Body MRI Protocols

Contents

Protocol sheet ............................................................................................................................................... 3

Abdomen

Liver............................................................................................................................................................... 4
Liver Primovist............................................................................................................................................ 6
Post-Liver Transplant .................................................................................................................................... 8
Cholangiocarcinoma ................................................................................................................................... 10
MRCP ........................................................................................................................................................... 12
MRCP Primovist........................................................................................................................................ 14
Pancreas ...................................................................................................................................................... 16
Adrenals ...................................................................................................................................................... 18
Adrenals Tumour...................................................................................................................................... 20
Kidneys ........................................................................................................................................................ 22
Functional MR Renogram ........................................................................................................................... 24
MR Urogram................................................................................................................................................ 26
Renal MRA................................................................................................................................................... 28
Abdominal Aorta ......................................................................................................................................... 30

Pelvis

Pelvis Female............................................................................................................................................ 32
Pelvis Congenital Uterine Anomalies ....................................................................................................... 34
Pelvis Uterine AVM .................................................................................................................................. 36
Pelvis Post UFE ......................................................................................................................................... 38
Pelvis Tumour/Bladder............................................................................................................................. 40
Urethra ........................................................................................................................................................ 42

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Body MRI Subgroup v 4.4 May 10/11
 Placenta....................................................................................................................................................... 44
Pelvic Floor .................................................................................................................................................. 46
Rectum Tumour ....................................................................................................................................... 48
Rectum Perianal Fistula............................................................................................................................ 50

Other

Aortic Dissection ......................................................................................................................................... 54

MR Enterography ........................................................................................................................................ 57
Whole Abdomen/Pelvis .............................................................................................................................. 59

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 SUPERVISED UNSUPERVISED GAD UNSUPERVISED
Gadolinium Gadolinium
Gadovist Gadovist
Buscopan Primovist
Oral Contrast H20
Oral PegLyte
Rectal Contrast
----------ABDOMEN----------- ----------ABDOMEN----------- ----------ABDOMEN-----------
Cholangiocarcinoma Liver MRCP
Functional MR Add MRCP Adrenals
Renogram Add gallbladder MR Urogram
-------------PELVIS-------------
Subtraction post-GAD
-------------PELVIS-------------
Pelvis Tumour/ Liver Primovist
Subtraction post-GAD Pelvis Female
Bladder
Post Liver Transplant Pelvis Congenital
Add upper abdomen Uterine Anomalies
Rectum Tumour MRCP Primovist Urethra
Add liver Pancreas Placenta
Rectum Perianal Add MRCP Pelvic Floor
Fistula Adrenals Tumour
Appendicitis Kidneys -------------OTHER-------------
Add lower GU tract Whole Abdomen/Pelvis
------------BREAST------------ Renal MRA
Dynamic Breast Abdominal Aorta ------------BREAST------------
Book within 7-14 Breast Implants
days of LMP -------------PELVIS-------------
Breast Biopsy Pelvis Uterine AVM
Pelvis Post UFE
-------------OTHER-------------
Aortic Dissection
MR Enterography
Special as per rad:

* CHOOSE ONE COLUMN ONLY *

Radiologist_____________________
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Body MRI Subgroup v 4.4 May 10/11
 Liver
Unsupervised Gad

Body matrix coil over upper abdomen

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 ax FLASH T1 in/out 6 mm thick, 20% gap liver BH + follow
3 ax HASTE TE90 no FS 6 mm thick, 20% gap liver BH + follow
4 ax HASTE TE180 +FS 6 mm thick, 20% gap liver BH + follow
5 ax DWI-PACE b = 0, 50, 150, 500 6 mm thick, 20% gap liver
6 ax pre-GAD VIBE +FS max 5 mm thick liver
7 ax dynamic GAD VIBE +FS max 5 mm thick liver timing delay
timing = +0, 30, 60 s after end of
saline flush
8 cor post-GAD VIBE +FS max 5 mm thick A-P timing delay
timing = +300 s after end of
saline flush

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
9 cor 3D SPACE-PACE T2 biliary tree MRCP
10 cor oblique HASTE no FS 4 mm thick, 15% gap gallbladder
TE90
11 ax DWI-MBH b = 0, 50, 150, 500 6 mm thick, 20% gap liver if irregular
breathing
12 ax turboFLASH 6 mm thick, 20% gap liver free
T1 in + out breathing
13 rotating cor oblique 4 cm thick biliary tree if irregular
SSTSE MRCP breathing

Reformats

Sequence Parameters Thickness/Gap Coverage Technical

Notes
14 rotating MIP of MRCP 3D thick MIP sequence #9
15 subtraction post-GADs sequences
minus pre-GAD #6,7

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 Technical notes

1. breathing
a. FISP and turboFLASH free breathing
b. FLASH and HASTE PACE with breath hold and follow
c. 3D SPACE PACE with trigger
2. timing delay starts after end of saline flush for either hand or pump injection
3. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use multi-breath hold and follow DWI instead of PACE with trigger
c. use thick slab SSTSE instead of 3D SPACE-PACE T2 for MRCP
d. decrease phase matrix to 192 or 128
e. use turboFLASH instead of FLASH

Coverage diagrams

axial coverage through liver coronal coverage from anterior to posterior

coronal oblique coverage through gallbladder

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 Liver Primovist
Unsupervised Gad

Body matrix coil over upper abdomen

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 ax FLASH T1 in/out 6 mm thick, 20% gap liver BH + follow
3 ax HASTE TE90 no FS 6 mm thick, 20% gap liver BH + follow
4 ax HASTE TE180 +FS 6 mm thick, 20% gap liver BH + follow
5 ax DWI-PACE b = 0, 50, 150, 500 6 mm thick, 20% gap liver
6 ax pre-GAD VIBE +FS max 5 mm thick liver
7 ax dynamic GAD VIBE +FS max 5 mm thick liver timing delay
timing = +0, 30, 60, 300 s, after end of
10, 15 min saline flush
8 cor post-GAD VIBE +FS max 5 mm thick A-P timing delay
timing = +20 min after end of
saline flush

