CT Body Protocols (PDFDrive)

CT BODY PROTOCOLS
Standard CTA/CTV Multiphase
Abdomen/Pelvis CTA Abdomen/Pelvis Adrenal
CTA Abdomen/Pelvis
Kidney Stone Pancreas
w/ Delay
CTA Lower Extremity

Chest/Abdomen/Pelvis Pancreas & Pelvis
Runoff
Chest/Abdomen/Pelvis CTA Upper Extremity Pancreas &

& Neck Runoff Chest/Abdomen/Pelvis
Chest & Neck Liver 2 Phase
CTA Thorax/Abdomen
Pelvis Liver 2 Phase & Pelvis
Pelvis
CTA Mesenteric
CT Colonography Liver 3 Phase
Ischemia
CTA Pulmonary arteries Liver - Post RFA/Fatty

CT Enterography
& Abdomen/Pelvis Liver
Liver 2 phase &

CT Cystography
Chest/Abdomen/Pelvis
Trauma
CTV Abdomen/Pelvis Kidney Donor
Chest/Abdomen/Pelvis
CTV Upper Extremity Renal Mass
CTV Lower Extremity Renal Mass & Pelvis
Urogram 2 Phase
Urogram 3 Phase
ABDOMEN/PELVIS
ABDOMEN & PELVIS
REVISED: 2/21/17
INDICATION
ORAL PREP SELECT FROM LIST
SCAN PV PHASE 60-70 SEC AFTER INJECTION STARTS
• 3.75mm AXIAL RECONS – STANDARD ALGORITHM
RECON • 0.625mm OR 1.25mm AXIAL RECONS – STANDARD
ALGORITHM
REFORMAT o 3mm CORONAL AND SAGITTAL
3D POST PROCESSING NONE
IV SIZE
IV CONTRAST 110cc OMNIPAQUE 350
INJECTION RATE
PT POSITION SUPINE / FEET FIRST
GE XYPHOID
LANDMARK
SIEMENS
BREATHING EXPIRATION
SCOUTS AP AND LATERAL
PARAMETER SCAN
START ABOVE DIAPHRAGM
END BELOW SYMPHYSIS PUBIS
DFOV <TO PATIENT>
PREP GE 70 SEC
GROUP SIEMENS
ABDOMEN/PELVIS
16 SLICE – GE
PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.8 SEC
THICKNESS 3.75
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE
kVp 120
AUTO mA TO 440 W/
mA SMART mA
NOISE INDEX 18.81
DOSE REDUCTION
ASiR/MODE 40% / PLUS
ALGORITHM STANDARD
RECON 1
REFORMATS
THICK/INCR. 1.25 q 0.700
ALGORITHM STANDARD
RECON 2
REFORMATS COR/SAG
THICK/INCR.
ALGORITHM
RECON 3
REFORMATS
ASiR/MODE
Estimated CTDI 23.68

Estimated DLP 1107.43
ABDOMEN/PELVIS
64 SLICE – GE VCT
PARAMETER SCAN
THICKNESS 3.75
PITCH 0.984:1
SPEED 39.37
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
AUTO mA TO 700 W/
mA SMART mA
NOISE INDEX 16.04
DOSE REDUCTION 40%
ALGORITHM STANDARD
RECON 1
REFORMATS
ALGORITHM STANDARD
RECON 2
REFORMATS COR/SAG
ASiR/MODE 40% / PLUS-E
THICK/INCR.
ALGORITHM
RECON 3
REFORMATS
ASiR/MODE

ABDOMEN/PELVIS
196(2) – SIEMENS FORCE
PROTOCOL COMING SOON!!
Estimated CTDI
Estimated DLP
ABDOMEN/PELVIS
ADRENAL
REVISED: 2/21/17
TO CHARACTERIZE AN ADRENAL LESION; NOT ALWAYS

NEEDED FOR FOLLOW UP. ONCE A LESION HAS BEEN
INDICATION
CHARACTERIZED, IF F/U IS FOR GROWTH ONLY, YOU DON’T’
NEED A 3 PHASE SCAN.
ORAL PREP NONE
1. NON-CONTRAST – ADRENALS ONLY
SCAN 2. PV PHASE – ENTIRE ABDOMEN
3. 15 MINUTE DELAY – ADRENALS ONLY
• 2.5mm AXIAL RECONS – STANDARD ALGORITHM –
ALL PHASES
RECON
• 0.625mm OR 1.25mm AXIAL RECONS – STANDARD
ALGORITHM – ALL PHASES
REFORMAT o 3mm CORONAL AND SAGITTAL – ALL PHASES
IV SIZE 18g OR 20g
INJECTION RATE 4-5cc/SEC
GE XYPHOID
LANDMARK
SIEMENS
PARAMETER NON-CONTRAST PV PHASE DELAYED

ABOVE
START ABOVE ADRENALS ABOVE DIAPHRAGM
ADRENALS
BELOW
END BELOW ADRENALS ILIAC CREST
ADRENALS
DFOV <TO PATIENT> <TO PATIENT> <TO PATIENT>
PREP GE NONE 70 SEC 15 MINUTE
GROUP SIEMENS
ADRENAL
16 SLICE – GE

SCAN TYPE HELICAL FULL HELICAL FULL HELICAL FULL
ROTATION TIME 0.8 SEC 0.8 SEC 0.8 SEC
THICKNESS 2.5 2.5 2.5
PITCH 1.375:1 1.375:1 1.375:1
SPEED 27.50 27.50 27.50
INTERVAL 2.5 2.5 2.5
GANTRY TILT
SCAN FOV LARGE LARGE LARGE
kVp 120 120 120
AUTO mA TO 440 W/ AUTO mA TO 440 W/ AUTO mA TO 440 W/
mA SMART mA SMART mA SMART mA
NOISE INDEX 19.67 19.67 19.67
DOSE REDUCTION
ASiR/MODE 40% / PLUS 40% / PLUS 40% / PLUS
RECON ALGORITHM STANDARD STANDARD STANDARD
1 REFORMATS
THICK/INCR. 1.25 q 0.700 1.25 q 0.700 1.25 q 0.700
2 REFORMATS COR/SAG COR/SAG COR/SAG
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE

ADRENAL
64 SLICE – GE VCT

PITCH 0.984:1 0.984:1 0.984:1
SPEED 39.37 39.37 39.37
GANTRY TILT
SCAN FOV LARGE BODY LARGE BODY LARGE BODY
kVp 120 120 120
NOISE INDEX 16.50 16.50 16.50
DOSE REDUCTION 40% 40% 40%
ASIR/MODE 40% / PLUS 40% / PLUS 40% / PLUS
1 REFORMATS
THICK/INCR. 0.625 q 0.625 0.625 q 0.625 0.625 q 0.625
ASiR/MODE 40% / PLUS-E 40% / PLUS-E 40% / PLUS-E
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE

ADRENAL
Estimated CTDI
Estimated DLP
ADRENAL
CHEST & NECK
REVISED: 2/21/17
INDICATION
ORAL PREP NONE
CHEST ~25 SECONDS AFTER START OF INJECTION WITH NECK
SCAN
SCAN TO IMMEDIATELY FOLLOW
(CHEST)
(NECK)
ALGORITHM (CHEST)
• 0.625mm OR 1.25MM AXIAL RECONS - DETAIL
ALGORITHM (NECK)
• 3.75mm AXIAL RECONS – LUNG ALGORITHM
o 3mm CORONAL AND SAGITTAL (CHEST)
REFORMAT
o 2mm CORONAL AND SAGITTAL (NECK)
IV SIZE
INJECTION RATE
SUPINE / FEET FIRST / ARMS UP (CHEST) / ARMS
PT POSITION
DOWN (NECK)
GE STERNAL NOTCH
LANDMARK
SIEMENS
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
GROUP SIEMENS
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 40% 40%
ASiR/MODE 40% / PLUS 30% / PLUS
RECON ALGORITHM STANDARD DETAIL
1 REFORMATS
RECON ALGORITHM LUNG
2 REFORMATS
ASiR/MODE 40% / FULL
RECON ALGORITHM STANDARD
3 REFORMATS COR/SAG CHEST
40% / PLUS
RECON ALGORITHM DETAIL
4 REFORMATS COR/SAG NECK

CHEST & NECK

64 SLICE – GE VCT
PARAMETER GROUP 1 CHEST) GROUP 2 (NECK)
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
ASIR/MODE 40% / PLUS 30% / PLUS
1 REFORMATS
2 REFORMATS
3 REFORMATS COR/SAG
4 REFORMATS COR/SAG
5 REFORMATS

CHEST & NECK

Estimated CTDI
Estimated DLP
CHEST & NECK

CHEST/ABDOMEN/PELVIS
REVISED: 2/21/17
INDICATION
• 3.75mm AXIAL RECONS - STANDARD ALGORITHM
• 0.625mm OR 1.25mm AXIAL RECONS - STANDARD
RECON
ALGORITHM
• 3.75mm AXIAL RECONS - LUNG ALGORITHM
IV SIZE
INJECTION RATE
GE STERNAL NOTCH
LANDMARK
SIEMENS
PARAMETER SCAN
START ABOVE APICES
DFOV <TO PATIENT>
PREP GE 70 SEC
GROUP SIEMENS
16 SLICE – GE
PARAMETER SCAN
THICKNESS 3.75
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE
kVp 120
AUTO mA TO 440 W/
mA SMART mA
NOISE INDEX 17.91
DOSE REDUCTION
ALGORITHM STANDARD
RECON 1
REFORMATS
ALGORITHM LUNG
RECON 2
REFORMATS
ALGORITHM STANDARD
RECON 3
REFORMATS COR/SAG

