Chest CT Protocols

Standard CTA/CTV Cardiac

Gated CTA Thoracic

Chest With CTA Thoracic Aorta
Aorta

Chest Without CTV Chest CTA Cardiac

Chest Low Dose CTA Pulmonary Arteries CTA Coronary

Lung Screening TAVR

High Res Chest Calcium Scoring

Chest & Neck Pulmonary Vein

Left Atrial Appendage -

Tracheobronchomalacia
Lariat Protocol

Left Atrial Appendage -

Watchman Protocol
 CALCIUM SCORING
REVISED: 8/24/18

INDICATION INTERMEDIATE CHD RISK

ORAL PREP None
SCAN I- CINE THROUGH HEART
 2.5mm / 3.0mm AXIAL RECONS – STANDARD
RECON
ALGORITHM
REFORMAT 
3D POST PROCESSING CALCIUM SCORING

IV SIZE
IV CONTRAST
INJECTION RATE
PT POSITION SUPINE / FEET FIRST
GE STERNAL NOTCH
LANDMARK
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER SCAN
START CARINA
END BELOW HEART
DFOV 25
PREP GE
GROUP SIEMENS

CALCIUM SCORING
 16 SLICE – GE

This study is not scanned on the 16 Slice - GE scanner

CALCIUM SCORING
 64 SLICE – GE VCT

PARAMETER SCAN*
SCAN TYPE CINE SEGMENT
ROTATION TIME 0.35 SEC
THICKNESS 2.5
PITCH
SPEED
INTERVAL 20.0
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
mA 430
NOISE INDEX
DOSE REDUCTION 40%
ASIR/MODE 30% / SEGMENT
ALGORITHM STANDARD
REFORMATS

Estimated CTDI 5.29

Estimated DLP 52.90

CALCIUM SCORING
 196(2) – SIEMENS FORCE

***SEE CALCIUM SCORING IN CORONARY PROTOCOL***

CALCIUM SCORING
 CHEST & NECK
REVISED: 8/24/18

INDICATION
ORAL PREP NONE
CHEST ~25 SECONDS AFTER START OF INJECTION WITH NECK
SCAN
SCAN TO IMMEDIATELY FOLLOW
 3.0mm / 3.75mm AXIAL RECONS – STANDARD
ALGORITHM (CHEST)
 2.mm / 2.5mm AXIAL RECONS – STANDARD
ALGORITHM (NECK)
 0.625mm / 1.25mm / 1.5mm AXIAL RECONS –
STANDARD ALGORITHM (CHEST)
RECON
 0.625mm / 1.25MM AXIAL RECONS - DETAIL
ALGORITHM (NECK) -- GE SCANNERS
 0.6mm AXIAL RECONS – STANDARD ALGORITHM
(NECK) – FORCE SCANNER
 3.0mm / 3.75mm AXIAL RECONS – LUNG
ALGORITHM
 3mm CORONAL AND SAGITTAL (CHEST)
-REFORMAT
 2mm CORONAL AND SAGITTAL (NECK)
3D POST PROCESSING NONE

IV SIZE
IV CONTRAST 110CC OMNIPAQUE 350
INJECTION RATE
SUPINE / FEET FIRST / ARMS UP (CHEST) / ARMS
PT POSITION
DOWN (NECK)
GE STERNAL NOTCH
LANDMARK
SIEMENS ABOVE EARS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL (ARMS DOWN)

PARAMETER CHEST NECK

START ABOVE APICES TOP OF EAR
END BELOW ADRENALS BELOW CLAVICLES
DFOV <TO PATIENT> 20
PREP GE 25 SEC 5 MINS
GROUP SIEMENS 25 SEC 5 MINS

CHEST & NECK

 16 SLICE – GE

PARAMETER GROUP 1 ( CHEST) GROUP 2 ( NECK)

SCAN TYPE HELICAL FULL HELICAL FULL
ROTATION TIME 0.8 SEC 0.8 SEC
THICKNESS 3.75 2.5
PITCH 1.375:1 1.375:1
SPEED 27.50 27.50
INTERVAL 3.75 2.5
GANTRY TILT
SCAN FOV LARGE LARGE
kVp 120 120
AUTO mA TO 440 W/ AUTO mA TO 440 W/
mA SMART mA SMART mA
NOISE INDEX 22.53 14.56
DOSE REDUCTION
ASiR/MODE 40% / PLUS 30% / PLUS
ALGORITHM STD STANDARD STD DETAIL
Chest- Chest-
REFORMATS Neck Neck
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM STD STANDARD
REFORMATS THN COR 3 / SAG 3
40% / PLUS
THICK/INCR. 1.25 q 0.700
STD
ALGORITHM DETAIL
THN
REFORMATS Neck COR 2 / SAG 2
ASiR/MODE 30% / PLUS

Estimated CTDI 28.10

Estimated DLP 850.80

CHEST & NECK

 64 SLICE – GE VCT
PARAMETER GROUP 1 CHEST) GROUP 2 (NECK)
SCAN TYPE HELICAL FULL HELICAL FULL
ROTATION TIME 0.5 SEC 0.5 SEC
THICKNESS 3.75 2.5
PITCH 0.984:1 0.984:1
SPEED 39.37 39.37
INTERVAL 3.75 2.5
GANTRY TILT
SCAN FOV LARGE BODY LARGE BODY
kVp 120 120
AUTO mA TO 440 W/ AUTO mA TO 440 W/ SMART
mA SMART mA mA
NOISE INDEX 13.88 13.20
DOSE REDUCTION 40% 30%
ASIR/MODE 40% / PLUS 30% / PLUS
ALGORITHM STD STANDARD STD DETAIL
Chest- Chest-
REFORMATS Neck Neck
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR. 0.625 q 0.625
ALGORITHM STD STANDARD
REFORMATS THN COR 3 / SAG 3
ASiR/MODE 40% / PLUS-E
THICK/INCR. 0.625 q 0.625
STD
ALGORITHM DETAIL
THN
REFORMATS Neck COR 2 / SAG 2
ASiR/MODE 30% / PLUS-E
THICK/INCR. 1.25 q 0.700
ALGORITHM STANDARD
STD 2
REFORMATS
ASiR/MODE 40% / PLUS

Estimated CTDI 34.94

Estimated DLP 890.38

CHEST & NECK

 196(2) – SIEMENS FORCE

PARAMETER TF CHEST DE NECK

SCAN TYPE
ROTATION TIME 0.28 SEC 0.25 SEC
THICKNESS 3.0mm 2.0mm
PITCH 2.0 0.7
SPEED
INTERVAL 3.0mm 2.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV – ON 90 / Sn150
mAs CARE Dose4D CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV <TO PATIENT> 20
PREP GROUP 25 SEC 45 SEC
KERNEL Br40 Br40
STD STD
ADMIRE 3 1
THICK/INCR. 3.0 q 3.0 DE 0.75 q 0.5
#PP
KERNEL Lung Bl57 Qr40
STD
ADMIRE 3 THN 3
THICK/INCR. 3.0 q 3.0 2.0 q 2.0
KERNEL COR 3 Br40 COR 2 Br40
ADMIRE 3 3
THICK/INCR. 3.0 q 3.0 2.0 q 2.0
KERNEL SAG 3 Br40 SAG 2 Br40
ADMIRE 3 3
THICK/INCR. 1.5 q 1.0 0.6 q 0.6
STD STD
KERNEL THN Br40 THN Br40
ADMIRE 3 1

Estimated CTDI 6.16

Estimated DLP

CHEST & NECK

 CHEST LOW DOSE
REVISED: 8/24/18

INDICATION EVAL OR F/U PULMONARY NODULE, BRONCHIECTASIS

ORAL PREP NONE
SCAN NON-CONTRAST
 2.5mm / 3.0mm AXIAL RECON – STANDARD
ALGORITHM
 2.5mm / 3.0mm AXIAL RECON – LUNG
RECON
ALGORITHM
 1.25mm / 1.5mm AXIAL RECON – STANDARD
ALGORITHM
REFORMAT  3mm CORONAL AND SAGITTAL
3D POST PROCESSING VOLUME DOUBLING TIME (PULMONARY NODULE)

IV SIZE
IV CONTRAST
INJECTION RATE
PT POSITION SUPINE / FEET FIRST
GE STERNAL NOTCH
LANDMARK
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER SCAN
ABOVE APICES -- UNLESS
START
OTHERWISE SPECIFIED
BELOW ADRENAL GLANDS –
END
UNLESS OTHERWISE SPECIFIED
DFOV <TO PATIENT>
PREP GE
GROUP SIEMENS

CHEST LOW DOSE

 16 SLICE – GE

PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 2.5
PITCH 1.375:1
SPEED 27.50
2.5
INTERVAL
GANTRY TILT
SCAN FOV LARGE
kVp 120
mA 100
NOISE INDEX
DOSE REDUCTION
ASiR/MODE 0% / PLUS
ALGORITHM STANDARD
STD
REFORMATS
THICK/INCR. 2.5 q 2.5
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 0% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM STD STANDARD
REFORMATS THN COR 3 / SAG 3
ASiR/MODE 0% / PLUS

Estimated CTDI 3.40

Estimated DLP 105.50

CHEST LOW DOSE

 64 SLICE – GE VCT

PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 2.5
PITCH 0.984:1
SPEED 39.37
INTERVAL 2.5
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
AUTO mA TO 100 W/
mA SMART mA
NOISE INDEX 12.75
DOSE REDUCTION
ASIR/MODE 0% / PLUS
ALGORITHM STANDARD
STD
REFORMATS
THICK/INCR. 2.5 q 2.5
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 0% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM STD STANDARD
REFORMATS THN COR 3 / SAG 3
ASiR/MODE 0% / PLUS

Estimated CTDI 3.07

Estimated DLP 91.25

CHEST LOW DOSE

 196(2) – SIEMENS FORCE

CHEST LOW DOSE

PARAMETER NO TF
SCAN TYPE
ROTATION TIME 0.5 SEC
THICKNESS 3.0mm
PITCH 1.2
SPEED
INTERVAL 3.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV
mAs CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV <TO PATIENT>
PREP GROUP
KERNEL Br40
STD
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3
THICK/INCR. 1.5 q 1.0
STD
KERNEL THN Br40
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL COR 3 Br40
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL SAG 3 Br40
ADMIRE 3

Estimated CTDI 1.14

Estimated DLP

CHEST LOW DOSE

 CHEST WITH
REVISED: 8/24/18

INDICATION
ORAL PREP NONE
SCAN 25 SEC AFTER INJECTION STARTS
 3.0mm / 3.75mm AXIAL RECON – STANDARD
ALGORITHM
RECON  3.0mm / 3.75mm AXIAL RECON – LUNG ALGORITHM
 1.25mm /1.5mm AXIAL RECON – STANDARD
ALGORITHM
REFORMAT  3mm CORONAL AND SAGITTAL
3D POST PROCESSING

IV SIZE
IV CONTRAST 60cc OMNIPAQUE 350
INJECTION RATE
PT POSITION SUPINE / FEET FIRST
GE STERNAL NOTCH
LANDMARK
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER SCAN
START ABOVE APICES
END BELOW ADRENAL GLANDS
DFOV <TO PATIENT>
PREP GE 25 SEC
GROUP SIEMENS 25 SEC

CHEST WITH
 16 SLICE – GE

PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 3.75
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
AUTO mA TO 440 W/
mA SMART mA
NOISE INDEX 19.51
DOSE REDUCTION
ASiR/MODE 40% / PLUS
ALGORITHM STANDARD
STD
REFORMATS
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM STD STANDARD
REFORMATS THN COR 3 / SAG 3
ASiR/MODE 40% / PLUS

Estimated CTDI 10.76

Estimated DLP 338.05

CHEST WITH
 64 SLICE – GE VCT

PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 3.75
PITCH 0.984:1
SPEED 39.37
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
AUTO mA TO 440 W/
mA SMART mA
NOISE INDEX 17.28
DOSE REDUCTION 40%
ASIR/MODE 40% / PLUS
ALGORITHM STANDARD
STD
REFORMATS
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM STD STANDARD
REFORMATS THN COR 3 / SAG 3
ASiR/MODE 40% / PLUS

Estimated CTDI 7.15

Estimated DLP 246.44

CHEST WITH
 196(2) – SIEMENS FORCE

PARAMETER TF CHEST WITH

SCAN TYPE
ROTATION TIME 0.28 SEC
THICKNESS 3.0mm
PITCH 2.0
SPEED
INTERVAL 3.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV
mAs CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV <TO PATIENT>
PREP GROUP 25 SEC
KERNEL Br40
STD
ADMIRE 3
THICK/INCR. 1.5 q 1.0
STD
KERNEL THN
Br40
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL COR 3 Br40
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL SAG 3 Br40
ADMIRE 3

Estimated CTDI 4.81

Estimated DLP

***IF ANATOMY OF INTEREST EXCEEDS TURBO FLASH SFOV, USE SINGLE ENERGY SCAN (XXL PROTOCOL) ***

CHEST WITH
PARAMETER XXL CHEST W/
SCAN TYPE
ROTATION TIME 0.25 SEC
THICKNESS 3.0mm
PITCH 0.6
SPEED
INTERVAL 3.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV
mAs CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV <TO PATIENT>
PREP GROUP 25 SEC
KERNEL Br40
STD
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL SAG 3 Br40
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL COR 3 Br40
ADMIRE 3
THICK/INCR. 1.5 q 1.0
STD
KERNEL THN Br40
ADMIRE 3

Estimated CTDI 3.14

Estimated DLP

CHEST WITH
 CHEST WITHOUT
REVISED: 8/24/18

INDICATION
ORAL PREP NONE
SCAN 25 SEC AFTER INJECTION STARTS
 3.0mm / 3.75mm AXIAL RECON – STANDARD
ALGORITHM
RECON  3.0mm / 3.75mm AXIAL RECON – LUNG ALGORITHM
 1.25mm /1.5mm AXIAL RECON – STANDARD
ALGORITHM
REFORMAT  3mm CORONAL AND SAGITTAL
3D POST PROCESSING

IV SIZE
IV CONTRAST
INJECTION RATE
PT POSITION SUPINE / FEET FIRST
GE STERNAL NOTCH
LANDMARK
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER SCAN
START ABOVE APICES
END BELOW ADRENAL GLANDS
DFOV <TO PATIENT>
PREP GE
GROUP SIEMENS

PECTUS EXCAVATUM: Start scan above Manubrium, extend below the tip of the Xyphoid (do not need apices or all of
ribs), in bone 5.0mm q 5.0mm in a standard algorithm recons and thin bone recons. **Per Dr. Czum
CHEST CT MODIFICATIONS:
1. PLEURAL EFFUSION WORK-UP: To Look for underlying lung pathology in the setting of known or unknown
etiology. Prone (preferred) or decubitus (if prone not possible)
2. ESOPHAGEAL MASS WORK-UP: Oral Barium contrast administered on table immediately before scan.
3. ESOPHAGEAL POST-OP LEAK: Oral water soluble contrast administered on table immediately before scan.
4. SOLITARY PULMONARY NODULE: 12 cm FOV reconstruction covering known focal pathology 1.25mm thick by
1.25mm interval, limited to target lesion of interest.
CHEST WITHOUT
 16 SLICE – GE

PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 3.75
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
AUTO mA TO 440 W/
mA SMART mA
NOISE INDEX 19.51
DOSE REDUCTION
ASiR/MODE 40% / PLUS
ALGORITHM STD STANDARD
REFORMATS WO
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM STD STANDARD
THN COR 3 WO /
REFORMATS WO SAG 3 WO
ASiR/MODE 40% / PLUS

Estimated CTDI 10.76

Estimated DLP 338.05

CHEST WITHOUT
 64 SLICE – GE VCT

PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 3.75
PITCH 0.984:1
SPEED 39.37
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
AUTO mA TO 440 W/
mA SMART mA
NOISE INDEX 17.28
DOSE REDUCTION 40%
ASIR/MODE 40% / PLUS
ALGORITHM STD STANDARD
REFORMATS WO
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM STD STANDARD
THN COR 3 WO /
REFORMATS WO SAG 3 WO
ASiR/MODE 40% / PLUS

Estimated CTDI 7.15

Estimated DLP 246.44

CHEST WITHOUT
PARAMETER TF CHEST WO
SCAN TYPE
ROTATION TIME 0.28 SEC
THICKNESS 3.0mm
PITCH 2.0
SPEED
INTERVAL 3.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV
mAs CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV <TO PATIENT>
PREP GROUP
KERNEL STD Br40
ADMIRE WO 3
THICK/INCR. STD 1.5 q 1.0
KERNEL THN Br40
ADMIRE WO 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3
THICK/INCR. 3.0 q 3.0
COR 3
KERNEL WO Br40
ADMIRE 3
THICK/INCR. 3.0 q 3.0
SAG 3
KERNEL WO Br40
ADMIRE 3

Estimated CTDI 4.81

Estimated DLP

CHEST WITHOUT
 CTA CARDIAC
REVISED: 8/24/18

1. AORTIC STENOSIS TAVR EVALUATION

2. CARDIAC VOLUMES/FUNCTION
INDICATION 3. CARDIAC MASS
4. CONGENITAL HEARD DISEASE PRE OR POST OP
EVALUATION
ORAL PREP NONE
SCAN 1. I+ CINE SCAN THROUGH HEART
 0.625mm / 3.0mm STANDARD ALGORITHM
RECON  0.6mm / 0.625mm STANDARD ALGORITHM (0-95%
PHASES)
REFORMAT 
LV VOLUME
3D POST PROCESSING
RV VOLUME
IV SIZE 18g
IV CONTRAST WEIGHT BASED
INJECTION RATE 5cc/SEC
PT POSITION SUPINE / FEET FIRST
GE STERNAL NOTCH
LANDMARK
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER CTA
START CARINA
END BELOW HEART
DFOV
PREP GE MIROI + 14
GROUP SIEMENS MIROI + 14

