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GE Healthcare

Revolution™ ACT
Reference Protocol Guide
GE Hangwei Medical Systems does business as GE Healthcare

This manual supports the following products:


• Revolution ACT
• Additional Configuration of Revolution ACT EL

Reference Protocol Guide


5825189-1EN
Revision 1

© 2019 General Electric Company. All


rights reserved.
Table of Contents
Revision History . . . . . . . . . . . . . . . . . . . . . . . . . . . . .i-1

Revision History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i-2

Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Reference Protocols Revolution ACT & Revolution


ACT EL 40 kVA with ASiR . . . . . . . . . . . . . . . . . . . . . 2-1

Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Orbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5

Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6

Upper Extremity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7

Chest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8

Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

L-Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11

Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12

Lower Extremity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

Pediatric Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14

Pediatric Chest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15

Pediatric Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16

Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17

Reference Protocols Revolution ACT and Revolution


ACT EL 40kVA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Orbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

Upper Extremity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

5825189-1EN r1 May 2019 Reference Protocol Guide TOC-1


Chest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8

L-Spline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10

Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11

Lower Extremity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12

Pediatric Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13

Pediatric Chest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14

Pediatric Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15

Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16

Reference Protocols Revolution™ ACT 30kVA with


ASiR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Orbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Upper Extremity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7

Chest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8

Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9

L-Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11

Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12

Lower Extremity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13

Pediatric Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14

Pediatric Chest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15

Pediatric Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16

Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-17

Reference Protocols Revolution™ ACT 30kVA . . . 5-1

Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Orbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4

Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5

Upper Extremity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6

Chest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7

TOC-2 Reference Protocol Guide 5825189-1EN r1 May 2019


Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8

L-Spline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10

Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

Lower Extremity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12

Pediatric Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13

Pediatric Chest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14

Pediatric Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15

Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16

Lexicon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

Lexicon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-2

5825189-1EN r1 May 2019 Reference Protocol Guide TOC-3


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TOC-4 Reference Protocol Guide 5825189-1EN r1 May 2019


Revision History

5825189-1EN r1 May 2019 Reference Protocol Guide i-1


Revision History

REV DATE REASON FOR CHANGE


1 May 2019 Initial release

i-2 Reference Protocol Guide 5825189-1EN r1 May 2019


Purpose

5825189-1EN r1 May 2019 Reference Protocol Guide 1-1


Purpose
This document provides a listing of the parameters provided in the reference protocols contained
under the GE tab selector. The protocols in Adult are based on parameters needed to scan an
average sized adult and take the clinical aim of the protocol into consideration. The protocols in
Pediatric are based on age in the Head and Orbit area, and in the rest of the body, use Color
Coding for Kids or the Feather Light patient sizing scheme. These protocols are designed as a
starting point. They should be reviewed with your Radiologist, Physicist, and Radiation Safety
Officer and revised as needed to meet the clinical needs of your department. The document is
divided into protocol categories available on the system. Each table lists the Protocol Number,
Protocol Name, Post Processing software associated with, Scan Type, SFOV, Pitch/Table Speed/
Row, Gantry Rotation Time, Slice Thickness, Beam Collimation, kV, mA/Min-Max/Noise Index/
Average mA, Recon Algorithm Type used, CTDIvol, DLP (mGy-cm), Scan Length, and Phantom
Type used and Description.

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

Revolution™ ACT 40kVA

Revolution™ ACT 30kVA with ASiR

Revolution™ ACT 30kVA

Revolution ACT EL 40 kVA with ASiR

Revolution ACT EL 40 kVA

1ASiR is mandatory for US market

1-2 Reference Protocol Guide 5825189-1EN r1 May 2019


Reference Protocols Revolution ACT
& Revolution ACT EL 40 kVA with
ASiR

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2-2 Reference Protocol Guide 5825189-1EN r1 May 2019


Head
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
21.1 Routine Axial Head 2i 2 5 10 120 90DR Stnd SS40: 34.55 172.76 4.00 Head 16 Routine head protocol for
Head Slice evaluation of the brain for
Full
abnormalities.
21.1 Routine Axial Head 1i 2 10 10 120 80DR Stnd SS40: 30.71 245.71 8.00 Head 16 Routine head protocol for
Head Full Slice evaluation of the brain for
abnormalities.
21.2 Helical Helical Head 8.75 1 5 10 120 SmartmA Stnd SS40: 13.16 185.42 12.00 Head 16 Helical scan mode for
Head (for 0.875 Slice evaluation of the brain for
50-200mA Plus
DT) cerebral abnormality.
NI=2.8
Avg
mA=60DR
21.3 Trauma Axial Head 2i 2 5 10 120 90DR Stnd SS40: 34.55 414.63 12.00 Head 16 Emergency head protocol
Head Slice for evaluation of the brain
Full
and cranium for
abnormalities.
21.5 Circle of MIROI Axial Head 1i 1 5 5 120 50DR Stnd NONE 117.18 58.59 0.50 Head 16 Timing bolus for
Willis 1.0s CTangiography of the
Full
head for evaluation of
carotid and cerebral
vasculature.
21.5 Circle of Helical Head 11.25 1 1.25 20 120 75DR Stnd SS40: 22.95 239.50 8.00 Head 16 CT angiography of the
Willis 1.0s 0.562 Plus Slice head for evaluation of
carotid and cerebral
IQE vasculature.
21.6 CT Axial Head 2i 2 5 10 120 90DR Stnd SS40: 34.55 414.63 12.00 Head 16 Non-Enhance Brain,
Perfusion Full Slice evaluation for hemorrhage
350-370 or infarction.
Strength
Contrast
21.6 CT Axial Head 4i 1 5 20 80 90DR Stnd SS40: 120.68 241.37 2.00 Head 16 CT Perfusion using Axial
Perfusion Slice scan mode for evaluation
Full
350-370 of cerebral perfusion over
Strength time.
Contrast

2-3 Reference Protocol Guide 5825189-1EN r1 May 2019


Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
21.6 CT Axial Head 2i 2 5 10 120 90DR Stnd SS40: 34.55 483.74 14.00 Head 16 Post Contrast Brain,
Perfusion Slice Evaluation for residual
Full
350-370 tissue enhancement.
Strength
Contrast

2-4 Reference Protocol Guide 5825189-1EN r1 May 2019


Orbit
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
22.1 Sinus Helical Head 6.25 1 2.5 10 120 90DR Stnd SS40: 27.64 363.37 11.50 Head 16 Routine Helical Sinus
Supine 0.625 Slice protocol, Evaluation for
Plus/R2
Helical any abnormality
BONE/
PLUS
22.3 Orbits Helical Head 6.25 1 2.5 10 120 90DR Stnd SS40: 27.64 266.62 8.00 Head 16 Routine Helical Orbit
Helical Slice protocol, Evaluation for
0.625 Plus/ R2
BONE abnormality soft tissues
and bone structures of the
PLUS
face.
22.5 Axial IAC Axial Head 2i 2 0.625 1.25 140 70DR Stnd SS40: 46.35 179.60 3.88 Head 16 Axial scan mode,
0.625mm Slice Evaluation for inner ear
Full
ULTRA abnormalities in Axial
plane
22.6 Helical Helical Head 11.25 2 1.25 1.25 140 70DR Stnd SS40: 30.04 189.49 3.88 Head 16 Helical scan mode,
IAC 0.562 Slice Evaluation for inner ear
plus
0.625mm ULTRA abnormalities in Axial
plane
22.7 Helical Helical Head 6.25 2 1.25 10 140 70DR Stnd SS40: 60.28 294.21 3.88 Head16 Helical scan mode,
IAC Slice Evaluation for inner ear
0.625 Plus
1.25mm ULTRA abnormalities in Axial
plane
IQE

2-5 Reference Protocol Guide 5825189-1EN r1 May 2019


Neck
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
23.1 C-Spine Helical Large 6.25 1 2.5 10 140 SmartmA Bone SS40: 15.45 193.70 11.00 Body 32 C-Spine Helical mode with
0.625 Slice SmartmA, Evaluation for
50-160mA Plus/R2
soft tissue, disc and bone
NI=9.1 STND
PLUS abnormalities.
Avg
mA=95DR
23.3 Soft Helical Large 8.75 1 3.75 10 120 SmartmA Stnd SS40: 5.64 95.97 15.00 Body 32 Neck with SmartmA,
Tissue 0.875 Slice Evaluation of soft tissue
30-150mA Plus
Neck structures for abnormality
NI=9.1
Avg
mA=50DR
23.5 Carotid/ Helical Large 13.5 1 1.25 10 120 SmartmA Stnd SS40: 5.48 101.22 17.00 Body 32 Carotid and brain CTA with
CoW 1.35 Slice SmartmA Evaluation of
50-150mA Plus
carotid and cerebral
NI=12.22 IQE vasculature.
Avg
mA=75DR

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Upper Extremity
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
24.1 Shoulder Helical Large 11.25 1 2.5 20 140 SmartmA Stnd SS40: 20.43 258.48 10.00 Body 32 Shoulder with SmartmA,
Plus Slice Evaluation of soft tissue
0.562 50-160mA Plus/R2
Mode and bone of shoulder area
NI=21.45 bone plus

Avg
mA=90DR

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Chest
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
25.1 Routine Helical Large 27.5 1 10 20 120 SmartmA Stnd SS40: 7.08 200.09 24.00 Body 32 Chest with SmartmA,
Chest Slice Evaluation of mediastinum
1.375 30-200mA Plus/R2
SmartmA and lungs fields
NI=9.1Avg LUNG
FULL
mA=110DR
25.2 Chest Helical Large 27.5 1 10 20 120 110DR Chest SS40: 7.08 171.78 20.00 Body 32 Evaluation of mediastinum
with 1.375 Plus/R2 Slice and lung fields with higher
HiRes resolution images of the
BONE+,
lungs
PLUS
25.3 Hi Res Axial Large 2i 1 0.625 1.25 120 90DR Bone+ SS40: 11.65 219.97 18.94 Body 32 Axial scan mode,
Chest Full Slice Evaluation of lung fields in
high resolution mode
25.5 Chest Helical Large 27.5 1 10 20 120 SmartmA Stnd SS40: 7.08 348.74 45.00 Body 32 Multi group scan for Chest,
Abd Slice Abdomen, Pelvis with
1.375 30-200mA Plus/R2
Pelvis lung/ plus SmartmA, Evaluation of
SmartmA NI=9.1 chest and abdominal
Avg anatomy for abnormalities
mA=110DR
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 Full evaluation of Chest for
Plus pulmonary embolism
Mode
25.7 Pulmonar Helical Large 13.5 1 1.25 10 120 SmartmA Stnd SS40: 7.30 120.35 15.00 Body 32 Helical scan mode
y Embolis 1.35 100-200mA Plus Slice 1.25mm thickness with
Plus SmartmA, Evaluation
IQE
Mode NI=21.45 Chest for pulmonary
Avg embolism
mA=100DR
25.8 Aortic Helical Large 11.25 1 1.25 20 120 SmartmA Stnd SS40: 17.30 472.50 24.88 Body 32 Helical scan mode
Dissectio 0.562 Slice 1.25mm thickness with
50-200mA Plus
n 1.25mm SmartmA, Evaluation for
NI=20 IQE
aortic dissection
Avg
mA=110DR