64 SLICE – GE VCT
1
PARAMETER SCAN
THICKNESS 3.75
PITCH 0.984:1
SPEED 39.37
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
AUTO mA TO 700 W/
mA SMART mA
NOISE INDEX 15.24
DOSE REDUCTION 40%
ALGORITHM STANDARD
RECON 1
REFORMATS
ALGORITHM LUNG
RECON 2
REFORMATS
ALGORITHM STANDARD
RECON 3
REFORMATS COR/SAG

Estimated CTDI
Estimated DLP
CHEST/ABDOMEN/PELVIS & NECK
REVISED: 2/21/17
INDICATION
PV C/A/P ~70 SECONDS AFTER START OF INJECTION WITH
SCAN
NECK SCAN TO IMMEDIATELY FOLLOW
(C/A/P)
(NECK)
ALGORITHM (C/A/P)
• 0.625mm OR 1.25MM AXIAL RECONS– DETAIL
ALGORITHM (NECK)
o 3mm CORONAL AND SAGITTAL (C/A/P)
REFORMAT
o 2mm CORONAL AND SAGITTAL (NECK)
IV SIZE
INJECTION RATE
SUPINE / FEET FIRST / ARMS UP (C/A/P) / ARMS
PT POSITION
DOWN (NECK)
GE STERNAL NOTCH
LANDMARK
SIEMENS
SCOUTS AP AND LATERAL (ARMS DOWN)
PARAMETER C/A/P NECK

START ABOVE APICES TOP OF EAR
BELOW SYMPHYSIS
END BELOW CLAVICLES
PUBIS
DFOV <TO PATIENT> 20
PREP GE 70 SEC
GROUP SIEMENS

16 SLICE – GE
PARAMETER GROUP 1 (C/A/P) GROUP 2 ( NECK)

THICKNESS 3.75 2.5
PITCH 1.375:1 1.375:1
SPEED 27.50 27.50
INTERVAL 3.75 2.5
GANTRY TILT
kVp 120 120
DOSE REDUCTION
RECON ALGORITHM STANDARD STANDARD
1 REFORMATS
2 REFORMATS
3 REFORMATS COR/SAG (C/A/P)
4 REFORMATS COR/SAG (NECK)


64 SLICE – GE VCT
PARAMETER GROUP 1 (C/A/P) GROUP 2 (NECK)
THICKNESS 3.75 2.5
PITCH 0.984:1 0.984:1
SPEED 39.37 39.37
INTERVAL 3.75 2.5
GANTRY TILT
kVp 120 120
1 REFORMATS
2 REFORMATS
RECON ALGORITHM CHEST
4 REFORMATS COR/SAG (NECK)


Estimated CTDI
Estimated DLP

CTA ABDOMEN/PELVIS
REVISED: 2/21/17
INDICATION AAA WORK-UP

ORAL PREP NONE
SCAN ARTERIAL PHASE ABDOMEN/PELVIS
• 2.5mm AXIAL RECON – STANDARD ALGORITHM
RECON • 0.625mm OR 1.25mm AXIAL RECON – STANDARD
ALGORITHM
REFORMAT o 1.5mm MIP CORONAL AND SAGITTAL
✓ 3D ROTATION AORTA
3D POST PROCESSING ✓ MIP ROTATION AORTA / RT ILIAC / LT ILIAC
✓ MAX VESSEL MEASUREMENT
IV SIZE 18g OR 20g

GE XYPHOID
LANDMARK
SIEMENS
PARAMETER CTA
DFOV <TO PATIENT>
SMART PREP JUST ABOVE CELIAC
PREP GE
ARTERY
GROUP
SIEMENS
CTA ABODMEN/PELVIS
16 SLICE – GE
PARAMETER SMART PREP CTA

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 16.48
DOSE REDUCTION
1 REFORMATS
2 REFORMATS COR/SAG
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE

CTA ABODMEN/PELVIS
64 SLICE – GE VCT

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
1 REFORMATS
2 REFORMATS COR/SAG
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE

CTA ABODMEN/PELVIS
Estimated CTDI
Estimated DLP
CTA ABODMEN/PELVIS
CTA ABDOMEN/PELVIS W/ DELAY
REVISED: 2/21/17
INDICATION F/U REPAIR

ORAL PREP NONE
1. ARTERIAL ABDOMEN/PELVIS
SCAN
2. 3-5 MIN DELAY THROUGH STENT
(CTA)
• 0.625mm OR 1.25mm AXIAL RECON – STANDARD
RECON
ALGORITHM (CTA)
(DELAY)
✓ 3D ROTATION AORTA
3D POST PROCESSING ✓ MIP ROTATION AORTA / RT ILIAC / LT ILIAC
✓ MAX VESSEL MEASUREMENT
IV SIZE 18g OR 20g

GE XYPHOID
LANDMARK
SIEMENS
PARAMETER CTA DELAY

START ABOVE DIAPHRAGM ABOVE STENT
END BELOW SYMPHYSIS PUBIS BELOW STENT
DFOV <TO PATIENT> <TO PATIENT>
SMART PREP JUST ABOVE CELIAC
PREP GE 3-5 MINUTES
ARTERY
GROUP
SIEMENS
CTA ABDOMEN/PELIVS W/ DELAY

16 SLICE – GE
PARAMETER SMART PREP CTA DELAY

THICKNESS 2.5 3.75
PITCH 1.375:1 1.375:1
SPEED 27.50 27.50
INTERVAL 2.5 3.75
GANTRY TILT
kVp 100 120
mA 10 SMART mA SMART mA
DOSE REDUCTION
1 REFORMATS
2 REFORMATS COR/SAG
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE


64 SLICE – GE VCT
PARAMETER SMART PREP CTA DELAY

THICKNESS 2.5 3.75
PITCH 0.984:1 0.984:1
SPEED 39.37 39.37
INTERVAL 2.5 3.75
GANTRY TILT
kVp 100 120
1 REFORMATS
2 REFORMATS COR/SAG
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE


Estimated CTDI
Estimated DLP

CTA LOWER EXTREMITY RUNOFF
REVISED: 2/21/17
INDICATION
ORAL PREP NONE
SCAN CTA ABDOMEN THROUGH TOES
RECON • 0.625mm OR 1.25mm AXIAL RECONS – STANDARD ALGORITHM
o 2mm CORONAL RECONS IN 3 SEPARATE SERIES WITH OVERLAP:
o ABDOMEN AND PELVIS
o THIGH
o LOWER LEG
REFORMAT
o 2mm SAGITTAL RECONS IN 3 SEPARATE SERIES WITH OVERLAP:
o THIGH
o LOWER LEG
BODY BONE REMOVAL STATIC IMAGE (DE SCAN)
BODY BONE REMOVAL MIP ROTATION (DE SCAN)
BODY BONE REMOVAL WITHOUT PLAQUES STATIC IMAGE (DE SCAN)
BODY BONE REMOVAL WITHOUT PLAQUES MIP ROTATION (DE SCAN)
3D POST PROCESSING 3D ROTATION ARTERIES (NON DE SCANS)
o ENTIRE SCAN
o ABDOMEN/PELVIS
o THIGHS
o LOWER LEGS
CURVED MIP ROTATION
o AORTA
o RT AND LT ILIACS
o RT AND LT FEMORALS
IV SIZE 18g
IV CONTRAST UP TO 180cc OMNIPAQUE 350
INJECTION RATE 5cc/SEC
PT POSITION SUPINE / FEET FIRST / TOES TAPED TOGETHER
GE XYPHOID
LANDMARK
SIEMENS
PARAMETER CTA
END THROUGH TOES
DFOV <TO PATIENT>
GE MIROI OR SMART PREP
PREP GROUP
SIEMENS

16 SLICE – GE
SMART PREP @
PARAMETER CREST CTA
THICKNESS 2.5
PITCH 1.375:1
SPEED 27.50
INTERVAL 2.5
GANTRY TILT
SCAN FOV LARGE
kVp 100
mA 40 AUTO mA TO 420
NOISE INDEX 16.70
DOSE REDUCTION 40%
PREP GROUP SMART PREP
1 REFORMATS
2 REFORMATS
ALGORITHM STANDARD
RECON COR/SAG IN 3 PIECES
3 WITH OVERLAP (A/P,
REFORMATS FEMURS, TIB/FIB)


64 SLICE – GE VCT
MIROI @
PARAMETER MIROI @ CELIAC POPLITEAL **CTA
SCAN TYPE AXIAL FULL AXIAL FULL HELICAL FULL
PITCH 0.984:1
SPEED 39.37
GANTRY TILT
kVp 120 120 100
AUTO mA TO 700 W/ SMART
mA 100 100 mA
NOISE INDEX 12.73
DOSE REDUCTION 40%
ASIR/MODE 0% / FULL 0% / FULL 40% / PLUS
1 REFORMATS
2 REFORMATS
ALGORITHM STANDARD
RECON COR/SAG IN 3 PIECES WITH
3 OVERLAP (A/P, FEMURS,
REFORMATS TIB/FIB)
*MIROI: Inject 15cc of contrast for each MIROI, stop scan after aorta (MIROI #1) and popliteal (MIROI #2) has peaked.
Place an MIROI in the appropriate artery, calculate the peak of the contrast (image # times 2)
**SCAN TIME: (from the celiac to the knees) should be no less than the popliteal timing minus the celiac timing. If the
time is too quick you will beat the contrast, so you should increase the rotation time to slow down the scan time.


