrast agent (Gd-DTPA)
Gd*1 *2 *2 Physiological salt solution
Saline
(1~2ml)

Dynamic Scan (2D GE RSSG)

Scan

Density of contrast agent

S.I.
Tdelay

Time

Tij Tt Delay time of contrast agent

Tdelay = Tt – Tij

Fig. 2.2.1 Conceptual Diagram of Test Injection

Fig. 2.2.1 shows Tij to inject the contrast agent and Tt for the contrast agent to reach the
highest density in the target blood vessel. Contrast Travel Time at the target blood vessel is
the time for density of the contrast agent to reach its peak minus the time when the contrast
agent was injected (Tdelay in Fig. 2.2.1). The main scan allows the target blood vessel to be
visualized by measuring data Tdelay after injecting the contrast agent as a center of
measurement data space (k-space).

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2.3 Main Scan
After obtaining Contrast Travel Time at the target blood vessel by the test injection,
perform the main scan. The main scan carries out scan of a reference image first and then
intravenous injection of contrast agent and scan of angiogram follow.
The main scan uses 3D GE RS-SARGE (RF Spoiled Steady state Acquisition with Rewound
Gradient Echo) sequence. The four types of ADA （ Asymmetric Data Allocation ） ,
PEAKS(PEak Artery enhancing K-space filling Sequence), RPEAKS(Reversed PEak Artery
enhancing K-space filling Sequence) can be selected as order of acquiring measurement
data in this sequence.

To obtain an image with high contrast, it is important to set measurement data when
density of contrast agent is the highest in the target blood vessel to the center of k-space.
Time from starting measurement to injecting the contrast agent is calculated considering
Contrast Travel Time at the target blood vessel. Therefore, time to inject the contrast agent
differs according to order of acquiring measurement data. The relation between
concentration of contrast agent and measurement in each order is shown below.

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<Full scans>
The conceptual diagram and order to acquire data in k-space of the main scan in full scan
are shown in Fig. 2.3.1(a) and Fig. 2.3.1(b) respectively. Optimum time to inject the contrast
agent is Tinjection after starting measurement of Fig. 2.3.1(a).

Gd Saline

Full scan Dynamic Dynamic Dynamic

Scan 1 Scan 2 Scan 3
Scan Tad1
Dynamic Interval Tad1/2

Tinjection

S.I.
Tdelay
time
Tstart
Tinjection=Dynamic Interval - Tdelay+Tad1/2

Fig. 2.3.1(a) Conceptual Diagram of Full Scan

kx kz

1 1
ky 2 ky 2
3 3
4 4
………

5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12

Fig. 2.3.1(b) Order to Acquire Data in k-space in Full Scan

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<ADA>
The conceptual diagram and order to acquire data in k-space of the main scan in ADA are
shown in Fig. 2.3.2(a) and Fig. 2.3.2(b) respectively. The area of first quarter is not
measured to shorten time to reach the center of k-space. Thus, acquiring data in k-space
can be finished within the time zone when concentration of the contrast agent has reached
the target blood vessel.
Optimum time to inject the contrast agent is Tinjection after starting measurement of Fig.
2.3.2(a).

