ABDOMEN/PELVIS
THINGS TO CONSIDER
ROUTINE ABDOMEN/PELVIS
IF ORDERED WITH CONTRAST 100ml with 70second delay
Helical : 3.75 x 3.0 GE standard / 3.0 x 3.0 Siemens standard 400 W 40 L
Recons : 1.25 x 1.25 mm GE standard / 1.5 x 1.5 mm Siemens standard 400 W 40 L
Reformats: Coronal MPR 3 x 3 mm
Sagittal MPR 3 x 3 mm 3.75 x 3.0
Axial lung windows through lung only 1500 W -500 L
8 x8 MIPs axial lung windows through lung only 1600 W -300L
HEMANGIOMA PROTOCOL
Oral Contrast : water 2 large cups, make sure stomach is distended with water for scan.
IV contrast: 125 ml omnipaque 350 3.5-4cc / second
Bolus track on the descending aorta at the level of the diaphragm at 100 HU + 16 seconds for optimal liver arterial enhancement.
W/O upper abdomen
Arterial phase upper abdomen
Venous Phase upper abdomen ( usually 25 seconds after the finish of the arterial scan ) ( 70 seconds)
10 minute delay through area of interest
HEMANGIOMA/LIVER ONCOLOGY PROTOCOL
W/O 3.75 x 3.0 GE / 3.0 x 3.0 400 W 40 L
Arterial 2.5 x 2.0 GE / 2.0 x 2.0 Siemens 400 W 40L
Venous 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 400 W 40 L
Delay 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 400 W 40 L W/O,
WO,Arterial, Venous and Delay : 1.25 x 1.25 GE standard / 1.5 x 1.5 Siemens 400 W 40L lung windows in 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 1500 W -500 L
1.25 x 1.25 GE / 1.5 x 1.5 Siemens 1500 W -500 L through lung area only
8 x 8 axial MIPs in lung 1600 W
Coronal + Sagittal 3x3's in all phases
HEPATITIS PROTOCOL
Oral Contrast : water 2 large cups, make sure stomach is distended with water for scan.
IV contrast: 125 ml omnipaque 350 3.5-4cc / second bolus track on the descending aorta at the level of the diaphragm at 100 HU + 16 seconds for optimal liver arterial enhancement.
W/O upper abdomen
Arterial phase upper abdomen
Venous Phase upper abdomen ( usually 25 seconds after the finish of the arterial scan ) ( 70 seconds)
HEPATITIS PROTOCOL
W/O 3.75 x 3.0 GE / 3.0 x 3.0 400 W 40 L
Arterial 2.5 x 2.0 GE / 2.0 x 2.0 Siemens 400 W 40L
Venous 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 400 W 40 L
WO, Arterial, Venous : 1.25 x 1.25 GE standard / 1.5 x 1.5 Siemens 400 W 40L lung windows in 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 1500 W -500 L
1.25 x 1.25 GE / 1.5 x 1.5 Siemens 1500 W -500 L through lung area only
8 x 8 axial MIPs in lung 1600 W -300L
Coronal + Sagittal 3x3's in all phases
ADRENAL PROTOCOL
Oral Contrast is water.
IV contrast: 100 ml omnipaque
W/O upper abdomen
Venous Phase upper abdomen 70 seconds 15 minute delay through Adrenals/Kidneys (adrenal glands sit on top of the renals)
ADRENAL PROTOCOL
W/O 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 400 W 40 L
Venous 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 400 W 40 L
Delay 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 400 W 40 L
W/O, Venous and Delay : 1.25 x 1.25 GE / 1.5 x 1.5 Siemens 400 W 40L
lung windows in 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 1500 W -500 L through lung area only
lung windows in 1.25 x 1.25 GE / 1.5 x 1.5 Siemens 1500 W -500 L through lung area only
8 x 8 axial MIPs in lung 1600
PANCREATIC MASS PROTOCOL
Oral Contrast : water 2 large cups, make sure stomach is distended with water for scan.
IV contrast: 125 ml omnipaque 350 3.5-4cc / second bolus track on the descending aorta at the level of the diaphragm at 100 HU + 19 seconds for optimal pancreatic arterial enhancement.
