Adrenal (8.04.08)

Patient Preparation
3-PLANE LOC Calibration Scan BH Cor SSFSE ABD AXL SSFSE ABD AXL T2 FSAT BH ABD AXL IN/OUT PH ADRENALS
COR IN/OUT PH ADRENALS
AXL 3D LAVA ABD
COR 3D LAVA ABD
IMAGING PARAMETERS
Plane
3-PLANE AXIAL CORONAL AXIAL AXIAL AXIAL CORONAL AXIAL CORONAL
Mode
2D 2D 2D 2D 2D 2D 2D 3D 3D

Pulse Seq
Gradient Echo Gradient Echo Spin Echo Spin Echo FRFSE-XL SPGR SPGR LAVA LAVA
PSD Name
-- -- -- -- -- -- -- -- --
Imaging Options Seq Fast Fast Calib Fast ZIP512 SS Fast ZIP512 SS FC TRF Fast ZIP512 FR EDR Fast ZIP512 EDR Fast ZIP512 EDR Fast ZIP2 EDR Fast ZIP512 ZIP2
SCAN TIMING
# of Echoes
  1 1 1 1 2 2 1 1
TE
-- -- 180.0 90.0 100.0 -- -- -- --
TR
-- -- Minimum Minimum 2110.0 200.0 200.0 -- --
Flip Angle
-- -- -- -- -- 90 90 12 12
Bandwidth
-- -- 31.25 31.25 31.25 -- -- 62.50 62.50
ADDITIONAL PARAMETERS (see attached instructions)
SAT
                 
ACQUISITION TIMING
Freq
256 -- 256 256 256 256 256 512 512
Phase
128 -- 192 192 160 160 160 160 160
NEX
1.00 -- -- -- 1.00 1.00 1.00 -- --
Phase FOV
1.00 -- 1.00 1.00 0.75 0.75 0.75 0.80 0.80
Locs Before Pause
-- -- 10 0 -- -- -- -- -- --
Freq Dir
Unswap R/L S/I R/L R/L R/L S/I R/L S/I
Auto Center Freq
                 
Auto Shim
Auto Auto Auto Auto Auto Auto Auto Auto Auto
Contrast
No No No No No No No No No
SCANNING RANGE
FOV
48.0 48.0 44.0 32.0 40.0 38.0 38.0 36.0 36.0
Slice Thickness
10.0 13.0 8.0 8.0 8.0 4.0 4.0 6.0 6.0
Spacing
5.0 0.0 0.0 2.0 1.0 0.0 0.0 -- --
Start - End
                 
# of Slices
--
48 20 -- -- -- -- -- --
Scan Time
                 

 

 


Patient Preparation:

·       Start intravenous line (20 or 22 gauge iv).  If iv calibre is small (i.e. 22 gauge) then pre-warm the gadolinium contrast to body temperature to reduce its viscosity.

·       Oxygen, 2-4 liters/min by nasal canulae is essential if patient is short of breath

·       Valium (5-10mg po) or Xanax (1-2 mg po) if patient is claustrophobic

 

Coil:  Body coil is best because of its large field-of-view that allows imaging from diaphragm to femoral heads.  If using the torso array, consider rotating 90 degrees for greater S/I coverage.

 

Patient Positioning:  Supine, feet first,

Landmark:

 

Series 1:

 

 

 

 

 

Series 2:

 

 

 

 

 

 

 

Series 3:

 

 

 

 

 

 

 

Series 4:

 

 

 

 

 

 

Filming Instructions:

 

 

 

 

Billing Instructions:

 

 

 

 

ICD9 Codes:

 

 

 

 

Sample Normal Dictation: