CT IAC TEMPORAL BONES
ROUTINE IAC/TEMPORAL BONES CT
Indication: Cholesteatoma, Hearing loss, Fracture
Position/Landmark
Supine, Head first/ OM
Scout direction
Craniocaudal
Respiration
None
Scan Type
Helical/ Full
Rotation/Pitch/Index
KV/ mA/ Rotation time (sec): 120 kv / (100-600) Smart mA / 0.8 sec
Pitch/ Speed(mm/rotation): 0.969:1 / 19.37
Noise Index: NI – 7.00
Detector width x rows = Beam Collimation
0.625mm X 32 = 20mm
Slice Thickness/Spacing Algorithm/Recon
Recon
1. BILAT IAC
2. RT IAC
3. LT IAC
Thickness/spacing
0.625mm X 0.625mm
0.625mm X 0.312mm
0.625mm X 0.312mm
Algorithm
Bone Plus
Bone Plus
Bone Plus
Angle
NONE
Location/FOV
Start/End Location: Below the tip of the mastoid / to above the Temporal Bone
SFOV: Head
DFOV: Recon 1: BILAT IAC 18cm
Recon 2: RT IAC 10cm
Recon 3: LT IAC 10cm
IV Contrast Volume/Type/Rate:
75ml Isovue 370 up to 2.5ml/sec.
* Contrast only at Physician/Radiologist request.
Inquire with Radiologist prior to study.
Scan Delay
40 sec
2D/3D
Coronal Reformations of both the RT & LT IAC using the Recon. 2 for the RT and 3 for the LT
Exam is to include all of the Petrous bone.
Images Required in PACS
Scouts, Bilat IAC images, RT & LT IAC images, Coronal RT & LT IAC images and the Dose Report