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
9 ax DWI-MBH b = 0, 50, 150, 500 6 mm thick, 20% gap liver if irregular
breathing
10 ax turboFLASH 6 mm thick, 20% gap liver free
T1 in + out breathing

Reformats

Sequence Parameters Thickness/Gap Coverage Technical

Notes
11 subtraction post-GADs sequences
minus pre-GAD #6,7

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 Technical notes

1. breathing
a. FISP and turboFLASH free breathing
b. FLASH and HASTE PACE with breath hold and follow
2. timing delay starts after end of saline flush for either hand or pump injection
3. use full dose Primovist
4. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use multi-breath hold and follow DWI instead of PACE with trigger
c. decrease phase matrix to 192 or 128
d. use turboFLASH instead of FLASH

Coverage diagrams

axial coverage through liver coronal coverage from anterior to posterior

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Body MRI Subgroup v 4.4 May 10/11
 Post-Liver Transplant
Unsupervised Gad

Body matrix coil over upper abdomen

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 ax FLASH T1 in/out 6 mm thick, 20% gap liver BH + follow
3 ax HASTE TE90 no FS 6 mm thick, 20% gap liver BH + follow
4 ax HASTE TE180 +FS 6 mm thick, 20% gap liver BH + follow
5 cor 3D SPACE-PACE T2 biliary tree MRCP
6 ax DWI-PACE b = 0, 50, 150, 500 6 mm thick, 20% gap liver
7 ax pre-GAD VIBE +FS max 5 mm thick liver
8 cor CARE bolus MRA hepatic
artery
9 ax dynamic GAD VIBE +FS max 5 mm thick liver timing delay
timing = + 30, 60 s after end of
MRA
10 cor post-GAD VIBE +FS max 5 mm thick A-P timing delay
timing = +300 s after end of
MRA

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
11 rotating cor oblique 4 cm thick biliary tree if irregular
SSTSE MRCP breathing
12 ax DWI-MBH b = 0, 50, 150, 500 6 mm thick, 20% gap liver if irregular
breathing
13 ax turboFLASH 6 mm thick, 20% gap liver free
T1 in + out breathing

Reformats

Sequence Parameters Thickness/Gap Coverage Technical

Notes
14 rotating MIP of MRCP 3D thick MIP sequence #5
15 rotating MIP or MRA 3D thick MIP sequence #8

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 Technical notes

1. breathing
a. FISP and turboFLASH free breathing
b. FLASH and HASTE PACE with breath hold and follow
c. 3D SPACE PACE with trigger
2. dynamic GAD VIBE timing delay starts immediately after MRA
3. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use thick slab SSTSE instead of 3D SPACE-PACE T2 for MRCP
c. use multi-breath hold and follow DWI instead of PACE with trigger
d. decrease phase matrix to 192 or 128
e. use turboFLASH instead of FLASH

Coverage diagrams

axial coverage through liver MRCP coverage through bile and pancreatic
duct

MRA covers aorta and hepatic artery anteriorly coronal coverage from anterior to posterior

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Body MRI Subgroup v 4.4 May 10/11
 Cholangiocarcinoma
Supervised Gad

Body matrix coil over upper abdomen

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 ax FLASH T1 in/out 6 mm thick, 20% gap liver BH + follow
3 ax HASTE TE90 no FS 6 mm thick, 20% gap liver BH + follow
4 ax HASTE TE180 +FS 6 mm thick, 20% gap liver BH + follow
5 cor 3D SPACE-PACE T2 biliary tree MRCP

Check by rad to localize TSE-PACE range through tumour

Sequence Parameters Thickness/Gap Coverage Technical

Notes
6 ax TSE-PACE T2 TE90 no FS 4 mm thick, 10% gap biliary hilum coverage by
or tumour rad on exp
7 ax DWI-PACE b = 0, 50, 150, 500 6 mm thick, 20% gap liver
8 ax pre-GAD VIBE +FS max 5 mm thick liver
9 ax dynamic GAD VIBE +FS max 5 mm thick liver timing delay
timing = + 0, 30, 60 s after end of
saline flush
10 cor post-GAD VIBE +FS max 5 mm thick A-P timing delay
timing = +300 s after end of
saline flush

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
11 cor oblique post-GAD +FS max 3 mm thick biliary hilum coverage by
VIBE or tumour rad
12 rotating cor oblique 4 cm thick biliary tree if irregular
SSTSE MRCP breathing
13 ax DWI-MBH b = 0, 50, 150, 500 6 mm thick, 20% gap liver if irregular
breathing
14 ax turboFLASH 6 mm thick, 20% gap liver free
T1 in + out breathing

Reformats

Sequence Parameters Thickness/Gap Coverage Technical

Notes
15 rotating MIP of MRCP 3D thick MIP sequence #5

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 Technical notes

1. breathing
a. FISP and turboFLASH free breathing
b. FLASH and HASTE PACE with breath hold and follow
c. 3D SPACE and TSE T2 PACE with trigger
2. timing delay starts after end of saline flush for either hand or pump injection
3. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use thick slab SSTSE instead of 3D SPACE-PACE T2 for MRCP
c. use multi-breath hold and follow DWI instead of PACE with trigger
d. decrease phase matrix to 192 or 128
e. use turboFLASH instead of FLASH

Coverage diagrams

axial coverage through liver MRCP coverage through bile and pancreatic
ducts

axial TSE-PACE T2 coverage through biliary hilar optional cor oblique post-GAD VIBE coverage
confluence as defined by rad localized on through biliary hilar confluence as defined by
expiratory scan rad

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 MRCP
Unsupervised

Body matrix coil over upper abdomen

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 ax FLASH T1 in/out 6 mm thick, 20% gap liver + panc BH + follow
3 ax HASTE TE90 no FS 6 mm thick, 20% gap liver + panc BH + follow
4 ax HASTE TE180 +FS 6 mm thick, 20% gap liver + panc BH + follow
5 ax FLASH T1 +FS 6 mm thick, 20% gap liver + panc BH + follow
6 cor 3D SPACE-PACE T2 biliary tree MRCP
7 ax DWI-PACE b = 0, 50, 150, 500 6 mm thick, 20% gap liver + panc

