Pre- and post-contrast neck MR angiography protocol


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Indications: carotid stenosis, part of stroke workup, carotid dissection   

Sequences:
·        Axial tru-FISP
·        Sagittal tru-FISP
·        Dynamic coronal MRA (pre-, arterial, venous phases)
·        Rotating 3-D MIP reformats
·        Opt: axial pre-Gd thin-slice T1 SE with fat saturation (dissection).

Comments:


Dictation template:
Axial and sagittal tru-FISP through the neck.  Coronal dynamic MRA after the administration of 0.1-0.4 mmol/kg of intravenous Gadolinium contrast (up to 20 mL) in the arterial and venous phases, with rotating 3-dimensional maximum intensity projection (MIP) reformats constructed from subtraction images.  

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