IRM – Sân: leziuni și implanturi (combinat) (MCB)

Updated 06/06/26 Reviewed 06/06/26 MRI Breast Combo Indications: combined lesion detection & implant integrity protocols. Patient is scanned in the prone position to decrease respiratory motion artifact. Rotate images to anatomic position prior to sending images to PACS. water
slice
gap
Pulse Sequence PACS Name plane fat
sat sat (mm) (mm) first
slice T1 T1 AX BILAT ax no NA 4 1 top T2 T2 AX BILAT ax no NA 4 1 top STIR STIR AX BILAT ax no no 4 1 top STIR SILICONE AX ax no yes 4 1 top STIR SILICONE SAG RIGHT sag no yes 4 1 left STIR SILICONE SAG LEFT sag no yes 4 1 left 3D T1 T1 FS PRE RIGHT sag yes NA 2 none left 3D T1 T1 FS PRE LEFT sag yes NA 2 none left T1 T1 FS DYN ax yes NA 1.6 none top CONTRAST - 2 mL/sec standard dose gadolinium (0.2 mL/kg Clariscan or 0.1 mL/kg Gadavist) followed by 20 mL saline flush. 3D T1 T1 FS DYN ax yes NA 1.6 none top 3D T1 T1 FS DYN ax yes NA 1.6 none top 3D T1 T1 FS DYN ax yes NA 1.6 none top 3D T1 T1 FS DYN ax yes NA 1.6 none top 3D T1 T1 FS DYN ax yes NA 1.6 none top 3D T1 T1 FS POST RIGHT sag yes NA 2 none left 3D T1 T1 FS POST LEFT sag yes NA 2 none left RECONS: axial subtraction of the 1st dynamic post contrast sequence sagittal subtractions of right and left breast horizontal & vertical MIP spinners the 1st dynamic post contrast sequence FOR DEVICES WITH A 30 MINS RESTRICTION ON SCAN TIME: cannot perform the combo protocol in the same imaging time period obtain the lesion detection protocol sequences (minus pre contrast sagittals) during one imaging period obtain the implant integrity protocol sequences during another time period (separated from the lesion detection images by at least 60 minutes break)