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.