Standard Imaging Protocols - VRad
Standard Imaging ProtocolsThis document includes typical imaging protocols for diagnostic imaging. vRad teleradiologistsexpect to see imaging resulting from the use of these or substantially similar protocols insituations where there is no contraindication or facility requirement that requires a differentprotocol.Neither vRad nor vRad radiologists are responsible for establishing or approving protocols inuse at the place of service. The imaging facility is responsible for assessing each patient’s needs,applying appropriate standards of care, and following the facility’s protocols.The decision to administer intravenous contrast to a patient is a complex and local one, madeonsite by clinical teams and onsite physicians using best practices, even in the absence of a localradiology group. The presence of a thorough contrast protocol is necessary as is clinicalexpertise and judgment for individual patients. For this reason, vRad does not provide blanketcontrast protocols.Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.com82.E.DR.0716
Table of contentsCT . 4CTA: AAA-aorta . 4CTA: Aortic chest . 5CTA: PE Chest . 6CT: Abdomen. 7CT: Abdomen/pelvis (1st evaluation). 8CT: Abdomen/pelvis (2nd evaluation) . 9CT: Chest . 10CT: Chest, hi-res . 11CT: Sinus, complete . 12CT: Cystography . 13CT: Extremities-Joints . 13CT: Facial Bones or Orbits . 14CT: Head . 14CT: Kidneys . 15CT: KUB. 15CT: Pancreas . 16CT: LTD Sinus . 16CT: C-Spine . 17CT: L-Spine. 17CT: Neck, soft tissue . 18CT: Liver, tri-phase . 19CT: Temporal Bones . 20MR . 21MR: Ankle . 21MR: Ankle, achilles . 22MR: Elbow . 23MR: Forefoot infection. 24MR: Hips . 25MR: Hips, arthrogram with 1% gadolinium. 26MR: Hips, AVN . 27MR: Hips, post-injection. 28Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 2
MR: Knee, routine . 29MR: Knee, arthrogram . 30MR: Knee with growth plate . 31MR: Knee, trauma, no history of surgery . 32MR: Knee with history of surgery . 33MR: Liver, standard . 34MR: Liver, standard (no breath hold). 35MR: Liver, cirrhosis/shunt . 36MR: Liver, ferridex. 38MR: Pancreas . 39MR: Pelvis . 40MR: Pelvis, complete. 41MR: Pelvis, limited . 42MR: Pelvis, relaxation. 43MR: Pelvis, perineal fistula . 44MR: Pelvis, fibroid embolization (pre and post) . 45MR: Renal Arteries . 46MR: Renal Mass. 47MR: Shoulder . 48MR: Shoulder, Post-injection . 49MR: Standard Adrenal . 50MR: Thoracic Aorta/Mediastinum . 51MR: Wrist . 52Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 3
CTCTA: AAA-aortaSERIES1PARAMETERSSlice Thickness2.5Index1.25FOVPT SIZE OR SBolus4-5CCS/SECDelay20-25 SECSCANNINGAnatomicalStartTOP OF DIAPHRAGMAnatomicalStopTHROUGH ILIACSInspirationYESFILMING/WINDOWINGSoft TissueYESLung WindowsNOBone WindowsNOReformationsYESNOTES: NO ORAL CONTRAST. 3D RECONSTRUCTS DONE POST PROCESSING FOR AORTA ONLYVirtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 4
