COMPUTED TOMOGRAPHY

Submitted TO:
Sir Akash John
Submitted By:
Sehrish
Esha
Muqadas shaheen
Pakeeza Khalid
Amina Sharif Bhatti
CONTENTS:
Protocols of shoulder or scapula

Protocols of Wrist

Protocols of Elbow

Protocols of Hip or Proximal femur

Protocols of Knee/Tibial Plateau

Protocols of Ankle/Distal Tibia

Computed Tomography(CT)
 computed tomography refers to a computerized x-ray
imaging procedure in which a narrow beam of x-rays is
aimed at a patient and quickly rotated around the body,
producing signals that are processed by the machine's
computer to generate cross-sectional images or slices of
the body
Computed tomography is a technique in which

 Images take in axial view

 No superimposition of the structures
 Image can be reconstructed

Wrist
shoulder Elbow
 Ct protocol
 A CT protocol is a set of
parameters that specify a
specific exam and contrast
delivery requirements
 CT protocol can be split down
into two areas:
 The radiological protocol
 The technical protocol
 Protocols for shoulder/scapula
Positioning
Patient supine, affected arm at side Opposite arm above head
Scouts Views
Anterio posterior(AP) and lateral
Scan type
Helical Type scan

Start location
Just above acromioclavicular joint

End location
Just below scapular tip
Display FOV
25 cm (adjust to cover from skin surface to midline)

Scan FOV
Large body

Window setting

2000 ww/500 wl (bone)

Algorithm
Bone
 Reconstruction
16-DETECTER PROTOCOL & 64 DETECTOR PROTOCOL

16-DETECTER 64 DETECTOR
PROTOCOL PROTOCOL

 Gantry rotation time 0.8 s 0.8 s

 Acquisition (detector width × number 16 × 0.625 = 10 mm 32 × 0.625 = 20 mm

of detector rows = detector coverage)
 Reconstruction (slice thickness/interval) 1.25 mm/0.625 mm 1.25 mm/0.625 mm
0.562 0.531
 Pitch
140/300 140/300
 kVp/mA
 Reconstruction 2:
 Algorithm: Standard
 Slice thickness/interval: 1.25 m/0.625 mm
 Window setting: 350 ww/50 wl

Planes:
 Oblique-axial view
 Oblique-sagittal view
 Oblique-coronal view
Oblique-axial Oblique-sagittal
view view

Oblique-coronal
view
 Protocols of Wrist
Positioning
Patient prone, affected arm over head and extended; arm oblique
Alternative: Patient supine, arm at side
Scout views
Anterio posterior (AP) and lateral

Scan type
Helical type scan

Start location
Just proximal to distal radioulnar joint
End location
At proximal metacarpals
Display FOV
10 cm (adjust to include skin surface)

Scan FOV
Large body

Window setting
2000 ww/500 wl (bone)

Algorithm
Bone plus
 Reconstruction
16-DETECTER PROTOCOL & 64 DETECTOR PROTOCOL

16-DETECTER 64 DETECTOR
PROTOCOL PROTOCOL
0.8 s 0.8 s
 Gantry rotation time
 Acquisition (detector width × number 16 × 0.625 = 10 mm 32 × 0.625 = 20 mm
of detector rows = detector coverage)
 Reconstruction (slice thickness/interval) 0.625 mm/0.3 mm 0.625 mm/0.3 mm

 Pitch 0.562 0.531

140/300 140/300
 kVp/mA
 Reconstruction 2:
 Algorithm: Standard
 Slice thickness/interval: 1.25 m/0.625 mm
 Window setting: 350 ww/50 wl

Planes:
 Axial view
 Coronal view
 Sagittal view
 Oblique-sagittal view
 Axial view Coronal view

Oblique-sagittal
Sagittal view
view
 Protocols of Elbow
Positioning
Patient prone, affected arm over head and extended; arm oblique
Alternative: Patient supine, arm at side.