W/O upper abdomen
Arterial phase upper abdomen
Venous Phase upper abdomen ( usually 25 seconds after the finish of the arterial scan ) ( 70 seconds)
PANCREATIC MASS PROTOCOL
W/O 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 400 W 40 L
Arterial 2.5 x 2.0 GE / 2.0 x 2.0 Siemens 400 W 40L
Venous 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 400 W 40 L
W/O, Arterial and Venous : 1.25 x 1.25 GE / 1.5 x 1.5 Siemens 400 W 40L
Lung windows in 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 1500 W -500 L lung windows in 1.25 x 1.25 GE / 1.5 x 1.5 Siemens 1500 W -500 L
8 x 8 axial MIPs in lung 1600 W -300 L
coronal MPR’s all phases 3 x 3
sagittal MPR’s all phases 3 x 3
RENAL MASS PROTOCOL
W/O upper abdomen
Nephrographic phase: upper abdomen (100 second delay
Excretory phase: 10 minute delay upper abdomen
W/O 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 400 W 40 L
Neprographic phase 3.75x1.875 GE/ 3.0x1.5 Siemens 400 W 40 L
10 minute delay 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 400 W 40 L
Lung windows in 3.75 x 3.0 GE / 3.0 x 3.0 Siemens 1500 W -500 L lung windows in 1.25 x 1.25 GE / 1.5 x 1.5 Siemens 1500 W -500 L
8 x 8 axial MIPs in lung 1600 W -300 L
IVP/ UROGRAM
Oral Contrast : 32 oz of water. Make sure the stomach is distended for the scan.
IV Contrast: 150 ml omnipaque 350 . 200 cc saline chaser
W/O Abdomen and Pelvis ( to look for renal calculi) inject 75cc of omnipaque 350 immediately followed by 200 ml saline wait 10 minutes inject 75 cc of omnipaque 350 with a 70 scan delay and scan the abdomen and pelvis. Above the diaphragm through the lesser trochanters.
IVP/ UROGRAM
W/O 3.75x3.0 GE / 3.0x .0 Siemens 400W 40L
Venous/Delay combo 3.75x3.0 GE / 3.0x3.0 Siemens 400W 40L
W/O, Venous/Delay: 1.25x1.25 GE standard/1.5x1.5 Siemens standrad 400W 40L
Lung 3.75x3.0 GE/3.0x3.0 Siemens 1500W -500L
Lung windows in 1.25x1.25 GE/1.5x1.5 Siemens 1500W -500L
8x8 axial MIPs in lung 1600W -300L
MPR’s all phases 3x3 sagittal MPR’s all phases 3x3
Coronal MIP of Venous/Delay 25x5 mm 800W 100L
Bi-Lateral oblique MIPs of each ureter 5x3 mm
3D ROTATE AND TUMBLE
ENTEROGRAPHY
Must be with contrast to be done correctly
Oral Contrast: 3 bottles of CitraSelect 15 minutes apart. Scan at the 45 minute mark.
IV Contrast: 125ml omnipaque 350 With contrast only Scan at 45 second delay
ENTEROGRAPHY
Helical : 3.75x3.0 GE/3.0x3.0 Siemens 400W 40L
Recons : 1.25x1.25mm GE/1.5x1.5mm Siemens 400W 40 L
Reformats: Coronal MPR 3x3 mm Sagittal MPR 3x3 mm 3.75x3.0 GE/3.0x3.0 Siemens
axial lung windows through lung only 1500W -500L 1.25x1.25 GE /1.5x1.5 Siemens 1500 W -500 L
8 x8 MIPs axial lung 1600W -300L
15x5 Coronal MIP GE/ 14x4 Coronal MIP Siemens
15x5 Sagittal MIP GE/ 14x4 Sagittal MIP Siemens
15x5 Axial MIP GE/ 14x4 Axial MIP Siemens
ABDOMINAL AORTA W/RUN OFF
Scan from above the diaphragm through the bottom of the feet. One spiral acquisition.