CTA: Aortic PT. us4-5 CCS/SECDelay20 SECSCANNINGAnatomicalStartABOVE AORTIC ARCHAnatomicalStopBELOW Soft SNOTES: 3D REFORMATIONS DONE FOR AORTA1Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 5
CTA: PE VPT. us4CCS/SECDelay18 SECSCANNINGAnatomicalStartABOVE APICESAnatomicalStopBASE OF ft TissueYESLungWindowsYESNOTES: FOR SLOWER SCANNERS-BE SURE TO SCAN THROUGH HILUM WITH BOLUS AND THEN GO BACK AND SCANTHROUGH TOP OF LUNGS TO NOT MISS BOLUS IN PULMONARY ARTERIES.Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 6
CT: AbdomenSERIES1PARAMETERSSliceThickness5Index5FOVPT SIZEAlgorithmSTDCONTRASTOralYESIVAmount150 OP OF DIAPHRAGMAnatomicalStopCREST OR BELOW ABD. ORGANSInspirationYESFILMING/WINDOWINGSoft TissueYESLungWindowsYESNOTES: PATIENT TO DRINK ORAL CONTRAST 1-1 1/2 HRS. PRIOR TO START OF SCAN. GIVE PATIENT ONE MORE DOSERIGHT BEFORE STARTING SCAN.Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 7
CT: Abdomen/pelvis (1st evaluation)ABD/PELVIS abdominal/pelvic pain NOS (first evaluation), cancer staging (first evaluation), abdominal/pelvic trauma.(cystogram may be indicated in cases of pelvic trauma)SERIESPARAMETERSSlice sDelay1255PT. SIZESTD55PT. SIZESTDYESYES150CCS350cc in 250CC SALINE(RETROGRADE viaFOLEY)3CCS/SEC.60SEC120 SECSCANNINGAnatomical StartDIAPHRAGMDIAPHRAGMTOP OF CRESTAnatomical SExpirationFILMING/WINDOWINGSoft TissueYESYESYESLung WindowsYESBone WindowsYESReformationsSAG AND COR FOR TRAUMANOTES: ORAL CONTRAST GIVEN 1 1/2 HRS. TO 2 HRS. BEFORE STARTING SCAN-GIVEN IN 1 1/2 CUP DOSES EVERY 1/2HOUR. *cystogram to be performed retrograde via foley catheter following catheter placement by urologist oremergency physicianVirtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 8
CT: Abdomen/pelvis (2nd evaluation)ABD/PELVIS abdominal/pelvic pain NOS (second evaluation), duodenal ulcer, appendicitis, intestinal obstruction orperforation, cholecystitis, pyelonephritis, diverticulitis, crohn's disease/ulcerative colitis, infectious colitis, abdominalabscess, intestinal or cutaneous fistula, cancer follow-up (second evaluation)SERIESPARAMETERSSlice ThicknessIndexFOVAlgorithmCONTRASTOralIV155PT. SIZESTDAmountBolusDelaySCANNINGAnatomical StartAnatomical StopInspirationFILMING/WINDOWINGSoft TissueLung SYESYESYESSAG AND COR FOR DIVERTICULITIS, ABSCESS,ReformationsCROHN'S/ULCERATIVE COLITIS, AND FISTULANOTES: ORAL CONTRAST GIVEN 1 1/2 HRS. TO 2 HRS. BEFORE STARTING SCAN-GIVEN IN 1 1/2 CUP DOSES EVERY 1/2HOUR.Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 9
CT: ChestSERIES1PARAMETERSSlice Thickness5Index5FOVPT. us2-3 CCS/SECDelay25 SEC.SCANNINGAnatomical StartABOVE APICESAnatomical WINGSoft TissueYESLung WindowsYESBone WindowsNOReformationsNONOTES: FOR INTERVAL FOLLOW UP FOR NODULE SCAN MAY BE DONE UNENHANCED ONLY. LIMITED EXAM MAY BEDONE THROUGH NODULE ONLY AT THE RADS REQUEST.Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 10
