Brain MRI Protocols

NAMEINDICATIONDESCRIPTION
Routine Brain MRI Routine Sagittal T1 SE, Axial PD/T2 SE, Coronal T1 SE.  No IV contrast.
Trauma Brain MRI Trauma Sagittal T1 SE, Axial PD/T2 SE, Coronal T1 SE, Axial FLAIR, Axial T2* GRE, Axial EP Diffusion.  No IV contrast.
FLAIR Brain MRI White matter dz Sagittal T1 SE, Axial PD/T2 SE, Coronal T1 SE, Axial FLAIR.  No IV contrast.
Stroke Brain MRI Acute infarct Sagittal T1 SE, Axial PD/T2 SE, Coronal T1 SE, Axial FLAIR, Axial EP Diffusion.  No IV contrast.
Congenital Brain MRI Congenital abn Sagittal T1 SE, Axial PD/T2 SE, Axial T1 FSPGR, Coronal T1 SE.    No IV contrast.
Infant Brain MRI Myelination Sagittal T1 SE, Axial PD/T2 SE, Axial T1 SE, Coronal T1 SE.  No IV contrast.
Seizure Brain MRI Partial complex seizures
(ages 5-35 yrs)
Sagittal T1 SE, Axial PD/T2 SE, Oblique coronal FSEIR 4 mm skip 0 parallel to anterior brainstem, Coronal T1 3D FSPGR 2 mm skip 0 from anterior sella to splenium of corpus callosum using 28 slices.  No IV contrast.
Gadolinium Brain MRI Neoplasm

Infection
pre-contrast:  Sagittal T1 SE, Axial PD/T2 SE, Axial T1 SE
contrast:  Gd (0.1 mmol / kg to max of 20 cc)
post-contrast:  Axial T1 SE, Coronal T1 SE, add Sagittal T1 SE if midline tumor
MS Screen Brain MRI Multiple sclerosis Sag T2 FSE, Axial PD/T2 SE, Axial FLAIR, Coronal T1 SE.  No IV contrast.
IAC MRI Vestibular schwanoma

Facial nerve anomalies
pre-contrast brain:  Sagittal T1 SE, Axial PD/T2 SE
pre-contrast IAC:  Axial T1 SE 3 mm skip 0
contrast:  Gd (0.1 mmol / kg to max of 20 cc)
post-contrast IAC:  Axial T1 3 mm skip 0 with fat-sat, Coronal T1 SE 3 mm skip 0 with fat-sat
Dynamic Pituitary MRI Microadenoma pre-contrast brain:  Sagittal T1 SE, Coronal T1 SE 3 mm skip 0 thru sella, Axial PD/T2 SE, Dynamic coronal FSE T1 3 slices pre-contrast
contrast:  Gd (0.1 mmol / kg to max of 20 cc)
post-contrast:  Dynamic coronal FSE T1 repeated x 11.  Coronal T1 SE, Sagittal T1 SE sella 3 mm skip 0.  No dynamics for macroadenomas.