1. Steven D. Chang, MD
Professor of Neurosurgery
Co-Director Stanford CyberKnife Center
Robert Lieberson, MD
Assistant Professor of Neurosurgery
2. Brain
Glioma or Metastasis or Resection
Cavity or Meningioma
Cover from vertex to base
AX T1, W GAD, 2 mm cuts / skip 0
Acoustic Neuroma
cover from orbit to base
Ax T1, w GAD, 2 mm /0 mm
Ax 2D Fiesta, 1.5 mm /0 mm
Trigeminal Neuralgia
3-Tesla, center at sella
Ax 2D Fiesta, 1.5 mm/ 0 mm
Pituitary Tumor
Cover top of orbit to base
Ax T1 with gad and fat sat, 2 mm
Cover back of ear to tip of nose
Cor T1, with gad and fat sat
Option: Ax 2D Fiesta, 2 mm
Skull Base Tumor/NPC
Cover top of orbit to base
Ax T1, pre 2 mm/0 mm
Ax T1, post and fat sat, 2 mm/0
Cover back of ear to tip of nose
Cor T1, post and fat sat, 2 mm
Nasopharyngeal Carcinoma
Cover from soft palate to vertex
Ax T1, pre, 2 mm/0 mm
Ax T1, post-gad and fat sat
Cover back of ear to tip of nose
Cor T1, post and fat sat, 2 mm
AVM
Cover from vertex to base
Ax T2 pre 2 mm/0 mm
Axl T1, post 2 mm/0 mm
Orbital Tumor
Cover from vertex to base
Ax T1, pre with fat sat 2 mm
Ax T1, post and fat sat, 2 mm
Axial T2 2mm/0 mm
Cor T1, post and fat sat 2 mm
Paraganglioma/Glomus Tumor
Cover from top of orbit to C7
Ax T1, post, 2 mm/0 mm
T2, 2 mm/0 mm
Spine
C1 or C2
Tumor (NO instrumentation)
Cover from orbits to C3
3 PL SSFSE loc
Ax 2D FIESTA, 3 mm /0 mm
Ax T1 FSE XL, post fat sat
Tumor, (WITH instrumentation)
Cover from orbits to C3
3 PL SSFSE loc
Ax 2D FIESTA, 3 mm
Ax T1 IDEAL, post, 2 mm
C3 or Below
Tumor (NO instrumentation)
Cover 2 lvls above, below
3 PL SSFSE loc
Ax 2D FIESTA, 3mm/0 mm
Ax T1 FSE XL, post fat sat, 3
mm/0 mm, 22 cm FOV
Tumor (WITH instrumentation)
Cover 2 levels above, below
3 PL SSFSE loc
Ax 2D FIESTA, 3 mm/0 mm
Axial T1 IDEAL, post, 3 mm
AVM C1 C2
Cover from orbits toC3
3 PL SSFSE loc
AxT2, FSE, 2 mm/0 mm
Ax 2D Fiesta, 2 mm/0 mm
Below C3
Cover 2 levels above, below
3 PL SSFSE loc
Ax 2D FIESTA, 3 mm/0 mm
AxT2, FSE, 3 mm/0 mm
Brachial Plexus
Ax T1, pre
Ax T1, post-gad with fat sat
Cor T1, post-gad with fat sat
Pelvis
Axial T1-weighted, pre
Axial T1-weighted, post