Gd Saline

ADA Dynamic Dynamic Dynamic

Scan 1 Scan 2 Scan 3
Scan Tad2
Dynamic Interval Tad2/3

Tinjection

S.I.
Tdelay
Time
Tstart
Tinjection=Dynamic Interval - Tdelay+Tad2/3

Fig. 2.3.2(a) Conceptual Diagram of ADA

kx kz

9 9
ky 8 8
7 ky 7
……

6 6
5 5
4 4
3 3
2 2
1 1

Fig. 2.3.2(b) Order to Acquire Data in k-space in ADA

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<PEAKS>
The conceptual diagram and order to acquire data in k-space of the main scan in PEAKS
are shown in Fig. 2.3.3(a) and Fig. 2.3.3(b) respectively. PEAKS are "the 2D Ordering
methods of ky-kz plane which has the feature of Sequential", and improve 3D k-space order.
Order is set on the basis of the distance between the center of the ky-kz plane and each
measuring point. In the time zone when concentration of the contrast agent in the target
blood vessel have not reached the peak, data is acquired from the farther points to the
nearer(region ① in Fig.2.3.3(b)). In the time zone when concentration of the contrast agent
is about to reach the peak, data of vicinity of the center is acquired(region ② in
Fig.2.3.3(b)). And in the time zone when concentration of the contrast agent have passed
through the peak, data is acquired from the nearer points to the farther(region ③ in
Fig2.3.3(b)). Controlling 3D k-space order like this enable you to obtain images with
capability to suppress the signal of vein and less influence of artifacts caused by time gap.
PEAKS are effective for diagnosis of the region with fast velocity of blood flow, for example,
the cervical region, which demands sufficient arterial to venous separation and high special
solution.
Optimum time to inject the contrast agent is Tinjection after starting measurement of Fig.
2.3.3(a).

Gd Saline

PEAKS Dynamic Dynamic Dynamic

Scan 1 Scan 2 Scan 3
Scan Tad3
Dynamic Interval Tad3/3

Tinjection

S.I.
Tdelay
Time
Tstart
Tinjection=Dynamic Interval - Tdelay+Tad3/3

Fig. 2.3.3(a) Conceptual Diagram of PEAKS

kx kz

ky ky
1
2 ① ①
3 ②
4
5
6
7 ③
8
9

Fig. 2.3.3(b) Order to Acquire Data in k-space in PEAKS

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<RPEAKS>
The conceptual diagram and order to acquire data in k-space of the main scan in RPEAKS
are shown in Fig. 2.3.4(a) and Fig. 2.3.4(b) respectively. RPEAKS is on the same basis of
principle as that of PEAKS. Order is set on the basis of the distance between the center of
the ky-kz plane and each measuring point. In the time zone when concentration of the
contrast agent in the target blood vessel have not reached the peak, data is acquired from
the farther points to the nearer(region ① in Fig.2.3.4(b)). In the time zone when
concentration of the contrast agent is about to reach the peak, data of vicinity of the center
is acquired(region ② in Fig.2.3.4(b)). And in the time zone when concentration of the
contrast agent have passed through the peak, data is acquired from the nearer points to the
farther(region ③ in Fig2.3.4(b)). The center of k-space is measured in the later half of the
measurement in RPEAKS compared with that of PEAKS. Thus, when performing Multi
Station Measurement (option), PEAKS or RPEAKS can be selected in each station, so that
acquiring data in k-space can be finished in a optimum way within the time zone when
concentration of the contrast agent has reached the target blood vessel in each station.
Optimum time to inject the contrast agent is Tinjection after starting measurement of Fig.
2.3.4(a).
(For the details of Multi Station Measurement, refer to the instruction manual for
“Peripheral Vascular Contrast Enhanced MR Angiography Measurement Function”)

Gd Saline

RPEAKS Dynamic Dynamic Dynamic

Scan 1 Scan 2 Scan 3
Scan Tad4
Dynamic Interval 2Tad4/3

Tinjection

S.I.
Tdelay
Time
Tstart
Tinjection=Dynamic Interval - Tdelay+2Tad4/3
Fig. 2.3.4(a) Conceptual Diagram of RPEAKS

kx kz

1
ky 2 ky ①
3
4
5
6
7 ②
8 ③ ③
9

Fig. 2.3.4(b) Order to Acquire Data in k-space in RPEAKS

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3. Measurement Operation
3.1 Test Injection
3.1.1 Setting Basic Group
Carry out the test injection after acquiring a scanogram.
(1) Select the Scan Card.
(2) Select 2D from Acquisition Mode, GE from Sequence Name and RSSG from Scan
Option of the Scan Card.
The Basic group is displayed as shown below.
Refer to the standard protocol and instruction manual of main unit to set each
parameter to any desired value.