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
8 rotating cor oblique 4 cm thick biliary tree if irregular
SSTSE MRCP breathing
9 ax DWI-MBH b = 0, 50, 150, 500 6 mm thick, 20% gap liver + panc if irregular
breathing
10 ax turboFLASH 6 mm thick, 20% gap liver + panc free
T1 in + out breathing

Reformats

Sequence Parameters Thickness/Gap Coverage Technical

Notes
11 rotating MIP of MRCP 3D thick MIP sequence #6

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 Technical notes

1. breathing
a. FISP and turboFLASH free breathing
b. FLASH and HASTE PACE with breath hold and follow
c. 3D SPACE PACE with trigger
2. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use thick slab SSTSE instead of 3D SPACE-PACE T2 for MRCP
c. use multi-breath hold and follow DWI instead of PACE with trigger
d. decrease phase matrix to 192 or 128
e. use turboFLASH instead of FLASH

Coverage diagrams

axial coverage bottom of duodenal sweep pancreatic head (usually bright on FLASH,
demarcates inferior extent of pancreas +FS)

MRCP coverage through bile and pancreatic

ducts

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 MRCP Primovist
Unsupervised Gad

Body matrix coil over upper abdomen

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 ax FLASH T1 in/out 6 mm thick, 20% gap liver + panc BH + follow
3 ax HASTE TE90 no FS 6 mm thick, 20% gap liver + panc BH + follow
4 ax HASTE TE180 +FS 6 mm thick, 20% gap liver + panc BH + follow
5 ax FLASH T1 +FS 6 mm thick, 20% gap liver + panc BH + follow
6 cor 3D SPACE-PACE T2 biliary tree MRCP
7 ax DWI-PACE b = 0, 50, 150, 500 6 mm thick, 20% gap liver + panc

Inject Primovist, take patient off table for 45-60 min

Sequence Parameters Thickness/Gap Coverage Technical

Notes
8 ax post-GAD VIBE +FS max 5 mm thick liver + panc
timing = 45-60 min
9 cor post-GAD VIBE +FS max 3 mm thick biliary tree
timing = 45-60 min FOV 250 mm

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
10 rotating cor oblique 4 cm thick biliary tree if irregular
SSTSE MRCP breathing
11 ax DWI-MBH b = 0, 50, 150, 500 6 mm thick, 20% gap liver + panc if irregular
breathing
12 ax turboFLASH 6 mm thick, 20% gap liver + panc free
T1 in + out breathing

Reformats

Sequence Parameters Thickness/Gap Coverage Technical

Notes
13 rotating MIP of MRCP 3D thick MIP sequence #6
14 rotating MIP of post- 3D thick MIP sequence #9
GAD VIBE

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 Technical notes

1. breathing
a. FISP and turboFLASH free breathing
b. FLASH and HASTE PACE with breath hold and follow
c. 3D SPACE PACE with trigger
2. contrast
a. use full dose Primovist after obtaining all non-aug sequences
b. may take patient off table in the delay interval and scan another patient
3. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use thick slab SSTSE instead of 3D SPACE-PACE T2 for MRCP
c. use multi-breath hold and follow DWI instead of PACE with trigger
d. decrease phase matrix to 192 or 128
e. use turboFLASH instead of FLASH

Coverage diagrams

axial coverage bottom of duodenal sweep MRCP coverage through bile and pancreatic
demarcates inferior extent of pancreas ducts

pancreatic head (usually bright on FLASH, +FS) cor oblique post-GAD coverage angled through
biliary hilar confluence

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 Pancreas
Unsupervised Gad

Body matrix coil over upper abdomen

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 ax FLASH T1 in/out 6 mm thick, 20% gap liver + panc BH + follow
3 ax HASTE TE90 no FS 6 mm thick, 20% gap liver + panc BH + follow
4 ax HASTE TE180 +FS 6 mm thick, 20% gap liver + panc BH + follow
5 ax FLASH T1 +FS 6 mm thick, 20% gap liver + panc BH + follow
6 ax DWI-PACE b = 0, 50, 150, 500 6 mm thick, 20% gap liver + panc
7 ax pre-GAD VIBE +FS max 5 mm thick liver + panc
8 ax dynamic GAD VIBE +FS max 5 mm thick liver + panc timing delay
timing = +0, 30, 60 s after end of
saline flush
9 cor post-GAD VIBE +FS max 5 mm thick A-P timing delay
timing = +300 s after end of
saline flush

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
10 cor 3D SPACE-PACE T2 biliary tree MRCP
11 ax DWI-MBH b = 0, 50, 150, 500 6 mm thick, 20% gap liver + panc if irregular
breathing
12 ax turboFLASH 6 mm thick, 20% gap liver + panc free
T1 in + out breathing
13 rotating cor oblique 4 cm thick biliary tree if irregular
SSTSE MRCP breathing

Reformats

Sequence Parameters Thickness/Gap Coverage Technical

Notes
14 rotating MIP of MRCP 3D thick MIP sequence #10

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Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. breathing
a. FISP and turboFLASH free breathing
b. FLASH and HASTE PACE with breath hold and follow
c. 3D SPACE PACE with trigger
2. timing delay starts after end of saline flush for either hand or pump injection
3. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use thick slab SSTSE instead of 3D SPACE-PACE T2 for MRCP
c. use multi-breath hold and follow DWI instead of PACE with trigger
d. decrease phase matrix to 192 or 128
e. use turboFLASH instead of FLASH

Coverage diagrams

Coverage diagrams

axial coverage bottom of duodenal sweep pancreatic head (usually bright on FLASH, +FS)
demarcates inferior extent of pancreas

MRCP coverage through bile and pancreatic coronal coverage from anterior to posterior
ducts

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Body MRI Subgroup v 4.4 May 10/11
 Adrenals
Unsupervised Gad

Body matrix coil over upper abdomen

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 ax FLASH T1 in/out 5 mm thick, 10% gap adrenals BH + follow
3 cor FLASH T1 in/out 5 mm thick, 10% gap adrenals
4 ax HASTE TE90 no FS 5 mm thick, 10% gap adrenals BH + follow

