NEURO MRI PROTOCOLS

Updated
6/11/2020

BRAIN SPINE
Routine Brain (-) (+/-) Oropharyngeal Mass (+/-) (3T Internal Auditory Canal Sacrum (-)
only) (IAC) (+/-)
Quick Brain (-) Orbits (+/-) Pre-Cochlear Implant (-) Lumbar Sacral Plexus (-)
Infant Brain 0-2 yrs. (-) (+/-) Face (+/-) Cholesteatoma (+/-) (3T Lumbar-Cath Tip (+/-)
only)
Pedi Brain 2-12 yrs. (-) (+/-) Skull Base (+/-) TMJ (-) Scoliosis (-)
Brain (-) / MRA Head (COW) (-) / Pituitary (+/-) (Dynamic) Soft Tissue Neck (+/-) CSF Leak Spine (-)
MRA Neck (Arch) (+/-) (BCA)
MRA Head Post Coil (-) (Eskey) Glioblastoma (GBM) (+/-) Brachial Plexus (-) (+/-) Met Survey (+/-)
(3T only)
MRA (NEW) Aneurysm (+/-) Diamox Perfusion (+/-) Cervical Radiculopathy (-) Drop Mets (+/-)
MRA (No Coil) Aneurysm (-) Radiation Oncology/Therapy (RT) Cervical Myelopathy (MS) Radiation Spine (+/-)
(+/-) (-) (+/-)
MRV Head (-) Fiducial Med-Stealth (+/-) Cervical Trauma (-) Intramedullary Mass Full (+/-)
Intracranial Hemorrhage (ICH) Fiducial Pre-Op AVM (+/-) Thoracic Radiculopathy (-) Intradural Screen (+)
(+/-)
Dementia (-) ALA Pre-Op (+/-) Thoracic Myelopathy (MS) Paraspinal Mass (+/-)
(-) (+/-)
ESP (-) ALA Post-Op (+/-) Thoracic Trauma (-) Diskitis/Osteo/Abcess (+/-)
MS Brain (-) (+/-) Rhinorrhea (CSF Leak Head) (-) Lumbar Routine (-) (+/-) Spinal MRA (+/-)
Pineal (+/-) CSF Flow (-) Lumbar Trauma (-)
Trigeminal (+/-) (3T only) Sialography (+/-) Tethered Cord (-)
Routine Brain (+/-)
Sagittal T1
Axial DWI
Axial T2 FLAIR
Axial SWI
Axial T1 Pre
Axial T2 Post
Axial T1 Post
Axial BRAVO Post - (Sagittal Reformat)
Coronal T1 FS Post
Axial Coronal Sagittal
Routine Brain (-)
Sagittal T1, Axial DWI, Axial FLAIR, Axial T2, Axial SWI

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 2000 9 240 100 5 1 256 320 A/P 1 L->R
b-values 0
AX DWI 6400 98 220 100 5 1 192 192 A/P 3 F->H
and 1,000
AX T2 FLAIR 9000 81 220 75 5 2 168 320 R/L 1 F->H
AX SWI 27 20 220 90.6 1.5 .3 220 256 R/L 1 F->H
AX T1 Pre 2000 9 220 75 5 2 180 320 R/L 2 F->H
AX T2 Post 5000 100 220 75 5 2 228 512 R/L 2 F->H
AX T1 Post 2000 9 220 75 5 2 180 320 R/L 2 F->H
COR T1 FS Post 345 12 220 100 5 2 224 320 R/L 2 A->P
AX BRAVO Post 1470 2.62 260 100 1.5 0.75 320 320 A/P 1 F->H No Angle
Quick Brain (-)
Sagittal T2 SSFSE
Axial T2 SSFSE
Coronal T2 SSFSE

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T2 SSFSE 1500 80 220 100 5 1 256 320 A/P 1 L->R
AX T2 SSFSE 1500 80 220 100 5 1 256 320 R/L 1 F->H
COR T2 SSFSE 1500 80 220 100 5 1 256 320 R/L 1 P->A
Infant Brain 0-2 Yrs. (+/-)
Sagittal T1
Axial DWI
Axial T2
Axial T2 FLAIR
Axial T1
Coronal BRAVO
Axial SWI
Axial T1 Post
Coronal T1 FS Post
Axial BRAVO Post - (Sagittal Reformat)
Infant Brain 0-2 Yrs.(-)
Sagittal T1, Axial DWI, Axial T2, Axial T1, Coronal Bravo, Axial SWI

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 650 7.1 160 100 3 1 205 256 A/P 2 L->R
b-values 0,
AX DWI 7100 104 200 100 3 1 192 192 A/P 3 F->H 800 and
1,000
AX T2 4240 113 180 75 3 1 269 448 R/L 2 F->H
AX T2 FLAIR 9000 81 180 100 4 1 224 320 R/L 2 F->H
AX T1 418 8.2 180 75 3 1 154 256 R/L 2 F->H
COR BRAVO 1900 2.65 180 100 1.5 .75 256 256 R/L 1 A->P
AX SWI 27 20 220 90.6 1.5 .3 220 256 R/L 1 F->H
AX T1 Post 418 8.2 180 75 3 1 154 256 R/L 2 F->H
COR T1 FS Post 541 10 160 100 3 1 240 320 R/L 3 A->P
AX BRAVO Post 1470 2.62 260 100 1.5 .75 256 256 R/L 1 F->H No angle
Pedi Brain 2-12 Yrs. (+/-)
Sagittal T1
Axial DWI
Axial T2
Axial T2 FLAIR
Axial T1
Axial SWI
Axial T1 Post
Coronal T1 FS Post
Axial BRAVO Post – (Sagittal Reformat)
Pedi Brain 2-12 YRS. (-)
Sagittal T1, Axial DWI, Axial T2, Axial T1, Axial FLAIR, Axial SWI

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 650 7.1 180 100 3 1 205 256 A/P 2 L->R
b-values 0
AX DWI 7100 98 220 100 4 1 192 192 A/P 3 F->H
and 1,000
AX T2 4240 113 180 100 4 1 358 448 R/L 2 F->H
AX T2 FLAIR 9000 81 180 100 4 1 224 320 R/L 2 F->H
AX T1 418 6.4 180 100 4 1 205 256 R/L 2 F->H
AX SWI 27 20 220 90.6 1.5 .3 220 256 R/L 1 F->H
AX T1 Post 418 6.4 180 100 4 1 205 256 R/L 2 F->H
COR T1 FS Post 541 10 160 100 4 1 240 320 R/L 2 A->P
AX BRAVO Post 1470 2.62 260 100 1.5 .75 256 256 R/L 1 F->H No angle
Brain/ COW/ Arch (+/-) (BCA)
Sagittal T1
Axial DWI
Axial T2 FLAIR
Axial T2
3D TOF COW
Axial SWI
2D PC NECK
Axial 2D TOF
Coronal TRICKS
DISSECTION:
Axial T1 FS DIXON

