CT ABDOMEN FOR PANCREATIC MASS PDF
Preview CT ABDOMEN FOR PANCREATIC MASS
CT PROTOCOLS (Based on GE 16 slice) CT ABDOMEN FOR PANCREATIC MASS Position/Landmark Supine head or feet first/Xyphoid AP/LATERAL Mid lung through aortic Scouts bifrucation Scan Type/Direction HELICAL/Craniocaudal Pitch/Mode Speed/Rotation 1.375/ 27.5mm/rotation .5sec/rotation 120/AUTO MA(set the maximum Ma at maximum machine will give and min. at KVP/Ma/Rotation Time around 120) .5 mm/rotation Slice Thickness/Spacing 5mmX5mm's Scan approx. 20mm above diaphragms Starting and Ending Locations through the aortic bifurcation for all 3 phases. DFOV Adjust to Pt. size/Average is 3640 Amount/Type Contrast/Injection Rate 100cc omni 300/ 34 cc's/second 30 second delay for Group 1 Arterial Phase Scan Delay 20second delay for Group 2 Venous phase 5 minute delay for Group 3 Kidney delays Without Liver/Arterial Phase/Venous Phase Scanned Phases Kidney Delays (No less than 5 minutes on delays) Recon 1: Standard 5X5 (w400 x L40) Recon 2: 2.5's through Pancreas 20 DFOV Prospective Recons(Set in Protocol) Recon 3: Soft 1.25X.75(for building coronals) Reformats/Post Processing Average Coronals on all three phases Scouts/Withouts/Helical 5's/Retro'd 2.5's What to Network to PACS Delays/Coronals Special Instructions: Turn off Auto Transfer by Exam. If you want to Auto Transfer, set it in the protocol to "transfer by series." This will prevent any series from transfering to PACS that is not necessary. ONLY what is listed above is to be sent to PACS. If you do something extra to further display abnormal anatomy, that should be sent to PACS as well. All Window and Levels should be set correctly before Scanning or Networking. When Reformatting they should be set before saving. As a general rule the following levels are a good baseline to follow. Arterial or MIPS w500@L200 Standard Soft Tissue w400@L40 Brain w150@L35 Bone w800@L200 Lung w2000@L700 Always retro thinner slices and smaller DFOV if you see a nodule or mass. If it is in the liver include delays throughthe liver on the kidney delays. If it is an adrenal mass do 15 minute delays. All small solitary lung nodules you may see should also be blown up. When Scanning for Pancreatic Mass Set Recon 2 on all three phases to 2.5's on a 20DFOV. Use the same table locations for all three phases. If you hit repeat series, make sure you put in the correct series description in the series description box. This is what displays on McKesson for the Rads. CT PROTOCOLS (Based on GE 16 slice) CT CHEST ROUTINE Supine head or feet first/ Sternal Position/Landmark Notch AP/LATERAL Top of Chest through Scouts Kidneys Scan Type/Direction HELICAL/Craniocaudal Pitch/Mode Speed/Rotation 1.375/ 27.5mm/rotation .5sec/rotation 120/AUTO MA(set the maximum Ma at maximum machine will give and min. KVP/Ma/Rotation Time at around 120) .5 mm/rotation Slice Thickness/Spacing 5mmX5mm's Scan approx. 20mm above strernal Starting and Ending Locations notch through the adrenals. DFOV Adjust to Pt. size/Average is 3640 Amount/Type Contrast/Injection Rate 100cc omni 300/ 23 cc's/second Smart Prep ascending and Scan Delay descending aorta. Start scan when both are lit up. Venous Phase (Entire Mediastinum Scanned Phases bright) Recon 1: Standard 5X5 (w400 x L40) Prospective Recons(Set in Protocol) Recon 2: Lung 1.25X5 (w1500xL400) Recon 3: Soft 1.25X.75 Reformats/Post Processing Average Coronals Scouts/Helical 5's/High Res What to Network to PACS Lungs/Coroanl MIPS Special Instructions: Turn off Auto Transfer by Exam. If you want to Auto Transfer, set it in the protocol to "transfer by series." This will prevent any series from transfering to PACS that is not necessary. ONLY what is listed above is to be sent to PACS. If you do something extra to further display abnormal anatomy, that should be sent to PACS as well. All Window and Levels should be set correctly before Scanning or Networking. When Reformatting they should be set before saving. As a general rule the following levels are a good baseline to follow. Arterial or MIPS w500@L200 Standard Soft Tissue w400@L40 Brain