CTA CARDIAC
 16 SLICE – GE

This study is not scanned on the 16 Slice - GE scanner

CTA CARDIAC
 64 SLICE – GE VCT

**CTA (SNAPSHOT
PARAMETER MIROI
SEGMENT LARGE)
SCAN TYPE AXIAL FULL CARDIAC SEGMENT
ROTATION TIME 0.5 SEC 0.35 SEC
THICKNESS 5.0 0.625
PITCH 0.16:1
SPEED 6.40
INTERVAL 0.0 0.625
GANTRY TILT
SCAN FOV SMALL BODY CARDIAC LARGE
kVp 120 100
ECG MODULATED TO
mA 150
770
NOISE INDEX
DOSE REDUCTION 40% 10%
30% / SNAPSHOT
ASIR/MODE 40% / FULL
SEGMENT
ALGORITHM STANDARD STANDARD
MIROI STD
REFORMATS

Estimated CTDI 92.81

Estimated DLP 898.21

***PREP GROUP: (MIROI): Start breathing instructions (they take 20.6 seconds). Watch the scanner and start the
injection with there is 5 seconds left before the scan. Pause the scan after the peak in the aorta. Place MIROI in the
ascending aorta.
SCAN PITCH: Check chart and compare heart rate. Adjust pitch if necessary. To override heart rate turn override
heart rate button to on, and click accept.
RETRO RECONS:
- Start Phase 5%
- End Phase 95%
- Increment of 10
**** Send ECG strip to PACS****

CTA CARDIAC
 196(2) – SIEMENS FORCE

PARAMETER TEST BOLUS RETROSPECTIVE

SCAN TYPE FULL
ROTATION TIME 0.25 SEC 0.25 SEC
THICKNESS 10.0mm 3.0mm
PITCH 0.15
SPEED
INTERVAL 0.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 100 CARE kV
mAs 20 CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV 20 20
TEST BOLUS PEAK +
PREP GROUP 14
KERNEL Bv40 Br36
STD
ADMIRE 2
THICK/INCR. PHASES 0.6 q 0.5
MATRIX
KERNEL Qr36
256
(5-95 q
ADMIRE 10) 2

**** Send ECG strip to PACS****

Estimated CTDI 71.86

Estimated DLP

CTA CARDIAC
 CTA CORONARY
REVISED: 8/24/18

1. CORONARY ANOMALY
2. CORONARY ARTERY DISEASE
INDICATION
3. CHEST PAIN
4. ABNORMAL STRESS TEST
ORAL PREP NONE
1. I- CINE THROUGH HEART
SCAN
2. I+ CINE SCAN THROUGH HEART
 2.5mm / 3.0mm AXIAL RECON - STANDARD
ALGORITHM (CALCIUM SCORING)
 0.625mm / 3.0mm AXIAL RECON - STANDARD
RECON
ALGORITHM (CTA)
 0.6mm / 0.625mm AXIAL RECON - STANDARD
ALGORITHM (40-85% PHASES)
REFORMAT 
CALCIUM SCORING
CURVED REFORMATS – EACH CORONARY
3D POST PROCESSING 3D CORONARIES
3D CORONARIES W/ TRANSPARENT HEART
X-SECTION CORONARY

IV SIZE 18g
IV CONTRAST WEIGHT BASED
INJECTION RATE 5cc/SEC
PT POSITION SUPINE / FEET FIRST
GE STERNAL NOTCH
LANDMARK
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER CALCIUM SCORING CTA

START CARINA 2Omm ABOVE LAD
END BELOW HEART 20mm BELOW HEART
DFOV 25 20
PREP GE MIROI + 14
GROUP SIEMENS MIROI + 14

CTA CORONARY
 16 SLICE – GE

This study is not scanned on the 16 Slice - GE scanner

CTA CORONARY
 64 SLICE – GE VCT

**CTA (SNAPSHOT
PARAMETER *NON-CONTRAST MIROI
SEGMENT LARGE)
SCAN TYPE CINE SEGMENT AXIAL FULL CARDIAC SEGMENT
ROTATION TIME 0.35 SEC 0.5 SEC 0.35 SEC
THICKNESS 2.5 5.0 0.625
PITCH 0.16:1
SPEED 6.40
INTERVAL 20.0 0.0 0.625
GANTRY TILT
SCAN FOV LARGE BODY SMALL BODY CARDIAC LARGE
kVp 120 120 100
ECG MODULATED TO
mA 430 150
770
NOISE INDEX
DOSE REDUCTION 40% 40% 10%
30% / SNAPSHOT
ASIR/MODE 30% / SEGMENT 40% / FULL
SEGMENT
ALGORITHM STANDARD STANDARD STANDARD
CASC MIROI STD
REFORMATS

Estimated CTDI 92.81

Estimated DLP 898.21

*NON-CONTRAST: Choose Smart Score – Gate 0.35 sec on protocol list under chest.
**SNAPSHOT SEGMENT LARGE: Protocol is found under the chest
***PREP GROUP: (MIROI): Start breathing instructions (they take 20.6 seconds). Watch the scanner and start the
injection with there is 5 seconds left before the scan. Pause the scan after the peak in the aorta. Place MIROI in the
ascending aorta.
SCAN PITCH: Check chart and compare heart rate. Adjust pitch if necessary. To override heart rate turn override
heart rate button to on, and click accept.
RETRO RECONS:
o Start Phase 40%
o End Phase 85%
o Increment of 5

**** Send ECG strip to PACS****

CTA CORONARY
 196(2) – SIEMENS FORCE

PARAMETER CASC TEST BOLUS PROSPECTIVE RETROSPECTIVE

SCAN TYPE FULL FLEX
ROTATION TIME 0.25 SEC 0.25 SEC 0.25 SEC 0.25 SEC
THICKNESS 3.0mm 10.0mm 3.0mm 3.0mm
PITCH 3.2 0.15
SPEED
INTERVAL 1.5mm 0.0mm 3.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV 100 CARE kV CARE kV
mAs CARE Dose4D 20 CARE Dose4D CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV 20 20 20 20
TEST BOLUS PEAK + TEST BOLUS PEAK +
PREP GROUP 10 SEC 14 SEC 14 SEC
KERNEL Qr36 Bv40 Qr36 Qr36
CASC STD STD
ADMIRE 3 3
THICK/INCR. 0.6 q 0.5 0.6 q 0.5
KERNEL PHASES Qr36 PHASES Qr36
ADMIRE 3 3

**** Send ECG strip to PACS****

15.58 (CASC) / 18.74 (PROSPECTIVE) / 73.20

Estimated CTDI
(RETROSPECTIVE)
Estimated DLP

CTA CORONARY
 CTA PULMONARY ARTERIES
REVISED: 8/24/18

INDICATION PULMONARY EMBOLISM, PULMONARY AVM

ORAL PREP NONE
FIRST PASS (ARTERIAL PHASE) SCAN TIMED OFF THE
SCAN
PULMONARY ARTERIES
 2.5mm / 3.0mm AXIAL RECON – STANDARD
ALGORITHM
RECON  3.0mm / 3.75mm AXIAL RECON – LUNG ALGORITHM
 1.25mm / 1.5mm AXIAL RECON – CHEST/STANDARD
ALGORITHM
 3mm q 1.5mm MIP CORONAL AND SAGITTAL
REFORMAT
 3mm CORONAL AND SAGITTAL
3D POST PROCESSING
IV SIZE 18g OR 20g
IV CONTRAST WEIGHT BASED
INJECTION RATE 5cc/SEC
PT POSITION SUPINE / FEET FIRST
GE STERNAL NOTCH
LANDMARK
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER CTA
START ABOVE APICES
END BELOW DIAPHRAGM
DFOV <TO PATIENT>
PREP GE MIROI + 4
GROUP SIEMENS SMART PREP @ PULMONARY ARTERY

CTA PULMONARY ARTERIES

 16 SLICE – GE

PARAMETER MIROI* CTA

SCAN TYPE AXIAL FULL HELICAL FULL
ROTATION TIME 0.5 SEC 0.5 SEC
THICKNESS 5.0 2.5
PITCH 0.938:1
SPEED 18.75
INTERVAL 0.0 2.5
GANTRY TILT
SCAN FOV LARGE LARGE
kVp 120 100
mA 40 AUTO mA TO 420 W/ SMART mA
NOISE INDEX 18.26
DOSE REDUCTION
ASiR/MODE 0% / FULL 40% / PLUS
ALGORITHM STANDARD STANDARD
MIROI STD
REFORMATS
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 30% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM CHEST
STD
THN COR MIP / SAG MIP /
REFORMATS COR 3 / SAG 3
ASiR/MODE 30% / PLUS

Estimated CTDI 92.78

Estimated DLP 226.70

CTA PULMONARY ARTERIES

 64 SLICE – GE VCT

PARAMETER MIROI CTA

SCAN TYPE AXIAL FULL HELICAL FULL
ROTATION TIME 0.5 SEC 0.9 SEC
THICKNESS 5.0 2.5
PITCH 0.984:1
SPEED 39.37
INTERVAL 0.0 2.5
GANTRY TILT
SCAN FOV LARGE BODY LARGE BODY
kVp 120 100
mA 60 AUTO mA TO 420 W/ SMART mA
NOISE INDEX 15.86
DOSE REDUCTION 20% 40%
ASIR/MODE 20% / FULL 40% / PLUS
ALGORITHM STANDARD STANDARD
MIROI STD
REFORMATS
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 30% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM CHEST
STD
THN COR MIP / SAG MIP /
REFORMATS COR 3 / SAG 3
ASiR/MODE 30% / PLUS