2-8 Reference Protocol Guide 5825189-1EN r1 May 2019


Abdomen
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
26.1 Abdomen Helical Large 27.5 1 10 20 120 SmartmA Stnd SS40: 7.08 313.35 40.00 Body 32 Basic Abdomen Pelvis
Pelvis Slice with Smart mA, Evaluation
1.375 50-200mA Plus
for abnormalities of
NI=9.1 abdominal and pelvic
Avg structures
mA=110DR
26.3 AAA Helical Large 27.5 1 1.25 20 120 SmartmA Stnd SS40: 7.08 302.49 40.00 Body 32 Helical scan with Smart
1.25mm Slice mA and SmartPrep,
1.375 50-200mA Plus
Evaluation for abdominal
NI=21.45 IQE
aortic aneurysm
Avg
mA=110DR
26.4 Dual Helical Large 18.75 1 5 20 120 SmartmA Stnd SS40: 10.38 448.80 40.00 Body 32 Non contrast evaluation of
Phase Slice upper abdominal
0.938 50-200mA Plus
Liver structures including liver
NI=11.57
Avg
mA=110DR
26.4 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.
26.4 Dual Helical Large 18.75 1 5 20 120 SmartmA Stnd SS40: 10.85 176.16 13.00 Body 32 Arterial phase for the
Phase 0.938 Slice evaluation of liver with
50-200mA Plus
Liver contrast medium
NI=11.57 enhancement.
Avg
mA=115DR
26.4 Dual Helical Large 18.75 1 5 20 120 SmartmA Stnd SS40: 10.85 355.24 29.50 Body 32 Venous phase for the
Phase 0.938 Slice evaluation of liver with
50-200mA Plus
Liver contrast medium
NI=11.57 enhancement.
Avg
mA=115DR

2-9 Reference Protocol Guide 5825189-1EN r1 May 2019


Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
26.5 Dual Helical Large 18.75 1 5 20 120 SmartmA Stnd SS40: 11.33 149.84 10.00 Body 32 Non contrast evaluation of
Phase 0.938 Slice upper abdominal
50-200mA Plus
Pancreas structures including
NI=11.57 pancreas
Avg
mA=120DR
26.5 Dual Helical Large 18.75 1 2.5 20 120 SmartmA Stnd SS40: 7.55 96.50 10.00 Body 32 Acquisition with SmartmA
Phase 0.938 50-200mA Plus Slice and SmartPrep for early
Pancreas arterial phase of the
NI=15.86 pancreas.
Avg
mA=80DR
26.5 Dual Helical Large 18.75 1 5 20 120 SmartmA Stnd SS40: 4.72 166.25 32.00 Body 32 Acquisition with SmartmA
Phase 0.938 50-200mA Plus Slice and SmartPrep for portal
Pancreas venous phase of the
NI=11.57 pancreas
Avg
mA=50DR
26.7 CT Advanmt Helical Large 27.5 1 1.25 20 120 50DR Stnd SS30: 3.22 137.49 40.00 Body 32 Helical scan mode Supine
Colonogr age CTC 1.375 Slice acquisition for using
Plus
aphy Pro Advantage CTC Pro for
IQE
evaluation of the colon
26.7 CT Advanmt Helical Large 27.5 1 1.25 20 120 50DR Stnd SS30: 3.22 137.49 40.00 Body 32 Helical scan mode Prone
Colonogr age CTC 1.375 Slice acquisition for using
Plus
aphy Pro Advantage CTC Pro for
IQE
evaluation of the colon
26.9 Runoff Helical Large 27.5 1 1.25 20 140 SmartmA Stnd SS40: 7.89 513.94 62.38 Body 32 Helical scan mode
1.25mm Slice 1.25mm with SmartmA
1.375 50-160mA Plus
and SmartPrep,
NI=21.45 IQE
Evaluation of vascular
Avg structures of abdomen,
mA=85DR femurs and lower
extremities (Runoff)

2-10 Reference Protocol Guide 5825189-1EN r1 May 2019


L-Spine
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
27.1 L-Spine Helical Large 11.25 1 2.5 20 140 SmartmA Bone SS40: 11.35 228.73 17.50 Body 32 Helical scan mode 2.5mm,
Slice Limited evaluation of
0.562 50-160mA Plus
lumbar spine
NI=15.86
Avg
mA=50DR

2-11 Reference Protocol Guide 5825189-1EN r1 May 2019


Pelvis
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
28.1 Pelvis for Helical Large 8.75 1 3.75 10 120 SmartmA Bone SS40: 7.89 101.82 10.88 Body 32 Helical scan with
Fracture Slice SmartmA, Evaluation of
0.875 50-200mA Plus/R2
pelvis bony structures for
NI=12.38 STND,
PLUS fracture
Avg
mA=70DR

2-12 Reference Protocol Guide 5825189-1EN r1 May 2019


Lower Extremity
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
29.1 Ankle Helical Large 6.25 1 1.25 10 120 AutomA Stnd SS40: 8.68 42.38 35.00 Body 32 Helical scan mode
1.25mm 0.625 Slice 1.25mm, Evaluation of soft
50-150mA Plus
tissue and bony anatomy
NI=21.45 IQE/R2 of the ankle area
BONE,PL
Avg
mA=55DR US IQE

2-13 Reference Protocol Guide 5825189-1EN r1 May 2019


Pediatric Head
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
11.1 PED Axial Ped 4i 1 5 20 120 85DR Stnd SS30: 14.63 175.60 12.00 Head 16 Routine head (1.0s) for
HEAD TO Slice infant (up to 18 months)
Full
18 5mm
Months
11.2 PED Axial Head 4i 1 5 20 120 100DR Stnd SS30: 17.22 206.59 12.00 Head 16 Routine head (1.0s) for
HEAD 18 Slice children (18 months to 5
Full
MOS TO years) 5mm
5YRS
11.3 PED Axial Head 4i 1.5 5 20 120 75DR Stnd SS30: 19.37 232.42 12.00 Head 16 Routine head (1.0s) for
HEAD TO Full Slice children (5 years to 18
5YRS TO years) 5mm
18YRS

2-14 Reference Protocol Guide 5825189-1EN r1 May 2019


Pediatric Chest
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Numb Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
er (mm) (mm) Avg mA
iMode
15.1.1 RC 6.0- Helical Small 27.5 1 3.75 20 120 65DR Stnd SS30: 3.75 39.81 7.50 Body 32 Weight and height based
7.5 kg Slice routine chest protocol
1.375 Plus
(13.2-16.5
lbs)
15.2.1 RC 7.5- Helical Small 27.5 1 3.75 20 120 70DR Stnd SS30: 4.01 42.87 7.50 Body 32 Weight and height based
9.5 kg Slice routine chest protocol
1.375 Plus
(16.5-
20.9lbs)
15.3.1 RC 9.5- Helical Small 27.5 1 3.75 20 120 75DR Stnd SS30: 4.30 47.54 7.88 Body 32 Weight and height based
11.5 kg 1.375 Plus Slice routine chest protocol
(20.9-
25.4lbs)
15.4.1 RC 11.5- Helical Large 27.5 1 5 20 120 50DR Stnd SS30: 3.22 39.93 9.00 Body 32 Weight and height based
14.5kg 1.375 Plus Slice routine chest protocol
(25.4-
32.0lbs)
15.5.1 RC 14.5- Helical Large 27.5 1 5 20 120 50DR Stnd SS30: 3.22 39.93 9.00 Body 32 Weight and height based
18.5kg 1.375 Plus Slice routine chest protocol
(32.0-
40.8lbs)
15.6.1 RC 18.5- Helical Large 27.5 1 5 20 120 65DR Stnd SS30: 4.18 51.91 9.00 Body 32 Weight and height based
22.5kg 1.375 Plus Slice routine chest protocol
(40.8-
49.6lbs)
15.7.1 RC 22.5- Helical Large 27.5 1 5 20 120 70DR Stnd SS30: 4.50 53.65 8.60 Body 32 Weight and height based
31.5kg 1.375 Plus Slice routine chest protocol
(49.6-
69.5lbs)
15.8.1 RC 31.5- Helical Large 27.5 1 5 20 120 75DR Stnd SS30: 4.83 74.37 12.00 Body 32 Weight and height based
40.5kg 1.375 Plus Slice routine chest protocol
(69.5-
89.3lbs)
15.9.1 RC 40.5- Helical Large 27.5 1 5 20 120 75DR Stnd SS30: 4.83 88.85 15.00 Body 32 Weight and height based
55.0kg(89 1.375 Plus Slice routine chest protocol
.3-
121.3lbs)

2-15 Reference Protocol Guide 5825189-1EN r1 May 2019


Pediatric Abdomen
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Numb Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
er (mm) (mm) Avg mA
iMode
16.1.1 Abd 6.0- Helical Small 27.5 1 3.75 20 120 90DR Stnd SS30: 5.16 57.05 7.88 Body 32 Weight and height based
7.5 kg Slice routine abdomen protocol
1.375 Plus
(13.2-16.5
lbs)
16.2.1 Abd 7.5- Helical Small 27.5 1 3.75 20 120 95DR Stnd SS30: 5.45 66.35 9.00 Body 32 Weight and height based
9.5 kg Slice routine abdomen protocol
1.375 Plus
(16.5-
20.9lbs)
16.3.1 Abd 9.5- Helical Small 27.5 1 3.75 20 120 100DR Stnd SS30: 5.73 76.29 10.13 Body 32 Weight and height based
11.5 kg 1.375 Plus Slice routine abdomen protocol
(20.9-
25.4lbs)
16.4.1 Abd 11.5- Helical Small 27.5 1 5 20 120 70DR Stnd SS30: 4.01 57.82 11.00 Body 32 Weight and height based
14.5kg 1.375 Plus Slice routine abdomen protocol
(25.4-
32.0lbs)
16.5.1 Abd 14.5- Helical Large 27.5 1 5 20 120 70DR Stnd SS30: 4.50 64.91 11.00 Body 32 Weight and height based
18.5kg 1.375 Plus Slice routine abdomen protocol
(32.0-
40.8lbs)
16.6.1 Abd 18.5- Helical Large 27.5 1 5 20 120 75DR Stnd SS30: 4.83 79.20 13.00 Body 32 Weight and height based
22.5kg 1.375 Plus Slice routine abdomen protocol
(40.8-
49.6lbs)
16.7.1 Abd 22.5- Helical Large 27.5 1 5 20 120 75DR Stnd SS30: 4.83 88.85 15.00 Body 32 Weight and height based
31.5kg 1.375 Plus Slice routine abdomen protocol
(49.6-
69.5lbs)
16.8.1 Abd 31.5- Helical Large 27.5 1 5 20 120 85DR Stnd SS30: 5.47 100.70 15.00 Body 32 Weight and height based
40.5kg 1.375 Plus Slice routine abdomen protocol
(69.5-
89.3lbs)
16.9.1 Abd 40.5- Helical Large 27.5 1 5 20 120 90DR Stnd SS30: 5.79 135.58 20.00 Body 32 Weight and height based
55.0kg(89 1.375 Plus Slice routine abdomen protocol
.3-
121.3lbs)