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
5 ax turboFLASH 5 mm thick, 10% gap adrenals free
T1 in + out breathing

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Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. breathing
a. FISP and turboFLASH free breathing
b. FLASH and HASTE PACE with breath hold and follow
2. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. decrease phase matrix to 192 or 128
c. use turboFLASH instead of FLASH

Coverage diagrams

axial coverage through adrenals coronal coverage through adrenals

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Body MRI Subgroup v 4.4 May 10/11
 Adrenals Tumour
Unsupervised Gad

Body matrix coil over upper abdomen

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 ax FLASH T1 in/out 6 mm thick, 20% gap liver BH + follow
3 cor FLASH T1 in/out 5 mm thick, 10% gap adrenals
4 ax HASTE TE90 no FS 6 mm thick, 20% gap liver BH + follow
5 ax DWI-PACE b = 0, 50, 150, 500 6 mm thick, 20% gap liver
6 ax pre-GAD VIBE +FS max 5 mm thick liver
7 ax dynamic GAD VIBE +FS max 5 mm thick liver timing delay
timing = +0, 30, 60 s after end of
saline flush
8 cor post-GAD VIBE +FS max 5 mm thick A-P timing delay
timing = +300 s after end of
saline flush

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
9 ax DWI-MBH b = 0, 50, 150, 500 6 mm thick, 20% gap liver if irregular
breathing
10 ax turboFLASH 6 mm thick, 20% gap liver free
T1 in + out breathing

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Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. breathing
a. FISP and turboFLASH free breathing
b. FLASH and HASTE PACE with breath hold and follow
2. timing delay starts after end of saline flush for either hand or pump injection
3. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use multi-breath hold and follow DWI instead of PACE with trigger
c. decrease phase matrix to 192 or 128
d. use turboFLASH instead of FLASH

Coverage diagrams

axial coverage through liver will also cover coronal coverage through adrenals
entire adrenals

coronal coverage from anterior to posterior

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Body MRI Subgroup v 4.4 May 10/11
 Kidneys
Unsupervised Gad

Body matrix coil ( extender) over abdomen and pelvis

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 ax FLASH T1 in/out 6 mm thick, 20% gap liver + kidney BH + follow
3 ax HASTE TE90 no FS 6 mm thick, 20% gap liver + kidney BH + follow
4 cor HASTE TE90 +FS 5 mm thick, 20% gap kidneys
5 ax DWI-PACE b = 0, 50, 150, 500 6 mm thick, 20% gap liver + kidney
6 ax pre-GAD VIBE +FS max 5 mm thick top stack
liver + kidney
7 ax dynamic GAD VIBE +FS max 5 mm thick top stack timing delay
timing = +0, 30, 60 s liver + kidney after end of
saline flush
8 cor post-GAD VIBE +FS max 5 mm thick A-P timing delay
timing = +180 s after end of
saline flush

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
9 ax HASTE TE90 no FS 6 mm thick, 20% gap bottom stack BH + follow
kidneys to
symphysis
10 ax pre-GAD VIBE +FS max 5 mm thick bottom stack
kidneys to
symphysis
11 ax post-GAD VIBE timing = +60 s max 5 mm thick bottom stack timing delay
kidneys to after +60 s
symphysis top stack
12 ax DWI-MBH b = 0, 50, 150, 500 6 mm thick, 20% gap liver + kidney if irregular
breathing
13 ax turboFLASH 6 mm thick, 20% gap liver + kidney free
T1 in + out breathing

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Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. breathing
a. FISP and turboFLASH free breathing
b. FLASH and HASTE PACE with breath hold and follow
2. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use multi-breath hold and follow DWI instead of PACE with trigger
c. decrease phase matrix to 192 or 128
d. use turboFLASH instead of FLASH

Coverage diagrams

axial coverage top stack through liver and coronal coverage through kidneys
kidneys

coronal coverage from anterior to posterior optional axial coverage bottom stack from
kidneys to bladder

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Body MRI Subgroup v 4.4 May 10/11
 Functional MR Renogram
Supervised Gad

Hydrate patient before scan ~ 8 cups water, empty bladder

Body matrix coil over mid to upper abdomen

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 ax FLASH T1 in/out 6 mm thick, 20% gap liver + kidney BH + follow
3 ax HASTE TE90 no FS 6 mm thick, 20% gap liver + kidney BH + follow
4 sag HASTE TE90 no FS 6 mm thick, 20% gap kidneys localizer
5 cor 3D SPACE-PACE T2 GU tract MRU

Lasix 40 mg IV

Sequence Parameters Thickness/Gap Coverage Technical

Notes
6 cor oblique pre-GAD TA 7 s 11-15 partitions over aorta, kidney BH end exp
3D GRE T1 iPAT, GRAPPA, r = 2 coverage + prox ureter
low TE, flip 90
7 cor oblique dynamic timing = q15s to 5 min, 11-15 partitions over aorta, kidney functional
GAD 3D GRE T1 q1 min to 10 min coverage + prox ureter MR renogram
same parameters as #6 BH end exp

Flip patient prone

Patient may use washroom if needed

Re-register patient

Sequence Parameters Thickness/Gap Coverage Technical

Notes
8 sag HASTE TE90 no FS localizer
9 cor oblique post-GAD 2.9 x 1.8 x 1.5 mm aorta, kidney MRU
3D GRE T1 + prox ureter

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
10 rotating cor oblique 4 cm thick GU tract if irregular
SSTSE MRU breathing
11 ax turboFLASH 6 mm thick, 20% gap liver + kidney free
T1 in + out breathing

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Body MRI Subgroup v 4.4 May 10/11
 Reformats

12 rotating MIP of MRU 3D thick MIP sequence #5

13 rotating MIP of MRU 3D thick MIP sequence #9
14 ROI for split function sequence #7
performed by rad as per rad

