PERICARDIAL DISEASE (rev. 3/21/2014)
Indications: Constrictive pericarditis, pericardial effusion, constriction vs restriction
SEQUENCES
Localizer
Axial bright blood chest
Axial dark blood chest
Axial VIBE FS PRE
2 chamber CINE
Fake short axis CINE
4 chamber CINE STACK
T2 STIR dark blood SA
T2 STIR dark blood 2 chamber
T2 STIR dark blood 4 chamber
Real-time cine SA free breathing
Real0time cine SA rapid inhalation
-- INJECT CONTRAST--
Axial VIBE FS POST
Short axis stack CINE
3 chamber CINE
Aorta through plane Phase Contrast
TI scout
MDE segmented SAS
MDE segmented chamber
MDE segmented 4 chamber
MDE segmented 3 chamber
**optional MDE with fat sat
3D MDE
NOTES
Axial bright blood chest
Thin overlapping - drop slice thickness to ~2-3, change distance factor to -50%
This creates a pseudo-3D TrueFISP
4 chamber CINE STACK
TrueFISP, 0 spacing, through whole heart
Real-time cine SA inhalation
Start sequence and ask the patient to take a deep breath in, very quickly
**optional MDE with fat sat to differentiate between epicardial/pericardial enhancement from inflammation and bright fat