CT: Chest, hi-resSERIESPARAMETERSSlice atomical StartAnatomical StopInspirationExpirationFILMING/WINNINGSoft TissueLung WindowsBone WindowsReformations1ROUTINE CHEST55PT. SIZESTD.2SUPINEINSPIRATION1.2525 CM25-30CMBONE3SUPINEEXPIRATION1.2525 ONONONONONONONOABOVE APICESLUNG BASESYESNO10-12 SLICESTHRULUNG FIELDSYESNO10-12 SLICESTHRULUNG FIELDSNOYES10-12 SLICESTHRULUNG FIELDSYESNOYESYESYESYESYESNONOBE SURE TORESCOUT PT. INPRONE POSITIONVirtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 11
CT: Sinus, completeSERIESPARAMETERS PRONE CONTRASTOralNOIVFOR AL SINUSAnatomicalStopTHROUGH Soft TissueFOR TUMORLungWindowsYES21SUPINE AXIAL2.52.515BONENOFOR TUMORNO MORE CONTASTGIVENTOP OF FRONTALTHROUGH SPHENOIDNONOFOR TUMORVirtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comYESPage 12
CT: CystographySERIESPARAMETERSSlice ThicknessIndexFOVAlgorithmCONTRASTOralIV155PT. SIZESTD.NO250 CCS SALINE AND 50CCS CYSTOAmountCONRAY INTO YMPHYSISFILMING/WINDOWINGSoft TissueYESBone WindowsYESNOTES: THIS EXAM DONE FOR BLADDER TRAUMA OR BLADDER TUMORS OR FISTULAS RETROGRADE FILLING OFBLADDER THROUGH FOLEY CATHETER. FOR TRAUMA-CATHETER PLACED BY ER PHYSICIANCT: Extremities-JointsSERIES1PARAMETERSSlice Thickness1.25Index.625 OR THIN AS POSSIBLEFOVSMALL TO FIT omicalTHROUGH AREA OF INTEREST ORStartSPECIFIED BY REFERRING PHYSICIANFILMING/WINDOWINGLung WindowsNOBone WindowsYESNOTES: SCAN IN AXIAL PLANE AND RECONSTRUCT IN CORONAL AND SAGITTAL PLANES POST PROCESSING UNLESSORDERING PHYSICIAN HAS SPECIFIC REQUESTVirtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 13
CT: Facial Bones or OrbitsSERIES1SUPINE AXIALPARAMETERSPRONE CORONAL1.25Slice hmBONECONTRASTNOOralNONOIVNOSCANNINGFRONTAL SINUSAnatomical StartFRONTAL BONETHROUGHAnatomical StopTHROUGHMANIBULARInspirationMANIBULAR CONDYLESFILMING/WINDOWINGYES FOR TUMORSoft TissueYES FOR TUMORYESBone WindowsYESNotes: IV CONTRAST GIVEN FOR TUMOR OR CELLULITIS-100CCS2CT: HeadSERIESPARAMETERSSlice sSCANNINGAnatomical StartAnatomical StopFILMING/WINDOWINGSoft TissueLong WindowsBone WindowsNOTES:NON CONTRASTCVATRAUMAHEADACHES15522STD-REPROCESS IN BONENO50CCSHAND INJECTBASE OF SKULL-LINE UP BASE OF SKULL TOFRONTAL irtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 14
CT: KidneysSERIES1PARAMETERSUNENHANCEDSlice Thickness5Index5FOVPT. ay2ARTERIALKIDNEYS55PT. SIZESTD.3ROUTINE ABD.55PT. SIZESTD.YESYES150CCS3CCS/SECNO MORE IV /ORALCONTRAST GIVEN30 SEC AFTER ARTERIALSCAN FINISHED25 SEC.SCANNINGAnatomical StartABOVEKIDNEYSBELOWKIDNEYSYESNOABOVE KIDNEYSAnatomical StopBELOW Soft TissueYESYESReformationsNOTES: ORAL CONTRAST GIVEN PER ROUTINE ABD. PROTOCOLTOP OF LIVERCREST OR BELOW ABD.ORGANSCORCT: KUBNephrolithiasis (stones, urolithiasis, “flank pain and hematuria”)SERIESSCANSlice atomical StartAnatomical StopInspirationFILMING/WINDOWINGSoft TissueReformations155PT SIZESTD.NONOTOP OF LIVERSYMPHYSISYESYESRECONSTRUCT PELVIS AT 3.75 mm, COR REFORMATSVirtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 15
