SPHP

Localizer

Axial bright blood MBH chest

Coronal bright blood MBH chest

2 chamber CINE

Fake short axis CINE

4 chamber CINE

-- CONTRAST--

Hi-res isotropic coronal TWIST angio

Isotropic conventional left atrial axial angio

Short axis stack CINE

3 chamber CINE

TI scout

MDE single shot SAS

MDE single shot 2 chamber

MDE single shot 4 chamber

MDE single shot 3 chamber

MDE segmented SAS

MDE segmented 2 chamber

MDE single shot 4 chamber

MDE single shot 3 chamber

Aorta through plane Phase Contrast (VENC 150)

*Optional through-plane PC pulmonary veins (VENC 30)

Both AXIAL and CORONAL bright blood TrueFISP scouts

Two angiographic sequences are needed:

1) High resolution coronal isotropic TWIST

-Thick straight coronal slab centered on Left Atrium. 

-Use axial and coronal bright blood scout to be sure to include all pulmonary veins and entire LA.

-Can alter parameters to meet coverage needs, but make sure that it remains nearly ISOTROPIC and ensure the TEMPORAL RESOLUTION does not go too long (5-7 seconds optimal). Check this by hovering mouse over "TA"

2) Left Atrial Angiogram

Straigh axial

Time injection for when contrast opacifies LEFT ATRIUM and PULMONARY VEINS

*Optional through-plane Phase Contrast pulmonary veins

Use Bright Blood scouts and isotropic angiograms to prescribe true cross-sectional slices through the pulmonary veins proximal to ostia.

VENC 30 to start.

VENC 60 if pulmonary vein stenosis