Technical notes

1. breathing
a. FISP and turboFLASH free breathing
b. FLASH and HASTE PACE with breath hold and follow
c. 3D SPACE PACE with trigger
d. 3D GRE T1 breath hold at end expiration
2. timing delay starts after end of saline flush for either hand or pump injection
3. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use thick slab SSTSE instead of 3D SPACE-PACE T2 for MRCP
c. decrease phase matrix to 192 or 128
d. use turboFLASH instead of FLASH

Coverage diagrams

axial coverage through kidneys angle obliquely through long axis of kidneys

MRU and functional MR renogram coverage

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Body MRI Subgroup v 4.4 May 10/11
 MR Urogram
Unsupervised

Body matrix coil over mid abdomen

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 cor 3D SPACE-PACE T2 GU tract MRU
3 ax FLASH T1 in/out 6 mm thick, 20% gap liver + kidney BH + follow
4 ax HASTE TE90 no FS 6 mm thick, 20% gap liver + kidney BH + follow

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
5 ax HASTE TE90 no FS 4 mm thick, 10% gap cover stone if as per tech or
obvious rad if obvious
6 rotating cor oblique 4 cm thick GU tract if irregular
SSTSE MRU breathing
7 ax turboFLASH 6 mm thick, 20% gap liver + kidney free
T1 in + out breathing

Optional supervised gad MR urogram

Hydrate patient

Lasix 40 mg IV

Flip patient prone

Sequence Parameters Thickness/Gap Coverage Technical

Notes
8 sag HASTE TE90 no FS localizer
9 cor oblique post-GAD timing = 5-10 min 2.9 x 1.8 x 1.5 mm aorta, kidney MRU
3D GRE T1 + prox ureter

Reformats

10 rotating MIP of MRU 3D thick MIP sequence #2

11 rotating MIP of MRU 3D thick MIP sequence #9

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Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. breathing
a. FISP and turboFLASH free breathing
b. FLASH and HASTE PACE with breath hold and follow
c. 3D SPACE PACE with trigger
2. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use thick slab SSTSE instead of 3D SPACE-PACE T2 for MRCP
c. decrease phase matrix to 192 or 128
d. use turboFLASH instead of FLASH

Coverage diagrams

MRU coverage axial coverage through kidneys and ureters

MRU coverage

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Body MRI Subgroup v 4.4 May 10/11
 Renal MRA
Unsupervised Gad

Body matrix coil over upper abdomen

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FLASH T1 in/out 5 mm thick, 10% gap kidneys +
adrenals
2 3 plane FISP kidneys
3 cor CARE bolus MRA renal arteries
4 cor post-GAD VIBE + FS max 5 mm thick A-P timing delay
timing = +0 s after MRA after end of
MRA

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
5 ax turboFLASH 5 mm thick, 10% gap kidneys + free
T1 in + out adrenals breathing

Reformats

6 rotating MIP of MRA 3D thick MIP sequence #4

28
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. breathing
a. turboFLASH free breathing
2. post-GAD VIBE timing delay starts immediately after MRA
3. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2, or 3 for VIBE, MRA
b. decrease phase matrix to 192 or 128
c. use turboFLASH instead of FLASH

Coverage diagrams

axial coverage adrenals and kidneys MRA covers aorta and renal arteries posteriorly

coronal coverage adrenals and kidneys coronal coverage anterior to posterior

29
Body MRI Subgroup v 4.4 May 10/11
 Abdominal Aorta
Unsupervised Gad

Body matrix coil over abdomen

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 3 plane FISP kidneys
2 cor CARE bolus MRA abdominal
aorta
3 cor post-GAD VIBE +FS max 5 mm thick A-P timing delay
timing = 0 s after MRA after end of
MRA

Reformats

4 rotating MIP of MRA 3D thick MIP sequence #3

30
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. post-GAD VIBE timing delay starts immediately after MRA

2. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2, or 3 for VIBE, MRA
b. decrease phase matrix to 192 or 128

Coverage diagrams

MRA covers aorta and origins of renal arteries MRA slab should extend from diaphragm to
and SMA femoral heads

coronal coverage anterior to posterior

31
Body MRI Subgroup v 4.4 May 10/11
 Pelvis Female
Unsupervised

Body matrix coil over pelvis

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P pelvis free
breathing
2 sag TSE T2 BLADE no FS 6 mm thick, 10% gap sidewall to
TR 4000 ms, ETL 35+ sidewall
2 concats
motion correction off
3 ax TSE T1 FS 6 mm thick, 10% gap iliac crest to
perineum
4 ax TSE T2 no FS 6 mm thick, 10% gap iliac crest to
perineum
5 short axis oblique TSE no FS 5 mm thick, 10% gap short axis omit if
T2 uterus hysterectomy
or male

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
6 ax, sag or short axis no FS 5 or 6 mm thick pelvis if motion
oblique HASTE TE90 10% gap artifact
7 ax FLASH T1 in phase FS 6 mm thick, 10% gap iliac crest to if motion
only perineum artifact

32
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. breathing
a. FISP free breathing
2. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use HASTE TE90, no FS instead of TSE T2
c. decrease phase matrix to 192 or 128
d. use FLASH T1 in phase only, FS instead of TSE T1

Coverage diagrams

cor FISP coverage of pelvis only sagittal coverage to sidewalls

axial coverage iliac crest to perineum

omit obliques if prior hysterectomy or if male

short axis oblique uterus coverage patient

33
Body MRI Subgroup v 4.4 May 10/11
 Pelvis Congenital Uterine Anomalies
Unsupervised

Body matrix coil over pelvis

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P abdomen free
+ pelvis breathing
2 sag TSE T2 BLADE no FS 6 mm thick, 10% gap sidewall to
TR 4000 ms, ETL 35+ sidewall
2 concats
motion correction off
3 ax TSE T1 FS 6 mm thick, 10% gap iliac crest to
perineum
4 ax TSE T2 no FS 6 mm thick, 10% gap iliac crest to
perineum
5 short axis oblique TSE no FS 5 mm thick, 10% gap short axis
T2 uterus
6 long axis oblique TSE no FS 5 mm thick, 10% gap long axis
T2 uterus

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
7 ax, sag or oblique no FS 5 or 6 mm thick pelvis if motion
HASTE TE90 10% gap artifact
8 ax FLASH T1 in phase FS 6 mm thick, 10% gap iliac crest to if motion
only perineum artifact

