CT PEDIATRIC C-SPINE
Routine Pediatric C-spine CT
Indication: fracture, trauma, mets, disc rupture, disc herniation, stenosis, post myelo.
Position/Landmark
Head first- Supine
Scout direction
Cranio-caudal
Respiratory Phase
Inspiraton
Scan Type
Helical/Full
Statistics
KV/ mA/ Rotation time (sec): 120Kv/Smart mA (80-300) /0.5sec
Pitch/ Speed(mm/rotation): 1.375:1/ 27.50
Noise Index: 9.0 Use 100Kv through 5yrs of age
Detector width x rows = Beam Collimation
.625mm X 32 = 20mm
Slice Thickness/Spacing Algorithm/Recon
Recon
1. Thin Cuts
2. Bone
3. Detail
Thickness/Spacing
.625mm X .625mm
2.5mm X 2.5mm
2.5mm X 2.5mm
Algorithm
Detail (For DMPR)
Bone
Detail
Angle
None
Location/FOV
Start/End Location: Above C1 down through mid body of T1.
SFOV: Small Body
DFOV: 10-18cm Decrease appropriately
IV Contrast Volume/Type/Rate
1ml per pound of Isovue 370 at no greater than 2.5ml/sec if needed.
Scan Delay
N/A
2D/3D
DMPR- 2.5mm X 2.5mm Coronal & Sagital
Comments:
Contrast only at Radiologist/Physician request
Images Required in PACS
Scouts, Detail/Bone 2.5mm axial images, Coronal & Sagital DMPR, Dose Report