1naresh
Array ( [urn:ac.highwire.org:guest:identity] => Array ( [runtime-id] => urn:ac.highwire.org:guest:identity [type] => guest [service-id] => ajnr-ac.highwire.org [access-type] => Controlled [privilege] => Array ( [urn:ac.highwire.org:guest:privilege] => Array ( [runtime-id] => urn:ac.highwire.org:guest:privilege [type] => privilege-set [privilege-set] => GUEST ) ) [credentials] => Array ( [method] => guest ) ) ) 1nareshArray ( [urn:ac.highwire.org:guest:identity] => Array ( [runtime-id] => urn:ac.highwire.org:guest:identity [type] => guest [service-id] => ajnr-ac.highwire.org [access-type] => Controlled [privilege] => Array ( [urn:ac.highwire.org:guest:privilege] => Array ( [runtime-id] => urn:ac.highwire.org:guest:privilege [type] => privilege-set [privilege-set] => GUEST ) ) [credentials] => Array ( [method] => guest ) ) ) 1nareshArray ( [urn:ac.highwire.org:guest:identity] => Array ( [runtime-id] => urn:ac.highwire.org:guest:identity [type] => guest [service-id] => ajnr-ac.highwire.org [access-type] => Controlled [privilege] => Array ( [urn:ac.highwire.org:guest:privilege] => Array ( [runtime-id] => urn:ac.highwire.org:guest:privilege [type] => privilege-set [privilege-set] => GUEST ) ) [credentials] => Array ( [method] => guest ) ) )Table 2:Recommended MR imaging sequences and parameters for the assessment of fetuses with suspected DMSSC
Sequence Plane Imaging Parameters Notes Essential sequences 3 plane scout/localizer Axial, sagittal, coronal — For subsequent planning T2-weighted TSE maternal pelvis Sagittal — To assess the position of the fetus; reposition the coil if the fetal ROI is not in the center of the coil T2-weighted SSFSE or HASTE Axial, sagittal, coronala 3-4 mm thickness, no intersection gaps (TR, 2000–3000 ms, TE, 150 ms), FOV 340 mm, flip angle 160° Provides excellent anatomic detail T2-weighted EPI-GRE or true FISP Axial, sagittal, coronala 4 mm thickness, no intersection gap (TR, 4.22 ms, TE, 1.75 ms), FOV 380 mm, flip angle 65° Evaluation of bony and vascular structures Optional sequences T1-weighted SPGR Sagittal, coronal 5 mm thickness, no intersection gaps (TR, 600 ms, TE, 30 ms), FOV 340 mm Improves spatial resolution with increasing gestational age Cine imaging Volumetric acquisition — Assesses fetal extremity mobility
Note:—SPGR indicates spoiled gradient recalled‐echo.
a Acquisition of all 3 planes in T2‐weighted SSFSE (HASTE) and T2‐weighted true FISP may not be feasible if the fetus is moving excessively; and in such a scenario, the protocol can be curtailed with T2‐weighted SSFSE in axial and coronal planes (providing anatomic detail) and T2‐weighted true FISP in sagittal plane (providing assessment of osseous structures).