Fig. 3.1.1.1 Basic Group

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3.1.2 Setting Dynamic Group
Click the Dynamic tab to set each parameter.

Fig. 3.1.2.1 Dynamic Group

(1) Since the contrast agent is used, set Cont. Agent to Gd-DTPA.
(2) Since scan is performed in the Dynamic Scan, set Dynamic to Auto or Manual.
(3) Refer to the standard protocol and instruction manual of main unit to set parameters
concerning Dynamic Scan. (Even in the test injection, subtraction image can be
obtained. Parameters Sub.Image and Src.Image newly added in accordance with
subtraction image will be described in Section 3.2.3.)

3.1.3 Starting Stop Watch

(1) Select Stop Watch from the system tool. The following Stop Watch dialog starts.

Fig. 3.1.3.1 Stop Watch

(2) Check Sync or Async of Stop Watch parameter, and press the START button of Stop
Watch.
The measurement procedures of Sync and Async are different. These procedures are
described in the next item.

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3.1.4 Starting Measurement
A. In case of Stop Watch being set at Sync
(1) Press the Start button of Scan Card to start scan.
(2) After completing prescan, display of the Start button changes to Cont. Press the
Cont. button to start measurement. As soon as measurement starts, the Stop Watch
is initiated. Determine any time displayed on the Stop Watch and inject the
contrast agent. When selecting Manual for Dynamic, press the Cont. button any
time after injecting the contrast agent.
(3) After confirming the contrast agent travels to the target blood vessel, press the Stop
button to terminate the measurement.
(4) The time for the contrast agent to arrive at the target blood vessel is the time that
the Stop Watch time when injecting the contrast agent determined in (2) is
subtracted from the Stop Watch time in the ID information column at the upper right
of screen, when the contrast agent is confirmed to travel to the target blood vessel
(See Fig. 3.1.4.1).
(5) Press the RESET button of Stop Watch.

B. In case of Stop watch being set at Async

(1) Press the Start button of Scan Card to start scan.
(2) After completing prescan, display of the Start button changes to Cont. Press the
Cont. button to start measurement. After starting the measurement, inject the
contrast agent any time. At the same time as the injection of contrast agent, press
START button of the Stop Watch. The Stop Watch is initiated. When selecting
Manual for Dynamic scan, press the Cont. button with appropriate timing after
injecting the contrast agent.
(3) After confirming the contrast agent travels to the target blood vessel, press the Stop
button to terminate the measurement.
(4) Confirm the Contrast Travel Time at the target blood vessel. The time of Stop
Watch displayed in the ID information column when confirmed the travel of contrast
agent at the target blood vessel is the duration of time from injection of the contrast
agent to travel to the target blood vessel. (See Fig. 3.1.4.2.)
(5) Press the RESET button of Stop Watch.

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 Press START
Press Cont. of Scan Card.
of Stop Watch Press Stop of Scan Card.
Measurement starts.
Measurement ends.
Press RESET
of Stop Watch
Dynamic Dynamic Dynamic Dynamic
Scan 1 Scan 2 Scan 3 Scan 4
Scan
Intravenous injection Contrast agent travels to
of contrast agent
the target blood vessel

Gd Saline

S.I.
T
Stop Watch
Time 0 Ta Tb 0

Time from injection to arrival T=Tb-Ta

(a) Dynamic Auto

Press Cont. Press Cont. Press Cont.

of Scan Card. of Scan Card. of Scan Card.
Measurement Measurement Measurement Press Stop of Scan Card.
Measurement ends.
Press START starts. starts. starts.
of Stop Watch
Press RESET
Dynamic Dynamic
of Stop Watch
Dynamic
Scan 1 Scan 2 Scan 3
Scan
Intravenous injection
of contrast agent Contrast agent travels to
the target blood vessel

Gd Saline

S.I.

