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PANCREAS MRI PROTOCOL

Pancreas


To detect and characterize focal pancreatic lesions

  • Scout (multiple planes)
  • T2 weighted Axial with fat suppression
  • T1 out of phase Spoiled Gradient Echo (SGE) Axial
  • T1 in phase SGE Axial with fat suppression

Post Contrast (0.2ml/kg rapid injection followed by 10 ml saline flush)

  • T1 In Phase FLASH Axial with fat suppression at :-
    • End of saline flush
    • 45 seconds post contrast
    • 1.5 minutes post contrast
  • MRCP Thick slice axial, RAO for Hepatic ducts, LAO for pancreatic duct

Notes 



Pancreatic carcinoma appears with low signal on unenhanced fat suppressed T1 images, but a tumour may be mimicked by age related changes. Immediately post contrast, the normal pancreas enhances avidly leaving the pancreatic carcinoma as a low signal region. Normal pancreatic enhancement drops off rapidly.

 
   
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