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 2000 9 240 100 5 1 256 320 A/P 1 L->R
AX DWI 6400 98 220 100 5 1 192 192 A/P 3 F->H
AX T2 FLAIR 9000 81 220 75 5 2 168 320 R/L 1 F->H
AX T2 5000 100 220 75 5 2 288 512 R/L 2 F->H
3D TOF COW 21 3.43 200 90.6 .5 -4 275 320 R/L 1 F->H
AX SWI 27 20 220 90.6 1.5 .3 220 256 R/L 1 F->H
2D PC NECK 21 7.3 300 59.4 5 2.5 106 256 A/P 1 L->R
AX 2D TOF 400 3.9 240 75 3.5 -.9 192 256 A/P 1 F->H
AX T1 FS DIXON 668 12 200 100 3 1 288 384 A/P 1 F->H
COR TRICKS 3.17 1.18 260 100 1 0 256 256 R/L A->P
MRA POST COIL (-) (Eskey-3T Only)
For patients being followed for aneurysm recurrence after treatment (coiling)
2D PC
Axial 3D TOF
*Optional
Axial 3D Dynamic Contrast Enhanced 3 Phases

Axial – to include coil

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
2D PC 21 7.3 300 59.4 5 2.5 106 256 A/P 1 L->R
AX 3D TOF 23 3.98 200 90.6 .5 -4.0 464 512 R/L 1 F->H Include coil
***OPTIONAL***
AX 3D DYNAMIC CE
3.58 1.36 250 81.3 1.10 .22 270 416 R/L 1 F->H
X3
MRA (NEW) Aneurysm (+/-)
3T Siemens Only
For patients with a newly discovered aneurysm

2D PC
Axial 3D TOF
Space (vessel wall imaging)
At the site of the aneurysm
Space (vessel wall imaging) Post
Axial – to include coil
At the site of the aneurysm

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
2D PC 21 7.3 300 59.4 5 2.5 106 256 A/P 1 L->R
AX 3D TOF 23 3.98 200 90.6 .5 -4.0 464 512 R/L 1 F->H Include coil
SPACE 938 25 160 100 0.5 0 320 320 R/L 1 F->H
SPACE Post 938 25 160 100 0.5 0 320 320 R/L 1 F->H
MRA (No Coil) Aneurysm (-)
3T Siemens Only

For patients with a known aneurysm being following for aneurysm growth
Excludes patients with previously treated coiling, stenting, or clipping
2D PC
Axial 3D TOF
Space (vessel wall imaging)
Axial – to include the aneurysm
At the site of the aneurysm

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
2D PC 21 7.3 300 59.4 5 2.5 106 256 A/P 1 L->R
AX 3D TOF 23 3.98 200 90.6 .5 -4.0 464 512 R/L 1 F->H Include coil
SPACE 938 25 160 100 0.5 0 320 320 R/L 1 F->H
MRV Head (-)
VESSEL SCOUT
Coronal 2D MRV

COR 2D MRV

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
VESSEL SCOUT 23 8 300 71.9 6 3 138 256 A/P 1 L->R
PLACE INFERIOR
COR 2D MRV 19 4.56 250 100 2.5 -.8 256 256 R/L 1 A->P SAT BAND
BELOW SLICES
ICH (+/-)
Sagittal T1
Axial DWI
Axial T2 FLAIR
Axial SWI
Axial T1
Axial T2
Axial T1 Post
Coronal T1 FS Post

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 2000 9 240 100 5 1 256 320 A/P 1 L->R
AX DWI 6400 98 220 100 5 1 192 192 A/P 3 F->H
AX T2 FLAIR 9000 81 220 75 5 2 168 320 R/L 1 F->H
AX SWI 27 20 220 90.6 1.50 0.3 220 256 R/L 1 F->H
AX T1 2000 9 220 75 5 2 180 320 R/L 2 F->H
AX T2 5000 100 220 75 5 2 228 512 R/L 2 F->H
AX T1 Post 2000 9 220 75 5 2 180 320 R/L 2 F->H
COR T1 FS Post 345 12 220 100 5 2 224 320 R/L 2 A->P
Dementia (-)
Sagittal T1
Axial DWI
Axial T2 FLAIR
Axial T2
Axial SWI
Coronal BRAVO
- (Sagittal + Axial Reformat)

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 2000 9 240 100 5 1 256 320 A/P 1 L->R
AX DWI 6400 98 220 100 5 1 192 192 A/P 3 F->H
AX T2 FLAIR 9000 81 220 75 5 2 168 320 R/L 1 F->H
AX T2 5000 100 220 75 5 2 228 512 R/L 2 F->H
AX SWI 27 20 220 90.6 1.50 0.3 220 256 R/L 1 F->H
COR BRAVO 1470 2.62 260 75 1.0 0.5 200 320 R/L A A->P
ESP (-) 3T GE (Preferred)
*coverage to include entire brain except coronal T2 thin oblique
Sagittal T1
Axial DTI
Coronal BRAVO
Coronal T2 THIN OBL
Coronal 3D DIR
Coronal 3D FLAIR CUBE COR T2 Thin OBL
Coronal T2 FLAIR (Perpendicular to the Sylvian Fissure)
Axial SWI

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 2000 9 240 100 5 1 256 320 A/P 1 L->R
AX DTI 8000 95 240 100 2 0.2 128 128 A/P 3 F->H
COR 3D BRAVO 1470 2.62 260 75 1.50 0.75 320 320 R/L 1 A->P
COR T2 Thin OBL 4250 79 200 100 1.50 0 346 384 R/L 2 A->P
COR 3D DIR 6500 120 26 80 1.4 0 200 200 R/L 1 P->A
COR 3D FLAIR CUBE 6200 76 260 80 1.4 0 240 240 R/L 1 P->A
COR T2 FLAIR 9000 81 220 75 3 0 224 320 R/L 2 A->P
AX SWI 27 20 220 90.6 1.50 0.3 220 256 R/L 1 F->H
ESP (-) 3T SIEMENS
*coverage to include entire brain except coronal T2 thin oblique
Sagittal T1
Axial DTI
Coronal BRAVO
Coronal T2 THIN OBL
Axial T2 FLAIR
Coronal T2 FLAIR COR T2 Thin OBL
Axial SWI (Perpendicular to the Sylvian Fissure)

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 2000 9 240 100 5 1 256 320 A/P 1 L->R
AX DTI 8000 95 240 100 2 0.2 128 128 A/P 3 F->H
COR 3D BRAVO 1470 2.62 260 75 1.50 0.75 320 320 R/L 1 A->P
COR T2 Thin OBL 4250 79 200 100 1.50 0 346 384 R/L 2 A->P
AX T2 FLAIR 9000 81 220 75 5 2 168 320 R/L 1 F->H
COR T2 FLAIR 9000 81 220 75 3 0 224 320 R/L 2 A->P
AX SWI 27 20 220 90.6 1.50 0.3 220 256 R/L 1 F->H
MS Brain (-) (+/-)
*whole brain coverage
Axial SPACE FLAIR
- (Sagittal Reformat)
AXIAL DWI
AXIAL T1
AXIAL T2 Post
AXIAL T1 Post
*Optional Axial Brain Sagittal Brain
AXIAL T2 FLAIR Thin
SAGITTAL T2 FLAIR Thin

***IF MS BRAIN IS ORDERED WO, ADD AX T2 ALSO***

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
AX Space Flair 5000 386 240 100 0.90 0 256 256 A/P 1 L->R
AX DWI 6400 98 220 100 5 1 192 192 A/P 1 F->H
AX T1 2000 9 220 75 3 0 180 320 R/L 2 F->H
AX T2 Post 5000 100 220 75 3 0 288 512 R/L 2 F->H
AX T1 Post 2000 9 220 75 3 0 180 320 R/L 2 F->H
***OPTIONAL***
SAG T2 FLAIR THIN 9000 84 240 100 3 0 224 320 A/P 1 L->R
AX T2 FLAIR THIN 9000 81 220 75 3 0 168 320 R/L 2 F->H
Pineal (+/-)
Sagittal T1 Thin
Axial T2
Axial T2 FLAIR
Sagittal 3D CISS
Axial T1
Axial T1 Post
Coronal T1 FS Post
Sagittal T1 Thin Post
Sagittal Thin Coronal Thin