T
Stop Watch
Time 0 Ta Tb 0

Time from injection to arrival T=Tb-Ta

(b) Dynamic Manual

Fig. 3.1.4.1 Flow of Test Injection (In case of Stop Watch at Sync)

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 Press Cont. of Scan Card. Press START Press Stop of Scan Card.
Measurement starts. of Stop Watch. Measurement ends.
Press RESET of
Stop Watch.
Dynamic Dynamic Dynamic Dynamic
Scan Scan 1 Scan 2 Scan 3 Scan 4

Intravenous injection Contrast agent arrives at

of contrast agent the target blood vessel.

Gd Saline

S.I.

T
Stop Watch
Time 0 T 0
Time from injection to arrival T
(a) Dynamic Auto

Press Cont. of Scan Card. Press Cont. of Scan Card. Press Cont. of Scan Card. Press Stop of Scan Card.
Measurement starts. Measurement starts. Measurement starts. Measurement ends.
Press START
of Stop Watch. Press RESET of
Stop Watch.
Dynamic Dynamic Dynamic
Scan 1 Scan 2 Scan 3
Scan
Contrast agent arrives at
Intravenous injection
the target blood vessel.
of contrast agent

Gd Saline

S.I.

T
Stop Watch
Time 0 T 0
Time from injection to arrival T
(b) Dynamic Manual

Fig. 3.1.4.2 Flow of Test Injection (In case of Stop Watch at Async)

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3.2 Main Scan
3.2.1 Setting Basic group
After the time for the contrast agent to travel to the target blood vessel is obtained by
the test injection, perform the main scan.
(1) Select the Scan Card.
(2) Select 3D from Acquisition Mode, GE from Sequence Name, RSSG from Scan Option
and SQ#2 from Sequence No. of the Scan Card.
The Basic group displays as shown below.
Refer to the standard protocol and instruction manual of main unit to set each
parameter of Basic group to any desired values.

Fig. 3.2.1.1 Basic Group

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3.2.2 Setting Particular group
Click the Particular tab and set parameters.

Fig. 3.2.2.1 Particular Group

(1) E.Alloc.
Select echo allocation method.
In 3D GE RSSG for the main scan sequence of contrast enhanced MRA, four types of
Sequential, ADA （Asymmetric Data Allocation）, PEAKS(PEak Artery enhancing
K-space filling Sequence) and RPEAKS(Reversed PEak Artery enhancing K-space
filling Sequence) can be selected. Only in this sequence, ADA varies its process to be
executed for the area of remaining 1/4 depending on combination with the Half Scan
method. If selecting Half Scan On3/4 in E.Alloc. ADA, an area of 1/4 not measured is
determined by estimation from measured area. If selecting Half Scan off, the area of
1/4 not measured is not estimated (See Fig. 3.2.2.2). When determining the area by
estimation, spatial resolution is maintained but S/N is deteriorated. When not
determining the area not measured, spatial resolution is slightly deteriorated but S/N
is improved.
PEAKS and RPEAKS set the area of not measured depending on combination with
APR(Asymmetric Projection Rate). The available percentage of APR is 0 to 25 %.
Besides, PEAKS and RPEAKS vary its process to be executed for the area of not
measured depending on combination with the Half Scan method. The process is the
same as that of ADA (See Fig. 3.2.2.3 and Fig. 3.2.2.4).

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 Half Scan: On3/4 Half Scan: off
Echo Allocation: ADA Echo Allocation: ADA
Phase# 64 Phase# 64
48 phase 48 phase
47 phase 47 phase

17 phase 17 phase
16 phase 16 phase

2 phase 2 phase
1 phase 1 phase

Estimated area Filled with zeros

Fig. 3.2.2.2 Effect of Half Scan in E.Alloc: ADA

Half Scan:On3/4 Half Scan:Off
Echo Allocation:PEAKS Echo Allocation:PEAKS
APR:25 APR:25
Phase# 64 Phase# 64

APR APR
Estimated area Filled with zeros
1 phase 1 phase
2 phase 2 phase
...

...

16 phase 16 phase
17 phase 17 phase
……….

……….