Estimated CTDI
Estimated DLP

CTA MESENTERIC ISCHEMIA
REVISED: 2/21/17
INDICATION
ORAL PREP WATER
1. CTA ABDOMEN (THROUGH AORTIC BIFURCATION)
SCAN ARTERIAL PHASE ~ 25 SEC
2. PV PHASE – ABDOMEN AND PELVIS ~60-70 SEC
(ARTERIAL PHASE)
RECON
ALGORITHM (BOTH PHASES)
(PV PHASE)
REFORMAT o 3mm CORONAL AND SAGITTAL – BOTH PHASES
3D ROTATION AORTA
2mm MIP DOUBLE OBLIQUE IMAGES VISCERAL
3D POST PROCESSING
ORIGINS
CURVED REFORMAT AORTA
IV SIZE 18g OR 20g

GE XYPHOID
LANDMARK
SIEMENS
PARAMETER ARTERIAL ABD PV ABD/PELVIS

START ABOVE DIAPHRAGM ABOVE DIAPHRAGM
END ILIAC CREST BELOW SYMPHYSIS PUBIS
SMART PREP ABOVE CELIAC
GE 70 SEC
PREP GROUP ARTERY
SIEMENS

16 SLICE – GE
PARAMETER SMART PREP GROUP 1 (ART) GROUP 2 (PV)

THICKNESS 2.5 3.75
PITCH 1.375:1 1.375:1
SPEED 27.50 27.50
INTERVAL 2.5 3.75
GANTRY TILT
kVp 100 100
DOSE REDUCTION
1 REFORMATS
2 REFORMATS COR/SAG
3 REFORMATS COR/SAG


64 SLICE – GE VCT
PARAMETER SMART PREP GROUP 1 (ART) GROUP 2 (PV)

THICKNESS 2.5 3.75
PITCH 0.984:1 0.984:1
SPEED 39.37 39.37
INTERVAL 2.5 3.75
GANTRY TILT
kVp 120 120
1 REFORMATS
2 REFORMATS COR/SAG
3 REFORMATS COR/SAG


Estimated CTDI
Estimated DLP

CTA PULMONARY ARTERIES & ABDOMEN/PELVIS
REVISED: 2/21/17
INDICATION
1. CTA CHEST (TIMED OFF PULMONARY ARTERY)
SCAN 2. PV ABDOMEN/PELVIS ~60-70 SEC AFTER START OF
INJECTION
(CHEST)
RECON (A/P)
• 2.5mm AXIAL RECONS - LUNG ALGORITHM
ALGORITHM
o 1.5mm MIP CORONAL AND SAGITTAL (CHEST)
REFORMAT
o 3mm CORONAL AND SAGITTAL (A/P)
IV SIZE 18g
GE STERNAL NOTCH
LANDMARK
SIEMENS
PARAMETER CTA CHEST PV ABD/PELVIS

START ABOVE APICES ABOVE DIAPHRAGM
BELOW SYMPHYSIS
END BELOW DIAPHRAGM
PUBIS
MIROI + 4 SEC OR SMART
PREP GE 70 SEC
PREP
GROUP
SIEMENS

16 SLICE – GE
PARAMETER MIROI GROUP 1 (PE) GROUP 2 (A/P)

SCAN TYPE AXIAL FULL HELICAL FULL HELICAL FULL
PITCH 0.938:1 1.375:1
SPEED 18.75 27.50
INTERVAL 0.0 2.5 3.75
GANTRY TILT
kVp 120 100 120
DOSE REDUCTION
ASiR/MODE 0% / FULL 40% / PLUS 40% / PLUS
1 REFORMATS
2 REFORMATS
40% / FULL
3 REFORMATS COR/SAG (CHEST)
40% / PLUS
4 REFORMATS COR/SAG (A/P)
40% / PLUS


64 SLICE – GE VCT
PARAMETER MIROI GROUP 1 (PE) GROUP 2 (A/P)

SCAN TYPE AXIAL FULL HELICAL FULL HELICAL FULL
PITCH 0.984:1 0.984:1
SPEED 39.37 39.37
INTERVAL 0.0 2.5 3.75
GANTRY TILT
kVp 120 120 120
ASIR/MODE 0% / FULL 40% / PLUS 40% / PLUS
1 REFORMATS
2 REFORMATS
3 REFORMATS COR/SAG
4 REFORMATS COR/SAG


Estimated CTDI
Estimated DLP

CTA THORAX/ABDOMEN/PELVIS
REVISED: 2/21/17
INDICATION
ORAL PREP NONE
SCAN ARTERIAL CHEST/ABDOMEN/PELVIS
RECON
ALGORITHM
3D ROTATION AORTA
3D POST PROCESSING CURVED REFORMATS AORTA AND BOTH ILIACS
MAX VESSEL MEASUREMENT
IV SIZE 18g OR 20g

GE STERNAL NOTCH
LANDMARK
SIEMENS
PARAMETER SCAN
START ABOVE APICES
END SYMPHYSIS PUBIS
DFOV <TO PATIENT>
PREP GE SMART PREP @ AORTIC ARCH
GROUP SIEMENS
16 SLICE – GE

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 16.70
DOSE REDUCTION
1 REFORMATS
2 REFORMATS
3 REFORMATS COR/SAG

64 SLICE – GE VCT

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%
1 REFORMATS
2 REFORMATS
3 REFORMATS COR/SAG

Estimated CTDI
Estimated DLP
CTA UPPER EXTREMITY RUNOFF
REVISED: 2/21/17
INDICATION
ORAL PREP NONE
SCAN CTA TIMED OFF AORTIC ARCH
RECON
o 2mm CORONAL RECONS IN 2 SEPARATE SERIES
WITH OVERLAP
o ARCH AND UPPER ARM
o ELBOW, FOREARM AND HAND
REFORMAT
o 2mm SAGITTAL RECONS IN 2 SEPARATE SERIES WITH
OVERLAP
BODY BONE REMOVAL STATIC IMAGE (DE SCAN)
BODY BONE REMOVAL MIP ROTATION (DE SCAN)
BODY BONE REMOVAL WITHOUT PLAQUES STATIC
IMAGE (DE SCAN)
BODY BONE REMOVAL WITHOUT PLAQUES MIP
3D POST PROCESSING
ROTATION (DE SCAN)
3D ROTATION ARTERIES (NON DE SCANS)
3D ROTATION ARTERIS WITH BONE OVERLAY-WRIST
AND HAND ONLY (NON-DE SCANS)
CURVED MIP ROTATION BRACHIAL ARTERY
IV SIZE 18g IN UNAFFECTED ARM

PRONE OR SUPINE / SLIGHT OBLIQUE / HEAD
PT POSITION FIRST / ARM ABOVE HEAD / PALM UP / FINGERS
EXTENDED, HAND FLAT ON TABLE
GE STERNAL NOTCH
LANDMARK
SIEMENS
BREATHING
PARAMETER SCAN
START AORTIC ARCH
END THROUGH FINGERTIPS
DFOV 30
PREP GE MIROI
GROUP SIEMENS

16 SLICE – GE
STUDY NOT SCANNED ON 16 SLICE SCANNER

64 SLICE – GE VCT
PARAMETER MIROI #1 MIROI #2 CTA

SCAN TYPE AXIAL FULL AXIAL FULL HELICAL FULL
PITCH 0.984:1
SPEED 39.37
GANTRY TILT
kVp 120 120 100
mA 50 10 AUTO mA TO 700
DOSE REDUCTION 40%
ASIR/MODE 0% / FULL 0% / FULL 40% / PLUS
1 REFORMATS
ALGORITHM STANDARD
COR/SAG IN 2 SECTIONS
RECON WITH RESPECT TO THE
2 LONG AXIS OF LIMB
(ARCH AND UPPER ARM,
REFORMATS ELBOW/FOREARM/HAND)
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE
*MIROI: Inject 15cc of contrast for each MIROI, stop scan after aorta (MIROI #1) and brachial artery (MIROI #2) has
peaked. Place an MIROI in the appropriate artery, calculate the peak of the contrast (image # times 2)
**SCAN TIME: (from the aortic arch to the elbow) should be no less than the brachial timing minus the arch timing. If
the time is too quick you will beat the contrast, so you should increase the rotation time to slow down the scan time.


Estimated CTDI
Estimated DLP

CT COLONOGRAPHY
REVISED: 2/21/17
INDICATION FAILED COLONOSCOPY

ORAL PREP COLON PREP
1. PRE SCAN
SCAN 2. SUPINE POST INSUFFLATION
3. PRONE POST INSUFFLATION
• 5mm q 10mm AXIAL RECONS – STANDARD
ALGORITHM (PRE SCAN ONLY)
• 5mm AXIAL RECONS – STANDARD ALGORITHM (POST
RECON
INSUFFLATION SCANS)
(POST INSUFFLATION SCANS)
o 3mm CORONAL AND SAGITTAL – POST
REFORMAT
INSUFFLATION SCANS
3D POST PROCESSING DONE BY RADIOLOGIST
IV SIZE
IV CONTRAST
INJECTION RATE
PT POSITION SUPINE / PRONE / FEET FIRST
GE XYPHOID
LANDMARK
SIEMENS
PARAMETER PRE SCAN SUPINE PRONE

ABOVE
DIAPHRAGM
SYMPHYSIS
END SYMPHYSIS PUBIS SYMPHYSIS PUBIS
PUBIS
PREP GE
GROUP SIEMENS
CT COLONOGRAPHY
16 SLICE – GE
STUDY NOT SCANNED ON 16 SLICE SCANNER
CT COLONOGRAPHY
64 SLICE – GE VCT
PARAMETER PRE SCAN *SUPINE PRONE