150 ml omni 350 injected at 3.5-4 cc /second with 125 ml saline chaser.
bolus track on the descending aorta at the level of the diaphragm at 150 HU
Helical 2.5 x 2.0 GE standard / 2.0 x 2.0 Siemens standard 400 W 40 L
3.75 x 3.0 GE lung area only 1500 W -500 L 3.0 x 3.0 Siemens 1500 W -500 L 1.25 x 1.25 GE
lung area only 1500 W -500 L 1.5 x 1.5 Siemens 1500 W -500 L axial
8 x 8 MIP of lung area only 1600 W -300
ABDOMINAL AORTA W/RUN OFF: A/P RECONS
Reformats: Abd/Pel (above diaphragm through lesser trochanters)
coronal MPR 2x2mm
sagittal MPR 2x2 mm
coronal MIP 25x5 mm
sagittal MIP 25x5 mm
VRT rotate and tumble every 10 degrees
ABDOMINAL AORTA W/RUN OFF: THIGH RECONS
Thighs ( above acetabulum to below knee ) coronal MPR 2 x 2mm
sagittal MPR 2 x 2 mm
coronal MIP 15 x 5 mm
sagittal MIP 15 x 5 mm
VRT rotate and tumble every 10 degrees
ABDOMINAL AORTA W/RUN OFF: POPLITEAL
Popliteal ( 3 cm above knee to 3cm below knee )
coronal MPR 2 x 2mm
sagittal MPR 2 x 2 mm
coronal MIP 15 x 5 mm
sagittal MIP 15 x 5 mm VRT rotate and tumble every 10 degrees
ABDOMINAL AORTA W/RUN OFF: LOWER LEG RECONS
Lower Leg ( above knee to below feet ) coronal MPR 2 x 2mm
sagittal MPR 2 x 2 mm
coronal MIP 15 x 5 mm
sagittal MIP 15 x 5 mm
VRT rotate and tumble every 10 degrees
CT VENOGRAM/RUNOFF
Scan from above the diaphragm through the bottom of the feet. One spiral acquisition.
150 ml omni 350 injected at 3.5-4 cc /second with 125 ml saline chaser.
2 minute delay
Helical 2.5 x 2.0 GE standard / 2.0 x 2.0 Siemens standard 400 W 40 L
3.75 x 3.0 GE lung area only 1500 W -500 L 3.0 x 3.0 Siemens 1500 W -500 L 1.25 x 1.25 GE lung area only 1500 W -500 L 1.5 x 1.5 Siemens 1500 W -500 L
axial 8 x 8 MIP of lung area only 1600 W -300 L
CT VENOGRAM: A/P RECONS
Reformats: Abd/Pel (above diaphragm through lesser trochanters)
coronal MPR 2x2mm
sagittal MPR 2x2 mm
coronal MIP 25x5 mm
sagittal MIP 25x5 mm
VRT rotate and tumble every 10 degrees
CT VENOGRAM: THIGH RECONS
Thighs ( above acetabulum to below knee ) coronal MPR 2 x 2mm
sagittal MPR 2 x 2 mm
coronal MIP 15 x 5 mm
sagittal MIP 15 x 5 mm
VRT rotate and tumble every 10 degrees
CT VENOGRAM: POPLITEAL RECONS
Popliteal ( 3 cm above knee to 3cm below knee )
coronal MPR 2 x 2mm
sagittal MPR 2 x 2 mm
coronal MIP 15 x 5 mm
sagittal MIP 15 x 5 mm VRT rotate and tumble every 10 degrees
CT VENOGRAM: LOWER LEG RECONS
Lower Leg ( above knee to below feet ) coronal MPR 2 x 2mm
sagittal MPR 2 x 2 mm
coronal MIP 15 x 5 mm
sagittal MIP 15 x 5 mm
VRT rotate and tumble every 10 degrees
CTA Abdominal Aorta : ( Mesenteric Angio, AAA, Pre Endograft )
Oral contrast is water IV contrast is 125 ml omni 350 injected at 4 cc/second.
Bolus track on the descending Aorta at the level of the diaphragm.
Scan from above the diaphragm through the lesser trochanters.
Helical 3.75x3.0 GE standard/3.0x3.0 Siemens standard 400W 40L 1.25x1.25 GE standard / 1.5x1.5 Siemens standard 400 W 40 L
3.75 x 3.0 GE lung area only 1500W -500L 3.0x3.0 Siemens 1500W -500L
1.25x1.25 GE lung area only 1500W -500L 1.5x1.5 Siemens 1500 W -500 L
axial 8x8 MIP 16-300L
CTA Abdominal Aorta : ( Mesenteric Angio, AAA, Pre Endograft )
Reformats: Abd/Pel ( above diaphragm through lesser trochanters )
coronal MPR 2 x 2mm
sagittal MPR 2 x 2 mm
coronal MIP 25 x 5 mm
sagittal MIP 25 x 5 mm
VRT rotate and tumble every 10 degrees
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