Constrictive Pericarditis

Purpose: evaluate contrictive pericarditis vs. restrictive cardiomyopathy

   Series 1  Series 2  Series 3  Series 4
Name  coronal scout  axial "T1"  axial "T2"  axial (or short axis) cine
sequence  segmented k-space (FASTCARD)  FSE blood suppresion or SE T1  FSE T2 blood supression or FSE T2  see LV function, series 4
 TR  min  1-2 R-R  1-2 R-R  
 TE  min  30  60  
flip angle  20  90 90  
 slice thickness  10 6 6  
 slice gap  0  2 2  
frequency 256 256 256  
phase 128 256 192  
NVS  32  24-32 24-32  
 bandwidth  32  32  32  
 FOV  40  24-28 24-28  
 options  flow comp  flow comp, ZIP 512 flow comp, ZIP 512  

Instructions: Obtain all images at resting lung volume:

Series 1; rapid coronal scout through chest

Series 2: T1 weighted images (parameters are actually proton density weighted). If blood supression is not available, use spin echo T1 weighted image, with superior/ inferior sat pulses.

Series 3: T2 weighted images with fat suppresion. If blood suppression is not available, use fat suppressed fast spin echo T2 with echo train length 8-16, and superior/ inferior sat pulses.

Series 4: axial cine images (for LA masses). Alternatively, run in short axis

Series 5: pre/ post gad. If an "infarct" sequence is not available, run series 5-alt

Series 5-alt: segmented k-space sequence with fat suppression. 1 slice per breath-hold. Pre and post gadolinium.