34
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. breathing
a. FISP free breathing
2. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use HASTE TE90, no FS instead of TSE T2
c. decrease phase matrix to 192 or 128
d. use FLASE T1 in phase only, FS instead of TSE T1

Coverage diagrams

cor FISP coverage includes abdomen sagittal coverage to sidewalls

axial coverage iliac crest to perineum

long axis oblique uterus coverage

short axis oblique uterus coverage

35
Body MRI Subgroup v 4.4 May 10/11
 Pelvis Uterine AVM
Unsupervised Gad

Body matrix coil over pelvis

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P pelvis free
breathing
2 sag TSE T2 BLADE no FS 6 mm thick, 10% gap sidewall to
TR 4000 ms, ETL 35+ sidewall
2 concats
motion correction off
3 ax TSE T1 FS 6 mm thick, 10% gap iliac crest to
perineum
4 ax TSE T2 no FS 6 mm thick, 10% gap iliac crest to
perineum
5 short axis oblique TSE no FS 5 mm thick, 10% gap short axis
T2 uterus
6 sag pre-GAD VIBE +FS max 5 mm thick sidewall to
sidewall
7 cor CARE bolus MRA uterus + iliac
arteries
8 sag post-GADE VIBE +FS max 5 mm thick sidewall to timing delay
timing = +0 s after MRA sidewall after end of
MRA

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
9 ax, sag or short axis no FS 5 or 6 mm thick pelvis if motion
oblique HASTE TE90 10% gap artifact
10 ax FLASH T1 in phase FS 6 mm thick, 10% gap iliac crest to if motion
only perineum artifact

Reformats

11 rotating MIP of MRA 3D thick MIP sequence #7

36
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. breathing
a. FISP free breathing
2. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use HASTE TE90, no FS instead of TSE T2
c. decrease phase matrix to 192 or 128
d. use FLASH T1 in phase only, FS instead of TSE T1

Coverage diagrams

cor FISP coverage of pelvis only sagittal coverage to sidewalls

axial coverage iliac crest to perineum

MRA coverage uterus and iliac arteries

short axis oblique uterus coverage

37
Body MRI Subgroup v 4.4 May 10/11
 Pelvis Post UFE
Unsupervised Gad

Body matrix coil over pelvis

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P pelvis free
breathing
2 ax TSE T1 no FS 6 mm thick, 10% gap iliac crest to
perineum
3 ax TSE T2 no FS 6 mm thick, 10% gap iliac crest to
perineum
4 sag pre-GAD isotropic +FS 1.3 x 1.3 x 1.3 mm uterus
VIBE
5 sag post-GAD isotropic +FS 1.3 x 1.3 x 1.3 mm uterus timing delay
VIBE timing +60 s non-dynamic

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
6 ax FLASH T1 in phase no FS 6 mm thick, 10% gap iliac crest to if motion
only perineum artifact
7 ax HASTE TE90 no FS 6 mm thick, 10% gap iliac crest to if motion
perineum artifact
8 sag pre- and post-GAD +FS max 5 mm thick uterus if motion
VIBE timing +60 s artifact

38
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

a. breathing
a. FISP free breathing
b. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. use HASTE TE90, no FS instead of TSE T2
c. use non-isotropic VIBE instead of isotropic parameters
d. decrease phase matrix to 192 or 128
e. use FLASH T1 in phase only, no FS instead of TSE T1

Coverage diagrams

cor FISP coverage of pelvis only sagittal coverage uterus and fibroids
axial coverage uterus and fibroids

39
Body MRI Subgroup v 4.4 May 10/11
 Pelvis Tumour/Bladder
Supervised Gad

Buscopan 20 mg IV

Body matrix coil over pelvis

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 sag TSE T2 BLADE no FS 5 mm thick, 20% gap sidewall to
TR 4000 ms, ETL 35+ sidewall
2 concats
motion correction off
2 cor TSE T2 no FS 6 mm thick, 20% gap A-P
3 ax TSE T1 no FS 6 mm thick, 10% gap iliac crest to
perineum
4 ax TSE T2 no FS 6 mm thick, 10% gap iliac crest to
perineum

Check by rad for GAD plane ax/sag

Sequence Parameters Thickness/Gap Coverage Technical

Notes
5 ax/sag pre-GAD VIBE +FS max 5 mm thick as per ax/sag
6 ax/sag dynamic GAD +FS max 5 mm thick as per as/sag timing delay
VIBE timing = +0, 30, 120 s after end of
saline flush

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
7 ax/sag post-GAD +FS 1.3 x 1.3 x 1.3 mm coverage by timing delay
isotropic VIBE rad after end of
dynamic GAD
8 ax post-GAD VIBE +FS max 5 mm thick abdomen timing delay
after end of
dynamic GAD
9 ax HASTE TE90 no FS 6 mm thick, 20% gap abdomen BH + follow
10 3 plane HASTE TE90 no FS 6 mm thick, 20% gap pelvis if motion
artifact
11 ax FLASH T1 in phase no FS 6 mm thick, 20% gap iliac crest to if motion
only perineum artifact

40
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. breathing
a. abdomen HASTE PACE with breath hold and follow
2. timing delay starts after end of saline flush for either hand or pump injection, optional post-GAD
VIBE performed after end of dynamic GAD
3. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. decrease phase matrix to 192 or 128
c. use HASTE TE90, no FS instead of TSE T2
d. use FLASH T1 in phase only, FS instead of TSE T1

Coverage diagrams

axial coverage iliac crest to perineum sagittal coverage to sidewalls

optional axial coverage to stage the remainder

of the abdomen down to iliac crest

41
Body MRI Subgroup v 4.4 May 10/11
 Urethra
Unsupervised

Body matrix coil over lower pelvis

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 sag TSE T2 BLADE no FS 6 mm thick, 10% gap sidewall to
TR 4000 ms, ETL 35+ sidewall
2 concats
motion correction on
2 long axis oblique TSE no FS 5 mm thick, 20% gap long axis
T2 urethra
3 short axis oblique TSE no FS 5 mm thick, 10% gap short axis
T1 urethra
4 short axis oblique TSE no FS 5 mm thick, 10% gap short axis
T2 urethra