w150@L35 Bone w800@L200 Lung w2000@L700 Always retro thinner slices and smaller DFOV if you see a nodule or mass. If it is in the liver include delays through the liver on the kidney delays. If it is an adrenal mass do 15 minute delays. All small solitary lung nodules you may see should also be blown up.. CT PROTOCOLS (Based on GE 16 slice) CTA CHEST FOR PE Position/Landmark Supine head or feet first/ Sternal Notch Scouts AP/LATERAL Top of Chest through Kidneys Scan Type/Direction HELICAL/Craniocaudal Pitch/Mode Speed/Rotation 1.375 13.75mm/rotation .5sec/rotation 120/AUTO MA(set the maximum Ma at maximum KVP/Ma/Rotation Time machine will give and min. at around 120) .5 mm/rotation Group 1: Arterial for PE 1.25's X.8mm spacing Slice Thickness/Spacing Group 2:Routine Chest 5X5's Group 1: Scan bottom to top/diaphragms to arch Starting and Ending Locations Group 2:Routine Chest Group 1: Cone in to edges of lung fields AP/Lat. DFOV Group 2: Pt. Dependent usually 3640 Amount/Type Contrast/Injection Rate 100cc visi 320/ 4 cc's/second Smart Prep Pulmonary trunk. Scan Delay Start scan as soon as trunk is lit up. Scanned Phases Arterial/Venous Phase Prospective Recons Group 1 Recon 1: Standard 1.25's These should be set in the Protocols Group 2 Recon 1: Standard 5x5 Coronal MIPS from Group 1(5mm thickness on reformats) Reformats/Post Processing Rotational MIPS from Group 1 (Done off of axial viewport every 3 degrees) What to Network to PACS Scouts/Helical Run/Coronal/Rotational MIPS Special Instructions: Turn off Auto Transfer by Exam. If you want to Auto Transfer, set it in the protocol to "transfer by series." This will prevent any series from transfering to PACS that is not necessary. ONLY what is listed above is to be sent to PACS. If you do something extra to further display abnormal anatomy, that should be sent to PACS as well. All Window and Levels should be set correctly before Scanning or Networking. When Reformatting they should be set before saving. As a general rule the following levels are a good baseline to follow. Arterial or MIPS w500@L200 Standard Soft Tissue w400@L40 Brain w150@L35 Bone w800@L200 Lung w2000@L700 Always retro thinner slices and smaller DFOV if you see a nodule or mass. If it is in the liver include delays through the liver on the kidney delays. If it is an adrenal mass do 15 minute delays. All small solitary lung nodules you may see should also be blown up. CT PROTOCOLS (Based on GE 16 slice) CTA CHEST FOR DISSECTION Position/Landmark Supine head or feet first/ Sternal Notch Scouts AP/LATERAL Top of Chest through Kidneys Scan Type/Direction HELICAL/Craniocaudal Pitch/Mode Speed/Rotation 1.375/27.5mm/rotation .5sec/rotation 120/AUTO MA(set the maximum Ma at maximum KVP/Ma/Rotation Time machine will give and min. at around 120) .5 mm/rotation Slice Thickness/Spacing 2.5mm X 2.5mm Scan 20mm above strernal notch through the Starting and Ending Locations adrenals. DFOV Adjust to Pt. size/Average is 3640 Amount/Type Contrast/Injection Rate 100cc visi 320/4cc's/second Smart Prep ascending aorta Scan Delay Start scan ascending aorta is bright Scanned Phases Arterial Phase Recon 1: Standard 2.5mmX2.5 w400 x L40 Prospective Recons Recon 2: Lung 1.25X5 (w1500xL400) These should be set in the Protocols Recon 3: Soft 1.25X.75(used to build reformats) Coronal MIPS/Oblique MIPS around Aorta Reformats/Post Processing (Candycane View)(5mm thickness on reformat) What to Network to PACS Scouts/Helical 2.5s/Coronall MIPS/Oblique MIPS Special Instructions: Turn off Auto Transfer by Exam. If you want to Auto Transfer, set it in the protocol to "transfer by series." This will prevent any series from transfering to PACS that is not necessary. ONLY what is listed above is to be sent to PACS. If you do something extra to further display abnormal anatomy, that should be sent to PACS as well. All Window and Levels should be set correctly before Scanning or Networking. When Reformatting they should be set before saving. As a general rule the following levels are a good baseline to follow. Arterial or MIPS w500@L200 Standard Soft Tissue w400@L40 