SPHP

Radiology Protocols

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  • WELCOME
  • BODY MR
    • Liver
    • Hemochromatosis
    • Pancreas
    • Cholangio / PSC
    • MRCP
    • Panc-cyst F/U
    • Secretin MRCP
    • Liver/Panc/MRCP
    • Renal mass
    • Urogram
    • Adrenal mass
    • Female pelvis C+
    • Female pelvis C-
    • Cervical CA
    • Abd/pel GYN
    • Prostate MR
    • Urethral tic
    • Bladder
    • Scrotum/Testis
    • Penis
    • Enterography
    • Defecogram
    • Perianal fistula
    • Mediastinal mass
    • Body wall mass
    • Sternum
    • Appendicitis
    • Rectal Ca Staging
    • XRT Planning Pelvis
  • BODY CT
    • CT Abd/Pel C+
    • CT Abd/Pel C-
    • PEDS CT A/P
    • Stone CT C-
    • Liver CT C+
    • Pancreas CT C+
    • Adrenal initial C+
    • Adrenal F/U C-
    • Renal Mass CT C+
    • CT Urogram C+
    • CT Cystogram
    • Stone Compos.
    • CT Entero C+
    • GI Bleed CT C+
    • CT Abd C+
    • CT Abd C-
    • CT Pelvis C+
    • CT Pelvis C-
  • CHEST CT
    • CT Chest C+
    • CT Chest C-
    • CT PE
    • HRCT C-
    • HRCT C+
    • Tracheobronchomalacia
    • Lung Ca Screen
    • Esophagography
  • CTA
    • CA Dissection
    • CAP Dissection
    • Dissctn-Trauma
    • Endograft
    • Pulm Vein Mapping
    • Mesenteric CTA
    • Renal CTA
    • CTA Runoff
    • Aneurysm Chest
    • Aneurysm CA
    • Aneurysm AP
    • CT Venogram
    • Chst-Aneur C- F/U
    • A/P Aneur C- F/U
    • TAVR
    • Gated chest C-
    • CTA Arm C+
    • CTA Thoracic Inlet
  • COMBINED CT
    • CT CAP C+
    • CT CAP C-
    • CT Ch/Abd C+
    • CT Ch/Abd C-
    • CAP C+ Trauma
  • MSK MR LOWER-EXT
    • Bony Pelvis
    • Pelvis Osteo C+
    • Sacrum
    • Sacrum C+
    • SI Joints
    • Unilateral Hip
    • Bilateral Hip
    • Hip AVN
    • Hip Arthro
    • Hip Labrum
    • Athletic Pubalgia
    • Long Bone
    • Long Bone C+
    • Knee
    • Knee C+
    • Knee Arthro
    • Ankle/Hindfoot
    • Ankle/Hind C+
    • Ankle Arthro
    • Forefoot/Midfoot
    • Fore/Midfoot C+
    • Toe Tendon/Lig
    • Toe Mass C+
    • Ch/Ab Wall Mass
  • MSK MR UPPER-EXT
    • Sternum
    • Scapula
    • Pectoralis
    • Shoulder
    • Shoulder C+
    • Shoulder Arthro
    • Long Bone
    • Long Bone C+
    • Elbow
    • Elbow C+
    • Elbow Arthro
    • Wrist
    • Wrist C+
    • Wrist Arthro
    • Finger Ligament
    • Finger Mass C+
    • Hand MR C+
    • Thumb
  • MSK CT
  • VASCULAR MR
    • Thoracic Aorta
    • Noncontrast Aorta
    • Subclavian Arteries
    • UE/Brachial Artery
    • Renal Arteries
    • Renal Arteries C-
    • Abdominal Aorta
    • Mesenteric Arteries
    • Pelvic Arteries
    • Pelvic Veins
    • Run-off
    • Pelvic Congestion
    • Pulmonary MRA
  • NEURO MR
    • Routine Brain
    • Brain C-
    • Brain/IAC C+
    • Brain/IAC C-
    • Pituitary
    • MRA Brain
    • MR Venogram
    • Carotids
    • Brain&Orbits C+
    • Orbits Only C+
    • Brain Seizure
    • Brain Trauma
    • Cervical-Spine C-
    • Cervical-Spine C+
    • TMJs
    • Lumbar-Spine C-
    • Lumbar-Spine C+
    • Lumbar Plexus
    • Thoracic-Spine C-
    • Thorac-Spine-C+
    • Soft Tissue Neck
    • Skull Base
    • Brachial Plexus
  • NEURO CT
    • Head C-
    • Head C+
    • PEDS CT HEAD
    • Cervical Spine
    • Cervical Spine C+
    • Thoracic Spine
    • Thoracic Spine C+
    • Lumbar Spine
    • Lumbar Spine C+
    • Neck C+
    • Neck C-
    • Maxillofacial
    • Maxillofacial C+
    • IACs C+
    • Temporal Bones
    • Orbits
