CHEST & ABDOMEN

 

                                              CHEST

Position of patient: Supine headfirst.

Explain the patient about breath hold & procedure.

Supporting pad fix just below the legs.

Centering on D4 Vertebra.

Offer the patient ear plugs & ear protector or Music

If necessary, have the patient raise his/her arms above his/her head

Centering over xiphoid process of sternum.

 

Sequence- Survey three planes

Sequence- Coronal T2, T2FS

Axial –T2,T2FS,T1,BTFE

Sag –T2, T2 FS

All sequence performs with Respiratory Trigging.

Axial-

Plan axial on coronal or sagittal image using position of block across the chest and check position of block in other two planes.

Coverage - entire lung from apex to costophrenic sinus.

T2 Axial  Scan parameters –

FOV -300--450	TE – 90	TR-Shortest
Flip angle-90	Slice thickness-5mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

 

T2 Axial FS Scan parameters –

FOV -300--450	TE – 70	TR-Shortest
Flip angle-90	Slicethickness-5mm	Gap-10%
Phase-RL	IR-220 Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

 

T1   Axial Scan parameters

FOV -300--450	TE – Shortest	TR-Shortest
Flip angle-90	Slice thickness-5mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

Coronal plan

Coronal plan on sagittal or axial image using position of block across the chest and check position of block in other planes.

Coverage- entire lung from apex to costophrenic sinus.

 

Coronal T2 Scan parameters –

FOV -300--450	TE – 90	TR-Shortest
Flip angle-90	Slice thickness-5mm	Gap-10%
Phase-FH	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

Sagittal Plan: on coronal or axial image using position of the block parallel to affected lung.

Sagittal T2 Scan parameters –

FOV -300--450	TE – 90	TR-Shortest
Flip angle-90	Slice thickness-5mm	Gap-10%
Phase-AP	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

BREAST

Position of patient: Prone feet first.

Explain the patient about breath & procedure.

Supporting pad fix just below the legs.

Centering Level of D 6-D7 vertebra.

Offer the patient ear plugs & ear protector or Music

If necessary, have the patient raise his/her arms above his/her head

Sequence- Survey three planes

Axial –T2, T2FS, T1, T1 FS, DWI

Coronal, sagittal if required.

Sag –T2, T2 FS

Axial: Plan on sagittal image box parallel to tip of nipple and check the correct angle to other planes.

T2 Axial  Scan parameters –

FOV -300--450	TE – 90	TR-Shortest
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -2
Oversampling-Yes		Rest slab above the plan block

 

T2 Axial FS Scan parameters –

FOV -300--450	TE – 70	TR-Shortest
Flip angle-90	Slicethickness-3mm	Gap-10%
Phase-RL	IR-220 Matrix-292x292	NSA -1
Oversampling-Yes		Rest slab above the plan block

 

T1   Axial Scan parameters

FOV -300--450	TE – Shortest	TR-Shortest
Flip angle-90	S. thickness-3mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -1
Oversampling-Yes		Rest slab above the plan block

Sagittal:  Plan on axial image box parallel to any breast and check the correct angle to other planes.

T2 Sagittal Fat Sat Scan parameters –

FOV -300--450	TE – 70	TR-Shortest
Flip angle-90	Slicethickness-3mm	Gap-10%
Phase-AP	IR-220 Matrix-292x292	NSA -1
Oversampling-Yes

Coronal: Plan on axial image box perpendicular to breast and check the correct angle to other planes.

T2 Coronal Fat Sat Scan parameters –

FOV -300--450	TE – 70	TR-Shortest
Flip angle-90	Slicethickness-3mm	Gap-10%
Phase-FH	IR-220 Matrix-292x292	NSA -1
Oversampling-Yes

Axial 3D T1 Dynamic

UPPER ABDOMEN/LIVER PLAIN /DYNAMIC/CONTRAST

Position of patient: Supine headfirst.

Explain the patient about breath hold & procedure.

Supporting pad fix just below the legs.

Centering over xiphoid process of sternum.

Offer the patient ear plugs & ear protector or Music

If necessary, have the patient raise his/her arms above his/her head

 

Sequence- Survey three planes

Sequence- Coronal T2, T2FS

Axial –T2, T2 FS, T1, BTFE

Sag –T2, T2 FS

All sequence performs with Respiratory Trigging.

 

Coverage - from the dome of the liver to the aortic bifurcation.