2-16 Reference Protocol Guide 5825189-1EN r1 May 2019


Miscellaneous
Pitch
Proto Slice Beam mA
Post Rotation CTDIvol DLP Scan
col Protocol Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Proce Table Time kV (mGy) (mGy*cm) Length Description
Num Name Type V s on NI Type (%) (cm)
ss Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
20.1 Pink Zone Helical Ped 11.25 1 5 20 80 SmartmA Stnd NONE 14.09 175.38 9.50 Head 16 Pediatric and Small patient
Routine 0-20 Routine procedure based
0.562 50-130mA Full/R2
lbs/0-9 kg protocols
NI=5 stnd, plus

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

2-17 Reference Protocol Guide 5825189-1EN r1 May 2019


Pitch
Proto Slice Beam mA
Post Rotation CTDIvol DLP Scan
col Protocol Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Proce Table Time kV (mGy) (mGy*cm) Length Description
Num Name Type V s on NI Type (%) (cm)
ss Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
20.9 Green Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd NONE 22.02 714.59 29.50 Body 32 Pediatric and Small patient
Lower Dose Lower Dose procedure
0.562 50-140mA Full/
61-100 lbs/ R2:Stnd based protocols
27.3-45.4 kg NI=11
FULL
Avg mA=140
20.10 Green Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd NONE 25.17 1068.35 39.50 Body 32 Pediatric and Small patient
Lower Dose Lower Dose procedure
0.562 50-160mA Full/
101-200 lbs/ R2:Stnd based protocols
45.4-90.7 kg NI=13
FULL
Avg mA=160
20.11 Green Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd NONE 31.46 1335.44 39.50 Body 32 Pediatric and Small patient
Lower Dose Lower Dose procedure
0.562 50-200mA Full/
>200 lbs/ based protocols
NI=16 R2:Stnd
>90.8 kg FULL
Avg mA=200
20.13 Grey Zone Helical Ped 11.25 1 2.5 20 80 SmartmA Stnd NONE 21.67 266.86 9.75 Head 16 Pediatric and Small patient
CT Angio 0- Angio procedure based
0.562 50-200mA Full/
20 lbs/0-9 kg protocols
NI=5 R2:Stnd
PLUS
Avg mA=200
20.14 Grey Zone Helical Small 11.25 1 2.5 20 100 SmartmA Stnd NONE 17.48 390.06 19.75 Body 32 Pediatric and Small patient
CT Angio 21- Angio procedure based
0.562 50-200mA Full/
60 lbs/9.1- protocols
NI=8 R2:Stnd
27.2 kg FULL
Avg mA=200
20.15 Grey Zone Helical Large 11.25 1 2.5 20 120 SmartmA Stnd NONE 31.46 1016.56 29.75 Body 32 Pediatric and Small patient
CT Angio 61- Angio procedure based
0.562 50-200mA Full/
100 lbs/27.3- protocols
NI=10 R2:Stnd
45.4 kg FULL
Avg mA=200
20.16 Grey Zone Helical Large 11.25 1 2.5 20 120 SmartmA Stnd NONE 31.46 1331.15 39.75 Body 32 Pediatric and Small patient
CT Angio Angio procedure based
0.562 50-200mA Full/
101-200 lbs/ protocols
NI=12 R2:Stnd
45.4-90.7 kg FULL
Avg mA=200
20.17 Grey Zone Helical Large 11.25 1 2.5 20 120 SmartmA Stnd NONE 31.46 1331.15 39.75 Body 32 Pediatric and Small patient
CT Angio Angio procedure based
0.562 50-200mA Full/
>200 lbs/ protocols
NI=15 R2:Stnd
>90.8 kg FULL
Avg mA=200

2-18 Reference Protocol Guide 5825189-1EN r1 May 2019


Reference Protocols Revolution ACT
and Revolution ACT EL 40kVA

5825189-1EN r1 May 2019 Reference Protocol Guide 3-1


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3-2 Reference Protocol Guide 5825189-1EN r1 May 2019


Head
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
21.1 Routine Axial Head 2i 2 5 10 120 150 Stnd 57.59 287.94 4.00 Head 16 Routine head protocol for evaluation of
Head Full the brain for abnormalities.

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

3-3 Reference Protocol Guide 5825189-1EN r1 May 2019


Orbit
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
22.1 Sinus Helical Head 6.25 1 2.5 10 120 150 Stnd 46.07 605.61 11.50 Head 16 Routine Helical Sinus protocol,
Supine 0.625 Plus Evaluation for any abnormality
Helical
22.3 Orbits Helical Head 6.25 1 2.5 10 120 150 Stnd 46.07 444.37 8.00 Head 16 Routine Helical Orbit protocol, Evaluation
Helical for abnormality soft tissues and bone
0.625 Plus
structures of the face.
22.5 Axial IAC Reformat Axial Head 2i 2 0.625 1.25 140 120 Stnd 79.46 307.89 3.88 Head 16 Axial scan mode, Evaluation for inner ear
0.625mm abnormalities in Axial plane
Full
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
22.7 Helical IAC Helical Head 6.25 2 1.25 10 140 120 R1:stnd 103.34 504.35 3.50 Head16 Helical scan mode, Evaluation for inner
1.25mm plus IQE ear abnormalities in Axial plane
0.625
R2:Ultra
stnd full
IQE
R3:Ultra
stnd full
IQE

3-4 Reference Protocol Guide 5825189-1EN r1 May 2019


Neck
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
23.1 C-Spine Helical Large 6.25 1 2.5 10 140 SmartmA Bone 29.60 374.35 11.00 Body 32 C-Spine Helical mode with SmartmA,
0.625 50-160mA Plus/R2 Evaluation for soft tissue, disc and bone
abnormalities.
stnd plus
NI=9.1
Avg mA=130
23.3 Soft Tissue Helical Large 8.75 1 3.75 10 120 SmartmA Stnd 8.45 143.96 15.00 Body 32 Neck with SmartmA, Evaluation of soft
Neck 0.875 30-150mA Plus tissue structures for abnormality

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

3-5 Reference Protocol Guide 5825189-1EN r1 May 2019


Upper Extremity
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
24.1 Shoulder Helical Large 11.25 1 2.5 20 140 SmartmA Stnd 34.05 430.80 10.00 Body 32 Shoulder with SmartmA, Evaluation of
Plus Mode 0.562 50-160mA Plus/ R2 soft tissue and bone of shoulder area
Bone
NI=21.45
plus
Avg mA=150

3-6 Reference Protocol Guide 5825189-1EN r1 May 2019


Chest
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
25.1 Routine Helical Large 27.5 1 10 20 120 SmartmA Stnd 11.58 327.43 24.00 Body 32 Chest with SmartmA, Evaluation of
Chest 1.375 30-200mA Plus/ mediastinum and lungs fields
SmartmA
R2Lung
NI=9.1
/Full
Avg mA=180
25.2 Chest with Helical Large 27.5 1 10 20 120 180 Chest 11.58 281.10 20.00 Body 32 Evaluation of mediastinum and lung fields
HiRes 1.375 Plus/R2 with higher resolution images of the lungs
BONE+,
PLUS
25.3 Hi Res Axial Large 8i 1 1.25 10 120 150 Bone+ 19.42 366.62 19.88 Body 32 Axial scan mode, Evaluation of lung fields
Chest Full in high resolution mode

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

3-7 Reference Protocol Guide 5825189-1EN r1 May 2019


Abdomen
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
26.1 Abdomen Helical Large 27.5 1 10 20 120 SmartmA Stnd 11.58 512.75 40.00 Body 32 Basic Abdomen Pelvis with Smart mA,
Pelvis 1.375 50-200mA Plus Evaluation for abnormalities of abdominal
and pelvic structures
NI=9.1
Avg mA=180
26.3 AAA Helical Large 27.5 1 1.25 20 120 SmartmA Stnd 11.58 494.98 40.00 Body 32 Helical scan with Smart mA and
1.25mm 1.375 50-200mA Plus SmartPrep, Evaluation for abdominal
aortic aneurysm
IQE
NI=21.45
Avg mA=180
26.4 Dual Phase Helical Large 18.75 1 5 20 120 SmartmA Stnd 16.99 734.40 40.00 Body 32 Non contrast evaluation of upper
Liver abdominal structures including liver
0.938 50-200mA Plus
NI=11.57
Avg mA=180
26.4 Dual Phase MIROI Axial Large 1i 1 10 10 120 40 Stnd 47.34 47.34 1.00 Body 32 Timing Bolus for Multi-group acquisition
Liver for early arterial, late arterial and portal
Full
venous phase of the liver.
26.4 Dual Phase Helical Large 18.75 1 5 20 120 SmartmA Stnd 18.88 306.36 13.00 Body 32 Arterial phase for the evaluation of liver
Liver 0.938 with contrast medium enhancement.
50-200mA Plus
NI=11.57
Avg mA=200
26.4 Dual Phase Helical Large 18.75 1 5 20 120 SmartmA Stnd 18.88 617.80 29.50 Body 32 Venous phase for the evaluation of liver
Liver 0.938 with contrast medium enhancement.
50-200mA Plus
NI=11.57
Avg mA=200
26.5 Dual Phase Helical Large 18.75 1 5 20 120 SmartmA Stnd 28.31 370.90 10.00 Body 32 Non contrast evaluation of upper
Pancreas 0.938 abdominal structures including pancreas
50-200mA Plus
NI=11.57
Avg mA=200
26.5 Dual Phase Helical Large 18.75 1 2.5 20 120 SmartmA Stnd 13.15 154.28 10.00 Body 32 Acquisition with SmartmA and SmartPrep
Pancreas 0.938 for early arterial phase of the pancreas.
50-200mA Plus
NI=15.86
Avg mA=180

3-8 Reference Protocol Guide 5825189-1EN r1 May 2019


Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
26.5 Dual Phase Helical Large 18.75 1 5 20 120 SmartmA Stnd 14.61 498.92 32.00 Body 32 Acquisition with SmartmA and SmartPrep
Pancreas 0.938 for portal venous phase of the pancreas
50-200mA Plus
NI=11.57
Avg mA=200
26.7 CT Advantag Helical Large 13.5 1 1.25 10 120 75 Stnd 5.48 227.23 40.00 Body 32 Helical scan mode Supine acquisition for
Colonograp e CTC 1.35 using Advantage CTC Pro for evaluation
Plus
hy Pro of the colon
26.7 CT Advantag Helical Large 13.5 1 1.25 10 120 75 Stnd 5.48 227.23 40.00 Body 32 Helical scan mode Prone acquisition for
Colonograp e CTC 1.35 Plus using Advantage CTC Pro for evaluation
hy Pro of the colon
26.9 Runoff Helical Large 27.5 1 1.25 20 140 SmartmA Stnd 13.00 846.49 62.38 Body 32 Helical scan mode 1.25mm with
1.25mm SmartmA and SmartPrep, Evaluation of
1.375 50-160mA Plus
vascular structures of abdomen, femurs
NI=21.45 IQE
and lower extremities (Runoff)
Avg mA=140

3-9 Reference Protocol Guide 5825189-1EN r1 May 2019


L-Spline
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
27.1 L-Spine Helical Large 11.25 1 2.5 20 140 SmartmA Bone 19.30 388.83 17.50 Body 32 Helical scan mode 2.5mm, Limited
0.562 50-160mA Plus evaluation of lumbar spine

