Pancreas Protocol

 You must always evaluate the entire organ first before you store an image
 You should understand completely why you stored the image and identify everything in
the image
 Multiple breathing techniques may be required

Organ/ Scan Label Key Landmarks Identified
Order Plane
 Pancreas head
PANCREAS  Portal splenic confluence
 CBD
o If CBD is enlarged, measure internal AP diameter
Transvers
 Pancreas body
Pancrea e plane
 Aorta
s on the PANCREAS
 Measurement
body
o If pancreatic duct is seen measure internal AP
diameter
PANCREAS  Pancreas tail
 Splenic vein
 Pancreas head
PANCREAS
 Liver
SAG HEAD
 IVC
 Pancreas neck
PANCREAS  Uncinate process
Sagittal
Pancrea SAG NECK  Liver
plane on
s  SMV
the body
 Pancreas body
PANCREAS
 Liver
SAG BODY
 Aorta
PANCREAS  Pancreas tail
SAG TAIL  Splenic vein

Normal Measurement Ranges

Structure Area of Plane Measureme Comments
Interest nt
Common Bile Head of the Transver <7-8 mm  Only performed if abnormalities are
Duct pancreas se plane suspected
on the  If duct is enlarged measure internal
body duct diameter anterior to posterior
Pancreas Head Transver 2-3.5 cm  Only performed if abnormalities are
se plane suspected
on the
body
Pancreatic Body of the Transver 2 mm or less  Only performed if duct is seen
Duct pancreas se plane  If duct is enlarged measure internal
on the duct diameter anterior to posterior

AK\backup\Abdomen I\Protocols
body

Pancreas Protocol

Common Laboratory Values to be Reviewed prior to Examination

Lab Value Organ Level Indication or Association
Amylase  Pancreas Increased  Pancreatitis or other pancreatic disease
Lipase  Pancreas Increased  Pancreatitis or other pancreatic disease

 Tips
o Have patient poke out their abdomen or take in a deep breath if having trouble
seeing the pancreas
o Patient may drink water through a straw to create a fluid window if necessary
o Tail may be evaluated using the spleen as a window

 Pathology Seen
o Gray scale sagittal and transverse images
o Gray scale sagittal and transverse images with 3 measurements (length, width and
height)
o Color Doppler image to document the presence of blood flow
o Spectral Doppler image to document type and velocity of blood flow

AK\backup\Abdomen I\Protocols