Plan axial- on coronal image position of block across the liver and check the plan other planes with appropriate angles.

T2 Axial  Scan parameters –

FOV -300--450	TE – 90	TR-Shortest
Flip angle-90	Slice thickness-5mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

 

T2 Axial  FS Scan parameters –

FOV -300--450	TE – 70	TR-Shortest
Flip angle-90	Slicethickness-5mm	Gap-10%
Phase-RL	IR-220 Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

 

T1   Axial Scan parameters

FOV -300--450	TE – Shortest	TR-Shortest
Flip angle-90	Slice thickness-5mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

 

Axial BTFE/FAISTA/TRUE FISP Scan parameters –

FOV -300--450	TE – Shortest	TR-Shortest
Flip angle-60	Slicethickness-5mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

Coronal plan: Coronal plan on transverse or sagittal images position block across the liver and check appropriate angle on coronal image.

Coronal T2 Scan parameters –

FOV -300--450	TE – 90	TR-Shortest
Flip angle-90	Slice thickness-5mm	Gap-10%
Phase-FH	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

Post Contrast T1 Dynamic if required, fat sat all plane. 

• MRCP-
• Position of patient: Supine headfirst.
• Explain the patient about breath hold & procedure.
• Supporting pad fix just below the legs.
• Centering over xiphoid process of sternum.
• Offer the patient ear plugs & ear protector or Music
• If necessary, have the patient raise his/her arms above his/her head 
• Sequence- Survey three planes
• Sequence- Coronal T2, T2FS
• Axial –T2, T2FS, BTFE
• All sequence performs with Respiratory Trigging. 
• Coverage - from the dome of the liver to lower end of kidney.
• Plan axial-
•  Plan axial- on coronal image position of block across the liver and check the plan other planes with appropriate angles.

T2 Axial Scan parameters –

FOV -300--450	TE – 90	TR-Shortest
Flip angle-90	Slice thickness-5mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

 

T2 Axial FS Scan parameters –

FOV -300--450	TE – 70	TR-Shortest
Flip angle-90	Slicethickness-5mm	Gap-10%
Phase-RL	IR-220 Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

 

T1   Axial Scan parameters

FOV -300--450	TE – Shortest	TR-Shortest
Flip angle-90	Slice thickness-5mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

 

Axial BTFE/FAISTA/TRUE FISP Scan parameters –

FOV -300--450	TE – Shortest	TR-Shortest
Flip angle-60	Slicethickness-5mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

Coronal plan: Coronal plan on transverse or sagittal images position block across the liver and check appropriate angle on coronal image.

Coronal T2 Scan parameters –

FOV -300--450	TE – 90	TR-Shortest
Flip angle-90	Slice thickness-5mm	Gap-10%
Phase-FH	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

Radial plan-On transverse image thick slab rotate sounding to common bile duct and check the position of block on other planes.

Single Short Radial Scan parameters –

FOV -300--450	TE – 750	TR-Shortest
Flip angle-90	Slice     Thickness-40mm	Gap-10%
Phase-FH	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

3D Plan: Coronal oblique on transverse image position of block across the common bile duct and check appropriate angle on other planes.

Coronal 3D Scan parameters –

FOV -300--450	TE – 750	TR-Shortest
Flip angle-90	Slice     Thickness-1mm	Gap-0
Phase-FH	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

FEMALE PELVIS-

Position of patient: Supine headfirst.

Explain the patient about breath hold & procedure.

Supporting pad fix just below the legs.

Centering Level of iliac crest.

Offer the patient ear plugs & ear protector or Music

If necessary, have the patient raise his/her arms above his/her head

 

Sequence- Survey three planes

Sagittal-T2, T2FS

Sequence- Coronal T2, T2FS

Axial –T2, T2FS, T1, T1FS, GRE

Sagittal

 Sagittal Plan on coronal or axial image using block perpendicular to scram and check plan box two other planes in appropriate angle.

Sagittal T2 Scan parameters –

FOV 180-200	TE – 80	TR-3000-6000
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-FH/AP	Matrix-298x292	NSA -2
Oversampling-Yes	IR Delay - No	Rest slab above the plan block

Coronal

Coronal slices of the female pelvis can be set up using axial and sagittal images. Slices should be prescribed parallel to a line from the right hip joint to the left hip joint on an axial image and should provide coverage of the entire uterus and ovaries.