Estimated CTDI 67.38

Estimated DLP 222.05

CTA PULMONARY ARTERIES

 196(2) – SIEMENS FORCE
PREMONITORING /
PARAMETER SMART PREP
TF PE
SCAN TYPE FULL
ROTATION TIME 0.25 SEC 0.25 SEC
THICKNESS 10.0mm 3.0mm
PITCH 2.6
SPEED
INTERVAL 0.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 100 CARE kV
mAs 23 CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV 30 <TO PATIENT>
PREP GROUP 6 SEC SMART PREP
KERNEL Br36 Bv36
STD
ADMIRE 3
THICK/INCR. 1.5 q 1.0
STD
KERNEL THN Bv36
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3
THICK/INCR. 3.0 q 1.5
COR
KERNEL MIP Br36
ADMIRE 3
THICK/INCR. 3.0 q 1.5
SAG
KERNEL MIP Br36
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL COR 3 Br36
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL SAG 3 Br36
ADMIRE 3

Estimated CTDI 24.04

Estimated DLP
CTA PULMONARY ARTERIES
***IF ANATOMY OF INTEREST EXCEEDS TURBO FLASH SFOV, USE SINGLE ENERGY SCAN (XXL PROTOCOL) ***

PREMONITORING /
PARAMETER SMART PREP
XXL PE
SCAN TYPE FULL
ROTATION TIME 0.5 SEC 0.5 SEC
THICKNESS 10.0mm 3.0mm
PITCH 1.5
SPEED
INTERVAL 0.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 140 CARE kV – SEMI - 130
mAs 65 CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV 40 <TO PATIENT>
KERNEL Br36 Br40
STD
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3
THICK/INCR. 1.0 q 0.7
STD
KERNEL THN Br40
ADMIRE 3
THICK/INCR. 3.0 q 1.5
COR
KERNEL MIP Br36
ADMIRE 3
THICK/INCR. 3.0 q 1.5
SAG
KERNEL MIP Br36
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL COR 3 Br36
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL SAG 3 Br36
ADMIRE 3

Estimated CTDI 180.51

Estimated DLP

CTA PULMONARY ARTERIES

 CTA THORACIC AORTA
REVISED: 8/24/18

INDICATION AORTIC PATHOLOGY

ORAL PREP NONE
SCAN I+ SMART PREP TIMED
 2.5mm / 3.0mm AXIAL RECONS - STANDARD
ALGORITHM
RECON  3.0mm / 3.75mm AXIAL RECONS LUNG ALGORITHM
 0.6mm / 0.625mm / 1.25mm AXIAL RECONS –
STANDARD ALGORITHM
REFORMAT  3mm q 1.5mm MIP CORONAL AND SAGITTAL
3D ROTATION AORTA
CURVED REFORMAT AORTA
3D POST PROCESSING
MAX VESSEL DIAMETER W/ 0* AND 90* VIEWS OF
AORTA

IV SIZE 18g OR 20g

IV CONTRAST WEIGHT BASED
INJECTION RATE 4-5cc/SEC
PT POSITION SUPINE / FEET FIRST
GE STERNAL NOTCH
LANDMARK
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER CTA
START ABOVE APICES
END BELOW DIAPHRAGM
DFOV <TO PATIENT>
PREP GE SMART PREP
GROUP SIEMENS SMART PREP

SIEMENS FORCE:
Turbo Flash protocols are to be used for all CTA Chest:
 Acute Dissection:
 I- Turbo Flash
 I+ Turbo Flash
 All Other Aortic Pathology
 I+ Turbo Flash ONLY

***DE CTA protocols are only to be used if specifically requested by MD***

CTA THORACIC AORTA

 16 SLICE – GE

PARAMETER SMART PREP CTA

SCAN TYPE HELICAL FULL
ROTATION TIME 0.8 SEC
THICKNESS 2.5
PITCH 1.375:1
SPEED 27.50
INTERVAL 2.5
GANTRY TILT
SCAN FOV LARGE
kVp 100
AUTO mA TO 420 W/
mA 10 SMART mA
NOISE INDEX 15.62
DOSE REDUCTION
ASiR/MODE 50% / PLUS
ALGORITHM STANDARD
STD
REFORMATS
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 50% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM STD
STANDARD
THN COR MIP /
REFORMATS SAG MIP
ASiR/MODE 50% / PLUS

Estimated CTDI 33.06

Estimated DLP 557.61

CTA THORACIC AORTA

 64 SLICE – GE VCT

PARAMETER SMART PREP CTA

SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 2.5
PITCH 0.984:1
SPEED 39.37
INTERVAL 2.5
GANTRY TILT
SCAN FOV LARGE BODY
kVp 100
AUTO mA TO 700 W/
mA 10 SMART mA
NOISE INDEX 12.73
DOSE REDUCTION 50%
ASIR/MODE 50% / PLUS
ALGORITHM STANDARD
STD
REFORMATS
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 50% / FULL
THICK/INCR. 0.625 q 0.625
ALGORITHM STANDARD
STD
THN COR MIP / SAG
REFORMATS MIP
ASiR/MODE 50% / PLUS-E

Estimated CTDI 21.31

Estimated DLP 214.18

CTA THORACIC AORTA

 196(2) – SIEMENS FORCE
PREMONITORING /
PARAMETER TF CHEST SMART PREP
TF AORTA DELAY
SCAN TYPE FULL
ROTATION TIME 0.28 SEC 0.25 SEC 0.25 SEC 0.5 SEC
THICKNESS 3.0mm 10.0mm 3.0mm 3.0mm
PITCH 2.0 1.9 1.0
SPEED
INTERVAL 3.0mm 0.0mm 3.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV 100 CARE kV CARE kV
mAs CARE Dose4D 23 CARE Dose4D CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV <TO PATIENT> 30 <TO PATIENT> <TO PATIENT>
PREP GROUP 10 SEC SMART PREP 3-5 MINS
KERNEL STD Bv36 Br36 Bv36 STD Bv36
STD
ADMIRE WO 3 3 Delay 3
THICK/INCR. STD 1.5 q 1.0 3.0 q 3.0
KERNEL THN Br40 Lung Bl57
ADMIRE WO 3 3
THICK/INCR. 3.0 q 3.0 0.6 q 0.6
STD Bv36
KERNEL Lung Bl57 THN
ADMIRE 3 3
THICK/INCR. COR 3.0 q 1.5 3.0 q 1.5
COR BV36
KERNEL MIP Bv36 MIP
ADMIRE WO 3 3
THICK/INCR. SAG 3.0 q 1.5 3.0 q 1.5
SAG Bv36
KERNEL MIP Bv36 MIP
ADMIRE WO 3 3

Estimated CTDI 37.44

Estimated DLP

CTA THORACIC AORTA

 PREMONITORING /
PARAMETER SMART PREP
TF CHEST DELAY
SCAN TYPE FULL
ROTATION TIME 0.25 SEC 0.25 SEC 0.5 SEC
THICKNESS 10.0mm 3.0mm 3.0mm
PITCH 1.9 1.0
SPEED
INTERVAL 0.0mm 3.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 100 CARE kV CARE Kv
mAs 23 CARE Dose4D CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV 30 <TO PATIENT> <TO PATIENT>
PREP GROUP 10 SEC SMART PREP 3-5 MINS
KERNEL Br36 Bv36 STD Br36
STD
ADMIRE 3 Delay 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3
THICK/INCR. 0.6 q 0.6
STD
KERNEL THN Bv36
ADMIRE 3
THICK/INCR. 3.0 q 1.5
COR
KERNEL MIP Bv36
ADMIRE 3
THICK/INCR. 3.0 q 1.5
SAG
KERNEL MIP Bv36
ADMIRE 3

Estimated CTDI
Estimated DLP

CTA THORACIC AORTA

 PREMONITORING /
PARAMETER SMART PREP
DE CTA
SCAN TYPE FULL
ROTATION TIME 0.5 SEC 0.5 SEC
THICKNESS 10.0mm 3.0mm
PITCH 0.7
SPEED
INTERVAL 0.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 100 90 / Sn150
mAs 23 CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV 30 <TO PATIENT>
PREP GROUP 10 SEC SMART PREP
KERNEL Br36 Qr36
STD
ADMIRE 3
THICK/INCR. DE 1.5 q 1.0
#PP
KERNEL Qr36
STD
ADMIRE THN 3
THICK/INCR. 3.0 q 1.5
COR
KERNEL MIP Bv36
ADMIRE 3
THICK/INCR. 3.0 q 1.5
SAG
KERNEL MIP Bv36
ADMIRE 3
THICK/INCR. 0.6 q 0.6
STD
KERNEL THN Qr36
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3