47 phase 47 phase
48 phase 48 phase

Fig. 3.2.2.3 Effect of Half Scan in E.Alloc: PERKS

Half Scan:On3/4 Half Scan:Off

Echo Allocation:RPEAKS Echo Allocation:RPEAKS
APR:25 APR:25
Phase# 64 Phase# 64
1 phase 1 phase
2 phase 2 phase
……….

……….

32 phase 32 phase
33 phase 33 phase
...

...

47 phase 47 phase
48 phase 48 phase

APR APR
Estimated area Filled with zeros

Fig. 3.2.2.4 Effect of Half Scan in E.Alloc: RPERKS

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3.2.3 Setting dynamic group
Click the Dynamic tab to set each parameter.

Fig. 3.2.3.1 Dynamic Group

(1) Contrast agent is used, so set Cont. Agent to Gd-DTPA.

(2) Dynamic Scan is used, so set parameter Dynamic to Auto or Manual.
(3) Refer to standard protocols and the instruction manual of main unit to set
parameters.
(4) Travel Time
Enter Travel Time of the contrast agent to the target blood vessel. Enter that
obtained from test injection.
(5) Injct SWT
Displays time from scan start to contrast agent injection. If entering Travel Time,
this is automatically calculated taking account of parameters such as E.Alloc.
Time of Injct SWT is calculated by the following equation according to combination of
E.Alloc and Half Scan.

Table 3.2.3.1 Equation to calculate Injct SWT

E.Alloc HalfScan Stop Watch

On1/2 1st Interval － Arrival Time + Start + scantime
Seq． On3/4 1st Interval － Arrival Time + Start + scantime × 2/3
off 1st Interval － Arrival Time + Start + scantime/2
On3/4 1st Interval － Arrival Time + Start + scantime/3
ADA
off 1st Interval － Arrival Time + Start + scantime/3
1st Interval － Arrival Time + Start + scantime ×
On3/4 (50-APR)/(100-APR)
PEAKS
1st Interval － Arrival Time + Start + scantime ×
off (50-APR)/(100-APR)
1st Interval － Arrival Time + Start + scantime ×
On3/4 50/(100-APR)
RPEAKS
1st Interval － Arrival Time + Start + scantime ×
off 50/(100-APR)

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(6) Scan SWT
Displays time from contrast agent injection to scan start. Displays only when
parameter Dynamic is Manual and Int. Pause is off. It takes a value other than 0 in
such a case as pressing the Cont. button to continue the scan after contrast agent
injection. If Scan SWT becomes that other than 0, Injct SWT will be 0.

Fig. 3.2.3.2 A Case Parameter Scan SWT is Displayed

(7) Int.Pause
This is a parameter to pause scan when the scan of 1st Number is completed in the
dynamic scan. In either case of Dynamic Auto or Manual, ON may be selected. If
selecting off, normal dynamic scan is effected.
If setting parameter Dynamic of the Scan card to Auto, scan pauses automatically
after the scan of 1st Number is completed. To continue the scan, press the Cont.
button. After pressing the Cont. button, scans after 2nd Number are effected (1st
Interval – scantime)[sec] later. Operation after this is the same as that of Dynamic
Scan Auto.
If setting parameter Dynamic of the Scan card to Manual, the same parameters as
those of Dynamic Auto; 1st Number, 1st Interval, 2nd Number, 2nd Interval, 3rd
Number and 3rd Interval are allowed for entry. If starting scan, as well as normal
Manual scan, the scan pauses after completing the scan of 1st Number. To continue
the scan, press the Cont. Button. For scans after 2nd Number, the scan continues
(Interval in question – scantime)[sec] after pressing the Cont. button.
Figs 3.2.3.3 and 3.2.3.4 shows the function when Int.Pause is turned on.

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 Scan starts.
Start button

Prescan

Displays waiting for

starting main scan

Main scan starts. Displays waiting for Main scan continues.