CT: PancreasSERIESPARAMETERSSlice s1LOCALIZER7.57.5PT. SYES150CCS.3-4CCS/SEC3ROUTINE ABD.55PT. SIZESTD.YESNO MOREADDITIONAL CONTRAST30 SEC. AFTER ARTERIAL PHASE ISCOMPLETEDelay25 SEC.SCANNINGAnatomicalJUST ABOVEStartTOP OF LIVERPANC.TOP OF LIVERAnatomicalJUST BELOWStopCRESTPANC.CREST OR BELOW ABD. WINDOWINGSoft TissueYESYESYESLung WindowsYESNOTES: FOLLOW ROUTINE ABD PROTOCOL FOR ORAL CONTRAST-HAVE PATIENT DRINK 1 MORE FULL GLASS OF WATERBEFORE START OF SCAN TO FILL DUODENAL SWEEP.CT: LTD SinusSERIESSCANSlice atomical StartAnatomical StopFILMING/WINDOWINGSoft TissueLung WindowsBone WindowsReformations1PRONE CORONAL3.753.7515BONENONOFRONTAL SINUSTHROUGH SPHENOIDNOYESNONOVirtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 16
CT: C-SpineSERIES1SCANSUPINESlice OralNOIVNOSCANNINGAnatomical StartBASE OF SKULLAnatomical StopTHROUGH T1InspirationNOExpirationNOFILMING/WINDOWINGSoft TissueYESLung WindowsNOBone WindowsYESReformationsYESNotes: RECONSTRUCTS DONE IN THE AXIAL AND SAGITTAL PLANES OBLIQUES DONE THROUGH FORAMINA ON RT ANDLT. SIDES CORONALS DONE FOR TRAUMACT: L-SpineSERIES1SCANSlice alNOIVNOSCANNINGAnatomical StartT12Anatomical ft TissueYESLung WindowsNOBone WindowsYESReformationsYESNotes: REFORMATIONS: AXIALS DONE FROM TOP OF SUPERIOR VERTEBRAL BODY TO 3MMS ABOUT 19-20 SLICESSAGITTALS DONE THOUGH WHOLE SPINE CORONALS FOR TRAUMA OR MYELOGRAMSVirtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 17
CT: Neck, soft tissueSERIES1SCANSUPINESlice lNOIVYESAmount100-150CCSBolus2-3CCS/SECDelay20 SECSCANNINGAnatomicalStartTOP OF FRONTAL SINUSAnatomicalStopTHROUGH AORTIC ARCHInspirationNOExpirationNOFILMING/WINDOWINGSoft TissueYESLung WindowsYES-IN LUNGSBone WindowsYESReformationsNONOTES: IF PT. HAS LUMP OR SWELLING-MARK WITH A BBVirtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 18
CT: Liver, tri-phaseSERIESPARAMETERSSlice sDelaySCANNING1UNENHANCED55PT. SIZESTD.2ARTERIAL PHASE55PT. SIZESTD.3PORTAL-VENOUS55PT. SIZESTD.YESNOYESYES150CCS3CC/SECNO MORE ORAL/IVCONTRAST GIVEN25-30 SEC35 SEC FOLLOWING ENDOF ARTERIAL PHASEAnatomicalStartTOP OF LIVERTOP OF LIVERTOP OF LIVERAnatomicalBOTTOM OFBOTTOM OFStopLIVERLIVERBOTTOM OF INDOWINGSoft TissueYESYESYESNOTES: ORAL CONTRAST GIVEN PER ROUTINE ABD. PROTOCOLVirtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 19
CT: Temporal Bones2SERIES1SUPINE AXIALPARAMETERS PRONE ONE-RECON IN STD.AlgorithmBONE-RECON IN H TEMPORALStartTHROUGH TEMPORALAnatomicalBONES-FOR MASTOIDSStopBONES-FOR MASTOIDBE SURE TO COVERInspirationBE SURE TO COVERTHROUGH AIR CELLSExpirationTHROUGH AIR CELLSFILMING/WINDOWINGYESSoft TissueYESBoneYESWindowsYESNOTES: REPROCESS EACH SIDE SEPARATELY INTO A SMALL FIELD OF VIEW. USE IV CONTRAST IF LOOKING FOR TUMOR.Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 20