NI=15.86
Avg mA=85

3-10 Reference Protocol Guide 5825189-1EN r1 May 2019


Pelvis
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
28.1 Pelvis for Helical Large 8.75 1 3.75 10 120 SmartmA Bone 13.52 174.54 10.88 Body 32 Helical scan with SmartmA, Evaluation of
Fracture 0.875 50-200mA Plus/R2 pelvis bony structures for fracture
STND/
NI=12.38
PLUS
Avg mA=120

3-11 Reference Protocol Guide 5825189-1EN r1 May 2019


Lower Extremity
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
29.1 Ankle Helical Large 6.25 1 1.25 10 120 AutomA Stnd 14.20 69.34 3.50 Body 32 Helical scan mode 1.25mm, Evaluation of
1.25mm 0.625 50-150mA Plus soft tissue and bony anatomy of the ankle
area
NI=21.45 IQE/R2
BONE/
Avg mA=90
PLUS
IQE

3-12 Reference Protocol Guide 5825189-1EN r1 May 2019


Pediatric Head
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
31.1 PED HEAD Axial Ped 4i 1 5 20 120 120 Stnd 20.66 247.91 12.00 Head 16 Routine head (1.0s) for infant (up to 18
TO 18 Full months) 5mm
Months
31.2 PED HEAD Axial Head 4i 1 5 20 120 140 Stnd 24.10 289.23 12.00 Head 16 Routine head (1.0s) for children (18
18 MOS TO months to 5 years) 5mm
Full
5YRS
31.3 PED HEAD Axial Head 4i 1.5 5 20 120 110 Stnd 28.41 340.88 12.00 Head 16 Routine head (1.0s) for children (5 years
TO 5YRS to 18 years) 5mm
Full
TO 18YRS

3-13 Reference Protocol Guide 5825189-1EN r1 May 2019


Pediatric Chest
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
35.1.1 RC 6.0-7.5 Helical Small 27.5 1 3.75 20 120 90 Stnd 5.16 55.12 7.50 Body 32 Weight and height based routine chest
kg (13.2- 1.375 Plus protocol
16.5 lbs)
35.2.1 RC 7.5-9.5 Helical Small 27.5 1 3.75 20 120 100 Stnd 5.73 61.24 7.50 Body 32 Weight and height based routine chest
kg (16.5- 1.375 protocol
Plus
20.9lbs)
35.3.1 RC 9.5-11.5 Helical Small 27.5 1 3.75 20 120 110 Stnd 6.30 69.73 7.88 Body 32 Weight and height based routine chest
kg (20.9- 1.375 protocol
Plus
25.4lbs)
35.4.1 RC 11.5- Helical Large 27.5 1 5 20 120 70 Stnd 4.50 55.90 9.00 Body 32 Weight and height based routine chest
14.5kg 1.375 protocol
Plus
(25.4-
32.0lbs)
35.5.1 RC 14.5- Helical Large 27.5 1 5 20 120 75 Stnd 4.83 59.90 9.00 Body 32 Weight and height based routine chest
18.5kg 1.375 protocol
Plus
(32.0-
40.8lbs)
35.6.1 RC 18.5- Helical Large 27.5 1 5 20 120 90 Stnd 5.79 71.88 9.00 Body 32 Weight and height based routine chest
22.5kg 1.375 protocol
Plus
(40.8-
49.6lbs)
35.7.1 RC 22.5- Helical Large 27.5 1 5 20 120 100 Stnd 6.43 76.64 11.50 Body 32 Weight and height based routine chest
31.5kg 1.375 protocol
Plus
(49.6-
69.5lbs)
35.8.1 RC 31.5- Helical Large 27.5 1 5 20 120 105 Stnd 6.76 104.12 12.00 Body 32 Weight and height based routine chest
40.5kg 1.375 protocol
Plus
(69.5-
89.3lbs)
35.9.1 RC 40.5- Helical Large 27.5 1 5 20 120 110 Stnd 7.08 130.32 15.00 Body 32 Weight and height based routine chest
55.0kg(89.3 1.375 protocol
Plus
-121.3lbs)

3-14 Reference Protocol Guide 5825189-1EN r1 May 2019


Pediatric Abdomen
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
36.1.1 Abd 6.0-7.5 Helical Small 27.5 1 3.75 20 120 130 Stnd 7.45 82.41 7.88 Body 32 Weight and height based routine
kg (13.2- 1.375 Plus abdomen protocol
16.5 lbs)
36.2.1 Abd 7.5-9.5 Helical Small 27.5 1 3.75 20 120 135 Stnd 16.90 205.96 9.00 Body 32 Weight and height based routine
kg (16.5- 1.375 abdomen protocol
Plus
20.9lbs)
36.3.1 Abd 9.5- Helical Small 27.5 1 3.75 20 120 140 Stnd 8.02 106.80 10.13 Body 32 Weight and height based routine
11.5 kg 1.375 abdomen protocol
Plus
(20.9-
25.4lbs)
36.4.1 Abd 11.5- Helical Small 27.5 1 5 20 120 100 Stnd 5.73 82.60 11.00 Body 32 Weight and height based routine
14.5kg 1.375 Plus abdomen protocol
(25.4-
32.0lbs)
36.5.1 Abd 14.5- Helical Large 27.5 1 5 20 120 100 Stnd 6.43 92.73 11.00 Body 32 Weight and height based routine
18.5kg 1.375 Plus abdomen protocol
(32.0-
40.8lbs)
36.6.1 Abd 18.5- Helical Large 27.5 1 5 20 120 105 Stnd 6.76 110.88 13.00 Body 32 Weight and height based routine
22.5kg 1.375 Plus abdomen protocol
(40.8-
49.6lbs)
36.7.1 Abd 22.5- Helical Large 27.5 1 5 20 120 110 Stnd 7.08 130.32 15.00 Body 32 Weight and height based routine
31.5kg 1.375 Plus abdomen protocol
(49.6-
69.5lbs)
36.8.1 Abd 31.5- Helical Large 27.5 1 5 20 120 120 Stnd 7.72 142.16 15.00 Body 32 Weight and height based routine
40.5kg 1.375 Plus abdomen protocol
(69.5-
89.3lbs)
36.9.1 Abd 40.5- Helical Large 27.5 1 5 20 120 130 Stnd 8.37 195.84 20.00 Body 32 Weight and height based routine
55.0kg(89.3 1.375 Plus abdomen protocol
-121.3lbs)

3-15 Reference Protocol Guide 5825189-1EN r1 May 2019


Miscellaneous
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
40.1 Pink Zone Helical Ped 11.25 1 5 20 80 SmartmA Stnd 14.09 175.38 9.50 Head 16 Pediatric and Small patient Routine
Routine 0- 0.562 50-130mA Full/ procedure based protocols
20 lbs/0-9
R2:Stnd
kg NI=5
Plus
Avg mA=130
40.2 Pink Zone Helical Ped 11.25 1 5 20 100 SmartmA Stnd 31.73 712.43 19.50 Head 16 Pediatric and Small patient Routine
Routine 21- 0.562 50-160mA Full/ procedure based protocols
60 lbs/9.1-
R2:Stnd
27.2 kg NI=7
FULL
Avg mA=160
40.3 Pink Zone Helical Large 11.25 1 5 20 120 AutomA Stnd 29.89 969.81 29.50 Body 32 Pediatric and Small patient Routine
Routine 61- 0.562 procedure based protocols
50-190mA Full/
100 lbs/ R2:Stnd
27.3-45.4 kg NI=10
FULL
Avg mA=190
40.4 Pink Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd 31.46 1335.44 39.50 Body 32 Pediatric and Small patient Routine
Routine 0.562 procedure based protocols
50-200mA Full/
101-200 lbs/ R2:Stnd
45.4-90.7 kg NI=12
FULL
Avg mA=200
40.5 Pink Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd 31.46 1335.44 39.50 Body 32 Pediatric and Small patient Routine
Routine 0.562 procedure based protocols
50-200mA Full/
>200 lbs/ R2:Stnd
>90.8 kg NI=15
FULL
Avg mA=200
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/
0-20 lbs/0-9 R2:Stnd
kg NI=7
FULL
Avg mA=100
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/
21-60 lbs/ R2:Stnd
9.1-27.2 kg NI=9
FULL
Avg mA=120

3-16 Reference Protocol Guide 5825189-1EN r1 May 2019


Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
40.9 Green Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd 22.02 714.59 29.50 Body 32 Pediatric and Small patient Lower Dose
Lower Dose 0.562 procedure based protocols
50-140mA Full/
61-100 lbs/
NI=11 R2:Stnd
27.3-45.4 kg FULL
Avg mA=140
40.10 Green Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd 25.17 1068.35 39.50 Body 32 Pediatric and Small patient Lower Dose
Lower Dose 0.562 procedure based protocols
50-160mA Full/
101-200 lbs/
NI=13 R2:Stnd
45.4-90.7 kg FULL
Avg mA=160
40.11 Green Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd 31.46 1335.44 39.50 Body 32 Pediatric and Small patient Lower Dose
Lower Dose 0.562 procedure based protocols
50-200mA Full/
>200 lbs/
R2:Stnd
>90.8 kg NI=16
FULL
Avg mA=200
40.13 Grey Zone Helical Ped 11.25 1 2.5 20 80 SmartmA Stnd 21.67 266.86 9.75 Head 16 Pediatric and Small patient Angio
CT Angio 0- 0.562 50-200mA Full/ procedure based protocols
20 lbs/0-9
R2:Stnd
kg NI=5
FULL
Avg mA=200
40.14 Grey Zone Helical Small 11.25 1 2.5 20 100 SmartmA Stnd 17.48 390.06 19.75 Body 32 Pediatric and Small patient Angio
CT Angio 0.562 50-200mA Full/ procedure based protocols
21-60 lbs/
R2:Stnd
9.1-27.2 kg NI=8
FULL
Avg mA=200
40.15 Grey Zone Helical Large 11.25 1 2.5 20 120 SmartmA Stnd 31.46 1016.56 29.75 Body 32 Pediatric and Small patient Angio
CT Angio 0.562 50-200mA Full/ procedure based protocols
61-100 lbs/
R2:Stnd
27.3-45.4 kg NI=10
FULL
Avg mA=200
40.16 Grey Zone Helical Large 11.25 1 2.5 20 120 SmartmA Stnd 31.46 1331.15 39.75 Body 32 Pediatric and Small patient Angio
CT Angio 0.562 50-200mA Full/ procedure based protocols
101-200 lbs/
R2:Stnd
45.4-90.7 kg NI=12
FULL
Avg mA=200
40.17 Grey Zone Helical Large 11.25 1 2.5 20 120 SmartmA Stnd 31.46 1331.15 39.75 Body 32 Pediatric and Small patient Angio
CT Angio 0.562 50-200mA Full/ procedure based protocols
>200 lbs/
R2:Stnd
>90.8 kg NI=15
FULL
Avg mA=200

3-17 Reference Protocol Guide 5825189-1EN r1 May 2019


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3-18 Reference Protocol Guide 5825189-1EN r1 May 2019


Reference Protocols Revolution™
ACT 30kVA with ASiR

5825189-1EN r1 May 2019 Reference Protocol Guide 4-1


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4-2 Reference Protocol Guide 5825189-1EN r1 May 2019