Cont. button continuing main scan Cont. button

Scan1 Scan2 Scan2 Scan3

Scantime (1st Interval (1st Interval

- scantime) - scantime)
Start Time 1st Interval 2nd Interval 2nd Interval

Fig. 3.2.3.3 Operation of Dynamic: Auto and Int.Pause: ON

Scan starts.
Start button

Prescan

Displays waiting for

starting main scan

Main scan starts. Displays waiting for Main scan continues. Displays waiting for Main scan continues.
Cont. button continuing main scan Cont. button continuing main scan Cont. button

Scan1 Scan2 Scan3

Scantime (1st Interval (1st Interval Scantime (2nd Interval (2nd Interval
- scantime) - scantime) - scantime) - scantime)
1st Interval 2nd Interval

Fig. 3.2.3.4 Operation of Dynamic: Manual and Int.Pause: ON

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(8) Sub.Image
Select Subtraction Image creation. If selecting Fixed, subtraction images are
created with the 1st Dynamic scan as a mask image. If selecting Moved,
subtraction images are created with the mask image changed. If selecting Fx/Mv,
both subtraction images of Fixed and Moved are created. If selecting off, no
subtraction image is created. Fig. 3.2.3.2 shows subtraction images created. If
selecting any parameter other than off, the 1st Dynamic Scan creates a source image
instead of subtraction image in any case of Fixed, Moved and Fx/Mv.

Dynamic Scan Source Image Dynamic Scan Source Image

#1 #2 #3 #4 #1 #2 #3 #4

Subtraction image Subtraction image

created with Dynamic created with Dynamic
Scan #2 (#2 - #1) Scan #2 (#2 - #1)

Subtraction image Subtraction image

created with Dynamic created with Dynamic
Scan #3 (#3 - #1) Scan #3 (#3 - #2)

Subtraction image Subtraction image

created with Dynamic created with Dynamic
Scan #4 (#4 - #1) Scan #4 (#4 - #3)

(a) Fixed (b) Moved

Fig. 3.2.3.2 Creating Subtraction Image

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(9) Src.Image
Select source image creation. If it is ON, source images are created. If it is off, no
source image is created. When Sub.Image is off, ON only can be selected for
Src.Image. Depending on combination of Sub.Image and Src.Image, number of
images to be created is as shown in Table 3.2.3.2 below.

Table 3.2.3.2 Number of Images Created

Acquisition mode: 2D (Test injection)
Sub.Image Src.Image Number of images created
ON M.Slice × Number of Dynamic Scans × 2
Fixed
off M.Slice × Number of Dynamic Scans
ON M.Slice × Number of Dynamic Scans × 2
Moved
off M.Slice × Number of Dynamic Scans
ON M.Slice × Number of Dynamic Scans × 3
Fx/Mv
off M.Slice × Number of Dynamic Scans × 2
ON M.Slice × Number of Dynamic Scans
off
off Unselectable
Acquisition mode: 3D (Main scan)
Sub.Image Src.Image Number of images created
ON S.Encode × M.Slab × Number of Dynamic Scans × 2
Fixed
off S.Encode × M.Slab × Number of Dynamic Scans
ON S.Encode × M.Slab × Number of Dynamic Scans × 2
Moved
off S.Encode × M.Slab × Number of Dynamic Scans
ON S.Encode × M.Slab × Number of Dynamic Scans × 3
Fx/Mv
off S.Encode × M.Slab × Number of Dynamic Scans × 2
ON S.Encode × M.Slab × Number of Dynamic Scans
off
off Unselectable

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 Also, the order to display images is as shown in Table 3.2.3.3 below.