PITCH 0.984:1 0.984:1 0.984:1
SPEED 39.37 39.37 39.37
INTERVAL 10.0 5.0 5.0
GANTRY TILT
kVp 120 120 120
Ma SMART mA SMART mA SMART mA
NOISE INDEX 7.81 12.73 12.73
1 REFORMATS
THICK/INCR. 0.625 q 0.3 0.625 q 0.3
2 REFORMATS COR/SAG COR/SAG
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE
*GLUCAGON may be given before insufflation
Estimated CTDI 4.85

CT COLONOGRAPHY
STUDY NOT SCANNED ON FORCE SCANNER
CT COLONOGRAPHY
CT CYSTOGRAPHY
REVISED: 2/21/17
INDICATION
ORAL PREP
IN ADDITION TO TRAUMA C/A/P SCAN:
1. PELVIS – FILLED BLADDER **
UNIQUE STUDY:
SCAN
1. I- PELVIS
2. PELVIS – RETROGRADE FILLED BLADDER**
3. PELVIS – POST VOID
RECON ALGORITHM
• 0.625mm OR 1.25mm AXIAL RECONS – BONE
ALGORITHM
IV SIZE
INJECTION RATE
GE ILIAC CREST
LANDMARK
SIEMENS
BREATHING NONE
PARAMETER PRE FULL BLADDER POST

START ABOVE CREST ABOVE CREST ABOVE CREST
BELOW SYMPHYSIS BELOW SYMPHYSIS
PUBIS PUBIS
PREP GE
GROUP SIEMENS
** IN ADDITION TO TRAUMA C/A/P SCAN: CLAMP FOLEY X 10 MINS AFTER TRAUMA C/A/P SCAN OR RETROGRADE
FILL BLADDER WITH DILUTE CONTRAST UP TO 350cc OR PATIENT TOLERANCE
**UNIQUE STUDY: RETROGRADE FILL BLADDER WITH DILUTE CONTRAST UP TO 350cc OR PATIENT TOLERANCE
(GRAVITY DRIP PREFERRED)
• OMNIPAQUE 350: MIX 60cc OMNIPAQUE PER 1000cc SALINE BAG – (UP TO 350cc WILL BE USED)
CT CYSTOGRAPHY
16 SLICE – GE
THICKNESS 3.75 3.75 3.75
PITCH 1.375:1 1.375:1 1.375:1
SPEED 27.50 27.50 27.50
INTERVAL 3.75 3.75 3.75
GANTRY TILT
kVp 120 120 120
AUTO mA TO
AUTO mA TO 440 W/ AUTO mA TO 440 440 W/ SMART
mA SMART mA W/ SMART mA mA
NOISE INDEX 19.30 19.30 19.30
DOSE REDUCTION
ALGORITHM STANDARD STANDARD STANDARD
RECON 1
REFORMATS
THICK/INCR. 1.25 q 0.700 1.25 q 0.700 1.25 q 0.700
ALGORITHM STANDARD BONE STANDARD
RECON 2
REFORMATS COR/SAG COR/SAG
ASiR/MODE 40% / PLUS 40% / FULL 40% / PLUS
ALGORITHM STANDARD
RECON 3
REFORMATS COR/SAG

CT CYSTOGRAPHY
64 SLICE – GE VCT

THICKNESS 3.75 3.75 3.75
PITCH 1.375:1 1.375:1 1.375:1
SPEED 55.00 55.00 55.00
INTERVAL 3.75 3.75 3.75
GANTRY TILT
kVp 120 120 120
AUTO mA TO 700 W/ AUTO mA TO 700 AUTO mA TO 700
mA SMART mA W/ SMART mA W/ SMART mA
NOISE INDEX 16.63 16.63 16.63
RECON 1
REFORMATS
THICK/INCR. 0.625 q 0.625 0.625 q 0.625 0.625 q 0.625
RECON 2
REFORMATS COR/SAG COR/SAG COR/SAG
ALGORITHM BONE
RECON 3
REFORMATS

CT CYSTOGRAPHY
Estimated CTDI
Estimated DLP
CT CYSTOGRAPHY
CT ENTEROGRAPHY
REVISED: 2/21/17
IN LIEU OF SMALL BOWEL FOLLOW THROUGH – TYPICALLY GI

REFERRAL TO EVALUATE SMALL BOWEL
INDICATION
PATHOLOGY/CROHNS DISEASE *IF YOUNG CONSIDER MRE
INSTEAD
1. VOLUMEN 450ml 60 MIN BEFORE SCAN
ORAL PREP 2. VOLUMEN 450ml 40 MIN BEFORE SCAN
3. VOLUMEN 450 ml 20 MIN BEFORE SCAN
ALGORITHM
IV SIZE
INJECTION RATE
GE XYPHOID
LANDMARK
SIEMENS
PARAMETER SCAN
DFOV <TO PATIENT>
PREP GE 50-60 SEC
GROUP SIEMENS
CT ENTEROGRAPHY
16 SLICE – GE
PARAMETER SCAN
THICKNESS 3.75
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE
kVp 120
AUTO mA TO 440 W/
mA SMART mA
NOISE INDEX 18.81
DOSE REDUCTION
ALGORITHM STANDARD
RECON 1
REFORMATS
ALGORITHM STANDARD
RECON 2
REFORMATS COR/SAG
THICK/INCR.
ALGORITHM
RECON 3
REFORMATS
ASiR/MODE

CT ENTEROGRAPHY
64 SLICE – GE VCT
PARAMETER SCAN
THICKNESS 3.75
PITCH 0.984:1
SPEED 39.37
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
AUTO mA TO 700 W/
mA SMART mA
NOISE INDEX 16.04
DOSE REDUCTION 40%
ALGORITHM STANDARD
RECON 1
REFORMATS
ALGORITHM STANDARD
RECON 2
REFORMATS COR/SAG
THICK/INCR.
ALGORITHM
RECON 3
REFORMATS
ASiR/MODE

CT ENTEROGRAPHY
Estimated CTDI
Estimated DLP
CT ENTEROGRAPHY
CTV ABDOMEN / PELVIS
REVISED: 2/21/17
INDICATION ? PELVIS OR IVC CLOT. NOT FOR MESENTERIC/PORTAL VEINS

ORAL PREP NONE
SCAN 180 SEC SCAN DELAY
RECON
IV SIZE 20g OR 18g

INJECTION RATE 4CC / SEC
GE XYPHOID
LANDMARK
SIEMENS
PARAMETER SCAN
DFOV <TO PATIENT>
PREP GE 180 SEC
GROUP SIEMENS
CTV ABDOMEN/PELVIS
16 SLICE – GE
PARAMETER SCAN
THICKNESS 3.75
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE
kVp 120
AUTO mA TO 440 W/
mA SMART mA
NOISE INDEX 18.81
DOSE REDUCTION
ALGORITHM STANDARD
RECON 1
REFORMATS
ALGORITHM STANDARD
RECON 2
REFORMATS COR/SAG
THICK/INCR.
ALGORITHM
RECON 3
REFORMATS
ASiR/MODE

CTV ABDOMEN/PELVIS
64 SLICE – GE VCT
PARAMETER SCAN
THICKNESS 3.75
PITCH 0.984:1
SPEED 39.37
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE
kVp 120
AUTO mA TO 700 W/
mA SMART mA
NOISE INDEX 16.04
DOSE REDUCTION 40%
ALGORITHM STANDARD
RECON 1
REFORMATS
ALGORITHM STANDARD
RECON 2
REFORMATS COR/SAG
THICK/INCR.
ALGORITHM
RECON 3
REFORMATS
ASiR/MODE

CTV ABDOMEN/PELVIS
Estimated CTDI
Estimated DLP
CTV ABDOMEN/PELVIS
CTV LOWER EXTREMITY
REVISED: 2/21/17
INDICATION EVALUATE LOWER EXTREMITY THROMBUS

ORAL PREP NONE
SCAN 1. 180 SECOND SCAN DELAY
• 2.5mm AXIAL RECONS STANDARD ALGORITHM
RECON
• 1.25mm AXIAL RECONS STANDARD ALGORITHM
o 2mm CORONAL RECONS IN 3 SEPARATE SERIES WITH
OVERLAP:
o THIGH
o LOWER LEG
REFORMAT
OVERLAP:
o THIGH
o LOWER LEG
3D POST PROCESSING
IV SIZE 20g OR 18g

PT POSITION SUPINE / FEET FIRST / TOES TAPED TOGETHER
GE ILIAC CREST
LANDMARK
SIEMENS
BREATHING
PARAMETER SCAN
START ILIAC CREST
END THROUGH TOES
DFOV <TO PATIENT>
PREP GE 180 SECONDS
GROUP SIEMENS
CTV LOWER EXTREMITY

16 SLICE – GE
PARAMETER SCAN
THICKNESS 2.5
PITCH 1.375:1
SPEED 27.50
INTERVAL 2.5
GANTRY TILT
SCAN FOV LARGE
kVp 120
AUTO mA TO 440 W/
mA SMART mA
NOISE INDEX 23.63
DOSE REDUCTION
1 REFORMATS
RECON ALGORITHM BONE
2 REFORMATS
ALGORITHM STANDARD

CTV LOWER EXTREMITY

64 SLICE - GE
PARAMETER SCAN
THICKNESS 2.5
PITCH 0.984:1
SPEED 39.37
INTERVAL 2.5
GANTRY TILT
SCAN FOV LARGE
kVp 100
AUTO mA TO 700 W/
mA SMART mA
NOISE INDEX 12.73
DOSE REDUCTION 40%
1 REFORMATS
2 REFORMATS
ALGORITHM STANDARD
Estimated CTDI 8.46