Head
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
21.1 Routine Axial Head 2i 2 5 10 120 90DR Stnd SS40: 34.55 172.76 4.00 Head 16 Routine head protocol for
Head Slice evaluation of the brain for
Full
abnormalities.
Routine Axial Head 1i 2 10 10 120 80DR Stnd SS40: 30.71 214.99 8.00 Head 16 Routine head protocol for
Head Full Slice evaluation of the brain for
abnormalities.
21.2 Helical Helical Head 8.75 1 5 10 120 SmartmA Stnd SS40: 13.16 185.42 12.00 Head 16 Helical scan mode for
Head (for 0.875 Slice evaluation of the brain for
50-160mA Plus
DT) cerebral abnormality.
NI=2.8
Avg
mA=60DR
21.3 Trauma Axial Head 2i 2 5 10 120 90DR Stnd SS40: 34.55 414.63 12.00 Head 16 Emergency head protocol
Head Full Slice for evaluation of the brain
and cranium for
abnormalities.
21.5 Circle of MIROI Axial Head 1i 1 5 5 120 50DR Stnd NONE 117.18 58.59 0.50 Head 16 Timing bolus for CT
Willis 1.0s Full angiography of the head
for evaluation of carotid
and cerebral vasculature.
Circle of Helical Head 11.25 1 1.25 20 120 75DR Stnd SS40: 22.95 239.50 8.00 Head 16 CT angiography of the
Willis 1.0s 0.562 Plus Slice head for evaluation of
carotid and cerebral
IQE vasculature.
21.6 CT Axial Head 2i 2 5 10 120 90DR Stnd SS40: 34.55 414.63 12.00 Head 16 Non-Enhance Brain,
Perfusion Full Slice evaluation for hemorrhage
350-370 or infarction.
Strength
Contrast
CT Perfusion Axial Head 4i 1 5 20 80 90DR Stnd SS40: 120.68 241.37 2.00 Head 16 CT Perfusion using Axial
Perfusion Slice scan mode for evaluation
Full
350-370 of cerebral perfusion over
Strength time.
Contrast

4-3 Reference Protocol Guide 5825189-1EN r1 May 2019


Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
CT Axial Head 2i 2 5 10 120 90DR Stnd SS40: 34.55 483.74 14.00 Head 16 Post Contrast Brain,
Perfusion Slice Evaluation for residual
Full
350-370 tissue enhancement.
Strength
Contrast

4-4 Reference Protocol Guide 5825189-1EN r1 May 2019


Orbit
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
22.1 Sinus Helical Head 6.25 1 2.5 10 120 90DR Stnd SS40: 27.64 363.37 11.50 Head 16 Routine Helical Sinus
Supine 0.625 Slice protocol, Evaluation for
Plus/R2
Helical any abnormality
BONE/
PLUS
22.3 Orbits Helical Head 6.25 1 2.5 10 120 90DR Stnd SS40: 27.64 266.62 8.00 Head 16 Routine Helical Orbit
Helical Slice protocol, Evaluation for
0.625 Plus/ R2
BONE/ abnormality soft tissues
and bone structures of the
PLUS
face.
22.5 Axial IAC Reformat Axial Head 2i 2 0.625 1.25 140 70DR Stnd SS40: 46.35 179.60 3.88 Head 16 Axial scan mode,
Slice Evaluation for inner ear
Full
ULTRA abnormalities in Axial
plane
22.6 Helical Reformat Helical Head 11.25 2 1.25 20 140 70DR Stnd SS40: 60.07 378.68 3.88 Head 16 Helical scan mode,
IAC 0.562 Slice Evaluation for inner ear
plus
0.625mm ULTRA abnormalities in Axial
plane

4-5 Reference Protocol Guide 5825189-1EN r1 May 2019


Neck
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
23.1 C-Spine Helical Large 6.25 1 2.5 10 140 SmartmA Bone SS40: 18.22 230.37 11.00 Body 32 C-Spine Helical mode with
0.625 Slice SmartmA, Evaluation for
50-130mA Plus/
soft tissue, disc and bone
NI=9.1 STND,
PLUS abnormalities.
Avg
mA=80DR
23.3 Soft Helical Large 8.75 1 3.75 10 120 SmartmA Stnd SS40: 5.64 95.97 15.00 Body 32 Neck with SmartmA,
Tissue 0.875 Slice Evaluation of soft tissue
30-150mA Plus
Neck structures for abnormality
NI=9.1
Avg
mA=50DR
23.5 Carotid/ Helical Large 13.5 1 1.25 10 120 SmartmA Stnd SS40: 5.48 101.22 17.00 Body 32 Carotid and brain CTA with
CoW 1.35 Slice SmartmA Evaluation of
50-150mA Plus
carotid and cerebral
NI=12.22 IQE vasculature.
Avg
mA=75DR

4-6 Reference Protocol Guide 5825189-1EN r1 May 2019


Upper Extremity
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
24.1 Shoulder Helical Large 11.25 1 2.5 20 140 SmartmA Stnd SS40: 18.16 229.76 10.00 Body 32 Shoulder with SmartmA,
Plus Slice Evaluation of soft tissue
0.562 50-130mA Plus/R2
Mode and bone of shoulder area
NI=21.45 BONE/
PLUS
Avg
mA=80DR

4-7 Reference Protocol Guide 5825189-1EN r1 May 2019


Chest
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Numb Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
er (mm) (mm) Avg mA
iMode
25.1 Routine Helical Large 27.5 1 10 20 120 SmartmA Stnd SS40: 6.11 172.81 24.00 Body 32 Chest with SmartmA,
Chest Slice Evaluation of mediastinum
1.375 30-160mA Plus/R2
SmartmA and lungs fields
NI=9.1 LUNG,
FULL
Avg
mA=95DR
25.2 Chest with Helical Large 27.5 1 10 20 120 95DR Chest SS40: 6.11 148.36 20.00 Body 32 Evaluation of mediastinum
HiRes Slice and lung fields with higher
1.375 Plus/R2
BONE+, resolution images of the
lungs
PLUS
25.3 Hi Res Axial Large 2i 1 0.625 1.25 120 90DR Bone+ SS40: 11.65 219.97 18.88 Body 32 Axial scan mode,
Chest Full Slice Evaluation of lung fields in
high resolution mode
25.5 Chest Abd Helical Large 27.5 1 10 20 120 SmartmA Stnd SS40: 6.11 301.18 45.00 Body 32 Multi group scan for Chest,
Pelvis Slice Abdomen, Pelvis with
1.375 30-160mA Plus/R2
SmartmA LUNG, SmartmA, Evaluation of
NI=9.1 chest and abdominal
Avg PLUS anatomy for abnormalities

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

4-8 Reference Protocol Guide 5825189-1EN r1 May 2019


Abdomen
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
26.1 Abdomen Helical Large 27.5 1 10 20 120 SmartmA Stnd SS40: 6.11 270.62 40.00 Body 32 Basic Abdomen Pelvis
Pelvis Slice with Smart mA, Evaluation
1.375 50-160mA Plus
for abnormalities of
NI=9.1 abdominal and pelvic
Avg structures

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

4-9 Reference Protocol Guide 5825189-1EN r1 May 2019


Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
26.5 Dual Helical Large 18.75 1 5 20 120 SmartmA Stnd SS40: 8.97 118.62 10.00 Body 32 Non contrast evaluation of
Phase 0.938 Slice upper abdominal
50-160mA Plus
Pancreas structures including
NI=11.57 pancreas
Avg
mA=95DR
Group 1 Helical Large 18.75 1 2.5 20 120 SmartmA Stnd SS40: 6.61 84.44 10.00 Body 32 Acquisition with SmartmA
0.938 Slice and SmartPrep for early
50-160mA Plus
arterial phase of the
NI=15.86 pancreas.
Avg
mA=70DR
Group 2 Helical Large 18.75 1 5 20 120 SmartmA Stnd SS40: 8.02 282.62 32.00 Body 32 Acquisition with SmartmA
0.938 Slice and SmartPrep for portal
50-160mA Plus
venous phase of the
NI=11.57 pancreas
Avg
mA=85DR
26.7 CT Advanmt Helical Large 27.5 1 1.25 20 120 50DR Stnd SS30: 3.22 137.49 40.00 Body 32 Helical scan mode Supine
Colonogr age CTC 1.375 Slice acquisition for using
Plus
aphy Pro Advantage CTC Pro for
evaluation of the colon
CT Advanmt Helical Large 27.5 1 1.25 20 120 50DR Stnd SS30: 3.22 137.49 40.00 Body 32 Helical scan mode Prone
Colonogr age CTC 1.375 Slice acquisition for using
Plus
aphy Pro Advantage CTC Pro for
evaluation of the colon
26.9 Runoff Helical Large 27.5 1 1.25 20 140 SmartmA Stnd SS40: 7.43 483.71 62.38 Body 32 Helical scan mode
1.25mm Slice 1.25mm with SmartmA
1.375 50-130mA Plus
and SmartPrep,
NI=21.45 IQE
Evaluation of vascular
Avg structures of abdomen,
femurs and lower
mA=80DR
extremities (Runoff)

4-10 Reference Protocol Guide 5825189-1EN r1 May 2019


L-Spine
Pitch
Proto Slice Beam mA
Rotation CTDIvol CTDIvol Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
27.1 L-Spine Helical Large 11.25 1 2.5 20 140 SmartmA Bone SS40: 11.56 228.75 17.50 Body 32 Helical scan mode 2.5mm,
Slice Limited evaluation of
0.562 50-130mA Plus
lumbar spine
NI=15.86
Avg
mA=50DR

4-11 Reference Protocol Guide 5825189-1EN r1 May 2019


Pelvis
Pitch
Proto Slice Beam mA Dose
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Reduc Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI tion Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA (%)
iMode
28.1 Pelvis for Helical Large 8.75 1 3.75 10 120 SmartmA 40 Bone SS40: 7.33 94.54 10.88 Body 32 Helical scan with
Fracture Slice SmartmA, Evaluation of
0.875 50-160mA Plus/R2
pelvis bony structures for
NI=12.38 Stnd/ Plus
fracture
Avg
mA=66DR

4-12 Reference Protocol Guide 5825189-1EN r1 May 2019


Lower Extremity
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
29.1 Ankle Helical Large 6.25 1 1.25 10 120 SmartmA Stnd SS40: 8.68 42.38 3.50 Body 32 Helical scan mode
1.25mm 0.625 Slice 1.25mm, Evaluation of soft
50-150mA Plus
tissue and bony anatomy
NI=21.45 IQE/R2 of the ankle area
Bone,
Avg
Plus IQE
mA=55DR

4-13 Reference Protocol Guide 5825189-1EN r1 May 2019


Pediatric Head
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Num Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
31.1 PED Axial Ped 4i 1 5 20 120 85DR Stnd SS30: 14.63 175.60 12.00 Head 16 Routine head (1.0s) for
HEAD TO Slice infant (up to 18 months)
Full
18 5mm
Months
31.2 PED Axial Head 4i 1 5 20 120 100DR Stnd SS30: 17.22 206.59 12.00 Head 16 Routine head (1.0s) for
HEAD 18 Slice children (18 months to 5
Full
MOS TO years) 5mm
5YRS
31.3 PED Axial Head 4i 1.5 5 20 120 75DR Stnd SS30: 19.37 232.42 12.00 Head 16 Routine head (1.0s) for
HEAD TO Full Slice children (5 years to 18
5YRS TO years) 5mm
18YRS