Scout views
Anterio posterior( AP) and lateral

Scan type
Helical type scan

Start location
Just above elbow joint

End location
Just below radial tuberosity
Display FOV
15 cm (adjust to include skin surface)

Scan FOV
Large body
Window setting
2000 ww/500 wl (bone)

Algorithm
Bone plus
 Reconstruction
16-DETECTER PROTOCOL & 64 DETECTOR PROTOCOL

16-DETECTER 64 DETECTOR
PROTOCOL PROTOCOL
 Gantry rotation time 0.8 s 0.8 s
 Acquisition (detector width × number 16 × 0.625 = 10 mm 32 × 0.625 = 20 mm
of detector rows = detector coverage)
1.25 mm/0.625 mm 1.25 mm/0.625 mm
 Reconstruction (slice thickness/interval)
0.562 0.531
 Pitch 140/300 140/300
 kVp/mA
 Reconstruction 2:
 Algorithm: Standard
 Slice thickness/interval: 1.25 m/0.625 mm
 Window setting: 350 ww/50 wl

Planes:
 Axial view
 Oblique-coronal view
 Oblique-sagittal view
 Oblique-coronal
Axial view
view

Oblique-sagittal
view
 Protocols of Hip or Proximal femur

Positioning
Patient supine, legs flat on table (no cushion or wedge
under knees)
Scout views
Anterio posterior( AP) and lateral

Scan type
Helical type scan

Start location
Just above sacroiliac joints

End location
Approximately 4 cm below lesser trochanters (include entire
Display FOV
30 cm (adjust to include skin surface)

Scan FOV
Large body

Window setting
2000 ww/500 wl (bone)

Algorithm
Bone
 Reconstruction
16-DETECTER PROTOCOL & 64 DETECTOR PROTOCOL

16-DETECTER 64 DETECTOR
PROTOCOL PROTOCOL
 Gantry rotation time 0.8 s 0.8 s
 Acquisition (detector width × number 16 × 0.625 = 10 mm 32 × 0.625 = 20 mm
of detector rows = detector coverage)
1.25 mm/0.625 mm 1.25 mm/0.625 mm
 Reconstruction (slice thickness/interval)
0.562 0.531
 Pitch 140/400 140/400
 kVp/mA
 Reconstruction 2:
 Algorithm: Standard
 Slice thickness/interval: 1.25mm/0.625 mm
 Window setting: 350 ww/50 wl

Planes:
 Axial view
 Coronal to femur
 Sagittal to femur
Axial view Coronal to femur

Sagittal to femur
 Protocols of Knee/ Tibial Plateau

Positioning
Patient supine, legs flat on table; tape feet together

Scout views
Anterio posterior( AP) and lateral

Scan type
Helical type scan

Start location
Just above patella

End location
Just below fibular head
Display FOV
20 cm (adjust to include skin surface; affected knee only)

Scan FOV
Large body
Window setting
2000 ww/500 wl (bone)

Algorithm

Bone plus
 Reconstruction
16-DETECTER PROTOCOL & 64 DETECTOR PROTOCOL

16-DETECTER 64 DETECTOR
PROTOCOL PROTOCOL
 Gantry rotation time 0.8 s 0.8 s
 Acquisition (detector width × number 16 × 0.625 = 10 mm 32 × 0.625 = 20 mm
of detector rows = detector coverage)
1.25 mm/0.625 mm 1.25 mm/0.625 mm
 Reconstruction (slice thickness/interval)
0.562 0.531
 Pitch 140/300 140/300
 kVp/mA
 Reconstruction 2:
 Algorithm: Standard
 Slice thickness/interval: 1.25mm/0.625 mm
 Window setting: 350 ww/50 wl

Planes:
 Axial view
 Coronal view
 Sagittal view
Axial view Coronal view

Sagittal view
 Protocols of Ankle/Distal Tibia

Positioning
Patient supine, legs flat on table
Use foot holder or tape feet together
Scout views
Anterio posterior( AP) and lateral

Scan type
Helical type scan

Start location
Just above tibial plafond (just above
ankle joint)
End location
Through calcaneus
Display FOV
16 cm (adjust to include skin surface)

Scan FOV
Large body

Window setting
Bone plus
Algorithm
2000 ww/500 wl (bone)
 Reconstruction
16-DETECTER PROTOCOL & 64 DETECTOR PROTOCOL

16-DETECTER 64 DETECTOR
PROTOCOL PROTOCOL
 Gantry rotation time 0.8 s 0.8 s
 Acquisition (detector width × number 16 × 0.625 = 10 mm 32 × 0.625 = 20 mm
of detector rows = detector coverage)
1.25 mm/0.625 mm 1.25 mm/0.625 mm
 Reconstruction (slice thickness/interval)
0.562 0.531
 Pitch 140/200 140/200
 kVp/mA
 Reconstruction 2:
 Algorithm: Standard
 Slice thickness/interval: 1.25mm/0.625 mm
 Window setting: 350 ww/50 wl

Planes:
 Axial view
 Coronal view
 Sagittal view
Axial view Coronal view

Sagittal view