MRMR: AnkleorthoSERIESPatient PositionCoil TypeScout3 PlaneScan PlaneLocPulse SequenceImage Options:NoneFAT SATSATOTHER NPWNPW YESSCAN TIMINGFlip AngleEcho Train Length# of EchoesEcho Time (TE)Rep Time (RT)SCANNING RANGEField of viewScan ThicknessInterscan SpaceNumber of SlicesACQUISITION RANGEAcq MatrixNex/Imaging TimeFrequency DirectionReceive Band WidthFREQUENCY MODESImaging Time SHMC123Supine, Feet FirstExtremityAx T2FSESag T2FSECor T1SEXXXXNPW /VRWXNPWGXVRW GX4130 - 40ms3000612452256 x12820:00:3345Cor PDSECor 51030.51030.5512 x2562A/P15:63512 x2562S/I15:63256 x1922S/I256 x1922S/I15:63256 lTime0:21:19VRW GX VRW GX610:04:5460:01:590:03:18Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 21
MR: Ankle, achilles5x orthoSERIESScoutPATIENT POSITIONCoil TypePARAMETERSScan PlaneCoronalPulse SequenceT1Image Options:NoneFAT SATSATOTHERNPW YESSCAN TIMINGEcho Train Length# of Echoes1Echo Time (TE)MINRep Time (RT)300SCANNING RANGEField of view20Scan ThicknessInterscan SpaceNumber of SlicesACQUISITION RANGE256 xAcq Matrix128Nex/Imaging Time123489ExtremitySagT1SagT2 FSEAxialT1S/INPWXS/INPWS/I1MIN50081MIN2000 1MIN5001630.51630.51041512 x2562512 x2562256 x2242Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 22
MR: Elbow5x orthoSERIESPATIENT POSITIONPatient PositionCoil TypePARAMETERSScan PlanePulse SequenceImage Options:NoneFLOW COMPFAT SATSATOTHERSCAN TIMINGEcho Train Length# of EchoesEcho Time (TE)Rep Time (RT)SCANNING RANGEField of viewScan ThicknessInterscan SpaceNumber of SlicesACQUISITION RANGEAcq MatrixNexFREQUENCY MODESImaging Time IIHFImaging Time IISHImaging Time IISCImaging TimeSHMCImaging Time IIVCImaging Time 0:06:15TotalTimeSUPINE - ELBOW AT SIDE, THUMB UP UNLESS PAINFULDEPENDENT UPON PATIENT SIZE AND ELBOW POSITION3PlaneLocCOROBLT1 SECOROBLT2 FSEAXIALT1 SEAXIALT2 FSESAGT1 SESAGT2 FSEPDS/INPWXS/INPW1MIN500 4/8 SC140 (50)2,500113/3 SC023256 X22420:03:52S/IXS/I1MIN500 4/8 SC1504,0001MIN500 4/8 SC140 (50)2500113/3 SC019113/3 SC017113/3 SC021133/3 SC017133/3 SC017256 X2242256 X2242256 X2242256 X2242256 0:06:150:06:15ZIP 512(LX)256 /224Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comZIP 512(LX)256 /224Page 23
MR: Forefoot infection5x orthoSERIESPATIENT POSITIONPatient PositionCoil TypePARAMETERSScoutScan PlanePulse SequenceImage Options:NoneFAT SATSATOTHERNPW YESSCAN TIMINGEcho Train Length# of EchoesEcho Time (TE)Rep Time (RT)Inv Time (T1)SCANNING RANGEField of viewScan ThicknessInterscan SpaceACQUISITION RANGEAcq MatrixNex/Imaging TimeFrequencyDirectionReceive BandWidth12345Obl - AxialObl - CorT1T1SupineSolenoidObl CorT2 FMPIRObl CorT1Obl SagT2 FMPIRA/PA/PA/P412335001501MIN50041232500 1501MIN5001MIN500831830.5831830.5830.5256 x1922256 x2242256 x1922256 x 2242256 x 2242R/LR/LA/PR/LA/P12.81612.81616XXA/PA/PAUTOSHIM AUTOSHIMVirtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 24