4-14 Reference Protocol Guide 5825189-1EN r1 May 2019


Pediatric Chest
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Numb Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
er (mm) (mm) Avg mA
iMode
35.1.1 RC 6.0- Helical Small 27.5 1 3.75 20 120 65DR Stnd SS30: 3.73 39.81 7.50 Body 32 Weight and height based
7.5 kg Slice routine chest protocol
1.375 Plus
(13.2-16.5
lbs)
35.2.1 RC 7.5- Helical Small 27.5 1 3.75 20 120 70DR Stnd SS30: 4.01 42.87 7.50 Body 32 Weight and height based
9.5 kg Slice routine chest protocol
1.375 Plus
(16.5-
20.9lbs)
35.3.1 RC 9.5- Helical Small 27.5 1 3.75 20 120 75DR Stnd SS30: 4.30 47.54 7.88 Body 32 Weight and height based
11.5 kg 1.375 Plus Slice routine chest protocol
(20.9-
25.4lbs)
35.4.1 RC 11.5- Helical Large 27.5 1 5 20 120 50DR Stnd SS30: 3.22 39.93 9.00 Body 32 Weight and height based
14.5kg 1.375 Plus Slice routine chest protocol
(25.4-
32.0lbs)
35.5.1 RC 14.5- Helical Large 27.5 1 5 20 120 50DR Stnd SS30: 3.22 39.93 9.00 Body 32 Weight and height based
18.5kg 1.375 Plus Slice routine chest protocol
(32.0-
40.8lbs)
35.6.1 RC 18.5- Helical Large 27.5 1 5 20 120 65DR Stnd SS30: 4.18 51.91 9.00 Body 32 Weight and height based
22.5kg 1.375 Plus Slice routine chest protocol
(40.8-
49.6lbs)
35.7.1 RC 22.5- Helical Large 27.5 1 5 20 120 70DR Stnd SS30: 4.50 53.65 8.50 Body 32 Weight and height based
31.5kg 1.375 Plus Slice routine chest protocol
(49.6-
69.5lbs)
35.8.1 RC 31.5- Helical Large 27.5 1 5 20 120 75DR Stnd SS30: 4.83 74.37 12.00 Body 32 Weight and height based
40.5kg 1.375 Plus Slice routine chest protocol
(69.5-
89.3lbs)
35.9.1 RC 40.5- Helical Large 27.5 1 5 20 120 75DR Stnd SS30: 4.83 88.85 15.00 Body 32 Weight and height based
55.0kg(89 1.375 Plus Slice routine chest protocol
.3-
121.3lbs)

4-15 Reference Protocol Guide 5825189-1EN r1 May 2019


Pediatric Abdomen
Pitch
Proto Slice Beam mA
Rotation CTDIvol DLP Scan
col Protocol Post Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Table Time kV (mGy) (mGy*cm) Length Description
Numb Name Process Type V s on NI Type (%) (cm)
Speed (s) ASiR ASiR (cm)
er (mm) (mm) Avg mA
iMode
36.1.1 Abd 6.0- Helical Small 27.5 1 3.75 20 120 90DR Stnd SS30: 5.16 57.05 7.88 Body 32 Weight and height based
7.5 kg Slice routine abdomen protocol
1.375 Plus
(13.2-16.5
lbs)
36.2.1 Abd 7.5- Helical Small 27.5 1 3.75 20 120 95DR Stnd SS30: 5.45 66.35 9.00 Body 32 Weight and height based
9.5 kg Slice routine abdomen protocol
1.375 Plus
(16.5-
20.9lbs)
36.3.1 Abd 9.5- Helical Small 27.5 1 3.75 20 120 100DR Stnd SS30: 5.73 76.29 10.13 Body 32 Weight and height based
11.5 kg 1.375 Plus Slice routine abdomen protocol
(20.9-
25.4lbs)
36.4.1 Abd 11.5- Helical Small 27.5 1 5 20 120 70DR Stnd SS30: 4.01 57.82 11.00 Body 32 Weight and height based
14.5kg 1.375 Plus Slice routine abdomen protocol
(25.4-
32.0lbs)
36.5.1 Abd 14.5- Helical Large 27.5 1 5 20 120 70DR Stnd SS30: 4.50 64.91 11.00 Body 32 Weight and height based
18.5kg 1.375 Plus Slice routine abdomen protocol
(32.0-
40.8lbs)
36.6.1 Abd 18.5- Helical Large 27.5 1 5 20 120 75DR Stnd SS30: 4.83 79.20 13.00 Body 32 Weight and height based
22.5kg 1.375 Plus Slice routine abdomen protocol
(40.8-
49.6lbs)
36.7.1 Abd 22.5- Helical Large 27.5 1 5 20 120 75DR Stnd SS30: 4.83 88.85 15.00 Body 32 Weight and height based
31.5kg 1.375 Plus Slice routine abdomen protocol
(49.6-
69.5lbs)
36.8.1 Abd 31.5- Helical Large 27.5 1 5 20 120 85DR Stnd SS30: 5.47 100.70 15.00 Body 32 Weight and height based
40.5kg 1.375 Plus Slice routine abdomen protocol
(69.5-
89.3lbs)
36.9.1 Abd 40.5- Helical Large 27.5 1 5 20 120 90DR Stnd SS30: 5.79 135.58 20.00 Body 32 Weight and height based
55.0kg(89 1.375 Plus Slice routine abdomen protocol
.3-
121.3lbs)

4-16 Reference Protocol Guide 5825189-1EN r1 May 2019


Miscellaneous
Pitch
Proto Slice Beam mA
Post Rotation CTDIvol DLP Scan
col Protocol Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Proce Table Time kV (mGy) (mGy*cm) Length Description
Num Name Type V s on NI Type (%) (cm)
ss Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
40.1 Pink Zone Helical Ped 11.25 1 5 20 80 SmartmA Stnd NONE 14.09 175.38 9.50 Head 16 Pediatric and Small patient
Routine 0-20 Routine procedure based
0.562 50-130mA Full/R2
lbs/0-9 kg protocols
NI=5 stnd, plus

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

4-17 Reference Protocol Guide 5825189-1EN r1 May 2019


Pitch
Proto Slice Beam mA
Post Rotation CTDIvol DLP Scan
col Protocol Scan SFO Thicknes Collimati Min-Max Recon ASiR Phantom
Proce Table Time kV (mGy) (mGy*cm) Length Description
Num Name Type V s on NI Type (%) (cm)
ss Speed (s) ASiR ASiR (cm)
ber (mm) (mm) Avg mA
iMode
40.9 Green Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd NONE 22.02 714.59 29.50 Body 32 Pediatric and Small patient
Lower Dose Lower Dose procedure
0.562 50-140mA Full/R2
61-100 lbs/ based protocols
27.3-45.4 kg NI=11 Stnd, full
Avg mA=140
40.10 Green Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd NONE 25.17 1068.35 39.50 Body 32 Pediatric and Small patient
Lower Dose Lower Dose procedure
0.562 50-160mA Full/R2
101-200 lbs/ based protocols
45.4-90.7 kg NI=13 Stnd, full
Avg mA=160
40.11 Green Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd NONE 25.17 1068.35 39.50 Body 32 Pediatric and Small patient
Lower Dose Lower Dose procedure
0.562 50-160mA Full/R2
>200 lbs/ based protocols
>90.8 kg NI=16 Stnd, full
Avg mA=160
40.13 Grey Zone Helical Ped 11.25 1 2.5 20 80 SmartmA Stnd NONE 17.34 213.49 9.75 Head 16 Pediatric and Small patient
CT Angio 0- Angio procedure based
0.562 50-160mA Full/R2
20 lbs/0-9 kg protocols
NI=5 Stnd, full
Avg mA=160
40.14 Grey Zone Helical Small 11.25 1 2.5 20 100 SmartmA Stnd NONE 13.98 312.05 19.75 Body 32 Pediatric and Small patient
CT Angio 21- Angio procedure based
0.562 50-160mA Full/R2
60 lbs/9.1- protocols
27.2 kg NI=8 Stnd, full
Avg mA=160
40.15 Grey Zone Helical Large 11.25 1 2.5 20 120 SmartmA Stnd NONE 25.17 813.25 29.75 Body 32 Pediatric and Small patient
CT Angio 61- Angio procedure based
0.562 50-160mA Full/R2
100 lbs/27.3- protocols
45.4 kg NI=10 Stnd, full
Avg mA=160
40.16 Grey Zone Helical Large 11.25 1 2.5 20 120 SmartmA Stnd NONE 25.17 1064.92 39.75 Body 32 Pediatric and Small patient
CT Angio Angio procedure based
0.562 50-160mA Full/R2
101-200 lbs/ protocols
45.4-90.7 kg NI=12 Stnd, full
Avg mA=160
40.17 Grey Zone Helical Large 11.25 1 2.5 20 120 SmartmA Stnd NONE 25.17 1064.92 39.75 Body 32 Pediatric and Small patient
CT Angio Angio procedure based
0.562 50-160mA Full/R2
>200 lbs/ protocols
>90.8 kg NI=15 Stnd, full
Avg mA=160

4-18 Reference Protocol Guide 5825189-1EN r1 May 2019


Reference Protocols Revolution™
ACT 30kVA

5825189-1EN r1 May 2019 Reference Protocol Guide 5-1


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5-2 Reference Protocol Guide 5825189-1EN r1 May 2019


Head
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
21.1 Routine Axial Head 2i 2 5 10 120 150 Stnd 57.59 287.94 4.00 Head 16 Routine head protocol for evaluation of
Head Full the brain for abnormalities.