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 THIN 650 6.7 180 100 2 1 205 256 A/P 3 L->R
AX T2 5000 100 220 75 5 2 288 512 R/L 2 F->H
AX T2 FLAIR 9000 81 220 75 5 2 168 320 R/L 1 F->H
SAG 3D CISS 136 200 200 100 0.5 0 380 384 A/P 2 L->R
AX T1 2000 9 220 75 5 2 180 320 R/L 2 F->H
AX T1 Post 2000 9 220 75 5 2 180 320 R/L 2 F->H
COR T1 FS Post 500 9 180 100 3 1 240 320 R/L 3 A->P
SAG T1 THIN Post 650 6.7 180 100 2 1 205 256 A/P 1 L->R
Orbits (+/-)
Sagittal T1
Coronal STIR
Axial T1 Thin
Coronal T1 Thin
Axial T1 Thin FS Post
Coronal T1 Thin FS Post Axial Thin Coronal Thin

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 2000 9 240 100 5 1 256 320 A/P 1 L->R
COR STIR 4000 47 180 100 3 1 192 256 R/L 3 A->P
AX T1 THIN 600 6.4 180 100 3 .5 205 256 R/L 2 F->H
COR T1 THIN 650 6.7 180 100 3 1 224 320 R/L 2 A->P
AX T1 THIN FS Post 600 6.4 180 100 3 .5 205 256 R/L 2 F->H
COR T1 THIN FS Post 650 6.7 180 100 3 1 224 320 R/L 2 A->P
Face (+/-)
Coronal T1 Thin
Axial T2 FS Thin
Coronal T2 FS Thin
Axial T1 Thin
Axial T1 Thin Post
Axial T1 FS Thin Post
Coronal T1 FS Thin Post
Coronal Axial

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
COR T1 THIN 400 6.6 180 100 3 1 320 320 R/L 2 A->P
AX T2 FS THIN 3000 105 180 100 3 1 320 320 R/L 2 F->H
COR T2 FS THIN 3000 105 180 100 3 1 320 320 R/L 2 A->P
AX T1 THIN 650 6.7 180 100 3 1 320 320 R/L 2 F->H
AX T1 THIN Post 650 6.7 180 100 3 1 320 320 R/L 2 F->H
AX T1 FS THIN Post 488 6.7 180 100 3 1 320 320 R/L 2 F->H
COR T1 FS THIN Post 310 9.2 180 100 3 1 320 320 R/L 3 A->P
Skull Base (+/-)
Sagittal T1
Axial DWI
Axial T2 FLAIR
Axial T2 FS Thin
Coronal T2 FS Thin
Axial T1 Thin
Axial T1 FS Thin Post
Coronal T1 FS Thin Post Axial Thin Coronal Thin

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 600 9.9 180 100 3 1 320 320 A/P 2 L->R
AX DWI 6400 98 220 100 5 1 192 192 A/P 3 F->H
AX T2 FLAIR 9000 81 220 75 5 2 168 320 R/L 1 F->H
AX T2 FS THIN 3000 105 200 100 3 1 320 320 R/L 2 F->H
COR T2 FS THIN 4750 103 180 100 3 0.5 320 320 R/L 3 A->P
AX T1 THIN 571 6.7 200 100 3 1 320 320 R/L 2 F->H
AX T1 FS THIN Post 571 6.7 200 100 3 1 320 320 R/L 2 F->H
COR T1 FS Thin Post 344 9 180 100 3 0.5 320 320 R/L 2 A->P
Trigeminal (+/-) (3T Only)
Axial T2 FLAIR
Axial CISS
Coronal T2 FS Thin
Axial T1 Thin
Coronal T1 Thin
Axial T1 FS Thin Post
Coronal T1 FS Thin Post
Axial Bravo Post
Axial Thin Coronal Thin

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
AX T2 FLAIR 9000 89 220 75 5 2 168 320 R/L 1 F->H Whole brain
AX CISS 8.48 3.84 150 75 1.5 .3 230 320 R/L 2 F->H Thin section
COR T2 FS THIN 2430 107 150 100 3 1 358 448 R/L 2 A->P Thin section
AX T1 THIN 400 6.4 180 100 3 1 205 256 R/L 2 F->H Thin section
COR T1 THIN 500 10 150 100 3 1 240 320 R/L 2 A->P Thin section
AX T1 FS THIN Post 400 6.4 180 100 3 1 205 256 R/L 2 F->H Thin section
COR T1 FS THIN Post 500 10 150 100 3 1 240 320 R/L 2 A->P Thin section
AX BRAVO Post 1470 2.62 260 100 1.5 0.75 320 320 A/P 1 F->H No angle
Oropharyngeal Mass (+/-) (3T Only)
*Coverage from the base of the orbits through C5/C6
Axial RESOLVE DWI (whole neck)
Axial T1
Axial T2 FS DIXON
Axial T1 FS Post
Coronal T1 FS Post
Sagittal T1 FS Post

Axial Coronal

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
AX RESOLVE DWI 5100 64/103 220 100 3 1 160 160 A/P 2 H->F Whole neck
AX T1 500 11 180 100 3 1 261 384 A/P 3 H->F
AX T2 FS DIXON 4290 76 180 100 3 1 288 384 A/P 1 H->F
AX T1 FS Post 650 11 180 100 3 1 288 384 A/P 1 H->F
COR T1 FS Post 650 11 180 100 3 1 288 384 R/L 1 A->P
SAG T1 FS Post 650 11 180 100 3 1 288 384 S/I 1 L->R
Pituitary (+/-)
Sagittal T1 Thin
Axial T2 FLAIR
Coronal T2 Thin
Coronal T1 Thin
Coronal T1 Thin Post
Sagittal T1 Thin Post
*Optional:
Coronal T1 DYNAMIC
Coronal Thin
Sagittal Thin

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 THIN 650 7.1 120 100 2 0 166 256 A/P 4 L->R
AX T2 FLAIR 9000 81 220 75 5 2 168 320 R/L 1 F->H
COR T2 THIN 4000 105 120 100 2 0 173 384 R/L 4 A->P
COR T1 THIN 650 7.8 120 100 2 0 166 320 R/L 3 A->P
COR T1 THIN Post 650 7.8 120 100 2 0 166 320 R/L 3 A->P
SAG T1 THIN Post 650 8.9 120 100 2 O 192 192 R/L 2 A->P
***OPTIONAL***
~ 3 slices
COR T1 DYNAMIC 400 8.9 120 100 3 0 192 192 R/L 2 A->P through
pituitary
GBM (+/-)
Sagittal T1
Axial DWI
Axial Space FLAIR – (Sagittal Reformat)
Axial FLAIR
Axial T1
Axial SWI
Axial Perfusion
*Injection at 5mL/second with an 8 second injection delay
Axial T2 Post
Axial T1 Post
Coronal T1 FS Post
Axial BRAVO Post ***Spectroscopy Optional***