Coronal T2 Scan parameters –

FOV 180-200	TE – 80	TR-3000-6000
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-FH	Matrix-298x292	NSA -2
Oversampling-Yes	IR Delay - No	Rest slab above the plan block

Coronal T2 FS Scan parameters –

FOV 180-200	TE – 80	TR-3000-6000
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-FH	Matrix-292x292	NSA -2
Oversampling-Yes	IR Delay - 90	Rest slab above the plan block

Axial-

Axial slices of the female pelvis can be set up using coronal and sagittal images. Slices should be prescribed parallel to the line along the right and left hip joint, and perpendicular to the lumbar spine in the sagittal plane.

Axial T2 FS Scan parameters –

FOV 180-200	TE – 80	TR-3500-6000
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -2
Oversampling-Yes	IR Delay - 90	Rest slab above the plan block

Axial T2 Scan parameters –

FOV 180-200	TE – 80	TR-3500-6000
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -2
Oversampling-Yes	IR Delay - No	Rest slab above the plan block

Axial T1 Scan parameters –

FOV 180-200	TE – 8-10	TR-400-700
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -2
Oversampling-Yes	IR Delay - No	Rest slab above the plan block

Axial T1 FS Scan parameters –

FOV 180-200	TE – 8-10	TR-400-700
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -2
Oversampling-Yes	IR Delay - No	Rest slab above the plan block

Post Contrast T1 Dynamic if required, fat sat all plane. 

FEMALE PELVIS FOR INDOMETRIUM

Position of patient: Supine headfirst.

Explain the patient about breath hold & procedure.

Supporting pad fix just below the legs.

Centering Level of iliac crest.

Offer the patient ear plugs & ear protector or Music

If necessary, have the patient raise his/her arms above his/her head

 

Sequence- Survey three planes

Sagittal-T2, T2FS

Sequence- Coronal T2, T2FS

Axial –T2, T2FS, T1, T1FS, GRE

Sagittal Plan-

Plan Sagittal   on coronal or axial image using block perpendicular to scram and check plan box two other planes in appropriate angle.

 

Axial-

Plan axial on sagittal or coronal image using block perpendicular to prostatic urethra and check plan box two other planes in appropriate angle.

Coronal-

Plan coronal on sagittal or axial image using block parallel to prostatic urethra and check plan box two other planes in appropriate angle.

PELVIS FOR PROSTATE

Position of patient: Supine headfirst.

Explain the patient about breath hold & procedure.

Supporting pad fix just below the legs.

Centering Level of iliac crest.

Offer the patient ear plugs & ear protector or Music

If necessary, have the patient raise his/her arms above his/her head

 

Sequence- Survey three planes

Sagittal-T2, T2FS

Sequence- Coronal T2, T2FS

Axial –T2, T2FS, T1, 3D, DWI Multi b value

Spectroscopy-Multivoxel

Post GD Axial – T1 Dynamic, T1FS

 

 Sagittal

Sagittal slices of the prostate can be set up using axial and coronal images. Slices should be prescribed parallel to the line along the interpubic fibrocartilage and the anal canal on an axial image. Coverage of the prostate and seminal vesicles.

Sagittal T2 Scan parameters –

FOV 180-200	TE – 80	TR-3000-6000
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-FH/AP	Matrix-320x298	NSA -2
Oversampling-Yes	IR Delay - 90	Rest slab above the plan block

Coronal- plan on sagittal image block parallel to prostatic urethra and check other two planes in appropriate angle. Coverage of the prostate and seminal vesicles.

Coronal T2 Scan parameters –

FOV 180-200	TE – 90	TR-4000-7000
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-FH	Matrix-320x298	NSA -2
Oversampling-Yes	IR Delay - No	Rest slab above the plan block

Axial-

Axial slices of the prostate can be set up using coronal and sagittal images. Slices should be prescribed parallel to the base of the bladder and should provide coverage of the prostate and seminal vesicles.

Axial T2 FS Scan parameters –

FOV 180-200	TE – 90	TR-4000-6000
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-RL	Matrix-320x298	NSA -2
Oversampling-Yes	IR Delay - 90	Rest slab above the plan block

Axial T2 Scan parameters (Multi B Value)

FOV 180-200	TE – 90	TR-4000-7000
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-RL	Matrix-320x298	NSA -2
Oversampling-Yes	IR Delay - No	Rest slab above the plan block

Axial DWI Scan parameters –

FOV 300-350	TE – Shortest	TR-Shortest
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-RL	Matrix-120x110	NSA -3
Oversampling-Yes-Rest	IR Delay - 70	Rest slab above the plan block

Post Contrast T1 Dynamic, fat sat all plane. 