Estimated CTDI 30.40

Estimated DLP

CTA THORACIC AORTA

 PREMONITORING /
PARAMETER DE W/O SMART PREP
DE AORTA (CTA) DELAY
SCAN TYPE FULL
ROTATION TIME 0.5 SEC 0.5 SEC 0.5 SEC 0.5 SEC
THICKNESS 3.0mm 10.0mm 3.0mm 3.0mm
PITCH 0.7 0.7 0.7
SPEED
INTERVAL 3.0mm 0.0mm 3.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 90 / Sn150 100 90 / Sn150 90 / Sn150
mAs CARE Dose4D 23 CARE Dose4D CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV <TO PATIENT> 30 <TO PATIENT> <TO PATIENT>
PREP GROUP 10 SEC SMART PREP 3-5 MINS
KERNEL STD Bv36 Br36 Bv36 STD Bv36
STD
ADMIRE WO 3 3 Delay 3
THICK/INCR. DE 1.5 q 1.0 1.5 q 1.0 DE 1.5 q 1.0
DE
#PP Qr36 #PP Qr40
KERNEL Qr40 #PP
STD STD
STD 3 3
THN THN
THN
ADMIRE WO 3 Delay
THICK/INCR. COR 3.0 q 1.5 3.0 q 1.5
COR Bv36
KERNEL MIP Bv36 MIP
ADMIRE WO 3 3
THICK/INCR. SAG 3.0 q 1.5 3.0 q 1.5
SAG Bv36
KERNEL MIP Bv36 MIP
ADMIRE WO 3 3
THICK/INCR. STD 0.6 q 0.6 0.6 q 0.6
STD Bv36
KERNEL THN Bv36 THN
ADMIRE WO 3 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3

Estimated CTDI 39.94

Estimated DLP

CTA THORACIC AORTA

 CTV CHEST
REVISED: 8/24/18

EVALUATE FOR ? SVC SYNDROME, VENA CAVA

INDICATION
THROMBUS/TUMOR
ORAL PREP NONE
SCAN I+ 120 SEC DELAY
 3.0mm / 3.75mm AXIAL RECONS – STANDARD
ALGORITHM
RECON  3.0mm / 3.75mm AXIAL RECONS - LUNG ALGORITHM
 1.25mm / 1.5mm AXIAL RECONS -STANDARD
ALGORITHM
 3mm q 1.5mm MIP CORONAL AND SAGITTAL
REFORMAT
 3mm CORONAL AND SAGITTAL
3D POST PROCESSING
IV SIZE 20g OR 18g
IV CONTRAST 110cc OMNIPAQUE 350
INJECTION RATE 4cc/SEC
PT POSITION SUPINE / FEET FIRST
GE STERNAL NOTCH
LANDMARK
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER CTV
START ABOVE APICES
END BELOW ADRENAL GLANDS
DFOV <TO PATIENT>
PREP GE 120 SEC
GROUP SIEMENS 120 SEC

CTV CHEST
 16 SLICE – GE

PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 3.75
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
AUTO mA TO 440 W/ SMART
mA mA
NOISE INDEX 19.51
DOSE REDUCTION
ASiR/MODE 40% / PLUS
ALGORITHM STANDARD
STD
REFORMATS
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM STANDARD
STD
THN COR MIP / SAG MIP
REFORMATS / COR 3 / SAG 3
ASiR/MODE 40% / PLUS

Estimated CTDI 10.76

Estimated DLP 338.05

CTV CHEST
 64 SLICE – GE VCT

PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 3.75
PITCH 0.984:1
SPEED 39.37
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
AUTO mA TO 440 W/ SMART
mA mA
NOISE INDEX 17.28
DOSE REDUCTION 40%
ASiR/MODE 40% / PLUS
ALGORITHM STANDARD
STD
REFORMATS
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM STANDARD
STD
THN COR MIP / SAG MIP
REFORMATS / COR 3 / SAG 3
ASiR/MODE 40% / PLUS

Estimated CTDI 7.15

Estimated DLP 246.44

CTV CHEST
 196(2) – SIEMENS FORCE

PARAMETER TF CTV CHEST W/

SCAN TYPE
ROTATION TIME 0.28 SEC
THICKNESS 3.0mm
PITCH 2.0
SPEED
INTERVAL 3.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV – SEMI - 100
mAs CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV <TO PATIENT>
PREP GROUP 120 SEC
KERNEL Br40
STD
ADMIRE 3
THICK/INCR. 1.5 q 1.0
STD
KERNEL THN
Br40
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL COR 3 Br40
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL SAG 3 Br40
ADMIRE 3
THICK/INCR. 3.0 q 1.5
COR
KERNEL MIP Br40
ADMIRE 3
THICK/INCR. 3.0 q 1.5
SAG
KERNEL MIP Br40
ADMIRE 3
Estimated CTDI 2.91
Estimated DLP
CTV CHEST
***IF ANATOMY OF INTEREST EXCEEDS TURBO FLASH SFOV, USE SINGLE ENERGY SCAN (XXL PROTOCOL) ***

PARAMETER XXL CHEST CTV

SCAN TYPE
ROTATION TIME 0.25 SEC
THICKNESS 4.0mm
PITCH 0.6
SPEED
INTERVAL 4.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV
mAs CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV <TO PATIENT>
PREP GROUP 120 SEC
KERNEL Br40
STD
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3
THICK/INCR. 3.0 q 1.5
SAG
KERNEL MIP Br40
ADMIRE 3
THICK/INCR. 3.0 q 1.5
COR
KERNEL MIP Br40
ADMIRE 3
THICK/INCR. 1.5 q 1.0
STD
KERNEL THN Br40
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL SAG 3 Br40
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL COR 3 Br40
ADMIRE 3

Estimated CTDI 3.14

Estimated DLP
CTV CHEST
 GATED CTA THORACIC AORTA
REVISED: 8/24/18

SINUS OF VALSALVA ANEURYSM; WHEN REQUESTED TO

INDICATION
MINIMIZE AORTIC PULSATION ARTIFACT BY AORTIC ROOT
ORAL PREP NONE
SCAN I+ ARTERIAL PHASE CHEST
 2.5mm AXIAL RECON – STANDARD ALGORITHM
RECON  2.5mm AXIAL RECON – LUNG ALGORITHM
 1.25mm AXIAL RECON – STANDARD ALGORITHM
REFORMAT  3mm q 1.5mm MIP CORONAL AND SAGITTAL
3D ROTATION AORTA
3D POST PROCESSING MIP ROTATION AORTA
MAX VESSEL MEASUREMENT

IV SIZE 18g OR 20g

IV CONTRAST WEIGHT BASED
INJECTION RATE 4-5cc/SEC
SUPINE / FEET FIRST / ECG MONITOR
PT POSITION
ATTACHED
GE STERNAL NOTCH
LANDMARK
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER CTA
START ABOVE APICES
END BELOW DIAPHRAGM
DFOV <TO PATIENT>
PREP GE SMART PREP @ ARCH
GROUP SIEMENS SMART PREP @ ARCH

GATED CTA THORACIC AORTA

 16 SLICE – GE

This study is not scanned on 16 Slice - GE Scanner

GATED CTA THORACIC AORTA

 64 SLICE – GE VCT

PARAMETER SMART PREP CTA

SCAN TYPE CARDIAC SEGMENT
ROTATION TIME 0.35 SEC
THICKNESS 2.5
PITCH 0.16:1
SPEED 6.40
INTERVAL 2.5
GANTRY TILT
SCAN FOV CARDIAC LARGE
kVp 100
mA 10 ECG MODULATED mA TO 700
NOISE INDEX
DOSE REDUCTION 40%
ASiR/MODE 40% / SNAPSHOT SEGMENT
ALGORITHM STANDARD
STD
REFORMATS
THICK/INCR. 2.5 q 2.5
ALGORITHM LUNG
REFORMATS Lung
50% / SNAPSHOT
ASiR/MODE SEGMENT
THICK/INCR. 1.25 q 0.700
ALGORITHM STANDARD
STD
REFORMATS THN COR MIP / SAG MIP
50% / SNAPSHOT
ASiR/MODE SEGMENT

Estimated CTDI 30.28

Estimated DLP 660.83

GATED CTA THORACIC AORTA

196(2) – SIEMENS FORCE

USE TF AORTA PROTOCOL

GATED CTA THORACIC AORTA

 HIGH RES CHEST
REVISED: 8/24/18

INDICATION INTERSTITIAL LUNG DISEASE

ORAL PREP NONE
1. I- SUPINE INSPIRATION
SCAN 2. I- SUPINE EXPIRATION
3. I- PRONE INSPIRATION
 3.75mm AXIAL RECON – STANDARD ALGORITHM
(SUPINE INSPIRATION
 3.75mm AXIAL RECON – LUNG ALGORITHM ( SUPINE
INSPIRATION)
RECON
 1.25mm AXIAL RECON – CHEST ALGORITHM (SUPINE
INSPIRATION)
 1.25 q 10mm AXIAL RECON – BONE ALGORITHM
(ALL)
 3mm CORONAL AND SAGITTAL (SUPINE
REFORMAT
INSPIRATION)
3D POST PROCESSING

IV SIZE
IV CONTRAST
INJECTION RATE
PT POSITION SUPINE / PRONE / FEET FIRST
GE STERNAL NOTCH
LANDMARK
SIEMENS N/A
BREATHING INSPIRATION / EXPIRATION / INSPIRATION
SCOUTS AP AND LATERAL

SUPINE PRONE
PARAMETER SUPINE INSPIRATION
EXPIRATION INSPIRATION
START ABOVE APICES ABOVE APICES ABOVE APICES
END BELOW DIPAHRAGM BELOW DIAPHRAGM BELOW DIAPHRAGM
DFOV <TO PATIENT> <TO PATIENT> <TO PATIENT>
PREP GE
GROUP SIEMENS

