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Revolution™ ACT
Reference Protocol Guide
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Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Orbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Chest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
L-Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17
Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Orbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
L-Spline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16
Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Orbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Chest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
L-Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-17
Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Orbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Chest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
L-Spline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16
Lexicon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
Lexicon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-2
If the ASiR option is installed on the system, then there will be a % ASiR column listed in the table
indicating the ASiR value in the reference protocol.
Manual mA mode allows you to scan without enabling Auto mA mode. When building protocols,
make sure the mA value field contains a reasonable mA value in the event that AutomA is turned
off. In the GE reference protocols, the Average (Avg) mA provided in the tables within this
document are what is used in calculating the CTDI and DLP for protocols using AutomA or
SmartmA. The Avg mA value provided in the table is an estimate based on an average patient size
(32- 36 cm). The actual average mA for each image is calculated by using all of the mA values for
each scan rotation, as determined by Auto mA for the patient. The Auto mA Theory section in the
User Manual, Scan Chapter in the Technical Reference Manual, General Information Chapter
details how Auto mA does this calculation.
Systems
Revolution™ ACT 40kVA with ASiR1
Avg
mA=90DR
Avg mA=130
20.2 Pink Zone Helical Ped 11.25 1 5 20 100 SmartmA Stnd NONE 31.73 712.43 19.50 Head 16 Pediatric and Small patient
Routine 21- Routine procedure based
0.562 50-160mA Full/
60 lbs/9.1- protocols
R2:Stnd
27.2 kg NI=7
FULL
Avg mA=160
20.3 Pink Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd NONE 29.89 969.81 29.50 Body 32 Pediatric and Small patient
Routine 61- 0.562 50-190mA Full/ Routine procedure based
100 lbs/27.3- protocols
R2:Stnd
45.4 kg NI=10
FULL
Avg mA=190
20.4 Pink Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd NONE 31.46 1335.44 39.50 Body 32 Pediatric and Small patient
Routine 101- 0.562 50-200mA Full/ Routine procedure based
200 lbs/45.4- protocols
R2:Stnd
90.7 kg NI=12
FULL
Avg mA=200
20.5 Pink Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd NONE 18.88 801.26 39.50 Body 32 Pediatric and Small patient
Routine >200 0.562 50-200mA Full/ Routine procedure based
lbs/>90.8 kg protocols
R2:Stnd
NI=15
FULL
Avg mA=200
20.7 Green Zone Helical Ped 11.25 1 5 20 80 SmartmA Stnd NONE 10.84 134.91 9.50 Head 16 Pediatric and Small patient
Lower Dose 0.562 50-100mA Full/ Lower Dose procedure
0-20 lbs/0-9 based protocols
R2:Stnd
kg NI=7
FULL
Avg mA=100
20.8 Green Zone Helical Ped 11.25 1 5 20 100 SmartmA Stnd NONE 23.80 534.32 19.50 Head 16 Pediatric and Small patient
Lower Dose 0.562 50-120mA Full/ Lower Dose procedure
21-60 lbs/ based protocols
R2:Stnd
9.1-27.2 kg NI=9
FULL
Avg mA=120
21.1 Routine Axial Head 1i 2 10 10 120 130 Stnd 49.91 349.37 8.00 Head 16 Routine head protocol for evaluation of
Head Full the brain for abnormalities.
21.2 Helical Helical Head 8.75 1 5 10 120 SmartmA Stnd 21.94 309.03 12.00 Head 16 Helical scan mode for evaluation of the
Head (for 0.875 50-200mA Plus brain for cerebral abnormality.
DT)
NI=2.8
Avg mA=100
21.3 Trauma Axial Head 2i 2 5 10 120 150 Stnd 57.59 691.05 12.00 Head 16 Emergency head protocol for evaluation
Head of the brain and cranium for
Full
abnormalities.
21.5 Circle of MIROI Axial Head 1i 1 5 5 120 50 Stnd 117.18 58.59 0.50 Head 16 Timing bolus for CTangiography of the
Willis 1.0s head for evaluation of carotid and
Full
cerebral vasculature.
21.5 Circle of Helical Head 11.25 1 1.25 20 120 125 Stnd 38.26 399.16 8.00 CT angiography of the head for
Willis 1.0s 0.562 Plus evaluation of carotid and cerebral
vasculature.
IQE
21.6 CT Axial Head 2i 2 5 10 120 150 Stnd 57.59 691.05 12.00 Head 16 Non-Enhance Brain, evaluation for
Perfusion hemorrhage or infarction.
Full
350-370
Strength
Contrast
21.6 CT Axial Head 4i 1 5 20 80 150 Stnd 201.14 402.28 2.00 Head 16 CT Perfusion using Axial scan mode for
Perfusion evaluation of cerebral perfusion over
Full
350-370 time.