Table 3.2.3.3 Order to Display Images

Src.Image = ON
Sub.Image = Fixed (Moved) Sub.Image = Fx/Mv
Slice# Image created Slice# Image created
1 Source Source 1 Source Source Source
2 Source Source 2 Source Source Source
Dynamic Scan 3 Source Source 3 Source Source Source
#1 • •
• •
n Source Source n Source Source Source
1 Source F (M) 1 Source F M
2 Source F (M) 2 Source F M
Dynamic Scan 3 Source F (M) 3 Source F M
#2 • •
• •
n Source F (M) n Source F M
• •
• •
1 Source F (M) 1 Source F M
2 Source F (M) 2 Source F M
Dynamic Scan 3 Source F (M) 3 Source F M
#m • •
• •
n Source F (M) n Source F F

Src.Image = off
Sub.Image = Sub.Image =
Fixed (Moved) Fx/Mv
Image
Slice# created Slice# Image created
1 Source 1 Source Source
2 Source 2 Source Source
Dynamic Scan 3 Source 3 Source Source
#1 • •
• •
n Source n Source Source
1 F (M) 1 F M
2 F (M) 2 F M
Dynamic Scan 3 F (M) 3 F M
#2 • •
• •
n F (M) n F M
• •
• •
1 F (M) 1 F M
2 F (M) 2 F M
Dynamic Scan 3 F (M) 3 F M
#m • •
• •
n F (M) n F M
NOTE: Source: Source image, F: Fixed subtraction image, M: Moved subtraction image

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3.2.4 Starting scan
If no Stop Watch has started, select the Stop Watch from the system tool.
A. To perform scan with Stop Watch set to Sync
<Dynamic: Auto, Int. Pause: off>
(1) Press the START button of Stop Watch. Display of Stop Watch turns to
“Waiting…”.
(2) Press the Start button of Scan card to start scan.
(3) After completing prescan, press the Cont. button. Main scan starts and Stop
Watch is activated.
(4) Inject the contrast agent when time of Stop Watch reaches the value of Injct SWT
in the Scan card.

<Dynamic: Auto, Int.Pause: ON>

(1) Press the START button of Stop Watch. Display of Stop Watch turns to
“Waiting…”.
(2) Press the Start button of Scan card to start scan.
(3) After completing prescan, press the Cont. button. Main scan starts. At this
time, no Stop Watch works.
(4) The scan pauses after completing the scan of 1st Number. Press the Cont.
button to continue the scan. At this time, the Stop Watch works.
(5) Inject the contrast agent when time display of the Stop Watch reaches the same
value as that of Injct SWT.

<Dynamic: Manual, Int.Pause: off>

The case the Stop Watch is allowed to be Sync is only when parameter Scan SWT of
the Scan card is 0. When Injct SWT is 0, perform scan with Stop Watch set to
Async.
(1) Press the Start button of Scan card to start scan.
(2) After completing prescan, press the Cont. Button. Main scan starts.
(3) After scanning a mask image is completed, press the START button of Stop
Watch.
(4) Pressing the Cont. button activates Stop Watch. Inject the contrast agent when
time display of the Stop Watch reaches the value of Injct SWT.

<Dynamic: Manual, Int. Pause: ON>

(1) Press the Start button of Scan card to start scan.
(2) After completing prescan, press the Cont. button. Main scan starts.
(3) After completing the scan of 1st Number, press the START button of Stop Watch.
(4) Pressing the Cont. button activates Stop Watch. Inject the contrast agent when
time display of Stop Watch reaches the same value as that of Injct SWT.

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B. To perform scan with Stop Watch set to Async
<Dynamic: Auto, Int. Pause: off>
(1) Press the Start button of Scan card to start scan.
(2) After completing prescan, press the Cont. button and the START button of Stop
Watch at the same time.
(3) Inject the contrast agent when time of Stop Watch reaches the value of Injct SWT
in the Scan card.

<Dynamic: Auto, Int.Pause: ON>

(1) Press the Start button of Scan card to start scan.
(2) After completing prescan, press the Cont. button. Main scan starts.
(3) After completing the scan of 1st Number, the scan pauses. Press the Cont.
button and the START button of Stop Watch at the same time. The scan
continues and the Stop Watch is activated.
(4) Inject the contrast agent when time display of Stop Watch reaches the same
value as that of Injct SWT.