HIGH RES CHEST

 16 SLICE – GE

SUPINE SUPINE PRONE

PARAMETER INSPIRATION EXPIRATION INSPIRATION
SCAN TYPE HELICAL FULL AXIAL FULL AXIAL FULL
ROTATION TIME 0.5 SEC 0.5 SEC 0.5 SEC
THICKNESS 3.75 1.25 1.25
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75 10 10
GANTRY TILT
SCAN FOV LARGE LARGE LARGE
kVp 120 120 120
AUTO mA TO 440 W/ AUTO mA TO 100 W/ AUTO mA TO 100 W/
mA SMART mA SMART mA SMART mA
NOISE INDEX 15.43 25.39 25.39
DOSE REDUCTION
ASiR/MODE 30% / PLUS 30% / FULL 30% / FULL
ALGORITHM STANDARD BONE Bone BONE
STD Bone
Prone
INSP EXP
REFORMATS INSP
THICK/INCR. 3.75 q 3.75
ALGORITHM Lung LUNG
INSP
REFORMATS
ASiR/MODE 30% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM STD CHEST
THN COR 3 INSP /
REFORMATS INSP SAG 3 INSP
ASiR/MODE 30% / PLUS
THICK/INCR. 1.25 q 10
ALGORITHM Bone BONE
INSP
REFORMATS
ASiR/MODE 30% / FULL

Estimated CTDI 13.45

Estimated DLP 357.34

HIGH RES CHEST

 64 SLICE – GE VCT

PARAMETER SUPINE INSPIRATION SUPINE EXPIRATION PRONE INSPIRATION

SCAN TYPE HELICAL FULL AXIAL FULL AXIAL FULL
ROTATION TIME 0.5 SEC 0.5 SEC 1.0 SEC
THICKNESS 3.75 1.25 1.25
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75 10.0 10.0
GANTRY TILT
SCAN FOV LARGE BODY LARGE BODY LARGE BODY
kVp 120 120 120
AUTO mA TO 440 W/ AUTO mA TO 100 W/ SMART AUTO mA TO 100 W/
mA SMART mA mA SMART mA
NOISE INDEX 13.58 23.59 23.59
DOSE REDUCTION 30% 30% 30%
ASIR/MODE 30% / PLUS 30% / FULL 30% / FULL
ALGORITHM STANDARD BONE Bone BONE
STD BONE
Prone
INSP EXP
REFORMATS INSP
THICK/INCR. 3.75 q 3.75
ALGORITHM Lung LUNG
REFORMATS INSP
ASiR/MODE 30% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM STD CHEST
THN COR 3 INSP /
REFORMATS INSP SAG 3 INSP
ASiR/MODE 30% / PLUS
THICK/INCR. 1.25 q 10.0
ALGORITHM Bone BONE
REFORMATS INSP
ASiR/MODE 30% / FULL

Estimated CTDI 6.93

Estimated DLP 159.07

HIGH RES CHEST

 196(2) – SIEMENS FORCE

This study is not scanned on 196(2) Slice – Siemens Force

HIGH RES CHEST

 LEFT ATRIAL APPENDAGE – LARIAT PROTOCOL
REVISED: 8/24/18

INDICATION LT ATRIAL APPENDAGE LIGATION PLANNING

ORAL PREP NONE
FIRST PASS PULMONARY VEIN PHASE TIMED OFF THE LEFT
SCAN
ATRIUM
 1.25mm AXIAL RECON – STANDARD ALGORITHM
RECON  3.75mm AXIAL RECON – LUNG ALGORITHM
 1.25mm AXIAL RECON – CHEST ALGORITHM
REFORMAT  3mm CORONAL AND SAGITTAL
3D ROTATION PULMONARY VEIN
CURVED REFORMAT LEFT ATRIAL APPENDAGE
3D POST PROCESSING
NECK AND MAX DIAMETER MEASUREMENTS LT
ATRIAL APPENDAGE
IV SIZE 18g
IV CONTRAST 110cc OMNIPAQUE 350
INJECTION RATE 5cc/SEC
PT POSITION SUPINE / FEET FIRST
GE STERNAL NOTCH
LANDMARK
SIEMENS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER SCAN
START CARINA
END BELOW HEART
DFOV <TO PATIENT>
PREP GE MIROI (LEFT ATRIUM) +12
GROUP SIEMENS

LEFT ATRIAL APPENDAGE – LARIAT PROTOCOL

 16 SLICE – GE

PARAMETER *MIROI CTA

SCAN TYPE AXIAL FULL HELICAL FULL
ROTATION TIME 0.5 SEC 0.5 SEC
THICKNESS 5.0 1.25
PITCH 0.938:1
SPEED 18.75
INTERVAL 0.0 1.25
GANTRY TILT
SCAN FOV LARGE LARGE
kVp 120 100
AUTO mA TO 420 W/
mA 40 SMART mA
NOISE INDEX 25.60
DOSE REDUCTION
ASiR/MODE 0% / FULL 40% / PLUS
ALGORITHM STANDARD STANDARD

REFORMATS
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG

REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM CHEST
REFORMATS COR/SAG
ASiR/MODE 40% / PLUS

Estimated CTDI 94.86

Estimated DLP 261.07

LEFT ATRIAL APPENDAGE – LARIAT PROTOCOL

 64 SLICE – GE VCT

PARAMETER *MIROI CTA

SCAN TYPE AXIAL FULL HELICAL FULL
ROTATION TIME 0.5 SEC 0.9 SEC
THICKNESS 5.0 1.25
PITCH 0.984:1
SPEED 39.37
INTERVAL 0.0 1.25
GANTRY TILT
SCAN FOV LARGE BODY LARGE BODY
kVp 120 100
AUTO mA TO 420 W/
mA 60 SMART mA
NOISE INDEX 22.43
DOSE REDUCTION 40%
ASIR/MODE 0% / FULL 40% / PLUS
ALGORITHM STANDARD STANDARD
REFORMATS
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM CHEST
REFORMATS COR/SAG
ASiR/MODE 40% / PLUS

Estimated CTDI 87.75

Estimated DLP 419.59

LEFT ATRIAL APPENDAGE – LARIAT PROTOCOL

 196(2) – SIEMENS FORCE

This study is not scanned on 196(2) Slice – Siemens Force

LEFT ATRIAL APPENDAGE – LARIAT PROTOCOL

 LEFT ATRIAL APPENDAGE – WATCHMAN PROTOCOL
REVISED: 8/24/18

INDICATION LT ATRIAL APPENDAGE – WATCHMAN PLANNING

ORAL PREP NONE
PULMONARY VEIN PHASE TIMED OFF THE LEFT ATRIUM –
SCAN
TWO PHASES
 3.0mm AXIAL RECON – STANDARD ALGORITHM
RECON  3.0mm AXIAL RECON – LUNG ALGORITHM
 0.6mm AXIAL RECON – STANDARD ALGORITHM
REFORMAT  3mm q 1.5mm MIP CORONAL AND SAGITTAL
3D ROTATION PULMONARY VEIN
CURVED REFORMAT LEFT ATRIAL APPENDAGE
3D POST PROCESSING NECK AND MAX DIAMETER MEASUREMENTS LT
ATRIAL APPENDAGE
WATCHMAN MEASUREMENTS
IV SIZE 18g
IV CONTRAST WEIGHT BASED
INJECTION RATE 5cc/SEC
PT POSITION SUPINE / FEET FIRST
GE
LANDMARK
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER SCAN
START CARINA
END BELOW HEART
DFOV 20
PREP GE
GROUP SIEMENS SMART PREP @ LEFT ATRIUM

LEFT ATRIAL APPENDAGE – WATCHMAN PROTOCOL

 16 SLICE – GE

This study is not scanned on 16 Slice GE Scanner

LEFT ATRIAL APPENDAGE – WATCHMAN PROTOCOL

 64 SLICE – GE VCT

PROTOCOL COMING SOON!!