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

5-3 Reference Protocol Guide 5825189-1EN r1 May 2019


Orbit
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
22.1 Sinus Helical Head 6.25 1 2.5 10 120 150 Stnd 46.07 605.61 11.50 Head 16 Routine Helical Sinus protocol,
Supine 0.625 Plus/R2, Evaluation for any abnormality
Helical
bone/
plus
22.3 Orbits Helical Head 6.25 1 2.5 10 120 150 Stnd 46.07 444.37 8.00 Head 16 Routine Helical Orbit protocol, Evaluation
Helical for abnormality soft tissues and bone
0.625 Plus/R2,
structures of the face.
bone/
plus
22.5 Axial IAC Reformat Axial Head 2i 2 0.625 1.25 140 120 Stnd 79.46 307.89 3.94 Head 16 Axial scan mode, Evaluation for inner ear
0.625mm Full abnormalities in Axial plane

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

5-4 Reference Protocol Guide 5825189-1EN r1 May 2019


Neck
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
23.1 C-Spine Helical Large 6.25 1 2.5 10 140 SmartmA Bone 29.60 374.35 11.00 Body 32 C-Spine Helical mode with SmartmA,
0.625 50-130mA Plus/R2 Evaluation for soft tissue, disc and bone
abnormalities.
STND/
NI=9.1
PLUS
Avg mA=130
23.3 Soft Tissue Helical Large 8.75 1 3.75 10 120 SmartmA Stnd 8.45 143.96 15.00 Body 32 Neck with SmartmA, Evaluation of soft
Neck 0.875 30-150mA Plus tissue structures for abnormality

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

5-5 Reference Protocol Guide 5825189-1EN r1 May 2019


Upper Extremity
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
24.1 Shoulder Helical Large 11.25 1 2.5 20 140 SmartmA Stnd 29.51 373.36 10.00 Body 32 Shoulder with SmartmA, Evaluation of
Plus Mode 0.562 50-130mA Plus/ R2 soft tissue and bone of shoulder area
BONE/
NI=21.45
PLUS
Avg mA=130

5-6 Reference Protocol Guide 5825189-1EN r1 May 2019


Chest
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
25.1 Routine Helical Large 27.5 1 10 20 120 SmartmA Stnd 10.30 291.05 24.00 Body 32 Chest with SmartmA, Evaluation of
Chest 1.375 30-160mA Plus/ R2 mediastinum and lungs fields
SmartmA
NI=9.1 lung, full
Avg mA=160
25.2 Chest with Helical Large 27.5 1 10 20 120 160 Chest 10.30 249.86 20.00 Body 32 Evaluation of mediastinum and lung fields
HiRes 1.375 Plus/R2, with higher resolution images of the lungs
BONE+,
PLUS
25.3 Hi Res Axial Large 2i 1 0.625 1.25 120 150 Bone+ 19.42 366.62 19.00 Body 32 Axial scan mode, Evaluation of lung fields
Chest Full in high resolution mode

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

5-7 Reference Protocol Guide 5825189-1EN r1 May 2019


Abdomen
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
26.1 Abdomen Helical Large 27.5 1 10 20 120 SmartmA Stnd 10.30 455.78 40.00 Body 32 Basic Abdomen Pelvis with Smart mA,
Pelvis 1.375 50-160mA Plus Evaluation for abnormalities of abdominal
and pelvic structures
NI=9.1
Avg mA=160
26.3 AAA Helical Large 27.5 1 1.25 20 120 SmartmA Stnd 10.30 439.98 40.00 Body 32 Helical scan with Smart mA and
1.25mm 1.375 50-160mA Plus SmartPrep, Evaluation for abdominal
aortic aneurysm
IQE
NI=21.45
Avg mA=160
26.4 Dual Phase Helical Large 18.75 1 5 20 120 SmartmA Stnd 15.10 652.80 40.00 Body 32 Non contrast evaluation of upper
Liver abdominal structures including liver
0.938 50-160mA Plus
NI=11.57
Avg mA=160
Dual Phase MIROI Axial Large 1i 1 10 10 120 40 Stnd 47.34 47.34 1.00 Body 32 Timing Bolus for Multi-group acquisition
Liver for early arterial, late arterial and portal
Full
venous phase of the liver.
Dual Phase Helical Large 18.75 1 5 20 120 SmartmA Stnd 15.10 245.09 13.00 Body 32 Acquisition for early arterial, phase of the
Liver 0.938 liver.
50-160mA Plus
NI=11.57
Avg mA=160
Dual Phase Helical Large 18.75 1 5 20 120 SmartmA Stnd 15.10 494.24 29.50 Body 32 Acquisition for portal venous phase of the
Liver 0.938 liver.
50-160mA Plus
NI=11.57
Avg mA=160
26.5 Dual Phase Helical Large 18.75 1 5 20 120 SmartmA Stnd 15.10 199.79 10.00 Body 32 Non contrast evaluation of upper
Pancreas 0.938 abdominal structures including pancreas
50-160mA Plus
NI=11.57
Avg mA=160
26.5 Dual Phase Helical Large 18.75 1 2.5 20 120 SmartmA Stnd 11.33 144.75 10.00 Body 32 Acquisition with SmartmA and SmartPrep
Pancreas 0.938 for early arterial phase of the pancreas.
50-160mA Plus
NI=15.86
Avg mA=160

5-8 Reference Protocol Guide 5825189-1EN r1 May 2019


Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
26.5 Dual Phase Helical Large 18.75 1 5 20 120 SmartmA Stnd 13.21 465.49 32.00 Body 32 Acquisition with SmartmA and SmartPrep
Pancreas 0.938 for portal venous phase of the pancreas
50-160mA Plus
NI=11.57
Avg mA=160
26.7 CT Advantag Helical Large 27.5 1 1.25 20 120 75 Stnd 4.83 206.24 40.00 Body 32 Helical scan mode Supine acquisition for
Colonograp e CTC 1.35 using Advantage CTC Pro for evaluation
Plus
hy Pro of the colon
CT Advantag Helical Large 27.5 1 1.25 20 120 75 Stnd 4.83 206.24 40.00 Body 32 Helical scan mode Prone acquisition for
Colonograp e CTC 1.35 Plus using Advantage CTC Pro for evaluation
hy Pro of the colon
26.9 Runoff Helical Large 27.5 1 1.25 20 140 SmartmA Stnd 12.07 786.03 62.38 Body 32 Helical scan mode 1.25mm with
1.25mm SmartmA and SmartPrep, Evaluation of
1.375 50-130mA Plus
vascular structures of abdomen, femurs
NI=21.45 IQE
and lower extremities (Runoff)
Avg mA=130

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L-Spline
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
27.1 L-Spine Helical Large 11.25 1 2.5 20 140 SmartmA Bone 19.30 388.83 17.50 Body 32 Helical scan mode 2.5mm, Limited
0.562 50-130mA Plus evaluation of lumbar spine

NI=15.86
Avg mA=85

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Pelvis
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
28.1 Pelvis for Helical Large 8.75 1 3.75 10 120 SmartmA Bone, 13.52 174.54 10.88 Body 32 Helical scan with SmartmA, Evaluation of
Fracture 0.875 50-160mA Plus/R2 pelvis bony structures for fracture
STND/
NI=12.38
PLUS
Avg mA=120

5-11 Reference Protocol Guide 5825189-1EN r1 May 2019


Lower Extremity
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
29.1 Ankle Helical Large 6.25 1 1.25 10 120 AutomA Stnd 14.20 69.34 3.50 Body 32 Helical scan mode 1.25mm, Evaluation of
1.25mm 0.625 50-150mA Plus soft tissue and bony anatomy of the ankle
area
NI=21.45 IQE/R2,
BONE/
Avg mA=90
PLUS
IQE

5-12 Reference Protocol Guide 5825189-1EN r1 May 2019


Pediatric Head
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
31.1 PED HEAD Axial Ped 4i 1 5 20 120 120 Stnd 20.66 247.91 12.00 Head 16 Routine head (1.0s) for infant (up to 18
TO 18 Full months) 5mm
Months
31.2 PED HEAD Axial Head 4i 1 5 20 120 140 Stnd 24.10 289.23 12.00 Head 16 Routine head (1.0s) for children (18
18 MOS TO months to 5 years) 5mm
Full
5YRS
31.3 PED HEAD Axial Head 4i 1.5 5 20 120 110 Stnd 28.41 340.88 12.00 Head 16 Routine head (1.0s) for children (5 years
TO 5YRS to 18 years) 5mm
Full
TO 18YRS

5-13 Reference Protocol Guide 5825189-1EN r1 May 2019


Pediatric Chest
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
35.1.1 RC 6.0-7.5 Helical Small 27.5 1 3.75 20 120 90 Stnd 5.16 55.12 7.50 Body 32 Weight and height based routine chest
kg (13.2- 1.375 Plus protocol
16.5 lbs)
35.2.1 RC 7.5-9.5 Helical Small 27.5 1 3.75 20 120 100 Stnd 5.73 61.24 7.50 Body 32 Weight and height based routine chest
kg (16.5- 1.375 protocol
Plus
20.9lbs)
35.3.1 RC 9.5-11.5 Helical Small 27.5 1 3.75 20 120 110 Stnd 6.30 69.73 7.88 Body 32 Weight and height based routine chest
kg (20.9- 1.375 protocol
Plus
25.4lbs)
35.4.1 RC 11.5- Helical Large 27.5 1 5 20 120 70 Stnd 4.50 55.90 9.00 Body 32 Weight and height based routine chest
14.5kg 1.375 protocol
Plus
(25.4-
32.0lbs)
35.5.1 RC 14.5- Helical Large 27.5 1 5 20 120 75 Stnd 4.83 59.90 9.00 Body 32 Weight and height based routine chest
18.5kg 1.375 protocol
Plus
(32.0-
40.8lbs)
35.6.1 RC 18.5- Helical Large 27.5 1 5 20 120 90 Stnd 5.79 71.88 9.00 Body 32 Weight and height based routine chest
22.5kg 1.375 protocol
Plus
(40.8-
49.6lbs)
35.7.1 RC 22.5- Helical Large 27.5 1 5 20 120 100 Stnd 6.43 76.64 8.50 Body 32 Weight and height based routine chest
31.5kg 1.375 protocol
Plus
(49.6-
69.5lbs)
35.8.1 RC 31.5- Helical Large 27.5 1 5 20 120 105 Stnd 6.76 104.12 12.00 Body 32 Weight and height based routine chest
40.5kg 1.375 protocol
Plus
(69.5-
89.3lbs)
35.9.1 RC 40.5- Helical Large 27.5 1 5 20 120 110 Stnd 7.08 130.32 15.00 Body 32 Weight and height based routine chest
55.0kg(89.3 1.375 protocol
Plus
-121.3lbs)

5-14 Reference Protocol Guide 5825189-1EN r1 May 2019


Pediatric Abdomen
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
36.1.1 Abd 6.0-7.5 Helical Small 27.5 1 3.75 20 120 130 Stnd 7.45 82.41 7.88 Body 32 Weight and height based routine
kg (13.2- 1.375 Plus abdomen protocol
16.5 lbs)
36.2.1 Abd 7.5-9.5 Helical Small 27.5 1 3.75 20 120 135 Stnd 16.90 205.96 9.00 Body 32 Weight and height based routine
kg (16.5- 1.375 abdomen protocol
Plus
20.9lbs)
36.3.1 Abd 9.5- Helical Small 27.5 1 3.75 20 120 140 Stnd 8.02 106.80 10.13 Body 32 Weight and height based routine
11.5 kg 1.375 abdomen protocol
Plus
(20.9-
25.4lbs)
36.4.1 Abd 11.5- Helical Small 27.5 1 5 20 120 100 Stnd 5.73 82.60 11.00 Body 32 Weight and height based routine
14.5kg 1.375 Plus abdomen protocol
(25.4-
32.0lbs)
36.5.1 Abd 14.5- Helical Large 27.5 1 5 20 120 100 Stnd 6.43 92.73 11.00 Body 32 Weight and height based routine
18.5kg 1.375 Plus abdomen protocol
(32.0-
40.8lbs)
36.6.1 Abd 18.5- Helical Large 27.5 1 5 20 120 105 Stnd 6.76 110.88 13.00 Body 32 Weight and height based routine
22.5kg 1.375 Plus abdomen protocol
(40.8-
49.6lbs)
36.7.1 Abd 22.5- Helical Large 27.5 1 5 20 120 110 Stnd 7.08 130.32 15.00 Body 32 Weight and height based routine
31.5kg 1.375 Plus abdomen protocol
(49.6-
69.5lbs)
36.8.1 Abd 31.5- Helical Large 27.5 1 5 20 120 120 Stnd 7.72 142.16 15.00 Body 32 Weight and height based routine
40.5kg 1.375 Plus abdomen protocol
(69.5-
89.3lbs)
36.9.1 Abd 40.5- Helical Large 27.5 1 5 20 120 130 Stnd 8.37 195.84 20.00 Body 32 Weight and height based routine
55.0kg(89.3 1.375 Plus abdomen protocol
-121.3lbs)

