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The protocols look very professional and correct. If you were just focusing exclusively on the veins and did not
want to include the standard sequences for imaging the brain for MS, you could pare down the overall number of
sequences, but most institutions don’t charge that way. They bill by the body part, so the actual number of
individual sequences protocoled by the radiologist don’t factor into the overall charge. That being said, you could
remove #6, 7, and 8 (keeping 4 and 5) which really are for evaluating the brain not veins.
The other billing subtlety you should be aware of is this type of scan could be construed as a HEAD and NECK as
opposed to HEAD/NECK. Like I said, most all centers bill by body part and it is important to know that they are
not billing separately for two body parts to fulfill this protocol. Yes, this will only cover the 1.5 T machines,
nothing higher strength.
Best regards,
MICHAEL D. DAKE, M.D.
Stanford University School of Medicine
Falk Cardiovascular Research Center
Dr. Dake MRI/MRV Protocol Sequences
1. 3PL SSFSE LOC
2. CALIBRATION SCAN BH
3. 3D FSPGR BRAVO
4. AX GRE UPPER
5. AX GRE LOWER
6. AX T2 FLAIR
7. SAG T2
8. AX GRE
9. COR 2D TOF
10. ASL CSF PERFUSION NO GAD
11. AX T1 PRE
12. SAG TRICKS PRE
13. SAG TRICKS POST
14. 4D FLOW
15. AX T1 POST WB
Protocol: DAKE, Revised Dec 9 ,2009 SCAN: 3PL SSFSE LOC 1/15
TE 90 FOV 96.0
TR Minimum Slice Thickness 8.0
Receiver bandwidth 83.33 Slice Spacing 2.0
SAT ASSET
TRICKS CONTRAST
C C
a FMRI GATING TRIGGER
a
l l
i PSD Trigger Interna Auto Trigger Type Off i
b b
r
Slice Order Interleaved
r
a View Order Bottom/Up a
t # of Repetitions Rest 0 t
i i
o
# of Repetitions Active 0
o
n MULTI-PHASE n
SAT
S S
Tag Type None # of Acquisition 0
c c
a Separate Series 0 a
n Mask Phase 0 n
Mask Pause 0
B B
H H
TRICKS ASSET
Pause On/Off On Slice Acceleration Factor 1.00
Auto Subtract 0 Phase Acceleration Factor 1.00
Auto SCIC Off
B
Slice Order Interleaved
B
R View Order Bottom/Up R
A # of Repetitions Rest 0 A
V V
# of Repetitions Active 0
O O
SAT MULTI-PHASE
Tag Type None # of Acquisition 0
Separate Series 0
Mask Phase 0
Mask Pause 0
TRICKS ASSET
A FMRI MULTI-PHASE
TRICKS ASSET
TRACKER CONTRAST
Tracker Length 200.0 Contrast Yes/No No
Tracker Thickness 20.0
SAT MULTI-PHASE
Tag Type None # of Acquisition 0
Separate Series 0
Mask Phase 0
Mask Pause 0
TRICKS ASSET
CONTRAST
TRICKS
Contrast Yes/No No
Pause On/Off On MULTI STATION
Auto Subtract 0
Auto SCIC On Number of Stations 0
Station Number 0
TRACKER
OTHER
Tracker Length 200.00
Tracker Thickness 20.0 Protocol Notes Whole Brain
Protocol: DAKE, Revised Dec 9 ,2009 SCAN: SAG T2 7/15
SAT ASSET
G Phase Correction No
G
R R
E FMRI GATING TRIGGER E
SAT MULTI-PHASE
Tag Type None # of Acquisition 0
Separate Series 0
Mask Phase 0
Mask Pause 0
TRICKS ASSET
T FMRI MULTI-PHASE T
O O
F PSD Trigger Internal # of Acquisition 0 F
Slice Order Interleaved Separate Series 0
View Order Bottom/Up Mask Phase 0
# of Repetitions Rest 0 Mask Pause 0
# of Repetitions Active 0
SAT ASSET
TRICKS CONTRAST
Pause On/Off On Contrast Yes/No No
Auto Subtract 0
Auto SCIC On
OTHERS
Protocol Notes Whole brain for sagittal sinus
Protocol: DAKE, Revised Dec 9 ,2009 SCAN: ASL CSF PERFUSION NO GAD 10/15
SAT ASSET
TRICKS CONTRAST
MULTI STATION
Number of Stations 0
Station Number 0
Protocol: DAKE, Revised Dec 9 ,2009 SCAN: AX T1 PRE 11/15
SAT ASSET
TRICKS CONTRAST
SAT ASSET
TRICKS CONTRAST
MULTI STATION
Number of Stations 0
Station Number 0
Protocol: DAKE, Revised Dec 9 ,2009 SCAN: SAG TRICKS MRA POST 13/15
TRICKS CONTRAST
MULTI STATION
Number of Stations 0
Station Number 0
Protocol: DAKE, Revised Dec 9 ,2009 SCAN: 4D FLOW 14/15
Freq 256
Filter Choice None Phase 128
Freq DIR S/I
NEX 1.00
4 4
D Phase FOV 0.70 D
Auto Shim Auto
F Phase Correction No F
L L
O O
GATING TRIGGER USER CVS
W W
Auto Trigger Type On User CVD 2.00
Trigger Type 0 User CV2 3.00
Views per Segment 4 User CV4 1.00
FMRI User CV5 4.00
User CV12 150.00
PSD Trigger Internal User CV13 150.00
Slice Order Interleaved User CV14 150.00
View Order Bottom/Up MULTI-PHASE
# of Repetitions REST 0
# of Repetitions ACTIVE 0 # of Acquisition 0
Separate Series 0
Mask Phase 0
SAT
Mask Pause 0
Tag Type None
VASCULAR
ASSET
Flow Analysis All
Slice Acceleration Factor 1.00
CONTRAST
Phase Acceleration Factor 1.00
Contrast Yes/No No
CINE TRICKS
Pause On/Off On
# of Cardiac Phases 20 Auto Subtract 0
to Reconstruct Auto SCIC Off
VASCULAR
ASSET
Flow Analysis All
Slice Acceleration Factor 1.00
CONTRAST
Phase Acceleration Factor 1.00
Contrast Yes/No Yes
CINE TRICKS
Pause On/Off On
# of Cardiac Phases 20 Auto Subtract 0
to Reconstruct Auto SCIC Off