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 2000 9 240 100 5 1 256 320 A/P 1 L->R
AX DWI 6400 98 220 100 5 1 192 192 A/P 3 F->H
AX Space Flair 5000 386 240 100 0.90 0 256 256 A/P 1 L->R
AX FLAIR 9000 81 220 75 5 2 168 320 R/L 1 F->H
AX T1 2000 9 220 75 5 2 180 320 R/L 2 F->H
AX SWI 27 20 220 90.6 1.50 0.3 220 256 R/L 1 F->H
AX PERFUSION 1600 30 220 100 5 2 128 128 A/P 1 F->H
AX T2 Post 5000 100 220 75 5 2 228 512 R/L 2 F->H
AX T1 Post 2000 9 220 75 5 2 180 320 R/L 2 F->H
COR T1 FS Post 345 12 220 100 5 2 224 320 R/L 2 A->P
AX BRAVO Post 1470 2.62 260 100 1.5 0.75 320 320 A/P 1 F->H No angle
Vector size: Flip Angle:
SVS SE 135 2000 135 20 20 N/A N/A 128
1024 90 degrees
Diamox Perfusion (+/-)
Diamox dosing:
Patients above 140lbs – 10mL
Patients under 140lbs – 17mg/kg
Symptoms of Diamox: feeling flushed and/or dizzy
Instruct patient to drink and rehydrate upon completion of exam
Instructions for scanning:
- Have MD order Diamox prior to the scan
- Do routine brain protocol with first half dose perfusion
- MRI nurse will inject Diamox
- Wait 20 minutes post Diamox injection then run second half dose perfusion

Sagittal T1
Axial DWI
Axial T1
Axial T2 FLAIR
Axial T2
Axial SWI
Axial Perfusion 1 (half dose of contrast – 5mL/second injection with 8 second injection delay)
Inject Diamox (nurse will inject) and wait 20 minutes before second perfusion
Axial Perfusion 2 (half dose of contrast– 5mL/second injection with 8 second injection delay)
Axial T1 Post
Axial BRAVO Post
Coronal T1 FS Post
Diamox Perfusion (continued)

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 2000 9 240 100 5 1 256 320 A/P 1 L->R
AX DWI 6400 98 220 100 5 1 192 192 A/P 1 F->H
AX T1 2000 9 220 75 5 2 180 320 R/L 2 F->H
AX T2 FLAIR 9000 81 220 75 5 2 168 320 R/L 1 F->H
AX T2 5000 100 220 75 5 2 288 512 R/L 2 F->H
AX SWI 27 20 220 90.6 1.50 0.3 220 256 R/L 1 F->H
Include the
AX PERFUSION 1 1600 30 220 100 5 2 128 128 A/P 1 F->H vertex of the
brain
Include the
AX PERFUSION 2 1600 30 220 100 5 2 128 128 A/P 1 F->H vertex of the
brain
AX T1 Post 2000 9 220 75 5 2 180 320 R/L 2 F->H
AX BRAVO Post 1470 2.62 260 100 1.5 .75 320 320 A/P 1 L->R
COR T1 FS Post 300 6.5 200 100 5 2 224 320 R/L 2 A->P
RT Brain (+/-)
* Bravo should have no angle and should include the nose
Axial BRAVO
Axial T2 FLAIR Post
Axial T1 Post
Axial BRAVO Post

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
AX BRAVO 1900 2.55 240 100 1.5 0.75 256 256 R/L 1 F->H No angle
AX T2 FLAIR Post 9000 81 220 75 3 0 168 320 R/L 1 F->H
AX T1 Post 2000 9 220 75 5 2 180 320 R/L 2 F->H
AX BRAVO Post 1900 2.55 240 100 1.5 0.75 256 256 R/L 1 F->H No angle
Fiducial Medstealth (+/-)
*straight axial images to include the nose
Axial BRAVO
Axial BRAVO Post
Optional if tumor does not enhance:
Axial T2 Thin Post

Axial Bravo

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
AX BRAVO 1900 2.55 240 100 1.5 .75 256 256 R/L 1 F->H No angle
AX BRAVO Post 1900 2.55 240 100 1.5 .75 256 256 R/L 1 F->H No angle
***OPTIONAL IF TUMOR DOES NOT ENHANCE***
AX T2 THIN Post 3000 103 220 100 2 0 358 448 R/L 2 F->H
Fiducial Pre-Op AVM (+/-)
*Cover the entire brain – do not angle slices
Axial 3D TOF
Axial BRAVO Post

Axial Bravo Axial 3D TOF

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
Whole brain
AX 3D TOF 21 3.43 200 90.6 .5 -4 275 320 R/L 1 F->H
TOF
AX 3D BRAVO Post 1900 2.55 240 100 1.5 .75 256 256 R/L 1 F->H
ALA Pre Op (+/-)
*pre-op scan done with fiducials placed by neurosurgery
Axial DTI
Axial BRAVO
Axial BRAVO Post
*Optional if no tumor enhancement
Axial T2 Thin Post

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
AX DTI 8000 95 240 100 2 .2 128 128 A/P 3 F->H
AX BRAVO 1900 2.55 240 100 1.5 .75 256 256 R/L 1 F->H No angle
AX BRAVO Post 1900 2.55 240 100 1.5 .75 256 256 R/L 1 F->H No angle
IF NO TUMOR
AX T2 THIN Post 3000 103 220 100 2 0 358 448 R/L 2 F->H
ENHANCEMENT
ALA Post Op (+/-)
Sagittal T1
Axial DWI
Axial T2 FLAIR
Axial T1
Axial BRAVO
Axial T2 Post
Axial BRAVO Post
Axial T1 Post
Coronal T1 FS Post

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 2000 9 240 100 5 1 256 320 A/P 1 L->R
AX DWI 6400 98 220 100 5 1 192 192 A/P 1 F->H
AX T2 FLAIR 9000 81 220 100 5 2 168 320 R/L 1 F->H
AX T1 2000 9 220 100 5 2 180 320 R/L 2 F->H
AX BRAVO 1900 2.55 240 100 1.50 .75 256 256 R/L 1 F->H No angle
AX T2 Post 5000 100 220 75 5 2 288 512 R/L 2 F->H
AX BRAVO Post 1900 2.55 240 100 1.50 .75 256 256 R/L 1 F->H No angle
AX T1 Post 2000 9 220 75 5 2 180 320 R/L 2 F->H
COR T1 FS Post 345 12 220 100 5 2 224 320 R/L 2 A->P
Rhinorrhea (CSF Leak Head) (-)
Sagittal T1
Coronal T1 Thin
Coronal T2 FS Thin
Sagittal T2 Thin
Coronal CISS

Coronal Thin Sagittal

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 2000 9 240 100 5 1 256 320 A/P 1 L->R
COR T1 THIN 400 6.7 180 100 2 0 205 256 R/L 3 A->P
COR T2 FS THIN 4000 99 180 100 2 0 288 384 R/L 2 A->P
SAG T2 THIN 4000 105 220 100 2 0 288 384 A/P 2 L->R
COR CISS 8.26 3.91 200 100 .50 .1 307 320 R/L 1 A->P
CSF Flow (-)
Use the pulse oximeter
*One slice centered at the foramen magnum
Sagittal CINE PC (flash_5_in-plane)
- One sagittal slice centered at the midline
of the foramen magnum
Sagittal CINE PC (flash_10_in-plane)
- One sagittal slice centered at the midline
of the foramen magnum
Axial CINE PC (flash_10_through-plane)
- One axial slice at the foramen magnum Sagittal/In-Plane Axial/Through-Plane