CTV LOWER EXTREMITY

Estimated CTDI
Estimated DLP
CTV LOWER EXTREMITY

CTV UPPER EXTREMITY
REVISED: 2/21/17
INDICATION EVALUATE UPPER EXTREMITY THROMBUS

ORAL PREP NONE
SCAN 130 SECOND SCAN DELAY
RECON • 0.625mm 1.25mm AXIAL RECONS - STANDARD
ALGORITHM
o 2mm CORONAL RECONS IN 2 SEPARATE SERIES
WITH OVERLAP
REFORMAT
OVERLAP
3D POST PROCESSING
IV SIZE 20g OR 18g

INJECTION RATE 4cc/SEC (IN CONTRALATERAL ARM)
SUPINE / HEAD FIRST / SLIGHT POSTERIOR
PT POSITION OBLIQUE / ARM OVER HEAD / PALM FACING UP
WITH FINGERS FULLY EXTENDED
GE STERNAL NOTCH
LANDMARK
SIEMENS
BREATHING
PARAMETER SCAN
START STERNAL NOTCH
END THROUGH FINGERS
DFOV <TO PATIENT>
PREP GE 180 SECONDS
GROUP SIEMENS
CTV UPPER EXTREMITY

16 SLICE – GE
PARAMETER SCAN
THICKNESS 2.5
PITCH 1.375:1
SPEED 27.50
INTERVAL 2.5
GANTRY TILT
SCAN FOV LARGE
kVp 120
mA AUTO mA TO 440
NOISE INDEX 10.50
DOSE REDUCTION
1 REFORMATS
ALGORITHM STANDARD
COR/SAG IN 2 PIECES
RECON WITH OVERLAP (ARCH
2 REFORMATS AND UPPER ARM
ELBOW, FOREARM AND
HAND)
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE
Estimated CTDI 4.48

CTV UPPER EXTREMITY

64 SLICE - GE
PARAMETER SCAN
THICKNESS 2.5
PITCH 0.984:1
SPEED 39.37
INTERVAL 2.5
GANTRY TILT
SCAN FOV LARGE
kVp 100
mA AUTO mA TO 440
NOISE INDEX 10.50
DOSE REDUCTION 40%
1 REFORMATS
ALGORITHM STANDARD
COR/SAG IN 2 PIECES
RECON WITH OVERLAP (ARCH
2 AND UPPER ARM
ELBOW, FOREARM AND
REFORMATS HAND)
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE
Estimated CTDI 3.15

CTV UPPER EXTREMITY

Estimated CTDI
Estimated DLP
CTV UPPER EXTREMITY

KIDNEY DONOR
REVISED: 2/21/17
INDICATION RENAL DONOR

ORAL PREP NONE
1. CTA ABDOMEN ONLY
SCAN
2. DELAY: ~10 MINUTES KIDNEYS THROUGH BLADDER
(ALL PHASES)
RECON
ALGORITHM (ALL PHASES)
2mm MIP CORONAL OBLIQUE RENAL ARTERY
ORIGINS
CURVED REFORMATS AORTA AND RENAL ARTERIES
LENGTH, WIDTH AND HEIGHT EACH KIDNEY
3D POST PROCESSING
VOLUME MEASUREMENT EACH KIDNEY
3D ROTATION OF AORTA AND KIDNEYS
3D ROTATION KIDNEYS URETERS AND BLADDER
THICK MIP COLLECTING SYSTEM
IV SIZE 18g OR 20g

GE XYPHOID
LANDMARK
SIEMENS
PARAMETER ARTERIAL DELAYED

START ABOVE DIAPHRAGM ABOVE KIDNEYS
END ILIAC CREST BELOW BLADDER
PREP GE 25 SEC 10 MIN
GROUP SIEMENS
KIDNEY DONOR
16 SLICE – GE

THICKNESS 2.5 2.5
PITCH 1.375:1 1.375:1
SPEED 27.50 27.50
INTERVAL 2.5 2.5
GANTRY TILT
kVp 100 120
DOSE REDUCTION
1 REFORMATS
THICK/INCR. 1.25 q 0.700 1.25 q 0.700
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE

KIDNEY DONOR
64 SLICE – GE

THICKNESS 2.5 2.5
PITCH 0.984:1 0.984:1
SPEED 39.37 39.37
INTERVAL 2.5 2.5
GANTRY TILT
kVp 100 120
1 REFORMATS
THICK/INCR. 0.625 q 0.625 0.625 q 0.625
ASiR/MODE 50% / PLUS-E 40% / PLUS-E
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE

KIDNEY DONOR
Estimated CTDI
Estimated DLP
KIDNEY DONOR
KIDNEY STONE
REVISED: 2/21/17
INDICATION
ORAL PREP NONE
SCAN NON-CONTRAST KIDNEYS THROUGH BLADDER
RECON ALGORITHM
(100% ASiR)
IV SIZE
IV CONTRAST NONE
INJECTION RATE
GE XYPHOID
LANDMARK
SIEMENS
PARAMETER SCAN
START ABOVE KIDNEYS
END BELOW BLADDER
DFOV <TO PATIENT>
PREP GE NONE
GROUP SIEMENS
KIDNEY STONE
16 SLICE – GE
PARAMETER SCAN
THICKNESS 3.75
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE
kVp 120
AUTO mA TO 440 W/
mA SMART mA
NOISE INDEX 31.53
DOSE REDUCTION
ALGORITHM STANDARD
RECON 1
REFORMATS
ALGORITHM STANDARD
RECON 2
REFORMATS COR/SAG
ALGORITHM STANDARD
RECON 3
REFORMATS
Estimated CTDI 5.27

KIDNEY STONE
64 SLICE – GE VCT
PARAMETER SCAN
THICKNESS 3.75
PITCH 1.375:1
SPEED 55.00
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
AUTO mA TO 500 W/
mA SMART mA
NOISE INDEX 28.87
DOSE REDUCTION 40%
ALGORITHM STANDARD
RECON 1
REFORMATS
ALGORITHM STANDARD
RECON 2
REFORMATS COR/SAG
ALGORITHM STANDARD
RECON 3
REFORMATS
Estimated CTDI 8.88

KIDNEY STONE
Estimated CTDI
Estimated DLP
KIDNEY STONE
LIVER – 2 PHASE
REVISED: 2/21/17
INDICATION F/U LIVER MASSES / HCC / CIRRHOSIS

ORAL PREP NONE
1. LATE ARTERIAL PHASE: 25 SEC AFTER START OF
SCAN INJECTION
2. PV PHASE: 60-70 SEC AFTER START OF INJECTION
(ALL PHASES)
RECON
REFORMAT o 3mm CORONAL AND SAGITTAL (EACH PHASE)
IV SIZE 20g
GE XYPHOID
LANDMARK
SIEMENS
PARAMETER ARTERIAL LIVER PV LIVER

END ILIAC CREST ILIAC CREST
PREP GE 40 SEC 70 SEC
GROUP SIEMENS
LIVER – 2 PHASE
16 SLICE - GE

THICKNESS 5.0 5.0
PITCH 1.375:1 1.375:1
SPEED 27.50 27.50
INTERVAL 5.0 5.0
GANTRY TILT
kVp 120 120
1 REFORMATS
2 REFORMATS
ALGORITHM STANDARD
RECON
REFORMATS
3

4 REFORMATS COR/SAG
5 REFORMATS COR/SAG

LIVER – 2 PHASE
64 SLICE – GE VCT

THICKNESS 5.0 5.0
PITCH 0.984:1 0.984:1
SPEED 39.37 39.37
INTERVAL 5.0 5.0
GANTRY TILT
kVp 120 120
1 REFORMATS
2 REFORMATS
3 REFORMATS
2 REFORMATS COR/SAG (ART LIVER)
3 REFORMATS COR/SAG (PV LIVER)

LIVER – 2 PHASE
196 (2) SLICE – SIEMENS FORCE
Estimated CTDI
Estimated DLP
LIVER – 2 PHASE
LIVER – 2 PHASE & PELVIS
REVISED: 2/21/17
INDICATION F/U LIVER MASSES / HCC / CIRRHOSIS

ORAL PREP NONE
1. LATE ARTERIAL PHASE: 25 SEC AFTER START OF
INJECTION, ABDOMEN ONLY
SCAN
2. PV PHASE: 60-70 SEC AFTER START OF INJECTION,
ABDOMEN AND PELVIS
RECON (ALL PHASES)
• 0.625mm OR 1.25mm AXIAL RECONS (ALL PHASES)
IV SIZE 20g
GE XYPHOID
LANDMARK
SIEMENS
PARAMETER ARTERIAL LIVER PV ABD/PELVIS

ABOVE
DIAPHRAGM
BELOW SYMPHYSIS
END ILIAC CREST
PUBIS
GROUP SIEMENS

16 SLICE – GE

THICKNESS 5.0 5.0
PITCH 1.375:1 1.375:1
SPEED 27.50 27.50
INTERVAL 5.0 5.0
GANTRY TILT
kVp 120 120
1 REFORMATS
2 REFORMATS
3 REFORMATS
4 REFORMATS COR/SAG
5 REFORMATS COR/SAG


64 SLICE – GE VCT
PARAMETER ARTERIAL LIVER PV A/P

THICKNESS 5.0 5.0
PITCH 0.984:1 0.984:1
SPEED 39.37 39.37
INTERVAL 5.0 5.0
GANTRY TILT
kVp 120 120
1 REFORMATS
2 REFORMATS
3 REFORMATS
4 REFORMATS COR/SAG
5 REFORMATS COR/SAG

