Children’s National Medical Center/Bulas
Fetal Brain
3 plane loc (real time imaging)
Large FOV Mom/uterus
-Maternal Cor SSFE 5 mm 48 FOV
-Maternal Sag FIESTA of fetus and cervix 5 mm
-Axial DWI of placenta and fetal kidneys (do last)
Fetal Brain images
- 3 planes brain Fetography 3-4 mm (SSFSE first if moving to get best planes)
- Axial DWI of brain
- Cor SPGR of brain/body 6-8 mm breath hold
Fetal Body images
-Axial and coronal Body Fetography 3-4 mm
-Sag Body FIESTA 4-5 mm
Optional
-Sag Cine
-EPI
-Spectroscopy
-DTI
-Cardiac FIESTA
For Cleft Lip/Palate
- add Axial Cor face/brain FIESTA 4-5 mm
Fetal ABDOMEN mass/cyst
3 plane loc (real time imaging)
Large FOV Mom/uterus
-Maternal Cor SSFE 5 mm 48 FOV
-Maternal Sag FIESTA of fetus and cervix 5 mm
-Axial DWI of placenta and fetal kidneys (do last)
Fetal Body images
-3 planes Body Fetography 3-4 mm
-Sag Body FIESTA 4-5 mm
-Sag and Cor body SPGR breath hold (meconium)
Fetal Brain images
- 3 planes brain Fetography 3-4 mm (SSFSE first if moving to get best planes)
Optional
-Long TR urogram
-Axial Sagital SPGR breath hold for meconium
-Sag Cine
-EPI
-Cardiac FIESTA
Fetal CHEST mass /Congenital Diaphragmatic hernia
3 plane loc (real time imaging)
Large FOV Mom/uterus
-Maternal Cor SSFE 5 mm 48 FOV
-Maternal Sag FIESTA of fetus and cervix 5 mm
-Axial DWI of placenta and fetal kidneys (do last)
Fetal Body images
-Coronal optimal to chest Fetography 3 mm (need perfect images for measurement repeat as needed)
-Coronal optimal to chest Fetography 4 mm (need perfect images for measurement repeat as needed)
-Axial and sagittal of chest/abdomen Fetography 3-4 mm
-Sag Chest/abd FIESTA 4-5 mm
-Axial Heart FIESTA 4-5 mm
-Cor body SPGR 8 mm breath hold (meconium)
Fetal Brain images
- 3 planes brain Fetography 3-4 mm (SSFSE first if moving to get best planes)
Optional
-Cor/oblique of heart FIESTA 3-4 mm
-Sag Cine
-EPI
FETAL SACROCOCCYGEAL TERATOMA
Large FOV Mom/uterus
-Maternal Cor SSFE 5 mm 48 FOV
-Maternal Sag FIESTA of fetus and cervix 5 mm
-Axial DWI of placenta and fetal kidneys (do last)
Fetal body images
____Axial fetography chest/abd/pelvis 3-4 mm
____Coronal fetography chest/abd/pelvis 4 mm
____Sagittal fetography chest/abd/pelvis 4 mm
____Axial FIESTA abd/pelvis only 3-4 mm – looking for spinal canal invasion distally
____Sagittal FIESTA 4 mm
____Coronal body T1
____Sagittal body T1 – to define distal meconium
Fetal Brain images
- 3 planes brain Fetography 3-4 mm (SSFSE first if moving to get best planes)
Optional
-Cor/oblique of heart FIESTA 3-4 mm
-Sag Cine
-EPI
TWINS
3 plane loc (real time imaging)
Large FOV Mom/uterus
-Maternal Cor SSFE 8 skip 2 mm 48 FOV
-Maternal Cor FIESTA of both twins 5 mm
-Maternal Sag FIESTA of both twins and cervix 5 mm
-Axial DWI of both placentas
Affected twin
Fetal Brain images
- 3 planes brain Fetography 3-4 mm (SSFSE first if moving to get best planes)
- Axial DWI brain
- Cor SPGR brain/body 6-8 mm breath hold
Fetal Body images
-Axial and coronal Body Fetography 3-4 mm
-Sag Body FIESTA 4-5 mm
Optional
-Cor T1 of nonaffected twin
-Sag brain fetography nonaffected twin
-Axial COR FIESTA body/heart either twin