Estimated CTDI
Estimated DLP

LEFT ATRIAL APPENDAGE – WATCHMAN PROTOCOL

 196(2) – SIEMENS FORCE
PREMONITORING /
PARAMETER SMART PREP
TF TF
SCAN TYPE FULL
ROTATION TIME 0.25 SEC 0.25 SEC 0.25 SEC
THICKNESS 10.0mm 3.0mm 3.0mm
PITCH 3.2 3.2
SPEED
INTERVAL 0.0mm 3.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 100 CARE kV CARE kV
mAs 23 CAREDose4D CAREDose4D
NOISE INDEX
DOSE
REDUCTION
DFOV 20 20 20
PREP GROUP SMART PREP 6 SEC
KERNEL Br36 Qr36 Qr36
STD STD
ADMIRE 3 3
THICK/INCR. 0.6 q 0.3 0.6 q 0.3
STD STD
KERNEL THN Qr36 THN Qr36
ADMIRE 3 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3
THICK/INCR. 3.0 q 1.5
COR
KERNEL MIP Br36
ADMIRE 3
THICK/INCR. 3.0 q 1.5
SAG
KERNEL MIP Br36
ADMIRE 3

Estimated CTDI 27.16

Estimated DLP

LEFT ATRIAL APPENDAGE – WATCHMAN PROTOCOL

 LUNG SCREENING
REVISED: 8/24/18

LUNG CANCER SCREENING. ASYMPTOMATIC BUT AT HIGH

INDICATION
RISK FOR LUNG CANCER
ORAL PREP NONE
SCAN NON-CONTRAST
 2.5mm AXIAL RECON – STANDARD ALGORITHM
RECON  2.5mm AXIAL RECON – LUNG ALGORITHM
 1.25mm AXIAL RECON – STANDARD ALGORITHM
 3.0mm CORONAL AND SAGITTAL
REFORMAT
 6.0mm q 3.0mm AXIAL MIP
3D POST PROCESSING

IV SIZE
IV CONTRAST
INJECTION RATE
PT POSITION SUPINE / FEET FIRST
GE STERNAL NOTCH
LANDMARK
SIEMENS N/A
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER SCAN
START ABOVE APICES
END BELOW DIAPHRAGM
DFOV <TO PATIENT>
PREP GE
GROUP SIEMENS

LUNG SCREENING
 16 SLICE – GE

PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 2.5
PITCH 1.375:1
SPEED 27.50
INTERVAL 2.5
GANTRY TILT
SCAN FOV LARGE
kVp 120
40mA (110-155 lbs)
80mA (155-200 lbs)
mA 120mA (200-265 lbs)
NOISE INDEX
DOSE REDUCTION
ASiR/MODE 0% / FULL
ALGORITHM STANDARD
STD
REFORMATS
THICK/INCR. 2.5 q 2.5
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 0% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM STANDARD
STD
THN COR 3 / SAG 3
REFORMATS / AX MIP 6
ASiR/MODE 0% / FULL

Estimated CTDI 1.36 / 2.72 / 4.08

Estimated DLP 38.01 / 76.01 / 114.02

LUNG SCREENING
 64 SLICE – GE VCT

PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 2.5
PITCH 0.984:1
SPEED 39.37
INTERVAL 2.5
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
40mA (110-155 lbs)
80mA (155-200 lbs)
mA 120mA (200-265 lbs)
NOISE INDEX
DOSE REDUCTION
ASiR/MODE 0% / FULL
ALGORITHM STANDARD
STD
REFORMATS
THICK/INCR. 2.5 q 2.5
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 0% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM STANDARD
STD
THN COR 3 / SAG 3
REFORMATS / AX MIP 6
ASiR/MODE 0% / FULL

Estimated CTDI 1.54 / 3.07 / 4.61

Estimated DLP 45.63 / 91.25 / 136.88

LUNG SCREENING
 196(2) – SIEMENS FORCE

This study is not scanned on 196(2) Slice – Siemens Force

LUNG SCREENING
 PULMONARY VEIN
REVISED: 8/24/18

PULMONARY VEIN ISOLATION / PULMONARY VEIN MAPPING

INDICATION
/ ATRIAL FIBRILATION ABLATION PLANNING
ORAL PREP NONE
LATE ARTERIAL PHASE – TIMING OFF PULMONARY VEIN PLUS
SCAN
8 SECONDS
 1.25mm / 1.5mm AXIAL RECON – STANDARD
ALGORITHM
RECON
 3.0mm / 3.75mm AXIAL RECON – LUNG ALGORITHM
 1.25mm / 1.5mm AXIAL RECON – CHEST ALGORITHM
 3mm q 1.5mm MIP CORONAL AND SAGITTAL
REFORMAT
 3mm CORONAL AND SAGITTAL
3D ROTATION PULMONARY VEIN
AXIAL/CORONAL NECK MEASUREMENTS RT/LT
3D POST PROCESSING
SUPERIOR/INFERIOR VEIN, COMMON ORIGIN(S), AND
AP/CC/RL LEFT ATRIUM
IV SIZE 18g
IV CONTRAST WEIGHT BASED
INJECTION RATE 5cc/SEC
PT POSITION SUPINE / FEET FIRST
GE STERNAL NOTCH
LANDMARK
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER SCAN
START ABOVE APICES
END BELOW DIAPHRAGM
DFOV <TO PATIENT>
PREP GE MIROI + 8 SEC
GROUP SIEMENS SMART PREP @ LEFT ATRIUM

PULMONARY VEIN
 16 SLICE – GE

PARAMETER *MIROI CTA

SCAN TYPE AXIAL FULL HELICAL FULL
ROTATION TIME 0.5 SEC 0.5 SEC
THICKNESS 5.0 1.25
PITCH 0.938:1
SPEED 18.75
INTERVAL 0.0 1.25
GANTRY TILT
SCAN FOV LARGE LARGE
kVp 120 100
mA 40 AUTO mA TO 420 W/ SMART mA
NOISE INDEX 25.60
DOSE REDUCTION
ASiR/MODE 0% / FULL 40% / PLUS
ALGORITHM STANDARD STANDARD
MIROI STD
REFORMATS
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM CHEST
STD
THN COR MIP / SAG MIP /
REFORMATS COR 3 / SAG 3
ASiR/MODE 40% / PLUS

Estimated CTDI 94.86

Estimated DLP 261.07

PULMONARY VEIN
 64 SLICE – GE VCT

PARAMETER *MIROI CTA

SCAN TYPE AXIAL FULL HELICAL FULL
ROTATION TIME 0.5 SEC 0.9 SEC
THICKNESS 5.0 1.25
PITCH 0.984:1
SPEED 39.37
INTERVAL 0.0 1.25
GANTRY TILT
SCAN FOV LARGE BODY LARGE BODY
kVp 120 100
mA 60 AUTO mA TO 420 W/ SMART mA
NOISE INDEX 22.43
DOSE REDUCTION 40%
ASIR/MODE 0% / FULL 40% / PLUS
ALGORITHM STANDARD STANDARD
MIROI STD
REFORMATS
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR. 1.25 q 0.700
ALGORITHM CHEST
STD
THN COR MIP / SAG MIP /
REFORMATS COR 3 / SAG 3
ASiR/MODE 40% / PLUS

Estimated CTDI 87.84

Estimated DLP 419.98

PULMONARY VEIN
 196(2) – SIEMENS FORCE
PREMONITORING /
PARAMETER SMART PREP
TF PV
SCAN TYPE FULL
ROTATION TIME 0.25 SEC 0.25 SEC
THICKNESS 10.0mm 1.5mm
PITCH 2.6
SPEED
INTERVAL 0.0mm 1.5mm
GANTRY TILT
SCAN FOV
kVp 100 CARE kV
mAs 23 CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV 30 <TO PATIENT>
PREP GROUP 6 SEC SMART PREP
KERNEL Br36 Bv36
STD
ADMIRE 3
THICK/INCR. 1.5 q 1.0
STD
KERNEL THN Bv36
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL COR 3 Br36
ADMIRE 3
THICK/INCR. 3.0 q 3.0
KERNEL SAG 3 Br36
ADMIRE 3
THICK/INCR. 3.0 q 1.5
COR
KERNEL MIP Br36
ADMIRE 3
THICK/INCR. 3.0 q 1.5
SAG
KERNEL MIP Br36
ADMIRE 3

Estimated CTDI 24.04

Estimated DLP

PULMONARY VEIN
 TAVR
REVISED: 8/24/18

INDICATION PRE TAVR

ORAL PREP NONE
1. HEART
SCAN
2. ARTERIAL PHASE CHEST/ABDOMEN/PELVIS
 0.6mm / 0.625mm AXIAL RECON – STANDARD
ALGORITHM (HEART)
 0.6mm / 0.625mm AXIAL RECONS – STANDARD
ALGORITHM 0-95% PHASES (HEART)
 2.5mm / 3.0mm AXIAL RECONS – STANDARD
ALGORITHM (C/A/P)
RECON
 0.625mm / 1.5mm AXIAL RECONS – STANDARD
ALGORITHM (C/A/P)
 3.0mm / 3.75mm AXIAL RECONS – LUNG
ALGORITHM (C/A/P)
 3.75mm AXIAL RECON – STANDARD ALGORITHM
(C/A/P) – GE SCANNER ONLY
REFORMAT  3mm q 1.5mm MIP CORONAL AND SAGITTAL (C/A/P)
VALVE MEASUREMENTS
3D ROTATION OF TAA/AAA
CURVED REFORMATS AORTA/RT ILIAC/LT ILIAC
3D POST PROCESSING
THIN MIP DOUBLE OBLIQUE CELIAC/SMA/RENAL
ARTERIES/IMA ORIGINS
ACCESS MEASUREMENTS

IV SIZE 18g
IV CONTRAST WEIGHT BASED
INJECTION RATE 5cc/SEC
SUPINE / FEET FIRST / ECG MONITOR
PT POSITION
ATTACHED
GE STERNAL NOTCH
LANDMARK
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL

PARAMETER HEART C/A/P

START ABOVE CARINA ABOVE APICES
BELOW FEMORAL
END THROUGH HEART
BIFURCATION
DFOV 25 <TO PATIENT>
GE MIROI + 12 SEC
PREP
SMART PREP @ CARINA (IN
GROUP SIEMENS
DESCENDING AORTA)
TAVR
 16 SLICE – GE