Brain w150@L35 Bone w800@L200 Lung w2000@L700 Always retro thinner slices and smaller DFOV if you see a nodule or mass. If it is in the liver include delays through the liver on the kidney delays. If it is an adrenal mass do 15 minute delays. All small solitary lung nodules you may see should also be blown up. CT PROTOCOLS (Based on GE 16 slice) CT CHEST/ABDOMEN/PELVIS Supine head or feet first/ Sternal Position/Landmark Notch AP/LATERAL Top of Chest through Scouts Symphysis Scan Type/Direction HELICAL/Craniocaudal Pitch/Mode Speed/Rotation 1.375/ 27.5mm/rotation .5sec/rotation 120/AUTO MA(set the maximum Ma at maximum machine will give and min. KVP/Ma/Rotation Time at around 120) .5 mm/rotation Slice Thickness/Spacing 5mmX5mm's Scan approx. 20mm above strernal Starting and Ending Locations notch through the symphysis pubis DFOV Adjust to Pt. size/Average is 3640 Amount/Type Contrast/Injection Rate 100cc omni 300/ 23 cc's/second Smart Prep ascending and descending aorta. Start scan when Scan Delay both are lit up. Make sure you wait for the descending to give the liver time to enhance also. Withouts through liver/Venous Phase Scanned Phases (Entire Mediastinum bright)/Kidney and Bladder Delays Recon 1: Standard 5X5 (w400 x L40) Prospective Recons(Set in Protocol) Recon 2: Lung 1.25X5 (w1500xL400) Recon 3: Soft 1.25X.75 Reformats/Post Processing Average Coronals Scouts/Helical 5's/High Res What to Network to PACS Lungs/Coronals Special Instructions: Turn off Auto Transfer by Exam. If you want to Auto Transfer, set it in the protocol to "transfer by series." This will prevent any series from transfering to PACS that is not necessary. ONLY what is listed above is to be sent to PACS. If you do something extra to further display abnormal anatomy, that should be sent to PACS as well. All Window and Levels should be set correctly before Scanning or Networking. When Reformatting they should be set before saving. As a general rule the following levels are a good baseline to follow. Arterial or MIPS w500@L200 Standard Soft Tissue w400@L40 Brain w150@L35 Bone w800@L200 Lung w2000@L700 Always retro thinner slices and smaller DFOV if you see a nodule or mass. If it is in the liver include delays through the liver on the kidney delays. If it is an adrenal mass do 15 minute delays. All small solitary lung nodules you may see should also be blown up. CT PROTOCOLS (Based on GE 16 slice) CT ABDOMEN/PELVIS ROUTINE Position/Landmark Supine head or feet first/Xyphoid AP/LATERAL Mid lung through Scouts symphysis Scan Type/Direction HELICAL/Craniocaudal Pitch/Mode Speed/Rotation 1.375/ 27.5mm/rotation .5sec/rotation 120/AUTO MA(set the maximum Ma at maximum machine will give and min. KVP/Ma/Rotation Time at around 120) .5 mm/rotation Slice Thickness/Spacing 5mmX5mm's Scan approx. 20mm above Starting and Ending Locations diaphragms through symphysis pubis DFOV Adjust to Pt. size/Average is 3640 Amount/Type Contrast/Injection Rate 100cc omni 300/ 23 cc's/second Approx. 60 second delay OR Scan Delay Smart Prep Liver/ Start when you see contrast exiting the portal vein. Without Liver/Venous Phase/Kidney Scanned Phases and Bladder Delays (No less than 5 minutes on delays) Recon 1: Standard 5X5 (w400 x L40) Prospective Recons(Set in Protocol) Recon 3: Soft 1.25X.75(for building coronals) Reformats/Post Processing Average Coronals Scouts/Withouts/Helical What to Network to PACS 5's/Delays/Coronals Special Instructions: Turn off Auto Transfer by Exam. If you want to Auto Transfer, set it in the protocol to "transfer by series." This will prevent any series from transfering to PACS that is not necessary. ONLY what is listed above is to be sent to PACS. If you do something extra to further display abnormal anatomy, that should be sent to PACS as well. All Window and Levels should be set correctly before Scanning or Networking. When Reformatting they should be set before saving. As a general rule the following levels are a good baseline to follow. Arterial or MIPS w500@L200 Standard Soft Tissue w400@L40 Brain w150@L35 Bone w800@L200 Lung w2000@L700 Always retro thinner