Strength
Contrast
21.6 CT Axial Head 2i 2 5 10 120 150 Stnd 57.59 806.23 14.00 Head 16 Post Contrast Brain, Evaluation for
Perfusion Full residual tissue enhancement.
350-370
Strength
Contrast
NI=9.1
Avg mA=75
23.5 Carotid/ Helical Large 13.5 1 1.25 10 120 SmartmA Stnd 9.13 168.70 17.00 Body 32 Carotid and brain CTA with SmartmA
CoW 1.35 Evaluation of carotid and cerebral
50-150mA Plus
vasculature.
NI=12.22 IQE
Avg mA=125
25.5 Chest Abd Helical Large 27.5 1 10 20 120 SmartmA Stnd 11.58 570.66 45.00 Body 32 Multi group scan for Chest, Abdomen,
Pelvis Pelvis with SmartmA, Evaluation of chest
1.375 30-200mA Plus/R2
SmartmA lung/ and abdominal anatomy for abnormalities
NI=9.1
plus
Avg mA=180
25.7 Pulmonary MIROI Axial Large 1i 1 10 10 120 40 Stnd 39.45 39.45 1.00 Body 32 Timing Bolus for the evaluation of Chest
Embolis for pulmonary embolism
Full
Plus Mode
25.7 Pulmonary Helical Large 13.5 1 1.25 10 120 SmartmA Stnd 12.42 204.60 15.00 Body 32 Helical scan mode 1.25mm thickness
Embolis with SmartmA, Evaluation Chest for
1.35 100-200mA Plus
Plus Mode pulmonary embolism
NI=21.45 IQE
Avg mA=170
25.8 Aortic Helical Large 11.25 1 1.25 20 120 SmartmA Stnd 28.31 773.19 24.88 Body 32 Helical scan mode 1.25mm thickness
Dissection with SmartmA, Evaluation for aortic
0.562 50-200mA Plus
1.25mm dissection
NI=20 IQE
Avg mA=180
NI=15.86
Avg mA=85
mA=95DR
25.7 Pulmonar MIROI Axial Large 1i 1 10 10 120 40DR Stnd NONE 39.45 39.45 1.00 Body 32 Timing Bolus for the
y Embolis evaluation of Chest for
Full
Plus Mode pulmonary embolism
Pulmonar Helical Large 13.5 1 1.25 10 120 SmartmA Stnd SS40: 6.94 114.34 15.00 Body 32 Helical scan mode
y Embolis 1.35 100-160mA Plus Slice 1.25mm thickness with
Plus Mode SmartmA, Evaluation
NI=21.45 Chest for pulmonary
Avg embolism
mA=95DR
25.8 Aortic Helical Large 11.25 1 1.25 20 120 SmartmA Stnd SS40: 14.94 408.07 24.88 Body 32 Helical scan mode
Dissection 0.562 Slice 1.25mm thickness and
50-160mA Plus
1.25mm helical pitch of 1.375:1
NI=20 with SmartmA, Evaluation
Avg for aortic dissection
mA=95DR
mA=95DR
26.3 AAA Helical Large 27.5 1 1.25 20 120 SmartmA Stnd SS40: 6.11 261.24 40.00 Body 32 Helical scan with Smart
1.25mm Slice mA and SmartPrep,
1.375 50-160mA Plus
IQE Evaluation for abdominal
NI=21.45 aortic aneurysm
Avg
mA=95DR
26.4 Dual Helical Large 18.75 1 5 20 120 SmartmA Stnd SS40: 8.97 387.60 40.00 Body 32 Non contrast evaluation of
Phase Slice upper abdominal
0.938 50-160mA Plus
Liver structures including liver
NI=11.57
Avg
mA=95DR
Dual MIROI Axial Large 1i 1 10 10 120 40DR Stnd NONE 47.34 47.34 1.00 Body 32 Timing Bolus for Multi-
Phase Full group acquisition for early
Liver arterial, late arterial and
portal venous phase of the
liver.
Group 1 Helical Large 18.75 1 5 20 120 SmartmA Stnd SS40: 8.97 145.52 13.00 Body 32 Acquisition for early
0.938 Slice arterial, phase of the liver.
50-160mA Plus
NI=11.57
Avg
mA=95DR
Group 2 Helical Large 18.75 1 5 20 120 SmartmA Stnd SS40: 8.97 293.46 29.50 Body 32 Acquisition for portal
0.938 50-160mA Plus Slice venous phase of the liver.
