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

PROSTATE (last updated 11/12/2020, last reviewed 02/10/2022)

SEQUENCES

Ax T1 SE whole pelvis

Ax T1 high res prostate (small FOV) - ANGLE TO PROSTATE

Ax TSE T2 high res prostate (small FOV) - ANGLE TO PROSTATE

Sag TSE T2 high res prostate (small FOV) - ANGLE TO PROSTATE

Cor TSE T2 high res prostate (small FOV) - ANGLE TO PROSTATE

Ax diffusion (B50/400/800) with ADC - ANGLE TO PROSTATE

Ax diffusion (B1800) no ADC - ANGLE TO PROSTATE

Axial ISO VIBE prostate PRE - ANGLE TO PROSTATE

DCE (2.5 mins duration) - ANGLE TO PROSTATE

Axial VIBE whole pelvis (from aortic bif)

Axial ISO VIBE prostate POST - ANGLE TO PROSTATE

link to ACR practice parameter for soft tissue pelvis
link to PI-RADS version 2.1 (2019)
Setting up the planes

The axial images go perpendicular to a line that goes through the point where the urethra enters the base of the bladder and the base of the penis (dotted black line). Set up the prescription using the sagittal and coronal images. Make sure the entire prostate and seminal vesicles are covered.

The coronal images go parallel to a line that goes through the point where the urethra enters the base of the bladder and the base of the penis (dotted black line from above). Set up the perscription using the sagittal and axial images. On the axial scout images the perscription should be a true coronal of the prostate. The entire prostate needs to be covered. It is OK to clip the posterior aspect of the seminal vesicles.

The sagittal images go parallel to a line that goes through the point where the urethra enters the base of the bladder and the base of the penis (dotted black line). Set up the perscription using the axial and coronal images. On the axial scout images the perscription should be a true sagittal of the prostate. The entire prostate needs to be covered. It is oK to clip the lateral most aspects of the seminal vesicles.