slices and smaller DFOV if you see a nodule or mass. If there is a mass in the liver, include delays through the liver on the kidney delays. If it is an adrenal mass do 15 minute delays. All small solitary lung nodules you may see should also be blown up. If you are scanning the abdomen for a renal mass, retro 2.5's on a 20 field of view through the kidneys on all three phases and send to PACS. If Scanning Abd/Pel for diverticulitis or appendicitis, drink patient longer and give rectal contrast when possible. HOSPITAL CT PROTOCOLS (Based on GE 16 slice) CT ABDOMEN FOR HEMANGIOMA OR THREE PHASE LIVER Position/Landmark Supine head or feet first/Xyphoid AP/LATERAL Mid lung through Scouts symphysis Scan Type/Direction HELICAL/Craniocaudal Pitch/Mode Speed/Rotation 1.375/ 27.5mm/rotation .5sec/rotation 120/AUTO MA(set the maximum Ma at maximum machine will give and min. at KVP/Ma/Rotation Time around 120) .5 mm/rotation Slice Thickness/Spacing 5mmX5mm's Scan approx. 20mm above diaphragms Starting and Ending Locations through the aortic bifurcation. DFOV Adjust to Pt. size/Average is 3640 100cc omni 300/ 34 cc's/second ( NO Amount/Type Contrast/Injection Rate ORAL) 30 second delay for Group 1 Arterial Phase 20second delay Scan Delay for Group 2 Venous phase 5 minute delay for Group 3 liver/kidney delays Without Liver/Arterial Phase/Venous Phase Kidney and Bladder Delays (No Scanned Phases less than 5 minutes on delays/include entire liver) Recon 1: Standard 5X5 (w400 x L40) Prospective Recons(Set in Protocol) Recon 3: Soft 1.25X.75(for building coronals) Reformats/Post Processing Average Coronals on all three phases Scouts/Withouts/Helical What to Network to PACS 5's/Delays/Coronals Special Instructions: Turn off Auto Transfer by Exam. If you want to Auto Transfer, set it in the protocol to "transfer by series." This will prevent any series from transfering to PACS that is not necessary. ONLY what is listed above is to be sent to PACS. If you do something extra to further display abnormal anatomy, that should be sent to PACS as well. All Window and Levels should be set correctly before Scanning or Networking. When Reformatting they should be set before saving. As a general rule the following levels are a good baseline to follow. Arterial or MIPS w500@L200 Standard Soft Tissue w400@L40 Brain w150@L35 Bone w800@L200 Lung w2000@L700 Always retro thinner slices and smaller DFOV if you see a nodule or mass. If it is in the liver include delays through the liver on the kidney delays. If it is an adrenal mass do 15 minute delays. All small solitary lung nodules you may see should also be blown up. CT PROTOCOLS (Based on GE 16 slice) CT UTS Position/Landmark Supine head or feet first/Xyphoid AP/LATERAL Mid lung through Scouts symphysis Scan Type/Direction HELICAL/Craniocaudal Pitch/Mode Speed/Rotation 1.375/ 27.5mm/rotation .5sec/rotation 120/AUTO MA(set the maximum Ma at maximum machine will give and min. KVP/Ma/Rotation Time at around 120) .5 mm/rotation Slice Thickness/Spacing 2.5mm X 2.5mm Scan from diaphragms through Starting and Ending Locations symphysis pubis DFOV Adjust to Pt. size/Average is 3640 Amount/Type Contrast/Injection Rate NONE Scan Delay NONE Scanned Phases Without Only Recon 1: Standard 2.5mmX2.5mm Prospective Recons(Set in Protocol) (w400 x L40) Recon 3: Soft 1.25X.75 Average Coronals (Built off of Recon Reformats/Post Processing 3) What to Network to PACS Scouts/Helical 2.5's/Coronals Special Instructions: Turn off Auto Transfer by Exam. If you want to Auto Transfer, set it in the protocol to "transfer by series." This will prevent any series from transfering to PACS that is not necessary. ONLY what is listed above is to be sent to PACS. If you do something extra to further display abnormal anatomy, that should be sent to PACS as well. All Window and Levels should be set correctly before Scanning or Networking. When Reformatting they should be set before saving. As a general rule the following levels are a good baseline to follow. Arterial or MIPS w500@L200 Standard Soft Tissue w400@L40 Brain w150@L35 Bone w800@L200 Lung