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
5 sag, long or short axis no FS 5 or 6 mm thick urethra if motion
oblique HASTE TE90 10 or 20% gap artifact
6 ax oblique FLASH T1 in no FS 5 mm thick, 10% gap short axis if motion
phase only urethra artifact

42
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. use iPAT, GRAPPA, r = 2
b. decrease phase matrix to 192 or 128
c. use HASTE TE90, no FS instead of TSE T2
d. use FLASH T1 in phase only, no FS instead of TSE T1

Coverage diagrams

long axis urethra coverage through entire short axis urethra coverage through entire
bladder and urethra bladder and urethra

43
Body MRI Subgroup v 4.4 May 10/11
 Placenta
Unsupervised

Body matrix coil over pelvis

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 ax FLASH T1 in/out 5 mm thick, 20% gap uterus and
cervix
2 3 plane HASTE TE90 no FS 5 mm thick, 20% gap uterus and
cervix
3 ax FISP 5 mm thick, 20% gap uterus and
cervix
4 sag FISP 5 mm thick, 20% gap uterus and
cervix
5 ax/sag DWI-MBH b=0, 500, 1000 5 mm thick, 20% gap placenta orient along
long axis
placenta

Reformats

Sequence Parameters Thickness/Gap Coverage Technical

Notes
6 summation across sequence #5
series performed by as per rad
rad

44
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. breathing
a. DWI-MBH multi-breath hold and follow
2. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. iPAT, GRAPPA, r = 2

Coverage diagrams

sagittal long axis coverage of placenta sagittal long axis views of placenta

45
Body MRI Subgroup v 4.4 May 10/11
 Pelvic Floor
Unsupervised

Body matrix coil over pelvis

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor TSE T2 no FS 6 mm thick, 20% gap symphysis to
sacrum
2 ax TSE T1 no FS 6 mm thick, 20% gap bladder to
perineum
3 ax TSE T2 no FS 6 mm thick, 20% gap bladder to
perineum
4 sag realtime FISP 8 mm thick midline start at rest,
acquire thru
Valsalva

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 sag HASTE TE90 no FS 6 mm thick, 20% gap 5 slices rest and
centred on Valsalva
midline
2 cor, ax HASTE TE90 no FS 6 mm thick, 20% gap pelvis
3 ax FLASH T1 in phase no FS 6 mm thick, 20% gap bladder to if motion
only perineum artifact

46
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. iPAT, GRAPPA, r = 2
b. use HASTE TE90, no FS instead of TSE T2
c. decrease phase matrix to 192 or 128
d. use FLASH T1, no FS instead of TSE T1

Coverage diagrams

axial coverage from top of bladder to perineum sagittal dynamic coverage through midline

47
Body MRI Subgroup v 4.4 May 10/11
 Rectum Tumour
Supervised Gad

Rectal contrast 120-180 ml Kaopectate via enema administered by rad

Buscopan 20 mg IV

Body matrix coil over pelvis

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P pelvis free
breathing
2 sag TSE T2 BLADE no FS 5 mm thick, 10% gap sidewall to
TR 4000 ms, ETL 35+ sidewall
2 concats
motion correction off
3 ax TSE T1 no FS 6 mm thick, 20% gap iliac crest to
perineum
4 ax TSE T2 FS 6 mm thick, 20% gap iliac crest to
perineum

Check by rad to localize TSE short axis plane through tumour

Sequence Parameters Thickness/Gap Coverage Technical

Notes
5 ax oblique TSE T2 no FS 5 mm thick, 20% gap short axis coverage by
FOV 200, NEX 2 tumour rad
6 cor oblique post-GAD +FS 1.3 x 1.3 x 1.3 mm rectum timing delay
isotropic VIBE timing +60 s non-dynamic
flip 5, BW 200

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
7 ax HASTE TE90 no FS 6 mm thick, 20% gap liver BH + follow
8 ax DWI-PACE b=0, 50, 150, 500 6 mm thick, 20% gap liver
9 ax post-GAD VIBE +FS max 5 mm thick liver timing delay
non-dynamic
after iso VIBE
10 sag, ax, ax oblique no FS 5 or 6 mm thick pelvis if motion
HASTE TE90 15 or 20% gap artifact
11 ax FLASH T1 in phase no FS 6 mm thick, 20% gap pelvis if motion
only artifact
12 ax DWI-MBH b = 0, 50, 150, 500 6 mm thick, 20% gap liver if irregular
breathing

48
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. breathing
a. cor FISP free breathing
b. HASTE PACE with breath hold and follow
2. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. iPAT, GRAPPA, r = 2
b. use multi-breath hold and follow DWI instead of PACE with trigger
c. decrease phase matrix to 192 or 128
d. use HASTE TE90, no FS instead of TSE T2
e. use FLASH T1, no FS instead of TSE T1

Coverage diagrams

axial coverage iliac crest to perineum sagittal coverage to sidewalls

short axis tumour coverage coronal iso VIBE coverage

optional axial coverage to stage the liver

49
Body MRI Subgroup v 4.4 May 10/11
 Rectum Perianal Fistula
Supervised Gad

Optional bolster between legs

Optional mark skin openings on perineum by rad

Body matrix coil over pelvis

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 ax TSE T1 no FS 6 mm thick, 20% gap bladder to
perineum
2 sag TSE T2 BLADE no FS 5 mm thick, 10% gap sidewall to
TR 4000 ms, ETL 35+ sidewall
2 concats
motion correction off
3 short axis oblique TSE FS 5 mm thick, 15% gap short axis
T2 sphincter
4 long axis oblique TSE FS 5 mm thick, 15% gap long axis anal
T2 sphincter
5 long axis oblique post- +FS 1.3 x 1.3 x 1.3 mm long axis anal timing delay
GAD isotropic VIBE timing +60 s sphincter non-dynamic

