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Table 2 proposed WB-MRI protocol for cancer screening in asymptomatic subjects of the general population

From: Whole-body magnetic resonance imaging (WB-MRI) for cancer screening in asymptomatic subjects of the general population: review and recommendations

 

Sequence description

Characteristics

Recommendation

1

Whole-body (head to mid-thigh) T1W GRE, Dixon technique

Axial or coronal (5 mm slice thickness)

Mandatory

2

Whole-body (head to mid-thigh) T2W, TSE without fat- suppression

Axial or coronal (5 mm slice thickness)

Mandatory

3

Whole-body (head to mid-thigh) DWI, STIR fat suppression, contiguous slicing, multiple stations

• ADC calculations with mono-exponential data fitting

• 3D-MIP reconstructions of highest b-value images*

Axial (5 mm slice thickness)

2 b-values:

• b50–100 s/mm2

• b800–1000 s/mm2)

Mandatory

Additional regional assessments:

4

• Brain: T2W FLAIR

Brain: Axial (5 mm slice thickness)

Optional

5

• Lung: T1 GRE short echo-time single breath hold

Lung: Axial (< 3 mm slice thickness)

Optional

6

• Whole spine T1W, TSE

Sagittal (4–5 mm slice thickness)

Optional

7

• Whole spine STIR (preferred) or fat suppressed T2W

Sagittal (4–5 mm slice thickness)

Optional

  1. W = weighted; TSE = turbo spin echo; STIR = short tau inversion recovery; GRE = gradient echo; DWI = diffusion weighted imaging; ADC = apparent diffusion coefficient; MIP = maximum intensity projection; FLAIR = FLuid Attenuated Inversion Recovery
  2. * Whole-body rotational 3D MIP images rotating along the cranio-caudal axis (≤3 degrees of rotation per frame), displayed using an inverted grey scale