5-15 Reference Protocol Guide 5825189-1EN r1 May 2019


Miscellaneous
Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
40.1 Pink Zone Helical Ped 11.25 1 5 20 80 SmartmA Stnd 14.09 175.38 9.50 Head 16 Pediatric and Small patient Routine
Routine 0- 0.562 50-130mA Full/R2 procedure based protocols
20 lbs/0-9
kg NI=5 stnd/full
Avg mA=130
40.2 Pink Zone Helical Ped 11.25 1 5 20 100 SmartmA Stnd 31.73 712.43 19.50 Head 16 Pediatric and Small patient Routine
Routine 21- 0.562 50-160mA Full/R2 procedure based protocols
60 lbs/9.1-
27.2 kg NI=7 STND,
Avg mA=160 FULL

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

5-16 Reference Protocol Guide 5825189-1EN r1 May 2019


Proto Pitch Slice Beam mA
Rotation CTDI DLP Scam Phanto
col Protocol Post Scan Table Thickn Collimati Min-Max Recon
SFOV time kV vol (mGy*c Length m Description
Numb Name Process Type Speed ess on NI Type
(s) (mGy) m) (cm) (cm)
er iMode (mm) (mm) Avg mA
40.9 Green Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd 22.02 714.59 29.50 Body 32 Pediatric and Small patient Lower Dose
Lower Dose 0.562 procedure based protocols
50-140mA Full/R2
61-100 lbs/
27.3-45.4 kg NI=11 STND,
FULL
Avg mA=140
40.10 Green Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd 25.17 1068.35 39.50 Body 32 Pediatric and Small patient Lower Dose
Lower Dose 0.562 procedure based protocols
50-160mA Full/R2
101-200 lbs/
45.4-90.7 kg NI=13 STND,
FULL
Avg mA=160
40.11 Green Zone Helical Large 11.25 1 5 20 120 SmartmA Stnd 25.17 1068.35 39.50 Body 32 Pediatric and Small patient Lower Dose
Lower Dose 0.562 procedure based protocols
50-160mA Full/R2
>200 lbs/
>90.8 kg NI=16 STND,
FULL
Avg mA=160
40.13 Grey Zone Helical Ped 11.25 1 2.5 20 80 SmartmA Stnd 14.63 180.13 9.75 Head 16 Pediatric and Small patient Angio
CT Angio 0- 0.562 50-160mA Full/R2 procedure based protocols
20 lbs/0-9
kg NI=5 STND,
FULL
Avg mA=135
40.14 Grey Zone Helical Small 11.25 1 2.5 20 100 SmartmA Stnd 16.61 370.56 19.75 Body 32 Pediatric and Small patient Angio
CT Angio 0.562 50-160mA Full/R2 procedure based protocols
21-60 lbs/
9.1-27.2 kg NI=8 STND,
FULL
Avg mA=160
40.15 Grey Zone Helical Large 11.25 1 2.5 20 120 SmartmA Stnd 25.17 813.25 29.75 Body 32 Pediatric and Small patient Angio
CT Angio 0.562 50-160mA Full/R2 procedure based protocols
61-100 lbs/
27.3-45.4 kg NI=10 STND,
FULL
Avg mA=160
40.16 Grey Zone Helical Large 11.25 1 2.5 20 120 SmartmA Stnd 25.17 1064.92 39.75 Body 32 Pediatric and Small patient Angio
CT Angio 0.562 50-160mA Full/R2 procedure based protocols
101-200 lbs/
45.4-90.7 kg NI=12 STND,
FULL
Avg mA=160
40.17 Grey Zone Helical Large 11.25 1 2.5 20 120 SmartmA Stnd 25.17 1064.92 39.75 Body 32 Pediatric and Small patient Angio
CT Angio 0.562 50-160mA Full/R2 procedure based protocols
>200 lbs/
>90.8 kg NI=15 STND,
FULL
Avg mA=160

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5-18 Reference Protocol Guide 5825189-1EN r1 May 2019


Lexicon

5825189-1EN r1 May 2019 Reference Protocol Guide A-1


Lexicon

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.

Scan Acquisition and User Interface Basics


Table A-1 Scan acquisition and user interface terms

Generic Description GE Name


The portion of the user interface where scans are prescribed Exam Rx
Other portions of the user interface, such as were reconstructed images are viewed Desktop
CT localizer radiograph (i.e. the scanned projection radiograph, often acquired by Scout
the CT system to allow the user to prescribe the start and end locations of the scan
range)
Axial scan mode: Data acquisition while the patient table remains stationary; the Axial
table position may be incremented between X-ray exposures to collect data over a
longer z axis range.
Helical or Spiral scan mode: Data acquisition while the patient table is continuously Helical
moving along the z axis.
Dynamic scan mode - single detector width: Data acquisition at multiple time Cine or zero interval Axial
points over the same anatomic location(s) while the patient table remains stationary;
X-ray exposure can be continuous or intermittent
Table increment (mm) per 360 degree rotation of the X-ray tube (axial scan mode) Interval
Table feed per 360 degree rotation of the X-ray tube (helical scan mode) Speed (mm/rot)
Field of measurement: Diameter of the circular region within the scan plane over Scan Field of View (SFOV,
which projection data are collected. Nominally equal to the diameter of the primary cm)
beam at isocenter in the axial plane.
Tube current: Number of electrons accelerated across an X-ray tube per unit time, mA
expressed in units of milliampere (mA)
Tube potential: The electric potential applied across an X-ray tube to accelerate kV
electrons towards a target material, expressed in units of kilovolts (kV)

A-2 Reference Protocol Guide 5825189-1EN r1 May 2019


Generic Description GE Name
Pitch: Unitless parameter used to describe the table travel during helical CT; equal to Pitch
table travel (mm) per gantry rotation ÷ total nominal beam width (mm)
Automated patient instructions AutoVoice

Dose Modulation and Reduction Tools


Table A-2 Dose modulation and reduction tool terms

Generic Description GE Name


Automatic exposure control (AEC): A scanner feature that automatically adapts Available in AutomA and
the X-ray tube current to the overall patient size to achieve a specified level of image SmartmA
quality
Longitudinal tube current modulation AutomA
Angular and longitudinal tube current modulation SmartmA (x, y, z)
Image quality reference parameter for AEC Noise Index

Multi-slice Detector Geometry


Table A-3 Multi-slice detector geometry terms

Generic Description GE Name


Multi-slice detector array design Fixed
Detector configuration Detector Configuration

Figure A-1 Detector Coverage and Slice Thickness - Detector rows (N) and slice
thickness (T) selection console screen image

Image Reconstruction and Display


Table A-4 Image reconstruction and display terms

Generic Description GE Name


Window width: Range of CT numbers (maximum - minimum) that are distributed Window Width
over the viewable grey scale of the display device or film
Window center: The CT number in the center of the viewable grey scale Window Level
Reconstruction field of view: Width of the square region mapped to the Display Field of View (DFOV)
reconstructed image matrix (cm)
Prescribing the reconstruction parameters prior to scan acquisition Prospective recon

5825189-1EN r1 May 2019 Reference Protocol Guide A-3


Lexicon

Generic Description GE Name


Prescribing the reconstruction parameters after scan acquisition Retrospective recon
Reconstruction property that determines sharpness or smoothness of image in the Algorithm
axial plane
Helical interpolation options to achieve a wider or narrower section sensitivity profile Full (narrower) or Plus (wider)
mode
Nominal width of reconstructed image along the z axis Thickness (mm)
Distance between two consecutive reconstructed images Interval
Off-center reconstruction coordinates are called RL Center
AP Center
Flip or rotate the image orientation is called Flip/rotate
Image modifications to alter sharpness or smoothness (done in image space without Image Filters
reconstructing images)

Contrast Media Tools


Table A-5 Contrast media tool terms

Generic Description GE Name


Bolus tracking: Scanner feature to automatically initiate a prescribed axial, helical or Smart Prep
dynamic scan when a threshold level of contrast enhancement is reached at a
specified region of interest
Test Bolus: Scan mode used to measure the contrast transit time using a small Take axial scans at zero table
injection of contrast media feed and process with MIROI
Time-attenuation curve (TAC): Graph of the contrast enhancement versus time Smart Prep graph or MIROI
graph
Threshold: CT number (HU) where bolus tracking tool will trigger the system to Transition ROI Threshold
begin the scan
Scanner feature used to quantitatively evaluate the TAC MIROI (multiple image region
of interest)
Monitoring delay: Time from injection to the start of monitoring scans (Time 1 in Monitoring Delay
figure below)
Monitoring interval: Time between consecutive monitoring scans to (Time 2 in Monitor ISD (InterScan Delay)
figure below)
Scan delay: Time from when threshold is reached and prescribed axial, helical or Diagnostic delay
dynamic scan begins (Time 3 in figure below)

Figure A-2

A-4 Reference Protocol Guide 5825189-1EN r1 May 2019


Multi-planar Formats and 3D Processing
Table A-6 Multi-planar formats and 3D processing terms

Generic Description GE Name


Reformatted image at an oblique plane (not an axial, coronal, or sagittal) Oblique reformat
Saving images at various viewing angles about a volume or surface rendered object Batch Loop
Saving images at various planes through a volume Batch Reformat
Surface-rendered object 3D
Volume-rendered object Volume Rendered image (VR)

Service and Application Tools


Table A-7 Service and application tool terms

Generic Description GE Name


X-ray tube warm up Tube Warm-up (tube warm
up)
Daily calibrations Fast Cals (done in daily prep)
Application information Learning Solutions or User
Manual
Application support assistance Insite or Ilinq

Workflow
Table A-8 Workflow terms

Generic Description GE Name


Scheduled (but not yet scanned) patient list is called Patient Schedule
Already scanned patient list is called List/Select
User comments or text added to an image is called User annotation
Filming tools are called Auto/manual film composer
Data page summarizing scan parameters, CTDIvol and DLP Exam Text Page or Series
Text Page
Sorting patient list Sort

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.

Kalra, M. K. and S. Saini. 2006. Standardized nomenclature and description of CT scanning


techniques. Radiology 241, 657-660.

National Electrical Manufacturer's Organization. 2009. Digital Imaging and Communications in


Medicine (DICOM). (Downloadable from: www.nema.org)

RadLex Tree Browser (www.radlex.org)

Weber, N. M., C. L. Siegle, J. E. Miller, M. K. Hudson, J. M. Kofler, M. R. Bruesewitz, and C. H.


McCollough. How to be a "multi-lingual" CT technologist: understanding scan parameters from

5825189-1EN r1 May 2019 Reference Protocol Guide A-5


Lexicon

different manufacturer's equipment. 2004 RSNA Annual Meeting poster (www.mayo.edu in


Research).

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).

A-6 Reference Protocol Guide 5825189-1EN r1 May 2019


www.gehealthcare.com

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