NI=11.57
Avg
mA=95DR
Avg mA=130
40.2 Pink Zone Helical Ped 11.25 1 5 20 100 SmartmA Stnd NONE 31.73 712.43 19.50 Head 16 Pediatric and Small patient
Routine 21- Routine procedure based
0.562 50-160mA Full/R2
60 lbs/9.1- protocols
27.2 kg NI=7 Stnd, plus
Avg mA=160
40.3 Pink Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd NONE 25.17 816.68 29.50 Body 32 Pediatric and Small patient
Routine 61- 0.562 50-160mA Full/R2 Routine procedure based
100 lbs/27.3- protocols
45.4 kg NI=10 Stnd, plus
Avg mA=160
40.4 Pink Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd NONE 25.17 1068.35 39.50 Body 32 Pediatric and Small patient
Routine 101- 0.562 50-160mA Full/R2 Routine procedure based
200 lbs/45.4- protocols
90.7 kg NI=12 Stnd, plus
Avg mA=160
40.5 Pink Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd NONE 14.94 634.33 39.50 Body 32 Pediatric and Small patient
Routine >200 0.562 50-160mA Full/R2 Routine procedure based
lbs/>90.8 kg protocols
NI=15 Stnd, plus
Avg mA=95
40.7 Green Zone Helical Ped 11.25 1 5 20 80 SmartmA Stnd NONE 10.84 134.91 9.50 Head 16 Pediatric and Small patient
Lower Dose 0.562 50-100mA Full/R2 Lower Dose procedure
0-20 lbs/0-9 based protocols
kg NI=7 Stnd, full
Avg mA=100
40.8 Green Zone Helical Ped 11.25 1 5 20 100 SmartmA Stnd NONE 23.80 534.32 19.50 Head 16 Pediatric and Small patient
Lower Dose 0.562 50-120mA Full/R2 Lower Dose procedure
21-60 lbs/ based protocols
9.1-27.2 kg NI=9 stnd, full
Avg mA=120
Routine Axial Head 1i 2 10 10 120 130 Stnd 49.91 349.37 8.00 Head 16 Routine head protocol for evaluation of
Head Full the brain for abnormalities.
21.2 Helical Helical Head 8.75 1 5 10 120 SmartmA Stnd 21.94 309.03 12.00 Head 16 Helical scan mode for evaluation of the
Head (for 0.875 50-160mA Plus brain for cerebral abnormality.
DT)
NI=2.8
Avg mA=100
21.3 Trauma Axial Head 2i 2 5 10 120 150 Stnd 57.59 691.05 12.00 Head 16 Emergency head protocol for evaluation
Head of the brain and cranium for
Full
abnormalities.
21.5 Circle of MIROI Axial Head 1i 1 5 5 120 50 Stnd 117.18 58.59 0.50 Head 16 Timing bolus for CT angiography of the
Willis 1.0s head for evaluation of carotid and
Full
cerebral vasculature.
Circle of Helical Head 11.25 1 1.25 20 120 125 Stnd 38.26 399.16 8.00 Head 16 CT angiography of the head for
Willis 1.0s 0.562 Plus evaluation of carotid and cerebral
vasculature.
IQE
21.6 CT Axial Head 2i 2 5 10 120 150 Stnd 57.59 691.05 12.00 Head 16 Non-Enhance Brain, evaluation for
Perfusion hemorrhage or infarction.
Full
350-370
Strength
Contrast
CT Perfusion Axial Head 4i 1 5 20 80 150 Stnd 201.14 402.28 2.00 Head 16 CT Perfusion using Axial scan mode for
Perfusion evaluation of cerebral perfusion over
Full
350-370 time.
Strength
Contrast
CT Axial Head 2i 2 5 10 120 150 Stnd 57.59 806.23 14.00 Head 16 Post Contrast Brain, Evaluation for
Perfusion Full residual tissue enhancement.
350-370
Strength
Contrast
Ultra
22.6 Helical IAC Reformat Helical Head 11.25 2 1.25 20 140 120 Stnd 102.98 649.17 3.88 Head 16 Helical scan mode, Evaluation for inner
0.625mm 0.562 ear abnormalities in Axial plane
plus
ultra
NI=9.1
Avg mA=75
23.5 Carotid/ Helical Large 13.5 1 1.25 10 120 SmartmA Stnd 9.13 168.70 17.00 Body 32 Carotid and brain CTA with SmartmA
CoW 1.35 Evaluation of carotid and cerebral
50-150mA Plus
vasculature.