MR: HipsSERIESScoutPATIENT POSITIONPatient PositionCoil TypePARAMETERSScan Plane3-PlanePulse SequenceLocImage Options:NoneFAT SATSATOTHER NPWNPW YESSCAN TIMINGEcho Train Length# of EchoesEcho Time (TE)Rep Time (RT)Inv Time (T1)SCANNING RANGEField of view48Scan Thickness4Interscan Space3Number of SlicesACQUISITION RANGE256 xAcq Matrix128Nex/Imaging Time2FrequencyDirectionReceive BandWidthFREQUENCY MODESImaging Time IIHFImaging Time IISHImaging TimeSHMC0:01:14NOTES:1234567Ax T2FSESag T1SECor T2FSESupine, Feet FirstTORSOPACor T1SECor T2FSECor STIRFIRAx T1XGXZ - 512NPWV3WNPW,VRW161MIN500818040003541Z - 512NPW,SeqVRWS/IXS / I (Z512)XS/INPWVRW GX VRW GX GX VRW VRW 4120411631512 x2562256 x2244256 x2242512 x1923256 x2243256 x2562512 :560:02:48Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.com0:04:24To bedone onpatientsunderage 55Page 25
MR: Hips, arthrogram with 1% gadoliniumorthoSERIESPATIENT POSITIONPatient PositionCoil TypePARAMETERSScout234SupineTorso Flex (SC), 5" LOOP SHIC, VC (RAD TOPOSITION LOOP)Scan PlaneCorPulse SequenceImage Options:NoneFAT SATSATOTHERNPW YESSCAN TIMING# of EchoesEcho Time (TE)Rep Time (RT)SCANNING RANGEField of viewScan ThicknessInterscan SpaceACQUISITION RANGEAcq MatrixNex/Imaging TimeContrast1AxialT1 SECor OblT1 SESag OblT1 SEAxialT2 FastXXXXNPWNPWNPWNPW1MIN5001MIN5001MIN50020200014 - 163 / 3 SC0.5 / 014 - 163 / 3 SC0.5 / 014 - 163 / 3 SC0.5 / 014 - 1630256 x2242X256 x2242X256 x2242XXVirtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 26
MR: Hips, AVNorthoSERIESPATIENT POSITIONPatient PositionCoil TypePARAMETERSScoutField of viewScan ThicknessInterscan SpaceNumber of SlicesACQUISITION RANGEAcq MatrixNex/Imaging TimeFREQUENCY MODESImaging Time IIHFImaging Time IISH234SupineTorso Flex (SC and SHIC), VC (RAD TO POSITION LOOP)Scan PlaneAxialPulse SequenceImage Options:NoneFAT SATOTHERNPW YESSCAN TIMINGEcho Train Length# of EchoesEcho Time (TE)Rep Time (RT)SCANNING RANGE1CorT1 SECorT2 FSEAxialT1Sag OblT1S/IXS/IS/IS/I1MIN5008 / 32SC110240001MIN6001MIN600MinFOV toincludebothhips4136MinFOV toincludebothhips412420(Symptomatichip only)41224122512 x2562512 x2562256 x 2562256 5:160:05:16Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.comPage 27
MR: Hips, post-injectionorthoSERIESPATIENT POSITIONPatient PositionCoil TypePARAMETERSScan PlanePulse SequenceImage Options:NoneFAT SATScout234Ax :03:45TotalTime0:00:000:03:45Supine, Feet FirstPaddleAx LocGEOTHER SQNPW YESSCAN TIMINGEcho Train Length# of Echoes1Echo Time (TE)MINRep Time (RT)17810Flip AngledegreesSCANNING RANGEField of view40Scan Thickness10Interscan Space1.5ACQUISITION RANGE256 xAcq Matrix128Nex/Imaging Time1Frequency DirectionR/LFREQUENCY MODESImaging Time IIHFImaging Time IISHImaging Time IISCImaging Time SHMCImaging Time IIVCImaging Time IISCOpen10:00:19Cor OblT1SEAx T1SESag OblT1SEXXXNP GXNP GXNP GXXTRE NPGX1MIN F5001MIN F5001MIN500411720001630163016301630256 x2242S/I256 x2242R/L256 x2242S/I256 x2243R/L0:03:520:03:520:03:520:05:40Virtual Radiologic A MEDNAX Company (NYSE: MD) p 800.737.0610 www.vrad.com0:21:20Page 28
