SPHP Radiology Protocols

Radiology Protocols

Gating

ECG TRIGGERING

Normal sinus rhythm

Retrospectively gate.

Irregular rate, no identifiable QRS complex

Retrospectively gate. 

Use "Arrythmia Detection" and set the value to 300-400. 

This will reject data from a heartbeat in which the next R wave came earlier or later than a 300-400 msec window centered on the expected R wave.

Breathhold time will increase.


If images still have cardiac motion artifact (be sure to differentiate from respiratory motion artifact), use Prospective Triggering and Capture Cycle

Irregular rate, but good QRS complex

Neither retrospective or prospective triggering will work if the scanner cannot identify QRS complexes accurately.

First step - adjust ECG leads, and relearn VCG

Second step - reboot system


If this doesn't work, the exact can only be performed with real-time acquisitions and may not be diagnostic depending on the clinical indication

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