NI=12.22 IQE
Avg mA=125
25.5 Chest Abd Helical Large 27.5 1 10 20 120 SmartmA Stnd 10.30 507.25 45.00 Body 32 Multi group scan for Chest, Abdomen,
Pelvis Pelvis with SmartmA, Evaluation of chest
1.375 30-160mA Plus/R2
SmartmA lung, and abdominal anatomy for abnormalities
NI=9.1
plus
Avg mA=160
25.7 Pulmonary MIROI Axial Large 1i 1 10 10 120 40 Stnd 39.45 39.45 1.00 Body 32 Timing Bolus for the evaluation of Chest
Embolis for pulmonary embolism
Full
Plus Mode
25.7 Pulmonary Helical Large 13.5 1 1.25 10 120 SmartmA Stnd 11.69 192.56 15.00 Body 32 Helical scan mode 1.25mm thickness
Embolis with SmartmA, Evaluation Chest for
1.35 100-160mA Plus
Plus Mode pulmonary embolism
NI=21.45 IQE
Avg mA=160
25.8 Aortic Helical Large 11.25 1 1.25 20 120 SmartmA Stnd 25.17 687.28 24.88 Body 32 Helical scan mode 1.25mm thickness and
Dissection helical pitch of 1.375:1 with SmartmA,
0.562 50-160mA Plus
1.25mm Evaluation for aortic dissection
NI=20 IQE
Avg mA=160
NI=15.86
Avg mA=85
40.3 Pink Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd 25.17 816.68 29.50 Body 32 Pediatric and Small patient Routine
Routine 61- 0.562 procedure based protocols
50-160mA Full/R2
100 lbs/
27.3-45.4 kg NI=10 STND,
Avg mA=160 FULL
40.4 Pink Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd 25.17 1068.35 39.50 Body 32 Pediatric and Small patient Routine
Routine 0.562 procedure based protocols
50-160mA Full/R2
101-200 lbs/
45.4-90.7 kg NI=12 STND,
Avg mA=160 FULL
40.5 Pink Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd 25.17 1068.35 39.50 Body 32 Pediatric and Small patient Routine
Routine 0.562 procedure based protocols
50-160mA Full/R2
>200 lbs/
>90.8 kg NI=15 STND,
Avg mA=160 FULL
40.7 Green Zone Helical Ped 11.25 1 5 20 80 SmartmA Stnd 10.84 134.91 9.50 Head 16 Pediatric and Small patient Lower Dose
Lower Dose 0.562 procedure based protocols
50-100mA Full/R2
0-20 lbs/0-9
kg NI=7 STND,
Avg mA=100 FULL
40.8 Green Zone Helical Ped 11.25 1 5 20 100 SmartmA Stnd 23.80 534.32 19.50 Head 16 Pediatric and Small patient Lower Dose
Lower Dose 0.562 procedure based protocols
50-120mA Full/R2
21-60 lbs/
9.1-27.2 kg NI=9 STND,
Avg mA=120 FULL
Lexicon
For the CT technologist who operates multiple scanner models, perhaps from multiple
manufacturers, the variability in names for important scan acquisition and reconstruction
parameters can lead to confusion, reduced comfort and an increased potential for error. The intent
of this CT terminology lexicon is to allow users to translate important CT acquisition and
reconstruction terms between different manufacturers' systems.
The following tables provide the SABMI (Scout Adjusted Body Mass Index) terminology for GE
and is a result of the AAPM CT Terminology working group. It identifies relevant terms from
established lexicon (e.g., Radlex and DICOM) and other relevant literature published.
The AAPM website will provide updates when changes in standardization of terminology occur.
Visit www.aapm.org, search CT Protocols, and select Lexicon for full listing of terminology across
various manufactures of CT equipment.
The generic descriptions or terms in the first column are intended to orient the user to the relevant
concepts; they are not consensus "preferred terms." The generic descriptions are not based on
any single existing or pending terminology standard; however the references cited below were
consulted in developing the generic descriptions.
A number of individuals and groups have advocated for terminology standardization in CT,
including at a March 30-31, 2010 FDA public meeting entitled "Device Improvements to Reduce
Unnecessary Radiation Exposure from Medical Imaging" (transcripts available at the FDA website:
www.fda.gov in Medical Devices). Participants proposed a cooperative effort among professional
organizations (AAPM, ASRT, ACR, etc.), industry, and the FDA.
Figure A-1 Detector Coverage and Slice Thickness - Detector rows (N) and slice
thickness (T) selection console screen image
Figure A-2
Workflow
Table A-8 Workflow terms
References
IEC 60601-2-44 ed3.0 (2009-02) Medical electrical equipment – Part 2-44: Particular requirements
for the basic safety and essential performance of X-ray equipment for computed tomography.
Weigold, W.G., et al. 2011. Standardized Medical Terminology for Cardiac Computed Tomography:
A Report of the Society of Cardiovascular Computed Tomography. Journal of Cardiovascular
Computed Tomography (Downloadable from: www.scct.org in Documents).