Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science...
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![Page 1: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/1.jpg)
Plane Selection in CMR
In Memory of Bill Woodward
Craig Broberg, MD
Oregon Health and Science University
![Page 2: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/2.jpg)
Start with Axial Spin Echo Stack
Line up for Vertical Long Axis (VLA)
LA
RALV
RV
mitral valve
apex
![Page 3: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/3.jpg)
Then Line up for short axis scout (SCOUT basal and mid)
Result: VLA
LA
LV
mitral valve
Note: Can be done as non-gated single-phase image (non-cine).
![Page 4: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/4.jpg)
Result: Scout
Basal Mid
RV
Aorta
LV/mitral valve
RV
LV
RV
![Page 5: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/5.jpg)
Scout (basal) VLA
Line up for left ventricular outflow tract (LVOT)
Aorta
LVRV LV
LA
Through maximum diameter of LVThrough apex
![Page 6: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/6.jpg)
LVOT
Line up for Aortic Valve (AoV)
LA
Aorta
LV
RV
Note: plane should be perpendicular to LVOT
Align through center of Aortic valve
![Page 7: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/7.jpg)
AoV
![Page 8: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/8.jpg)
Line up for Four Chamber (4Ch)
VLA SCOUT (mid)
LA
LV
LVRV
Center of mitral valveMax diameter of RV and LV
![Page 9: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/9.jpg)
4 Ch
LA
RA
LV
RV
![Page 10: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/10.jpg)
Make sure both images are set at END Diastole
Line up for Short Axis Stack (SA)
VLA 4 Ch
LA
RA LV
RV
LA
LV
First slice should align with valves
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SA (base to apex)
basal
mid
LV
RV
apical
![Page 12: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/12.jpg)
Axial Spin Echo Stack
Line up for Right Ventricular Outflow Tract (RVOT)
LPARPA
MPA
View planes above and below
![Page 13: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/13.jpg)
RVOT
Line up for Pulmonic Valve (PV)
MPA
RV
Pulmonic valve
![Page 14: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/14.jpg)
PV
Pulmonic valve
MPA
RV
![Page 15: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/15.jpg)
Line up for Right Pulmonary Artery (RPA)
Axial Spin Echo Stack
RPA
MPAAorta
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RPA
LA
RPA
LV
MPA
![Page 17: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/17.jpg)
Axial Spin Echo Stack
Line up for Left Pulmonary Artery (LPA)
LPA
MPAAorta
![Page 18: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/18.jpg)
LPA
MPALPA
![Page 19: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/19.jpg)
RPA LPA
Line up for Pulmonary Arteries (PAs)
MPARPALPA
MPA
Try to align through center of both RPA and LPA, though may not be possible
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PAs
RPA
Aorta
LPA
MPA
![Page 21: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/21.jpg)
4Ch SA (basal)
Line up for RV inflow-outflow (RV IN OUT)
RVOT
RV
RV/Tricuspid
RA
Pulmonic valve (“out”)
Tricuspid valve (“in”)
RV apex
Try to avoid LVOT/AoV here
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RV IN OUT
RA
RV
MPA
Tricuspid valve
Pulmonic valve
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Aorta
![Page 24: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/24.jpg)
LVOT AOV
Line up for Aortic velocity map (AO FLOW)
RA
RV
Aorta
LV
Sinotubular junction
![Page 25: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/25.jpg)
AO FLOW
![Page 26: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/26.jpg)
RVOT MPA
Line up for pulmonary artery velocity map (PA FLOW)
RV
MPA RV
MPA
Stay above pulmonic valve
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PA FLOW
![Page 28: Plane Selection in CMR In Memory of Bill Woodward Craig Broberg, MD Oregon Health and Science University.](https://reader035.fdocuments.in/reader035/viewer/2022062309/5697c02d1a28abf838cd9e1a/html5/thumbnails/28.jpg)