    • Orbits C+
    • Sinus
    • Sinus C+
    • Sella/Cav Sinus
    • Brainlab Sinus
    • CTA Carotids
    • CTA COW
    • CT venogram
  • ULTRASOUND
    • REPORTING
    • Abdomen
    • RUQ
    • Liver
    • Spleen
    • Female Pelvis
    • Male Pelvis
    • Bladder
    • Kidneys/Aorta
    • Kidneys/Bladder
    • Aorta
    • Kidneys
    • Penis
    • Appendix
    • First Tri OB
    • 2/3 Tri OB
    • Emergency Ltd OB
    • OB BPP
    • Carotids
    • Thyroid
    • Scrotum
    • LE DVT
    • UE DVT
    • Infant Cranial
    • Infant Spine
    • Pyloric Stenosis
    • Mesenteric stenosis
    • Renal Stenosis
    • Renal Veins
    • LE Pre-CABG Map
    • Pseudoaneurysm
    • Portal Vein Doppler
    • TIPS Doppler
    • In situ Venous Map
    • Arm Mapping
    • IJ Vein Mapping
    • Graft
    • PreCABG Radial Artery
    • Radial Art Pseudo
    • Transplant
    • Soft Tissue
    • Caval Index
  • CARDIAC MR
    • INDICATIONS
    • Routine w/ T2
    • Aortic valve
    • ASD
    • Pericardial Dis.
    • Cardiac mass
    • Noncompaction
    • HCM
    • Pulm Vein Ablation
    • Amyloid
    • ARVC
    • Mitral Valve
    • LV aneurysm
    • Pulmonic Sten.
    • Hemochromatosis
    • CA anomaly
    • LV function only
    • FE quant only
    • Real-time
  • BREAST IMAGING
    • Screening Mammo
    • Callback Mammo
    • Symptom Mammo
    • Follow-up Mammo
    • Breast US
    • Breast MRI
  • IR
    • Recovery Times
  • NUCLEAR MEDICINE
    • Bone Scan
    • HIDA with EF
  • RADIOGRAPHY
    • Upper Extremity
    • Lower Extremity
    • Thoracic/Chest
    • Spine
    • Abdomen
    • Skull/Head
    • Skeletal Survey
  • DEXA
    • Adult
    • Pediatric
  • MISC
    • Sitzmarks
  • Reference
    • Incidental Findings
      • Panc Cyst
      • Adrenal Nodule
      • Liver Lesion
      • Renal Lesion
      • Adnexal Cyst
      • Spleen
      • Gallbladder/Biliary
      • Thyroid
      • Thyroid nodule
      • Lymph Node
      • Vascular
    • Cardiac MR
      • Order form
      • Normal values
      • Normal values 2
      • Normal values 3
      • Iron Quant
      • 17 segment model
      • CA territories
      • Mitral regurg
      • ARVC criteria
      • Left Atrium
      • CMR Guides
  • MR Tips
    • Cardiac
      • Routine heart
      • Aortic valve
      • Right heart / PA
      • Pericard dynamic
      • TWIST angio
      • Iron quant
      • Gating
      • 3D trueFISP
    • Body MR
      • Breath holding
      • FOV
  • Contrast Guidelines
    • CT Contrast
    • MR Contrast

IMPROVING BODY MR IMAGE QUALITY


FIELD OF VIEW

One of the simplest ways to improve body MRI image quality is to optimze the FOV to the anatomy of concern.


INCORRECT FOV IMAGES IN BODY MR ARE OFTEN NONDIAGNOSTIC!


REMEMBER:  Voxel size = FOV / Matrix size.  The smaller the voxel, the better the resolution.


Smaller voxel size = DECREASED signal to noise


Using a small FOV decreases signal, which is regained by adding phase oversampling. Phase oversampling increases signal by increasing the number of phase encoding steps, just like using the larger FOV but with increased resolution.


INCORRECT

CORRECT

PROBLEM: The FOV is too large. The area of concern (abdomen) is too small, and even the arms are included on the images.


This is often a result of a preset FOV in the scanner with a relatively small patient on the table.

SOLUTION: Decrease FOV, use rectangular FOV to cover relevant anatomy. Add oversampling to avoid wrap and retain signal.


Tailor images to answer the clinical question.