Estimated CTDI
Estimated DLP

LIVER – 2 PHASE & CHEST/ABDOMEN/PELVIS
REVISED: 2/21/17
INDICATION F/U LIVER MASES / HCC / CIRRHOSIS

ORAL PREP
1. LATE ARTERIAL PHASE : 25 SEC AFTER START OF
INJECTION – ABDOMEN ONLY
SCAN
2. PV PHASE: 60-70 SEC AFTER START OF INJECTION –
CHEST ABDOMEN AND PELVIS
(ALL PHASES)
RECON
• 0.625mm OR 1.25mm AXIAL RECONS (ALL PHASES)
• 3.75mm AXIAL RECON – LUNG ALGORITHM
IV SIZE 20g
GE STERNAL NOTCH
LANDMARK
SIEMENS
PARAMETER ARTERIAL LIVER PV CAP

START ABOVE DIAPHRAGM ABOVE APICES
END ILIAC CREST SYMPHYSIS PUBIS
GROUP SIEMENS

16 SLICE – GE
PARAMETER GROUP 1 (ART LIVER) GROUP 2 (PV C/A/P)

THICKNESS 5.0 5.0
PITCH 1.375:1 1.375:1
SPEED 27.50 27.50
INTERVAL 5.0 5.0
GANTRY TILT
kVp 120 120
mA AUTO mA TO 440 W/ SMART mA AUTO mA TO 440 W/ SMART mA
DOSE REDUCTION
1 REFORMATS
2 REFORMATS
3 REFORMATS
4 REFORMATS

64 SLICE – GE VCT
PARAMETER GROUP 1 (ART. LIVER) GROUP 2 (PV C/A/P)
THICKNESS 5.0 5.0
PITCH 0.984:1 0.984:1
SPEED 39.37 39.37
INTERVAL 5.0 5.0
GANTRY TILT
kVp 120 120
mA AUTO mA TO 700 W/ SMART mA AUTO mA TO 700 W/ SMART mA
1 REFORMATS
2 REFORMATS
3 REFORMATS
ASiR/MODE 40 / PLUS
RECON
ALGORITHM STANDARD
4
REFORMATS


Estimated CTDI
Estimated DLP

LIVER – 3 PHASE
REVISED: 2/21/17
INDICATION EVAL HEMANGIOMA, HCC

ORAL PREP
1. I+ LATE ARTERIAL PHASE LIVER ONLY – 25 SEC AFTER
START OF INJECTION
2. I+ PV PHASE – ENTIRE ABDOMEN 60-70 SEC AFTER
SCAN
START OF INJECTION
3. I+ DELAY – LIVER ONLY ~ 5 MINUTES AFTER START OF
INJECTION
(ALL PHASES)
RECON
REFORMAT o 3mm CORONAL AND SAGITTAL (ALL PHASES)
IV SIZE 20g
GE XYPHOID
LANDMARK
SIEMENS
PARAMETER ART PV DELAY

ABOVE
DIAPHRAGM
END ILIAC CREST ILIAC CREST ILIAC CREST
PREP GE 40 SEC 70 SEC 5 MINS
GROUP SIEMENS
LIVER – 3 PHASE
16 SLICE - GE

PITCH 1.375:1 1.375:1 1.375:1
SPEED 27.50 27.50 27.50
GANTRY TILT
kVp 120 120 120
AUTO mA TO 440
NOISE INDEX 14.40 14.40 14.40
DOSE REDUCTION
1 REFORMATS
THICK/INCR. 3.75 q 3.75 3.75 q 3.75
2 REFORMATS
3 REFORMATS
4 REFORMATS COR/SAG
5 REFORMATS COR/SAG

LIVER – 3 PHASE
64 SLICE – GE VCT

THICKNESS 3.75 3.75 3.75
PITCH 0.984:1 0.984:1 0.984:1
SPEED 39.37 39.37 39.37
INTERVAL 3.75 3.75 3.75
GANTRY TILT
kVp 120 120 120
AUTO mA TO 700 AUTO mA TO 700 AUTO mA TO 700 W/
mA W/ SMART mA W/ SMART mA SMART mA
NOISE INDEX 12.00 12.00 13.86
1 REFORMATS
THICK/INCR. 3.75 q 3.75 0.625 q 0.625
2 REFORMATS COR/SAG
ASiR/MODE 40% / PLUS 40% / PLUS-E
3 REFORMATS
4 REFORMATS COR/SAG
5 REFORMATS COR/SAG

LIVER – 3 PHASE
Estimated CTDI
Estimated DLP
LIVER – 3 PHASE
LIVER – POST RFA / FATTY LIVER
REVISED: 2/21/17
INDICATION ‘FATTY LIVER PROTOCOL’ FOR GI, POST RFA/EMBO

ORAL PREP
1. I- LIVER ONLY
2. I+ LATE ARTERIAL PHASE – LIVER ONLY – 25 SEC
SCAN AFTER START OF INJECTION
3. I+ PV PHASE – ENTIRE ABDOMEN – 60-70 SEC AFTER
START OF INJECTION
(ALL PHASES)
RECON
• 0.625mm 0R 1.25mm AXIAL RECONS – STANDARD
REFORMAT o 3mm CORONAL AND SAGITTAL (ALL PHASES)
IV SIZE 20g
GE XYPHOID
LANDMARK
SIEMENS
PARAMETER I- ART PV
START ABOVE DIAPHRAGM ABOVE DIAPHRAGM ABOVE DIAPHRAGM
END ILIAC CREST ILIAC CREST ILIAC CREST
GROUP SIEMENS
LIVER – POST RFA/FATTY LIVER

16 SLICE - GE
PARAMETER I- ART PV
PITCH 1.375:1 1.375:1 1.375:1
SPEED 27.50 27.50 27.50
INTERVAL 3.75 5.0 5.0
GANTRY TILT
kVp 120 120 120
AUTO mA TO 440 W/ AUTO mA TO 440
mA AUTO mA TO 440
SMART mA W/ SMART mA
NOISE INDEX 13.36 14.40 14.40
DOSE REDUCTION
1 REFORMATS
THICK/INCR. 1.25 q 0.700 3.75 q 3.75
2 REFORMATS COR/SAG
3 REFORMATS
4 REFORMATS COR/SAG
5 REFORMATS COR/SAG


64 SLICE – GE VCT
PARAMETER I- ART PV
PITCH 0.984:1 0.984:1 0.984:1
SPEED 39.37 39.37 39.37
INTERVAL 3.75 5.0 5.0
GANTRY TILT
kVp 120 120 120
AUTO mA to 700 W/ AUTO mA to 700 W/ AUTO mA to 700
mA SMART mA SMART mA W/ SMART mA
NOISE INDEX 13.86 12.00 12.00
1 REFORMATS
THICK/INCR. 0.625 q 0.625 3.75 q 3.75
2 REFORMATS
ASiR/MODE 40% / PLUS-E 40% / PLUS
3 REFORMATS
4 REFORMATS COR/SAG
5 REFORMATS COR/SAG

Estimated CTDI
Estimated DLP

PANCREAS
REVISED: 2/21/17
INDICATION EVALUATE MASS, PANCREATITIS

ORAL PREP WATER
1. PANCREATIC PHASE: ~35 SEC AFTER INJECTION
STARTS, ABDOMEN ONLY, AS THIN AS POSSIBLE
SCAN
2. PV PHASE: 60-70 SEC AFTER INJECTION STARTS,
ABDOMEN AND PELVIS
(ALL PHASES)
RECON
CURVED REFORMAT OF PANCREATIC DUCT ON LATE
3D POST PROCESSING
ARTERIAL PHASE
IV SIZE 18g OR 20g

GE XYPHOID
LANDMARK
SIEMENS

ABOVE ABPVE
START
DIAPHRAGM DIAPHRAGM
BELOW
END ILIAC CREST
SYMPHYSIS PUBIS
GROUP SIEMENS
PANCREAS
16 SLICE – GE
PARAMETER ARTERIAL PANC PV PANC

THICKNESS 2.5 2.5
PITCH 1.375:1 1.375:1
SPEED 27.50 27.50
INTERVAL 2.5 2.5
GANTRY TILT
kVp 120 120
1 REFORMATS
2 REFORMATS
3 REFORMATS
4 REFORMATS COR/SAG
5 REFORMATS COR/SAG

PANCREAS
64 SLICE – GE VCT
PARAMETER ARTERIAL PANC PV PANC
THICKNESS 2.5 2.5
PITCH 0.984:1 0.984:1
SPEED 39.37 39.37
INTERVAL 2.5 2.5
GANTRY TILT
kVp 120 120
1 REFORMATS
2 REFORMATS
3 REFORMATS
4 REFORMATS COR/SAG
5 REFORMATS COR/SAG

PANCREAS
Estimated CTDI
Estimated DLP
PANCREAS
PANCREAS & CHEST/ABDOMEN/PELIVS
REVISED: 2/21/17

ORAL PREP WATER
SCAN
CHEST, ABDOMEN AND PELVIS
(ARTERIAL PHASE)
RECON (PV PHASE)
3D POST PROCESSING
ARTERIAL PHASE
IV SIZE 18g OR 20g

GE STERNAL NOTCH
LANDMARK
SIEMENS
PARAMETER ARTERIAL ABD PV CAP

START ABOVE DIAPHRAGM ABOVE APICES
END ILIAC CREST BELOW SYMPHYSIS PUBIS
GROUP SIEMENS
PANCREAS & CHEST/ABDOMEN/PELVIS

16 SLICE – GE
PARAMETER GROUP 1 (ART ABD) GROUP 2 ( PV C/A/P)
THICKNESS 2.5 5.0
PITCH 1.375:1 1.375: 1
SPEED 27.50 27.50
INTERVAL 2.5 5.0
GANTRY TILT
kVp 120 120
mA
SMART mA SMART mA
DOSE REDUCTION
ASIR 40% / PLUS 40% / PLUS
1 REFORMATS
2 REFORMATS
3 REFORMATS
4 REFORMATS
5 REFORMATS
ASiR/MODE 40% FULL
6 REFORMATS COR/SAG (ART PANC)
ALGORITHM STANDARD
RECON
REFORMATS COR/SAG (PV C/A/P)
7