DEFECOGRAPHY

Position of patient: Supine headfirst.

Explain the patient about breath hold & procedure.

Supporting pad fix just below the legs.

Centering Level of iliac crest.

Offer the patient ear plugs & ear protector or Music

If necessary, have the patient raise his/her arms above his/her head

 

Sequence- Survey three planes

Sagittal-T2, T2 Dynamic/BTFE Dynamic which include (Squeeze, Strain,

defecation)

Sequence- Coronal T2, 

Axial –T2, 

Sagittal-

Sagittal slices of the defect gram can be set up using axial and coronal images. Slices should be prescribed parallel to the line along the interpubic fibrocartilage and the anal canal on an axial image. Coverage of the whole pelvis

T2 Sagittal Scan parameters –

FOV -250--300	TE – 90	TR-Shortest
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-FH	Matrix-298x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

Axial

Axial Plan on sagittal or coronal image using plan box perpendicular to the anal canal check other two plane in appropriate angle. Coverage of the whole pelvis

T2 Axial Scan parameters –

FOV -250--300	TE – 90	TR-Shortest
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

 

Coronal-

Coronal Plan on sagittal or axial image using plan box parallel to the anal canal and check the other two planes in appropriate angle. Coverage- slice must be sufficient coverage of whole pelvis.

T2 Coronal Scan parameters –

FOV -250--300	TE – 90	TR-Shortest
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-FH	Matrix-298x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

T2 /BTFE Sagittal Dynamic plan

T2 Sagittal dynamic Scan parameters –

FOV -250--300	TE – 90	TR-Shortest
Flip angle-90	Slice thick-1-1.5mm	Gap-10%
Phase-FH	Matrix-298x292	NSA -1
Oversampling-Yes	Breathe Hold/Trigger	Rest slab above the plan block

BTFE Dynamic which include (Squeeze, Strain,

defecation Phases)

Fistulogram

Position of patient: Supine headfirst.

Explain the patient about breath hold & procedure.

Supporting pad fix just below the legs.

Centering Level of iliac crest.

Offer the patient ear plugs & ear protector or Music

If necessary, have the patient raise his/her arms above his/her head

 

Sequence- Survey three planes

Sagittal- T2FS

Sequence- Coronal T2, T2FS

Axial –T2, T2FS, T2 3D FS

Sagittal Plan-

SAG T2 FS

Sagittal Plan on axial or coronal image using box line parallel to the anal canal and check appropriate angle in other two planes.

Coverage - slice must be sufficient right ischial tuberosity to left ischial tuberosity.  

Sagittal T2 FS Scan parameters –

FOV 180-200	TE – 80	TR-3000-6000
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-FH/AP	Matrix-292x292	NSA -2
Oversampling-Yes	IR Delay - 90	Rest slab above the plan block

Axial-

Axial Plan on sagittal or coronal image using plan box perpendicular to the anal canal check another plane in appropriate angle.

Coverage- slice must be sufficient coverage of whole buttock.

Axial T2 FS Scan parameters –

FOV 180-200	TE – 80	TR-3500-6000
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -2
Oversampling-Yes	IR Delay - 90	Rest slab above the plan block

Axial T2 Scan parameters –

FOV 180-200	TE – 80	TR-3500-6000
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-RL	Matrix-292x292	NSA -2
Oversampling-Yes	IR Delay - No	Rest slab above the plan block

Coronal-

Coronal Plan on sagittal or axial image using plan box parallel to the anal canal and check the other two planes in appropriate angle. Coverage- slice must be sufficient coverage of symphysis pubis to scram. (Depends on fistula track or abscess area)

Coronal T2 FS Scan parameters –

FOV 180-200	TE – 80	TR-3000-6000
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-FH	Matrix-292x292	NSA -2
Oversampling-Yes	IR Delay - 90	Rest slab above the plan block

Coronal T2 Scan parameters –

FOV 180-200	TE – 80	TR-3000-6000
Flip angle-90	Slice thickness-3mm	Gap-10%
Phase-FH	Matrix-292x292	NSA -2
Oversampling-Yes	IR Delay - No	Rest slab above the plan block