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG CINE PC Velocity
25.14 8.39 200 200 5 1 256 256 A/P 1 N/A
(In-Plane) encoding: 5
SAG CINE PC Velocity
25.14 8.39 200 200 5 1 256 256 A/P 1 N/A
(In-Plane) encoding: 10
AX CINE PC Velocity
22.94 7.07 160 160 5 1 256 256 A/P 1 N/A
(Through-Plane) encoding: 10
Sialography (+/-)
Coronal T2 FS Thin
Coronal T1 Thin
Axial T2 FS Thin
Axial T1 Thin
Axial T2 FS SPACE
Axial T2 CISS
Axial T1 Thin Post
Coronal T1 FS Thin Post

Axial Coronal

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
COR T2 FS THIN 3500 106 180 100 3 1 224 320 R/L 2 A->P
COR T1 THIN 542 8.9 180 100 3 1 192 256 R/L 1 A->P
AX T2 FS THIN 3840 106 200 90.6 3 1 218 320 R/L 2 F->H
AX T1 THIN 467 8.9 200 90.6 3 1 174 256 R/L 2 F->H
AX T2 FS SPACE 2500 700 200 100 1 0 353 384 R/L 1.5 F-.H
AX T2 CISS 5.26 2.41 200 100 0.7 0.14 256 256 R/L 1 F->H
AX T1 THIN Post 467 8.9 200 90.6 3 1 174 256 R/L 3 F->H
COR T1 FS THIN Post 400 8.9 180 100 3 1 192 256 R/L 1 A->P
IAC (+/-)
Axial DWI
Axial T2 SPACE
Axial T2 FLAIR
Axial T1 Thin
Axial T1 Thin FS Post
Coronal T1 FS Thin Post

Axial Thin T1/CISS Coronal Thin

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
AX DWI 6400 98 220 100 5 1 192 192 A/P 3 F->H
AX T2 SPACE 1200 263 180 100 .65 .1 307 320 R/L 1 F->H
AX T2 FLAIR 9000 81 220 75 5 2 168 320 R/L 1 F->H
AX T1 THIN 400 6.7 180 100 2 O 205 256 R/L 3 F->H
AX T1 THIN FS Post 400 6.7 180 100 2 O 205 256 R/L 3 F->H
COR T1 FS THIN Post 500 9.1 180 100 2 .5 240 320 R/L 3 A->P
Pre-Cochlear Implant (-)
Axial T2 SPACE

Axial Thin Coronal Thin

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
AX T2 SPACE 1000 136 200 100 .5 0 380 384 R/L 2 F->H
Cholesteatoma (+/-)
(3T Only)
*Cover through the temporal bone
Axial DWI Resolve
Axial 3D CISS
Axial T2 Thin Brainstem
Axial T1 Thin
Axial T1 Thin FS Post
Coronal T1 Thin FS Post

Axial Thin Brainstem Coronal Thin Axial Thin

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
1:
64
AX DWI RESOLVE 5100 220 100 3 0 160 160 A/P 1 F->H
2:
103
AX 3D CISS 8.48 3.84 150 100 2 .4 307 320 R/L 1 F->H
AX T2 THIN
2430 103 180 100 2 0 358 448 R/L 2 F->H
BRAINSTEM
AX T1 THIN 400 6.7 180 100 2 0 205 256 R/L 3 F->H
AX T1 THIN FS Post 400 6.7 180 100 2 0 205 256 R/L 3 F->H
COR T1 THIN FS Post 400 6.7 180 100 2 0 205 256 R/L 3 A->P
TMJ (-)
*Use the Burnett TMJ Device and retractor bite plate maximized to patient toleration for the open mouth images. Perform the CINE
images twice with the right and left scanned separately. Use the TMJ device with retractor and instruct the patient to click the device
2-3 times between each image until the patient cannot tolerate further widening.
Coronal T1 Closed Mouth
RT Sagittal PD Closed Mouth
LT Sagittal PD Closed Mouth
RT Sagittal PD Open Mouth
LT Sagittal PD Open Mouth
Sagittal CINE RT
Sagittal CINE LT

Coronal Sagittal Imaging Plane – use coronal and axial image

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
COR T1 CLOSED 406 7.1 150 100 3 .3 205 256 R/L 3 A->P
RIGHT SAG PD
2800 21 120 100 2 .1 288 320 A/P 3 L->R
CLOSED
LEFT SAG PD
2800 21 120 100 2 .1 288 320 A/P 3 L->R
CLOSED
RIGHT SAG PD
2800 21 120 100 2 .1 288 320 A/P 3 L->R
OPEN
LEFT SAG PD OPEN 2800 21 120 100 2 .1 288 320 A/P 3 L->R
Do left and
SAG CINE 240 2.74 150 100 4 0 128 256 A/P 1 L->R
right separate
Brachial Plexus (-) (+/-)
*Cover C2 through T3 and from the spine through the glenohumeral joint
Coronal T1
Coronal STIR
Coronal STIR SPACE
Sagittal T1
Sagittal STIR
Axial T1
*If contrast needed:
Axial T1 FS Pre/Post
Sagittal T1 FS Post
Coronal T1 FS Post Coronal
Axial Sagittal

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
COR T1 650 11 240 100 3 1 384 512 H/F 2 A->P
COR STIR 4240 39 240 100 3 1 256 320 H/F 1 A->P
COR STIR SPACE 1500 91 320 100 1.1 O 256 256 H/F 1.4 A->P
SAG T1 600 11 220 100 3 1 384 512 H/F 1 L->R
SAG STIR 4970 41 220 100 3 1 256 320 H/F 1 L->R
AX T1 650 11 220 100 3 1 384 512 A/P 1 H->F
***OPTIONAL IF CONTRAST***
AX T1 FS
650 9.3 220 100 3 1 224 320 A/P 1 H->F
Pre/Post
SAG T1 FS Post 650 9.3 220 100 3 1 224 320 H/F 1 L->R
COR T1 FS Post 650 9.3 220 100 3 1 224 320 H/F 1 A->P
Soft Tissue Neck (+/-)
*Coverage from the orbits
through the apex of the lungs
Sagittal T1
Axial T2 FS
Axial T1
Axial T1 FS Post
Axial T1 Post
Coronal T1 FS Post

FOV MATRIX
Sagittal PHASE SCAN
Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 650 9.4 240 100 3 1 240 320 A/P 2 L->R
AX T2 FS 5150 78 200 100 5 1 307 384 A/P 2 H->F
AX T1 650 11 200 100 5 1 224 320 A/P 2 H->F
AX T1 FS Post 650 9.3 200 100 5 1 224 320 A/P 2 H->F
AX T1 Post 650 11 200 100 5 1 224 320 A/P 2 H->F
COR T1 FS Post 650 9.3 240 100 3 1 224 320 H/F 2 A->P
C-spine Radiculopathy (-)
Sagittal T1
Sagittal T2
Axial T2
Sagittal T2 OBLIQUE Right
Sagittal T2 OBLIQUE Left

