Table 2.

MINIMAP MR imaging guidelines

MRI/MRCP Exam Guidelines

1. All imaging must be performed on a 1.5T scanner 2. The imaging must be performed with torso array coils 3. All patients will receive MultiHance (Gadobenate dimeglumine, Bracco Diagnostics) as MR contrast 4. All patients will receive the same dosage: 0.1 mmol/kg (ml), up to 15 ml (1 vial) 5. Contrast agent dosage should be same on all patients regardless of the eGFR 6. Contrast agent will be injected at a rate of 2 mL/sec followed by saline flush of at least 20 mL 7. Image slice thickness must be 5 mm or less 8. Secretin: To adequately assess the exocrine response to secretin, patients should be fasting for at least four hours prior to the MRI exam. Fasting includes any sorts of liquids. The manufacturer’s recommended dose of Secretin is 0.2 mcg/kg body weight. A test dose is no longer required by the manufacturer. 16 mcg (for adults) is administered via slow intravenous injection over one minute. Flush with 20 mL of saline 9. Commercially available negative MR oral contrast is no longer available. Pineapple and blueberry juice can be used if available; however, this is not mandatory. At Indiana University Hospital, 320 ml of pineapple juice at 100% concentration has been used as a replacement 10. Assess the patient’s breath-holding capability. If poor, give oxygen