MRCP - Secretin 

1. SCOUT
2. CORONAL TRUEFISP BH LOCALIZER
3. AXIAL T2 HASTE MBH
4. CORONAL T2 HASTE MBH
5. AXIAL IN and OPPOSED PHASE T1 GRE BH
6. AXIAL DIFFUSION
– b values of 50, 400, 800
7. CORONAL LOCALIZER non-BH
8. AXIAL T2 BLADE FS resp nav
9. T2 SPC MRCP non-BH
– navigator
10. HASTE MRCP – every 30 sec for 15 min , MD check for slice selection
11. AXIAL VIBE

Inject contrast

12. AXIAL VIBE – late arterial phase (immediate) – subtraction
13. AXIAL VIBE – 70 sec.
14. CORONAL VIBE – 2 min.
15. AXIAL VIBE – 3 min.
16. AXIAL VIBE – 5 min. – subtraction

OPTIONAL:
Thin T2 HASTE
Thin TrueFISP

SECRETIN:
• Order from pharmacy 24 hours in advance
• Radiologist will mix and inject
• Secretin is a dry powder and must be mixed with saline (confirm dose & strength before reconstituting)
   o Should be 10 mL vial containing 16 mcg secretin, reconstitute with 8 mL saline for a final concentration of 2 mcg/mL   (shake vigorously)
• For stimulation of pancreatic secretions to evaluate pancreatic exocrine function, dose is 0.2 mcg/kg body weight by IV injection over 1 minute