Sagittal
*18 FOV*

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 400 10 180 100 3 1 269 384 H/F 3 L->R *18 FOV
SAG T2 3500 96 180 100 3 1 256 320 H/F 1 L->R *18 FOV
Multi-slice
AX T2 3720 87 200 100 2 1 256 320 A/P 3 H->F multi-angle
5 slices per disc
Perpendicular
to the nerve
SAG T2 OBLIQUE root traveling
3000 96 180 100 2 1 256 320 H/F 2 L->R through the
RIGHT
cervical
foramina
Perpendicular
to the nerve
SAG T2 OBLIQUE root traveling
3000 96 180 100 2 1 256 320 H/F 2 L->R through the
LEFT
cervical
foramina
C-spine Myelopathy / MS (-) (+/-)
Sagittal T1
Sagittal T2
Axial T2
*Optional if contrast:
Axial T1 Pre
Axial T1 Post
Sagittal T1 Post
Axial
(Stack from mid cerebellum to T1 )

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 400 10 180 100 2 0 269 384 H/F 3 L->R
SAG T2 3000 111 180 100 2 0 307 384 H/F 1 L->R
AX T2 3500 90 200 100 3 1 256 320 A/P 3 H->F Stack axials
***OPTIONAL IF CONTRAST***
AX T1 500 10 200 100 3 1 205 256 A/P 3 H->F Stack axials
AX T1 Post 500 10 200 100 3 1 205 256 A/P 3 H->F Stack axials
SAG T1 Post 400 10 180 100 2 0 269 384 H/F 3 L->R
C-spine Trauma (-)
Sagittal T1
Sagittal T2
Sagittal STIR
Axial T2

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 400 10 180 100 3 1 269 384 H/F 3 L->R
SAG T2 3000 111 180 100 3 1 307 384 H/F 1 L->R
SAG STIR 3700 78 180 100 3 1 256 320 H/F 2 L->R
AX T2 3500 90 200 100 3 1 256 256 A/P 3 H->F Stack axials
T-spine Radiculopathy (-)
Sagittal T1
Sagittal T2
Axial T2 – use Tim Planning when possible

Axials - multi-slice, multi angle, 3 Sagittal Thoracic

slices per disk space
FOV MATRIX PHASE SCAN
Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 400 8.7 320 100 3 1 307 384 H/F 2 L->R
SAG T2 3500 101 320 100 3 1 307 384 H/F 2 L->R
Multi-slice,
Multi-angle,
AX T2 4030 105 200 100 3 1 269 384 A/P 2 H->F
3 slices per
disc
 T-spine Myelopathy / MS (-) (+/-)
Sagittal T1
Sagittal T2
Axial T2– use Tim Planning when possible
*Optional if Contrast
Axial T1 Pre– use Tim Planning when possible
Axial T1 Post– use Tim Planning when possible
Sagittal T1 Post

Stacked Axials – use Tim Planning Sagittal Thoracic

when possible
FOV MATRIX PHASE SCAN
Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 400 9 320 100 2 1 307 384 H/F 3 L->R Include conus
SAG T2 3500 100 320 100 2 1 358 448 H/F 1 L->R Include conus
Stack axials to
AX T2 4000 110 200 100 5 2 269 384 A/P 2 H->F include past conus
***OPTIONAL IF CONTRAST***
Stack axials to
AX T1 405 10 200 100 5 2 218 256 A/P 2 H->F include past conus
Stack axials to
AX T1 Post 405 10 200 100 5 2 218 256 A/P 2 H->F include past conus
SAG T1 Post 400 9 320 100 2 1 307 384 H/F 3 L->R Include conus
T-spine Trauma (-)
Sagittal T1
Sagittal T2
Sagittal STIR
Axial T2– use Tim Planning when possible

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 400 9 320 100 3 1 307 384 H/F 3 L->R Include conus
SAG T2 3500 104 320 100 3 1 358 448 H/F 1 L->R Include conus
SAG STIR 3700 71 320 100 3 1 272 320 H/F 2 L->R Include conus
AX T2 4740 100 200 100 4 1 269 384 A/P 2 H->F Stack axials
L-spine Routine (-) (+/-)
Sagittal T1
Sagittal T2
Sagittal SPACE (omit if giving contrast)
- With axial reformat
Axial T2
*Optional if CONTRAST
Axial T1 Pre
Axial T1 Post
Sagittal T1 Post

Sagittal Lumbar Axials – 5 slices per disk T12/L1-L4/L5,

10 slices for L5/S1 to include S1

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 2100 8.8 280 100 3 1 272 320 H/F 2 L->R Include S1/S2
SAG T2 3000 101 280 100 3 1 288 384 H/F 1 L->R Include S1/S2
Include S1/S2
SAG SPACE 1500 138 300 100 1 0 304 320 H/F 1.4 L->R Ax reformat
Multi- slice
AX T2 4990 100 200 100 4 1 288 384 A/P 2 H->F Multi- angle
***OPTIONAL IF GAD. GIVE CONTRAST IF SURGERY WITHIN 5 YEARS OF SCAN***
Multi- slice
AX T1 600 9.8 200 100 4 1 256 320 A/P 2 H->F Multi- angle
Multi- slice
AX T1 Post 600 9.8 200 100 4 1 256 320 A/P 2 H->F Multi- angle
SAG T1 Post 2100 8.8 280 100 3 1 272 320 H/F 2 L->R Include S1/S2
L-spine Trauma (-)
Sagittal T1
Sagittal T2
Sagittal STIR
Axial T2

Axials (stacked)

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 2100 8.8 280 100 3 1 272 320 H/F 2 L->R Include S1/S2
SAG T2 3000 101 280 100 3 1 288 384 H/F 1 L->R Include S1/S2
Include S1/S2
SAG STIR 3700 70 280 100 3 1 240 320 H/F 2 L->R
AX T2 4196 100 200 100 4 1 288 384 A/P 2 H->F Axial stack
Sacrum (-)
Coronal STIR Oblique
Sagittal T1
Sagittal T2
Axial T1 Oblique
Axial T2 Oblique

Coronal Oblique Axial Oblique

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
COR STIR OBL 3700 67 200 100 4 1 240 320 H/F 2 A->P
SAG T1 400 10 200 100 4 1 269 384 H/F 3 L->R
SAG T2 3740 87 200 100 4 1 256 320 H/F 2 L->R
AX T1 OBL 500 11 200 100 4 1 205 256 A/P 3 H->F
AX T2 OBL 3740 87 200 100 4 1 256 320 A/P 3 H->F
Lumbosacral Plexus Neurogram (-) (3T Only)
*Cover L1 through the lesser trochanter
Coronal STIR SPACE
Coronal T1
Axial T1
Axial T2 FS
Sagittal SPACE
Coronal PD SPAIR
Coronal 3D VIBE FS

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
COR STIR SPACE 1500 102 360 100 1.4 0 256 256 R/L 1.4 A->P
COR T1 525 6.8 360 100 2 0 307 384 R/L 2 A->P
AX T1 523 11 330 100 4 1 205 256 A/P 3 H->F
AX T2 FS 4880 87 330 100 4 1 256 320 A/P 3 H->F
SAG SPACE 1000 96 300 100 1.45 0 304 320 H/F 1.4 L->R
COR PD SPAIR 3030 33 360 100 2 0 384 384 R/L 1 A->P
COR 3D VIBE FS 5.78 2.01 360 100 .92 .18 248 256 R/L 1 A->P
L-spine Cath Tip Tumor (+/-)
*Scan to include the catheter tip end
Sagittal T1
Sagittal T2
Axial T2
Axial T1
Axial T1 FS Post
Sagittal T1 Post