<Dynamic: Manual, Int.Pause: off, Injct SWT=0>

(1) Press the Start button of Scan card to start scan.
(2) After completing prescan, press the Cont. button. Main scan starts.
(3) After scanning a mask image is completed, press the START button of Stop
Watch as soon as injecting the contrast agent.
(4) Press the Cont. button when time display of the Stop Watch reaches the same
value of that of Scan SWT.

<Dynamic: Manual, Int.Pause: off, Scan SWT=0>

(1) Press the Start button of Scan card to start scan.
(2) After completing prescan, press the Cont. Button. Main scan starts.
(3) After scanning a mask image is completed, press the Cont. button and the
START button of Stop Watch at the same time.
(4) Inject the contrast agent when time display of Stop Watch reaches that of Injct
SWT.

<Dynamic: Manual, Int.Pause: ON>

(1) Press the Start button of Scan card to start scan.
(2) After completing prescan, press the Cont. Button. Main scan starts.
(3) After completing the scan of 1st Number, press the Cont. button and the START
button of Stop Watch at the same time.
(4) Inject the contrast agent when time display of the Stop watch reaches the same
value as that of Injct SWT.

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3.2.5 Starting Creating MIP images
This procedure applies to just after completing the main scan. If the MIP process is
to be applied to any image in the database, create the Data card and display image
data of database on the Control Face of Data card before processing.
(1) Click the Pick Images button to display Image Selection.
(2) Click the Sorting button of Image Selection. (For Image Selection, refer to Section 4
in the instruction manual of main unit (Operation)).
(3) Select attributes from Sort Attributes in the order of Type and Image Nr. And click
the Done button. If setting parameter Src.Image to ON and Sub.Image to Fx/Mv,
the order to display images is changed as shown below:

Dynamic Scan #1, Slice “1~#m, Original image

Dynamic Scan #2, Slice “1~#m, Original images
…
Dynamic Scan #n, Slice “1~#m, Original images
Dynamic Scan #1, Slice “1~#m, FIX images
Dynamic Scan #2, Slice “1~#m, FIX images
…

Dynamic Scan #n, Slice “1~#m, FIX images

Dynamic Scan #1, Slice “1~#m, MOVE images
Dynamic Scan #2, Slice “1~#m, MOVE images
…

Dynamic Scan #n, Slice “1~#m, MOVE images

Fig. 3.2.5.1 Image Display Order of Image selection after Sort

(4) Select any desired image and click the Include or Exclude button. If using the Data
card, press the Start button.
(5) If opening the 3D card, the MIP process is effected. (For the 3D card, refer to the
instruction manual of main unit.)

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4. Cautions
(1) Since the subtraction process is carried out, secure the patient not to move all one can to
prevent an effect of body motion.
(2) Total volume of the contrast agent and salient used and injection speed should be as same
as possible both for the test injection and main scan. Making them the same allows you
to visualize the target blood vessel of high contrast. If varying total volume and injection
speed, Travel Time can change resulting in deteriorated contrast of the target blood vessel.

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5. Specifications
(1) Acquisition mode : 3D
(2) Sequence name : GE
(3) Scan option : RSSG
(4) Sequence No. : SQ#2
(5) TR : 10~10000 [msec]
(6) TE : 3.1~50.0 [msec]
(7) Scan matrix : 64~512
(8) Slice encode : 2~512
(However, maximum could be downsized depending on the
number of phase encode)
(9) Reconstruction matrix
Frequency, Phase : 64, 128, 256, 512
Slice : 2~512
(10) Slice thickness : 0.5~5.0 [mm]
(11) Dual Slice : Not available
(12) Half Scan : Available
(13) AMI : 0~90 [%]
(14) Bandwidth : 3.6~160.0 [kHz]
(15) Half Echo : Available
(16) Echo Allocation : Sequential/ADA/PEAKS/RPEAKS
(17) APR : 0~25 [%]
(However, available with PEAKS or RPEAKS only)
(18) Dynamic Scan : Available
(However, 1st Number is limited to 1 if Int.Pause is ON)
(19) Gating scan : Available
(However, cannot be used together with Dynamic Scan)

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