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
6 sag, short or long axis no FS 5 mm thick anal if motion
oblique HASTE TE90 10 or 15% gap sphincter artifact
7 ax FLASH T1 in phase no FS 6 mm thick, 20% gap bladder to if motion
only perineum artifact

50
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. iPAT, GRAPPA, r = 2
b. decrease phase matrix to 192 or 128
c. use HASTE TE90, no FS instead of TSE T2
d. use FLASH T1, no FS instead of TSE T1

Coverage diagrams

axial coverage from top of bladder to perineum sagittal coverage to sidewalls

short axis anal canal coverage from top of long axis anal canal coverage from anterior of
bladder to below perineum bladder to posterior of buttocks

51
Body MRI Subgroup v 4.4 May 10/11
 Appendicitis
Supervised

Body matrix coil over lower abdomen and pelvis

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 ax FLASH T1 in/out 6 mm thick, 20% gap inferior liver
to symphysis
3 ax HASTE TE90 no FS 4 mm thick, 15 % gap inferior liver BH + follow
to symphysis
4 ax FISP 4 mm thick, 15% gap inferior liver
to symphysis
5 sag HASTE TE90 no FS 4 mm thick, 15% gap right abdo to
midline

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
6 ax TSE T2 BLADE no FS 4 mm thick, 15% gap inferior liver perform
TR 4000 ms, ETL 35+ to symphysis multiple
2 concats stacks
motion correction on
7 ax DWI-MBH b=0, 500, 1000 5 mm thick, 20% gap placenta if pregnant
8 ax turboFLASH 6 mm thick, 20% gap inferior liver free
T1 in + out to symphysis breathing

52
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. breathing
a. cor FISP free breathing
b. ax HASTE PACE with breath hold and follow
c. DWI-MBH multi-breath hold and follow
2. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. iPAT, GRAPPA, r = 2 or 3 for TSE T2 BLADE
b. use multi-breath hold DWI instead of PACE
c. decrease phase matrix to 192 or 128
d. use turboFLASH instead of FLASH

Coverage diagrams

axial coverage from inferior edge of liver to sagittal coverage from right abdomen to
symphysis pubis midline

53
Body MRI Subgroup v 4.4 May 10/11
 Aortic Dissection
Supervised Gad

ECG leads for cardiac gating

Body matrix coil ( extender) over chest and upper abdomen

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 ax dark blood HASTE max 8 mm thick top of arch to
T2 150% gap diaphragm
2 3 chamber view cine max 6 mm thick 3 or 5 slices
FISP 10% gap to cover LA,
LV, LVOT
3 sag oblique candy cane max 8 mm thick 3 or 5 slices
cine FISP 10% gap to cover
aortic arch
4 ax dark blood TSE T1 8 mm thick aortic root 4 axial single
mid arch slices
mid aorta
diaphragm

Check by rad for short axis cine FISP planes

Sequence Parameters Thickness/Gap Coverage Technical

Notes
5 short axis cine FISP max 8 mm thick asc aorta 4 sets
arch perpendicular
main PA to aorta
diaphragm
6 sag oblique candy cane aortic arch timing delay
CARE bolus MRA 2 runs back
to back
7 sag oblique candy cane +FS aortic arch timing delay
post-GAD VIBE after end of
MRA

54
Body MRI Subgroup v 4.4 May 10/11
 Coverage diagrams

axial coverage from top of arch to diaphragm

bisect LV on axial view to get 2 chamber long bisect LV on 2 chamber long axis view to get 2
axis view chamber short axis view

bisect snowman at base to get 3 chamber view 3 chamber view

55
Body MRI Subgroup v 4.4 May 10/11
 levels for axial dark blood TSE T1 levels for short axis cine FISP

orient MRA slab along arch

56
Body MRI Subgroup v 4.4 May 10/11
 MR Enterography
Supervised Gad

Oral contrast 500 ml Peg-Lyte at 60, 45, 30, 15 minutes

Buscopan 20 mg IV

Body matrix coil ( extender) over abdomen and pelvis

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 ax HASTE TE90 no FS 6 mm thick, 20 % gap transverse BH + follow
colon to
symphysis
3 cor HASTE TE90 no FS 5 mm thick, 20% gap A-P
4 cor pre-GAD VIBE +FS maximum 5 mm thick A-P
5 cor dynamic GAD VIBE +FS maximum 5 mm thick A-P
timing = +0, 30 60 s
6 ax post-GAD VIBE +FS maximum 5 mm thick transverse timing delay
colon to after end of
symphysis dynamic VIBE

57
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. breathing
a. cor FISP free breathing
b. ax HASTE PACE with breath hold and follow
2. if motion artifact, repeat sequence with the suggested changes, tried in the following order:
a. iPAT, GRAPPA, r = 2 or 3 for VIBE
b. decrease phase matrix to 192 or 128

Coverage diagrams

axial coverage from above transverse colon to coronal coverage from anterior rectus to spine
symphysis pubis posteriorly

58
Body MRI Subgroup v 4.4 May 10/11
 Whole Abdomen/Pelvis
Unsupervised

Body matrix coil ( extender) over abdomen and pelvis

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 cor FISP A-P free
breathing
2 ax FLASH T1 in/out 6 mm thick, 20% gap diaphragm to BH + follow
symphysis
3 ax HASTE TE90 no FS 6 mm thick, 20% gap diaphragm to BH + follow
symphysis
4 sag TSE T2 BLADE no FS 6 mm thick, 20% gap sidewall to
TR 4000 ms, ETL 35+ sidewall
2 concats
motion correction on

Optional

Sequence Parameters Thickness/Gap Coverage Technical

Notes
1 ax turboFLASH 6 mm thick, 20% gap liver free
T1 in + out breathing

59
Body MRI Subgroup v 4.4 May 10/11
 Technical notes

1. if motion, artifact, repeat sequence with the suggested changes, tried in the following order:
a. iPAT, GRAPPA, r = 2
b. decrease phase matrix to 192 or 128
c. use turboFLASH instead of FLASH

Coverage diagrams

axial coverage from diaphragm to symphysis sagittal coverage to sidewalls

pubis

60
Body MRI Subgroup v 4.4 May 10/11