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 485 9.5 280 100 4 1 288 384 H/F 2 L->R
SAG T2 3000 101 280 100 4 1 288 384 H/F 1 L->R
AX T2 3200 101 200 100 4 1 336 448 A/P 2 H->F
AX T1 600 9.8 200 100 4 1 256 320 A/P 2 H->F
AX T1 FS Post 503 9.8 200 100 4 1 256 320 A/P 2 H->F
SAG T1 Post 485 9.5 280 100 4 1 288 384 H/F 2 L->R
Tethered Cord (-) (Total Spine)
Sagittal T2 CSP
Sagittal T2 TSP
Sagittal T2 LSP
Sagittal T1 LSP
Axial T2 FS LSP
Axial T1 LSP
***OPTIONAL***
Coronal T1 Conus

Axial (T10-Coccyx)
FOV MATRIX PHASE SCAN
Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T2 CSP 3000 111 180 100 3 1 307 384 H/F 1 L->R
SAG T2 TSP 3500 104 320 100 2 1 358 448 H/F 1 L->R
SAG T2 LSP 3000 101 280 100 4 1 288 384 H/F 1 L->R
SAG T1 LSP 485 9.5 280 100 4 1 288 384 H/F 2 L->R
Axial stack
AX T2 FS LSP 3290 101 200 100 4 1 336 448 A/P 2 H->F from T10 –
through Coccyx
Axial stack
AX T1 LSP 600 9.8 200 100 4 1 256 320 A/P 2 H->F from T10 –
through Coccyx
***OPTIONAL***
COR T1 CONUS 485 9.5 280 100 4 1 288 384
Scoliosis (-) (Total Spine)
*Angle sagittal images to each curve of the spine; scan coronal images first if necessary
Sagittal T1 CSP
Sagittal T2 CSP
Coronal T1 CSP
Sagittal T1 TSP
Sagittal T2 TSP
Coronal T1 TSP
Sagittal T1 LSP
Sagittal T2 LSP
Coronal T1 LSP
Axial T1 LSP

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 CSP 400 10 180 100 3 1 269 384 H/F 3 L->R
SAG T2 CSP 3000 111 180 100 3 1 240 320 H/F 1 L->R
COR T1 CSP 400 9.5 180 100 3 1 269 384 R/L 3 A->P
SAG T1 TSP 400 9 320 100 3 1 272 320 H/F 3 L->R
SAG T2 TSP 3500 104 320 100 3 1 272 320 H/F 1 L->R
COR T1 TSP 400 9.5 320 100 4 1 269 384 R/L 3 A->P
SAG T1 LSP 485 9.5 280 100 4 1 288 384 H/F 2 L->R
SAG T2 LSP 3000 101 280 100 4 1 240 320 H/F 2 L->R
COR T1 LSP 400 9.5 280 100 4 1 269 384 R/L 3 A->P
AXIAL STACK
AX T1 LSP 600 9.8 200 100 4 1 256 320 A/P 2 H->F T 10 - SACRUM
CSF Leak (-) (Whole Spine)
Coronal T2 FS CSP
Sagittal 3D CISS CSP
Coronal T2 FS TSP
Sagittal 3D CISS TSP
Coronal T2 FS LSP
Sagittal 3D CISS LSP
Axial T2 FS CSP
Axial T2 FS TSP
Axial T2 FS LSP

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
COR T2 FS CSP 3000 111 180 100 3 0 269 384 H/F 1 A->P
SAG 3D CISS CSP 8.07 3.67 180 100 1 .2 307 320 A/P 1 L->R
COR T2 FS TSP 3000 111 320 100 3 0 269 384 H/F 1 A->P
SAG 3D CISS TSP 8.07 3.67 320 100 1 .2 307 320 A/P 1 L->R
COR T2 FS LSP 3000 111 320 100 3 0 269 384 H/F 1 A->P
SAG 3D CISS LSP 8.07 3.67 280 100 1 .2 307 320 A/P 1 L->R
AX T2 FS CSP 4390 101 200 100 3 1 336 448 A/P 1 H->F Stacked
AX T2 FS TSP 4390 101 200 100 3 1 336 448 A/P 1 H->F Stacked
AX T2 FS LSP 4390 101 200 100 3 1 336 448 A/P 1 H->F Stacked
MET Survey (Whole Spine Met) (+/-)
Sagittal T1 CSP
Sagittal STIR CSP
Axial T2 CSP
Sagittal T1 TSP
Sagittal STIR TSP
Axial T2 TSP
Sagittal T1 LSP
Sagittal STIR LSP
Axial T2 LSP
Sagittal T1 FS Post CSP
Sagittal T1 FS Post TSP
Sagittal T1 FS Post LSP
*OPTIONAL AXIAL T1 Post IF ENHANCEMENT
MET Survey (Continued)

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 CSP 400 10 180 100 3 1 269 384 H/F 3 L->R
SAG STIR CSP 3700 68 180 100 3 1 240 320 H/F 2 L->R
AX T2 CSP 3500 90 200 100 3 1 256 320 A/P 3 H->F Stacked
SAG T1 TSP 400 9 320 100 2 1 272 320 H/F 3 L->R
SAG STIR TSP 3700 68 320 100 2 1 272 320 H/F 2 L->R
AX T2 TSP 3880 100 200 100 4 1 269 384 A/P 3 H->F Stacked
SAG T1 LSP 485 9.5 280 100 4 1 288 384 H/F 2 L->R
SAG STIR LSP 3700 70 280 100 4 1 240 320 H/F 2 L->R
AX T2 LSP 5000 101 200 100 4 1 336 448 A/P 1 H->F Stacked
SAG T1 FS Post CSP 449 9.5 180 100 3 1 269 384 H/F 3 L->R
SAG T1 FS Post TSP 497 9 320 100 2 1 307 384 H/F 3 L->R
SAG T1 FS Post LSP 583 9.5 280 100 3 1 288 384 H/F 2 L->R
***OPTIONAL IF ENHANCEMENT***
AX T1 Post CSP IF 600 9.8 200 100 3 1 256 320 A/P 2 H->F Stacked
ENHANCEMENT
AX T1 Post TSP IF
600 9.8 200 100 4 1 256 320 A/P 2 H->F Stacked
ENHANCEMENT
AX T1 Post LSP IF 600 9.8 200 100 4 1 256 320 A/P 2 H->F Stacked
ENHANCEMENT
DROP MET (Total Spine) (+/-)
Sagittal T1 CSP
Sagittal T2 CSP
Sagittal T1 TSP
Sagittal T2 TSP
Sagittal T1 LSP
Sagittal T2 LSP
Sagittal T1 Post CSP
Axial T1 Post CSP
Sagittal T1 Post TSP
Axial T1 Post TSP
Sagittal T1 Post LSP
Axial T1 Post LSP

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 CSP 400 10 180 100 3 1 269 384 H/F 3 L->R
SAG T2 CSP 3000 111 180 100 3 1 240 320 H/F 1 L->R
SAG T1 TSP 400 9 320 100 2 1 272 320 H/F 3 L->R
SAG T2 TSP 3500 104 320 100 2 1 272 320 H/F 1 L->R
SAG T1 LSP 485 9.5 280 100 4 1 288 384 H/F 2 L->R
SAG T2 LSP 3000 101 280 100 4 1 240 320 H/F 2 L->R
SAG T1 Post CSP 449 9.5 180 100 3 1 269 384 H/F 3 L->R
AX T1 Post CSP 497 9 320 100 3 1 307 384 H/F 3 L->R Stacked
SAG T1 Post TSP 497 9 320 100 2 1 307 384 H/F 3 L->R
AX T1 Post TSP 600 9.8 200 100 4 1 256 320 A/P 2 H->F Stacked
SAG T1 Post LSP 583 9.5 280 100 3 1 288 384 H/F 2 L->R
AX T1 Post LSP 600 9.8 200 100 4 1 256 320 A/P 2 H->F Stacked
Radiation Spine (+/-)
*Axials need skin to skin coverage with no angles
Sagittal T1
Sagittal T2
Axial SPACE
Axial BRAVO
Axial BRAVO Post