64 SLICE – GE VCT
GROUP 2 (PV
PARAMETER GROUP 1 (ART ABD) C/A/P)
THICKNESS 2.5 5.0
PITCH 0.984:1 0.984:1
SPEED 39.37 39.37
INTERVAL 2.5 5.0
GANTRY TILT
kVp 120 120
1 REFORMATS
2 REFORMATS
3 REFORMATS
4 REFORMATS
5 REFORMATS
6 REFORMATS COR/SAG (ART PANC)
RECON THICK/INCR. 0.625 q 0.625
7 ALGORITHM STANDARD

REFORMATS COR/SAG (PV C/A/P)


Estimated CTDI
Estimated DLP

PANCREAS & PELVIS
REVISED: 2/21/17

ORAL PREP WATER
SCAN
ABDOMEN AND PELVIS
(PANCREAS)
RECON
(PELVIS)
ALGORITHM
3D POST PROCESSING
ARTERIAL PHASE
IV SIZE 18g OR 20g

GE STERNAL NOTCH
LANDMARK
SIEMENS

ABOVE
START ABPVE DIAPHRAGM
DIAPHRAGM
BELOW SYMPHYSIS
END ILIAC CREST
PUBIS
GROUP SIEMENS
PANCREAS & PELVIS

16 SLICE – GE
GROUP 1 GROUP 2 GROUP 3

PARAMETER (ART PANC) (PV PANC) (PELVIS)
PITCH 1.375:1 1.375:1 1.375:1
SPEED 27.50 27.50 27.50
INTERVAL 2.5 2.5 3.75
GANTRY TILT
kVp 120 120 120
NOISE INDEX 18.71 18.71 18.00
DOSE REDUCTION
1 REFORMATS
2 REFORMATS
THICK/INCR. 2.5 q 2.5 3.75 q 3.75
3 REFORMATS
4 REFORMATS COR/SAG
THICK/INCR. 1.25 q 0.700 1.25 q 0.700

PANCREAS & PELVIS

64 SLICE – GE VCT
GROUP 1 GROUP 2 GROUP 3
PARAMETER (ART PANC) (PV PANC) (PELVIS)
PITCH 0.984:1 0.984:1 0.984:1
SPEED 39.37 39.37 39.37
GANTRY TILT
kVp 120 120 120
NOISE INDEX 15.00 15.00 13.88
1 REFORMATS
2 REFORMATS
THICK/INCR. 2.5 q 2.5 3.75 q 3.75
3 REFORMATS
4 REFORMATS COR/SAG
THICK/INCR. 0.625 q 0.625 0.625 q 0.625

PANCREAS & PELVIS

Estimated CTDI
Estimated DLP
PANCREAS & PELVIS

PELVIS
REVISED: 2/21/17
INDICATION
SCAN PV PHASE: 90 SEC DELAY AFTER START OF INJECTION
ALGORITHM
IV SIZE
INJECTION RATE
GE ILIAC CREST
LANDMARK
SIEMENS
BREATHING NONE
PARAMETER SCAN
START ABOVE CREST
DFOV <TO PATIENT>
PREP GE 90 SEC
GROUP SIEMENS
PELVIS
16 SLICE – GE
PARAMETER SCAN
THICKNESS 3.75
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE
kVp 120
AUTO mA TO 440 W/
mA SMART mA
NOISE INDEX 19.30
DOSE REDUCTION
ALGORITHM STANDARD
RECON 1
REFORMATS
ALGORITHM STANDARD
RECON 2
REFORMATS COR/SAG

PELVIS
64 SLICE – GE VCT
PARAMETER SCAN
THICKNESS 3.75
PITCH 1.375:1
SPEED 55.00
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
AUTO mA TO 700 W/
mA SMART mA
NOISE INDEX 16.63
DOSE REDUCTION 40%
ALGORITHM STANDARD
RECON 1
REFORMATS
ALGORITHM STANDARD
RECON 2
REFORMATS COR/SAG

PELVIS
Estimated CTDI
Estimated DLP
PELVIS
RENAL MASS
REVISED: 2/21/17
INDICATION ? MASS / F/U KNOWN MASS / RFA

ORAL PREP NONE
1. NON-CONTRAST - KIDNEYS ONLY
2. I+ NEPRHOGRAPHIC PHASE ~90 SEC AFTER INJECTION
SCAN
- ABDOMEN/PELVIS
3. 5 MINUTE DELAY - KIDNEYS ONLY
(ALL PHASES)
RECON
ALGORITHM
3D POST PROCESSING None
IV SIZE 18g OR 20g

GE XYPHOID
LANDMARK
SIEMENS

ABOVE
START ABOVE KIDNEYS ABOVE KIDNEYS
KIDNEYS
BELOW
END BELOW KIDNEYS BELOW KIDNEYS
KIDNEYS
GROUP SIEMENS
RENAL MASS
16 SLICE – GE

THICKNESS 3.75 3.75 3.75
PITCH 1.375:1 1.375:1 1.375:1
SPEED 27.50 27.50 27.50
INTERVAL 3.75 3.75 3.75
GANTRY TILT
kVp 120 120 120
NOISE INDEX 18.01 18.36 18.36
DOSE REDUCTION
1 REFORMATS
THICK/INCR. 1.25 q 0.700 1.25 q 0.700 1.25 q 0.700
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE

RENAL MASS
64 SLICE – GE VCT S
6543

THICKNESS 3.75 3.75 3.75
PITCH 0.984:1 0.984:1 0.984:1
SPEED 39.37 39.37 39.37
INTERVAL 3.75 3.75 3.75
GANTRY TILT
kVp 120 120 120
NOISE INDEX 15.59 15.59 15.59
1 REFORMATS
THICK/INCR. 0.625 q 0.625 0.625 q 0.625 0.625 q 0.625
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE

RENAL MASS
Estimated CTDI
Estimated DLP
RENAL MASS
RENAL MASS & PELVIS
REVISED: 2/21/17
INDICATION ? MASS / ? STAGING / F/U KNOWN MASS / RFA

ORAL PREP NONE
1. NON-CONTRAST - KIDNEYS ONLY
2. I+ NEPRHOGRAPHIC PHASE ~90 SEC AFTER INJECTION
SCAN
– ABDOMEN/PELVIS
3. 5 MINUTE DELAY - KIDNEYS ONLY
(ALL PHASES)
RECON
IV SIZE 18g OR 20g

GE XYPHOID
LANDMARK
SIEMENS
PARAMETER NON CONTRAST PV PHASE DELAYED

ABOVE
START ABOVE KIDNEYS ABOVE DIAPHRAGM
KIDNEYS
BELOW SYMPHYSIS BELOW
END BELOW KIDNEYS
PUBIS KIDNEYS
GROUP SIEMENS
RENAL MASS & PELVIS

16 SLICE – GE

THICKNESS 3.75 3.75 3.75
PITCH 1.375:1 1.375:1 1.375:1
SPEED 27.50 27.50 27.50
INTERVAL 3.75 3.75 3.75
GANTRY TILT
kVp 120 120 120
NOISE INDEX 18.01 18.36 18.36
DOSE REDUCTION
1 REFORMATS
THICK/INCR. 1.25 q 0.700 1.25 q 0.700 1.25 q 0.700
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE

RENAL MASS & PELVIS

64 SLICE – GE VCT

THICKNESS 3.75 3.75 3.75
PITCH 0.984:1 0.984:1 0.984:1
SPEED 39.37 39.37 39.37
INTERVAL 3.75 3.75 3.75
GANTRY TILT
kVp 120 120 120
NOISE INDEX 15.59 15.59 15.59
1 REFORMATS
THICK/INCR. 0.625 q 0.625 0.625 q 0.625 0.625 q 0.625
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE

RENAL MASS & PELVIS

Estimated CTDI
Estimated DLP
RENAL MASS & PELVIS

TRAUMA CHEST/ABDOMEN/PELVIS
REVISED: 2/21/17
INDICATION TRAUMA
ORAL PREP NONE
1. ART PHASE CHEST ~35 SEC
SCAN
2. PV PHASE ABDOMEN/PELVIS ~70 SEC
(CHEST)
RECON (A/P)
• 0.625mm OR 1.25mm AXIAL RECONS – BONE
ALGORITHM (SPINES)
o 3mm CORONAL AND SAGITTAL CHEST ABDOMEN
REFORMAT AND PELVIS
o 2mm CORONAL AND SAGITTAL T-SPINE AND L-SPINE
3D POST PROCESSING
IV SIZE
INJECTION RATE
PT POSITION SUPINE / FEET FIRST (GE) / HEAD FIRST (FORCE)
GE STERNAL NOTCH
LANDMARK
SIEMENS
BREATHING
PARAMETER CHEST A/P

START ABOVE APICES ABOVE DIAPHRAGM
END THROUGH BASES SYMPHYSIS PUBIS
GROUP SIEMENS
16 SLICE – GE
PARAMETER GROUP 1 ( CHEST) GROUP 2 ( A/P)
THICKNESS 2.5 3.75
PITCH 1.375:1 1.375:1
SPEED 27.50 27.50
INTERVAL 2.5 3.75
GANTRY TILT
kVp 120 120
AUTO mA to 440 W/ AUTO mA to 440 W/
DOSE REDUCTION
1 REFORMATS
THICK/INCR. 3.75 q 3.75 3.75 q 3.75
RECON ALGORITHM LUNG LUNG
2 REFORMATS
ASiR/MODE 40% / FULL 40% / FULL
THICK/INCR. 1.25 q 0.700 1.25 q 0.700
RECON ALGORITHM BONE BONE
3 REFORMATS SAG/COR T-SPINE SAG/COR T-SPINE
4 REFORMATS SAG/COR L-SPINE
THICK/INCR. 1.25 q 0.700 1.25 q 0.700
5 REFORMATS COR/SAG (C/A/P) COR/SAG (C/A/P)