w2000@L700 Always retro thinner slices and smaller DFOV if you see a nodule or mass. If it is in the liver include delays through the liver on the kidney delays. If it is an adrenal mass do 15 minute delays. All small solitary lung nodules you may see should also be blown up. Do Not let the patient empty their bladder just before scanning a UTS or Urogram. Do KUB after UTS and Urograms. Always Combine your orders to make 1 UTS order. CT PROTOCOLS (Based on GE 16 slice) CT UROGRAM Position/Landmark Supine head or feet first/Xyphoid AP/LATERAL Mid lung through Scouts symphysis Scan Type/Direction HELICAL/Craniocaudal Pitch/Mode Speed/Rotation 1.375/ 27.5mm/rotation .5sec/rotation 120/AUTO MA(set the maximum Ma at maximum machine will give and min. KVP/Ma/Rotation Time at around 120) .5 mm/rotation Slice Thickness/Spacing 2.5mmX2.5mm Scan approx. 20mm above Starting and Ending Locations diaphragms through symphysis pubis DFOV Adjust to Pt. size/Average is 3640 200cc Saline/100cc omni 300/ 23 Amount/Type Contrast/Injection Rate cc's/second ( NO ORAL) Inject Saline and wait 5 min before doing withouts Inject Contrast with 60 Scan Delay second delay Do 10 Minute Delays Without UTS/Venous UTS/10Min Delay Scanned Phases UTS Recon 1: Standard 2.5mmX2.5mm (w400 x L40) Prospective Recons(Set in Protocol) Recon 3: Soft 1.25X.75(turned on only on delays) Average Coronals (built off of Recon 3 Reformats/Post Processing on delays) Scouts/Withouts/Helical What to Network to PACS 2.5's/Delays/Coronals Special Instructions: Turn off Auto Transfer by Exam. If you want to Auto Transfer, set it in the protocol to "transfer by series." This will prevent any series from transfering to PACS that is not necessary. ONLY what is listed above is to be sent to PACS. If you do something extra to further display abnormal anatomy, that should be sent to PACS as well. All Window and Levels should be set correctly before Scanning or Networking. When Reformatting they should be set before saving. As a general rule the following levels are a good baseline to follow. Arterial or MIPS w500@L200 Standard Soft Tissue w400@L40 Brain w150@L35 Bone w800@L200 Lung w2000@L700 Always retro thinner slices and smaller DFOV if you see a nodule or mass. If it is in the liver include delays through the liver on the kidney delays. If it is an adrenal mass do 15 minute delays. All small solitary lung nodules you may see should also be blown up. Inject 200cc of saline 5 minutes prior to doing your without series. Do Not let the patient empty their bladder just before scanning a UTS or Urogram. Wait at least 10 minutes to do your delays. Do KUB after UTS and Urograms. CT PROTOCOLS (Based on GE 16 slice) CT ABDOMEN FOR PANCREATIC MASS Position/Landmark Supine head or feet first/Xyphoid AP/LATERAL Mid lung through aortic Scouts bifrucation Scan Type/Direction HELICAL/Craniocaudal Pitch/Mode Speed/Rotation 1.375/ 27.5mm/rotation .5sec/rotation 120/AUTO MA(set the maximum Ma at maximum machine will give and min. at KVP/Ma/Rotation Time around 120) .5 mm/rotation Slice Thickness/Spacing 5mmX5mm's Scan approx. 20mm above diaphragms Starting and Ending Locations through the aortic bifurcation for all 3 phases. DFOV Adjust to Pt. size/Average is 3640 Amount/Type Contrast/Injection Rate 100cc omni 300/ 34 cc's/second 30 second delay for Group 1 Arterial Phase Scan Delay 20second delay for Group 2 Venous phase 5 minute delay for Group 3 Kidney delays Without Liver/Arterial Phase/Venous Phase Scanned Phases Kidney Delays (No less than 5 minutes on delays) Recon 1: Standard 5X5 (w400 x L40) Recon 2: 2.5's through Pancreas 20 DFOV Prospective Recons(Set in Protocol) Recon 3: Soft 1.25X.75(for building coronals) Reformats/Post Processing Average Coronals on all three phases Scouts/Withouts/Helical 5's/Retro'd 2.5's What to Network to PACS Delays/Coronals Special Instructions: Turn off Auto Transfer by Exam. If you want to Auto Transfer, set it in the protocol to "transfer by series." This will prevent any series from transfering to PACS that is not necessary. ONLY
Description:The list of books you might like