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 2100 8.8 280 100 3 1 272 320 H/F 2 L->R
SAG T2 3000 101 280 100 3 1 288 384 H/F 1 L->R
AX SPACE 1500 136 400 100 1.5 .75 304 320 A/P 1.4 H->F
AX BRAVO 1470 2.14 400 100 1.5 .75 320 320 A/P 1 H->F
AX BRAVO Post 1470 2.14 400 100 1.5 .75 320 320 A/P 1 H->F
Intramedullary Mass Full (Total Spine) (+/-)
Sagittal T1 CSP
Sagittal T2 CSP
Axial T2 CSP
Axial T1 CSP
Sagittal T1 TSP
Sagittal T2 TSP
Axial T2 TSP
Axial T1 TSP
Sagittal T1 LSP
Sagittal T2 LSP
Axial T2 LSP
Axial T1 LSP
Sagittal T1 Post CSP
Axial T1 Post CSP
Sagittal T1 Post TSP
Axial T1 Post TSP
Sagittal T1 Post LSP
Axial T1 Post LSP
Intramedullary Mass Full (Continued)
FOV MATRIX PHASE SCAN
Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 CSP 400 10 180 100 3 1 269 384 H/F 3 L->R
SAG T2 CSP 3700 93 180 100 3 1 240 320 H/F 2 L->R
AX T2 CSP 3500 90 200 100 3 1 256 320 A/P 3 H->F Axial stack
AX T1 CSP 600 9.8 200 100 3 1 256 320 A/P 2 H->F Axial stack
SAG T1 TSP 400 9 320 100 2 1 272 320 H/F 3 L->R
SAG T2 TSP 3700 93 320 100 2 1 272 320 H/F 2 L->R
AX T2 TSP 3880 100 200 100 5 1 269 384 A/P 3 H->F Axial stack
AX T1 TSP 600 9.8 200 100 5 1 256 320 A/P 2 H->F Axial stack
SAG T1 LSP 485 9.5 280 100 4 1 288 384 H/F 2 L->R
SAG T2 LSP 3700 93 280 100 4 1 240 320 H/F 2 L->R
AX T2 LSP 5000 101 200 100 4 1 336 448 A/P 1 H->F Axial stack
AX T1 LSP 600 9.8 200 100 4 1 256 320 A/P 2 H->F Axial stack
SAG T1 Post CSP 400 10 180 100 3 1 269 384 H/F 3 L->R
AX T1 Post CSP 600 9.8 200 100 3 1 256 320 A/P 2 H->F Axial stack
SAG T1 Post TSP 400 9 320 100 2 1 272 320 H/F 3 L->R
AX T1 Post TSP 600 9.8 200 100 5 1 256 320 A/P 2 H->F Axial stack
SAG T1 Post LSP 485 9.5 280 100 4 1 288 384 H/F 2 L->R
AX T1 Post LSP 600 9.8 200 100 4 1 256 320 A/P 2 H->F Axial stack
Intradural Screen (Total Spine) (+)
SAGITTAL T1 Post CSP
SAGITTAL T2 Post CSP
AXIAL T1 Post CSP
SAGITTAL T1 Post TSP
SAGITTAL T2 Post TSP
AXIAL T1 Post TSP
SAGITTAL T1 Post LSP
SAGITTAL T2 Post LSP
AXIAL T1 Post LSP

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 Post CSP 400 10 180 100 3 1 269 384 H/F 3 L->R
SAG T2 Post CSP 3700 93 180 100 3 1 240 320 H/F 2 L->R
AX T1 Post CSP 600 9.8 200 100 3 1 256 320 A/P 2 H->F Stacked
SAG T1 Post TSP 400 9 320 100 2 1 272 320 H/F 3 L->R
SAG T2 Post TSP 3700 93 320 100 2 1 272 320 H/F 2 L->R
AX T1 Post TSP 600 9.8 200 100 5 1 256 320 A/P 2 H->F Stacked
SAG T1 Post LSP 485 9.5 280 100 4 1 288 384 H/F 2 L->R
SAG T2 Post LSP 3700 93 280 100 4 1 240 320 H/F 2 L->R
AX T1 Post LSP 600 9.8 200 100 4 1 256 320 A/P 2 H->F Stacked
Paraspinal Mass (+/-)
*Include the spine and the mass laterally
Sagittal T1
Sagittal T2 FS
Axial T1
Axial T2
Coronal STIR
Axial T1 Post
Sagittal T1 FS Post
Coronal T1 FS Post
Axial T1 FS Post THIN THROUGH MASS

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 400 10 280 100 4 1 269 384 H/F 3 L->R
SAG T2 FS 3000 101 280 100 4 1 288 384 H/F 2 L->R
AX T1 600 9.8 200 100 4 1 256 320 A/P 2 H->F Stacked
AX T2 3200 101 200 100 4 1 336 448 A/P 2 H->F Stacked
COR STIR 3700 44 280 100 3 1 240 320 R/L 2 A->P
AX T1 Post 600 9.8 200 100 4 1 256 320 A/P 2 H->F Stacked
SAG T1 FS Post 400 10 280 100 4 1 269 384 H/F 2 L->R
COR T1 FS Post 400 10 280 100 3 1 269 384 R/L 2 A->P
AX T1 FS Post THIN
600 9.8 200 100 3 1 256 320 A/P 2 H->F Stacked
THROUGH MASS
Diskitis / Osteo / Abcess (+/-)
*This can be applied to any portion of the spine
Sagittal T1
Sagittal T2
Sagittal STIR
Axial T1
Axial T2
Sagittal T1 FS Post
Axial T1 Post

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG T1 400 10 300 100 3 1 269 384 H/F 2 L->R
SAG T2 3000 101 300 100 3 1 288 384 H/F 1 L->R
SAG STIR 3700 73 300 100 3 1 288 384 H/F 1 L->R
AX T1 600 9.8 200 100 4 1 256 320 A/P 2 H->F Stacked
AX T2 3200 101 200 100 4 1 336 448 A/P 2 H->F Stacked
SAG T1 FS Post 400 10 280 100 4 1 269 384 H/F 2 L->R
AX T1 Post 600 9.8 200 100 4 1 256 320 A/P 2 H->F Stacked
Spinal MRA (+/-)
*Cover the area of interest as specified and scan in the sagittal plane. Use fluoro trigger
with timing as the contrast is bright in the aorta.
Sagittal 3D MRA Pre
Sagittal 3D MRA Post – 3 phases

FOV MATRIX PHASE SCAN

Sequence TR TE SLICE GAP NEX OTHER
FREQ PHASE PHASE FREQ DIR DIR
SAG 3D MRA Pre 3 1.07 360 100 1 .2 262 320 A/P 1 L->R
SAG 3D MRA Post
3 1.07 360 100 1 .2 262 320 A/P 1 L->R
X3