64 SLICE – GE VCT
PARAMETER GROUP 1 CHEST) GROUP 2 (A/P)

THICKNESS 2.5 3.75
PITCH 0.984:1 0.984:1
SPEED 39.37 39.37
INTERVAL 2.5 3.75
GANTRY TILT
kVp 120 120
1 REFORMATS
THICK/INCR. 3.75 q 3.75 3.75 q 3.75
RECON ALGORITHM LUNG LUNG
2 REFORMATS
THICK/INCR. 0.625 q 0.625 0.625 q 0.625
RECON ALGORITHM BONE BONE
3 REFORMATS COR/SAG (T-SPINE) COR/SAG (T-SPINE)
4 REFORMATS COR/SAG (L-SPINE)
THICK/INCR. 0.625 q 0.625 0.625 q 0.625
5 REFORMATS COR/SAG (C/A/P) COR/SAG (C/A/P)

Estimated CTDI
Estimated DLP
UROGRAM – 2 PHASE
REVISED: 2/21/17
INDICATION HEMATURIA IN VERY LOW RISK PATIENT, < 45 YEARS OLD

ORAL PREP NONE
1. UNENHANCED LOW DOSE KIDNEYS TO BLADDER
2. NEPHROGRAPHIC/DELAY PHASE COMBO:
a. INJECT 10mg IV LASIX AND 50cc CONTRAST,
SCAN
WAIT 6 MIN
b. INJECT 100cc IV CONTRAST AT 4cc/SEC
c. SCAN ABDOMEN/PELVIS AT 100 SEC
(ALL PHASES)
RECON
3D ROTATION KIDNEYS URETERS AND BLADDER
3D POST PROCESSING THICK MIP DOUBLE OBLIQUE IMAGES COLLECTING
SYSTEM
IV SIZE
GE XYPHOID
LANDMARK
SIEMENS
PARAMETER NON-CONTRAST NEPHROGRAPHIC/DELAY

START ABOVE KIDNEYS ABOVE DIAPHRAGM
END BELOW BLADDER SYMPHYSIS PUBIS
PREP GE 100 SEC
GROUP SIEMENS
UROGRAM – 2 PHASE
16 SLICE – GE
6 MIN
THICKNESS 3.75 3.75
PITCH 1.375:1 1.375:1
SPEED 27.50 27.50
INTERVAL 3.75 3.75
GANTRY TILT
kVp 120 120
mA SMART mA mA
DOSE REDUCTION
1 REFORMATS
THICK/INCR. 1.25 q 0.700 1.25 q 0.700
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE

UROGRAM – 2 PHASE
64 SLICE – GE VCT
6 MIN
THICKNESS 3.75 3.75
PITCH 0.984:1 0.984:1
SPEED 39.37 39.37
INTERVAL 3.75 3.75
GANTRY TILT
kVp 120 120
mA SMART mA mA
1 REFORMATS
THICK/INCR. 0.625 q 0.625 0.625 q 0.625
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE

UROGRAM – 2 PHASE
Estimated CTDI
Estimated DLP
UROGRAM – 2 PHASE
UROGRAM – 3 PHASE
REVISED: 2/21/17
INDICATION HEMATURIA
ORAL PREP NONE
1. UNENHANCED, LOW DOSE KIDNEYS TO BLADDER
2. NEPHROGRAPHIC PHASE:
a. ABDOMEN/PELVIS (MOST SENSITIVE FOR DETECTION
OF UROTHELIAL TUMORS AND BLADDER MASSES
b. 110cc CONTRAST @ 4cc/SEC, SCAN AT 100 SEC
3. EXCRETORY PHASE:
a. KIDNEYS TO BLADDER
SCAN
b. 10mg IV LASIX 3-5 MIN PRIOR TO EXCRETORY PHASE
i. AVOID IF ALLERGIC TO SULFA OR LASIX
ii. AVOID IF sBP<90mm Hg
iii. INSTEAD GIVE 250cc NS BOLUS AFTER
NEPHROGRAPHIC PHASE
c. 10 MIN POST IV CONTRAST
d. LOW DOSE TECHNIQUE, ABDOMEN AND PELVIS
• 3.75mm AXIAL RECONS – STANDARD ALGORITHM (ALL PHASES)
RECON • 0.625mm OR 1.25mm AXIAL RECONS – STANDARD ALGORITHM
(ALL PHASES)
3D ROTATION OF KIDNEYS URETERS AND BLADDER
3D POST PROCESSING
THICK MIP DOUBLE OBLIQUE IMAGES COLLECTING SYSTEMS
IV SIZE
INJECTION RATE
GE XYPHOID
LANDMARK
SIEMENS
NEPHROGRAPHIC
PARAMETER NON-CONTRAST DELAY
PHASE
START ABOVE KIDNEYS ABOVE DIAPHRAGM ABOVE KIDNEYS
BELOW SYMPHYSIS
END BELOW BLADDER BELOW BLADDER
PUBIS
GE 100 SEC 10 MIN
PREP GROUP
SIEMENS
UROGRAM – 3 PHASE
16 SLICE - GE
PARAMETER NON-CONTRAST PV A/P 10MIN DELAY

THICKNESS 3.75 3.75 3.75
PITCH 1.375:1 1.375:1 1.375:1
SPEED 27.50 27.50 27.50
INTERVAL 3.75 3.75 3.75
GANTRY TILT
kVp 120 120 120
NOISE INDEX 18.80 18.80 18.80
1 REFORMATS
THICK/INCR. 1.25 q 0.700 1.25 q 0.700 1.25 q 0.700
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE

UROGRAM – 3 PHASE
64 SLICE – GE VCT
PARAMETER NON-CONTRAST PV A/P 10MIN DELAY

THICKNESS 3.75 3.75 3.75
PITCH 0.984:1 0.984:1 0.984:1
SPEED 39.37 39.37 39.37
INTERVAL 3.75 3.75 3.75
GANTRY TILT
kVp 120 120 120
NOISE INDEX 16.03 16.03 16.03
1 REFORMATS
THICK/INCR. 0.625 q 0.625 0.625 q 0.625 0.625 q 0.625
THICK/INCR.
RECON ALGORITHM
3 REFORMATS
ASiR/MODE

UROGRAM – 3 PHASE
Estimated CTDI
Estimated DLP
UROGRAM – 3 PHASE

CT Body Protocols (PDFDrive)

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CT BODY PROTOCOLS

Standard CTA/CTV Multiphase

Abdomen/Pelvis CTA Abdomen/Pelvis Adrenal

CTA Lower Extremity

Chest/Abdomen/Pelvis CTA Upper Extremity Pancreas &

Chest & Neck Liver 2 Phase

CTA Pulmonary arteries Liver - Post RFA/Fatty

Liver 2 phase &

CTV Upper Extremity Renal Mass

CTV Lower Extremity Renal Mass & Pelvis

Estimated CTDI 23.68

Estimated CTDI 18.81

PROTOCOL COMING SOON!!

TO CHARACTERIZE AN ADRENAL LESION; NOT ALWAYS

PARAMETER NON-CONTRAST PV PHASE DELAYED

PARAMETER NON-CONTRAST PV PHASE DELAYED

Estimated CTDI 71.05

PARAMETER NON-CONTRAST PV PHASE DELAYED

Estimated CTDI 32.55

PROTOCOL COMING SOON!!

PARAMETER CHEST NECK

CHEST & NECK

PARAMETER GROUP 1 ( CHEST) GROUP 2 ( NECK)

Estimated CTDI 28.10

CHEST & NECK

Estimated CTDI 37.96

CHEST & NECK

PROTOCOL COMING SOON!!

CHEST & NECK

Estimated CTDI 10.87

Estimated CTDI 15.78

PROTOCOL COMING SOON!!

PARAMETER C/A/P NECK

CHEST/ABDOMEN/PELVIS & NECK

PARAMETER GROUP 1 (C/A/P) GROUP 2 ( NECK)

Estimated CTDI 21.74

CHEST/ABDOMEN/PELVIS & NECK

Estimated CTDI 31.42

CHEST/ABDOMEN/PELVIS & NECK

PROTOCOL COMING SOON!!

CHEST/ABDOMEN/PELVIS & NECK

INDICATION AAA WORK-UP

IV SIZE 18g OR 20g

PARAMETER SMART PREP CTA

Estimated CTDI 28.52

PARAMETER SMART PREP CTA

Estimated CTDI 26.68

PROTOCOL COMING SOON!!

INDICATION F/U REPAIR

IV SIZE 18g OR 20g

PARAMETER CTA DELAY

CTA ABDOMEN/PELIVS W/ DELAY

PARAMETER SMART PREP CTA DELAY

Estimated CTDI 40.04

CTA ABDOMEN/PELIVS W/ DELAY

PARAMETER SMART PREP CTA DELAY

Estimated CTDI 25.36

CTA ABDOMEN/PELIVS W/ DELAY

PROTOCOL COMING SOON!!

CTA ABDOMEN/PELIVS W/ DELAY

CTA LOWER EXTREMITY RUNOFF

Estimated CTDI 71.10

CTA LOWER EXTREMITY RUNOFF