This study is not scanned on 16 Slice - GE Scanner

TAVR
 64 SLICE – GE VCT

PARAMETER MIROI GROUP 1 (HEART) GROUP 2 (C/A/P)

SCAN TYPE AXIAL FULL CARDIAC SEGMENT HELICAL FULL
ROTATION TIME 0.5 SEC 0.35 SEC 0.4 SEC
THICKNESS 5.0 0.625 2.5
PITCH 0.16:1 0.984:1
SPEED 6.40 39.37
INTERVAL 0.0 0.625 2.5
GANTRY TILT
SCAN FOV SMALL BODY CARDIAC LARGE LARGE BODY
kVp 120 100 100
AUTO mA TO 700 W/ SMART
20
mA ECG MODULATED TO 750 mA
NOISE INDEX 11.05
DOSE REDUCTION 10% 40%
30% / SNAPSHOT
0% / FULL 40% / PLUS
ASIR/MODE SEGMENT
ALGORITHM STANDARD STANDARD STANDARD
MIROI STD STD
REFORMATS
THICK/INCR. 1.25 q 0.700
ALGORITHM STANDARD
STD THN
REFORMATS COR MIP / SAG MIP
ASiR/MODE 40% / PLUS-E
THICK/INCR. 3.75 q 3.75
ALGORITHM LUNG
Lung
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR. 3.75 q 3.75
ALGORITHM STANDARD
STD THK
REFORMATS
ASiR/MODE 40% / PLUS
THICK/INCR. 0.625 q 0.625
ALGORITHM STANDARD
Phases PHASE 5-95
REFORMATS (10)
0% / SNAPSHOT
ASiR/MODE SEGMENT

Estimated CTDI 65.10

Estimated DLP 1129.11

TAVR
 196(2) – SIEMENS FORCE
PREMONITORING /
PARAMETER SMART PREP
GATED HEART TF TAVR
SCAN TYPE FULL
ROTATION TIME 0.25 SEC 0.25 SEC 0.25 SEC
THICKNESS 10.0mm 0.6mm 3.0mm
PITCH 0.15 3.0
SPEED
INTERVAL 0.0mm 0.6mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 100 CARE kV – SEMI - 100 CARE kV
mAs 23 CARE Dose4D CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV 20 20 <TO PATIENT>
PREP GROUP 10 SEC SMART PREP
KERNEL Br36 STD Qr36 Qr36
STD
ADMIRE Heart 2 3
THICK/INCR. 0.6 q 0.5 1.5 q 1.0
STD Qr36
KERNEL PHASES Qr36 THN
ADMIRE 2 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3
THICK/INCR. 3.0 q 1.5
COR Qr36
KERNEL MIP
ADMIRE 3
THICK/INCR. 3.0 q 1.5
SAG Qr36
KERNEL MIP
ADMIRE 3

Estimated CTDI 85.51

Estimated DLP

***IF PATIENT EXCEEDS 250LBS PLEASE USE XXL PROTOCOL ***

TAVR
 PREMONITORING / XXL GATED
PARAMETER SMART PREP
XXL TF TAVR
HEART
SCAN TYPE FULL
ROTATION TIME 0.25 SEC 0.25 SEC 0.25 SEC
THICKNESS 10.0mm 0.6mm 3.0mm
PITCH 0.15 1.2
SPEED
INTERVAL 0.0mm 0.6mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 100 CARE kV – SEMI - 120 CARE kV
mAs 40 CARE Dose4D CARE Dose4D
NOISE INDEX
DOSE
REDUCTION
DFOV 20 20 <TO PATIENT>
PREP GROUP 10 SEC SMART PREP
KERNEL Br36 STD Qr36 Qr36
STD
ADMIRE Heart 2 3
THICK/INCR. 0.6 q 0.5 1.5 q 1.0
STD Qr36
KERNEL PHASES Qr36
THN
ADMIRE 2 3
THICK/INCR. 3.0 q 3.0
KERNEL Lung Bl57
ADMIRE 3
THICK/INCR. 3.0 q 1.5
COR Qr36
KERNEL MIP
ADMIRE 3
THICK/INCR. 3.0 q 1.5
SAG Qr36
KERNEL MIP
ADMIRE 3

Estimated CTDI 130.13

Estimated DLP

TAVR
 TRACHEOBRONCHOMALACIA
REVISED: 8/24/18

INDICATION TRACHEOBRONCHOMALACIA
ORAL PREP NONE
1. INSPIRATORY – FULL COVERAGE
2. EXPIRATORY – FULL COVERAGE
SCAN 3. DYNAMIC SERIES #1
4. DYNAMIC SERIES #2
5. DYNAMIC SERIES #3
 3.75mm AXIAL RECON - STANDARD ALGORITHM
(INSPIRATORY)
 3.75mm AXIAL RECON - LUNG ALGORITHM
(INSPIRATORY)
 1.25mm AXIAL RECON - CHEST ALGORITHM
(INSPIRATORY)
RECON
 1.26 q 10mm AXIAL RECON - BONE ALGORITHM
(INSPIRATORY)
 2.5mm AXIAL RECON - STANDARD ALGORITHM
(EXPIRATORY)
 5.0mm AXIAL RECON - STANDARD ALGORITHM
(EACH DYNAMIC SET)
REFORMAT  3MM SAGITTAL AND CORONAL (INSPIRATION)
3D POST PROCESSING NONE

IV SIZE
IV CONTRAST
INJECTION RATE
PT POSITION SUPINE / ARMS UP
GE STERNAL NOTCH
LANDMARK
SIEMENS N/A
INSPIRATION / EXPIRATION / FREE
BREATHING
BREATHING***
SCOUTS AP AND LATERAL

PARAMETER INSPIRATION EXPIRATION DYNAMIC #1 DYNAMIC #2 DYNAMIC #3

START ABOVE APICES ABOVE APICES UPPER T0 MID MID TO LOWER
JUST BELOW
BELOW ADRENAL BELOW ADRENAL INTRATHORACIC INTRATHORACIC
END CARINA
GLANDS GLANDS TRACHEA TRACHEA
DFOV <TO PATIENT> <TO PATIENT> <TO PATIENT> <TO PATIENT> <TO PATIENT>
PREP GE
GROUP SIEMENS

TRACHEOBRONCHOMALACIA
*** FREE BREATHING: ASK PATIENT TO TAKE A BREATH IN, LET IT OUT, BREATH IN LET IT OUT (SLIGHTLY FASTER
THAN INSTRUCTIONS FOR REGULAR CT) AND THEN BREATH IN AND OUT NORMALLY DURING THE SCAN

DYNAMIC #1: UPPER TO MID INTRATHORACIC TRACHEA. BETWEEN CLAVICLES AND AORTIC ARCH

DYNAMIC #2: MID TO LOWER INTRATHORACIC TRACHEA. JUST ABOVE CARINA

TRACHEOBRONCHOMALACIA
DYNAMIC #3: JUST BELOW CARINA

TRACHEOBRONCHOMALACIA
 16 SLICE – GE

This study is not scanned on 16 Slice GE Scanner

TRACHEOBRONCHOMALACIA
 64 SLICE – GE VCT

DYNAMIC DYNAMIC
PARAMETER INSPIRATION EXPIRATION DYNAMIC #1 #2 #3
SCAN TYPE HELICAL FULL HELICAL FULL AXIAL FULL AXIAL FULL AXIAL FULL
ROTATION TME 0.5 SEC 0.5 SEC 0.5 SEC 0.5 SEC 0.5 SEC
THICKNESS 3.75mm 2.5mm 5.0mm 5.0mm 5.0mm
PITCH 1.375:1 0.969:1
SPEED 27.50 19.37
INTERVAL 3.75mm 2.5mm 0.0mm 0.0mm 0.0mm
GANTRY TILT
SCAN FOV LARGE BODY LARGE BODY LARGE BODY LARGE BODY LARGE BODY
kVp 120 120 120 120 120
AUTO mA TO AUTO mA TO
AUTO mA TO 440 AUTO mA TO 100 AUTO mA TO 100 W/ 100 W/ SMART 100 W/
mA W/ SMART mA W/ SMART mA SMART mA mA SMART mA
NOISE INDEX 13.58 12.75 7.82 7.82 7.82
DOSE
30% 30% 30% 30% 30%
REDUCTION
ASIR/MODE 0% / PLUS 0% / FULL 0% / FULL 0% / FULL 0% / FULL
ALGORITHM STD STD INSP STD INSP STD INSP STD
STD STD
Dynamic Dynamic Dynamic
INSP EXP
REFORMATS 1 2 2
THICK/INCR. 3.75 q 3.75
ALGORITHM Lung LUNG
REFORMATS INSP
ASiR/MODE 0% / FULL
1.25 q
THICK/INCR. 0.700
ALGORITHM STD CHEST
THN COR 3 INSP
INSP / SAG 3
REFORMATS INSP
ASiR/MODE 0% / PLUS
THICK/INCR. 1.25 q 10
ALGORITHM Bone BONE
REFORMATS INSP
ASiR/MODE 0% / FULL

Estimated CTDI 55.07

Estimated DLP 175.11

TRACHEOBRONCHOMALACIA
 196(2) – SIEMENS FORCE

This study is not scanned on 196(2) Slice – Siemens Force

TRACHEOBRONCHOMALACIA