STANDARD BREAST MRI 

Sequences:

1.Localizer
2.In phase sequence
3.T2 w fat sat
4.Inversion recovery sequence
5.T1 fat sat precontrast
6.T1 fat sat post contrast x 3 
■   Inject contrast. Scan first pass immediately (no delay)
■   Scan 2nd pass immediately when 1st pass finishes.
■   Scan 3rd pass immediately when 2nd pass finishes.
■   *Send precontrast, post contrast pass 1, pass 2, and pass 3 each separately to PACS (ie not stacked or interleaved, but each as their own independent sequence in PACS).
■   *Send SUBTRACTED post contrast pass 1, 2, and 3 each separately to PACS (ie there should be 3 individual separate subtracted sequences in PACS).
■   *Send sagittal                           reconstruction of post con pass 2.
■   *Send sagittal reconstruction of SUBTRACTED post con pass 2.
7.MIP series
■    Axial MIP of the subtracted pass 1, subtracted pass 2, and subtracted pass 3 (total of 3 MIP images). These need to be STACKED, so that they are in PACS as 1 series - 1st          image is sub pass 1 MIP, 2nd image is sub pass 2 MIP, 3rd image is sub pass 3 MIP.

Specific parameters for the T1 fat sat precon and the T1 fat sat post contrast images are as follows:
■   3D acquisition
■   1 mm slices
■   Contiguous with no gap
■   FOV: 300 mm
■   Matrix: 300 x 300
■   Voxel size: 1 x 1 x 1mm