MR: Knee, routine9x orthoKnee for pain/meniscal tearSERIESPatient PositionCoil TypePARAMETERSScout1Supine, Feet firstExtremity2345Scan PlaneAxial/ 3PlaneLRFSagAxialCor OblCor OblCor INPWS/INPW41202000 25006140300040004-51251015030004000Flip Angle25SCANNING RANGEField of view18Scan Thickness5Interscan Space 1.5Number 15-17ACQUISITION RANGE256 xAcq idthIMAGING TIME512 X1224S/I16512 X2224A/P16512 X2224S/I16 / 32512 X2224S/I16256 x1128S/I16Pulse SequenceImage Options:NoneFAT SATSATOTHERNPWSCAN TIMINGEcho Train#Lengthof EchoesEcho Time (TE)Rep Time (RT)Imaging TimeImagingTimeIIHFImagingTimeIISHI
Algorithm STD. STD. STD. CONTRAST Oral YES YES YES IV NO YES Amount 150CCS. NO MORE Bolus 3-4CCS/SEC ADDITIONAL CONTRAST Delay 25 SEC. 30 SEC. AFTER ARTERIAL PHASE IS COMPLETE SCANNING Anatomical Start TOP OF LIVER JUST ABOVE PANC. TOP OF LIVER Anatomical Stop CREST JUST
1. Medical imaging coordinate naming 2. X-ray medical imaging Projected X-ray imaging Computed tomography (CT) with X-rays 3. Nuclear medical imaging 4. Magnetic resonance imaging (MRI) 5. (Ultrasound imaging covered in previous lecture) Slide 3: Medical imaging coordinates The anatomical terms of location Superior / inferior, left .
Head to Toe Imaging Conference 34th Annual Morton A. Bosniak The Department of Radiology Presents: New York Hilton Midtown December 14–18, 2015 Monday, Dec. 14 Abdominal Imaging & Emergency Imaging Tuesday, Dec. 15 Thoracic Imaging & Cardiac Imaging Wednesday, Dec. 16 Neuroradiology & Pediatric Imaging Thursday, Dec. 17 Musculoskeletal Imaging & Interventional
St. Anthony Hospital Protocols Operational Protocols 1 Revised 02/14/2018 SYSTEM PROTOCOLS The "Denver Metro Prehospital Protocols" have been implemented for all levels of EMTs, AEMTs, EMT-Is and Paramedics. Any reference in these protocols to the medical acts
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titles in Radiology. Radiology Books Journals Electronic Resources 2016. 3 Contents 3 Neurologic Imaging 6 Abdominal Imaging 7 Breast Imaging 8 Diagnostic Imaging 9 Pediatric Imaging 10 Thieme eRadiology 11 General Radiology 13 Musculoskeletal Imaging 14 Interventional Radiology 16 RadCases
84. Opioid Research: Methods and Protocols, edited by Zhizhong Z. Pan, 2003 83. Diabetes Mellitus: Methods and Protocols, edited by Sabire Özcan, 2003 82. Hemoglobin Disorders: Molecular Methods and Protocols, edited by Ronald L. Nagel, 2003 81. Prostate Cancer Methods and Protocols, edited by Pamela J. Russell, Paul Jackson, and Elizabeth A .
Preparing for the Test 5 Taking the Practice Tests Taking the TOEFL ITP Practice Tests will give you a good idea of what the actual test is like in terms of the types of questions you will be asked, and
