CT ADBDOMEN PELVIS
Routine Enhanced Abdomen/Pelvis CT
Indications: Trauma, mass, mets, lymphoma, abscess, abd pain, general screening
Position/Landmark
Head or feet first-Supine/Xyphoid
Scout direction
Craniocaudal
Respiratory Phase
Inspiration
Scan Type
Helical
Statistics
KV/ mA/ Rotation time (sec): 120kv/Smart mA (100-750) / 0.8sec
Pitch/ Speed(mm/rotation): 1.375:1/55.00
Noise Index: 30.50
Detector width x rows = Beam Collimation
0.625mm X 64 = 40mm
Slice Thickness/Spacing Algorithm/Recon
Recon
1. Thin cuts
2. Abd/Pel
Thickness/spacing
0.625mm X 0.625mm
5mm X 5mm
Algorithm
Standard for DMPR
Standard
Location/FOV
Start/End: About 2cm above the diaphragm down through the symphysis pubis. *(Only scan to the Aortic bifurcation if no pelvis is requested)
SFOV: Large Body
DFOV: 38cm (Adjust appropriately for patient size)
IV Contrast Volume/Type/Rate: 100ml Isovue 370 @ 2.5ml/sec with an 80sec scan delay followed by 30ml NS @ 2.5ml/sec *(Rate may be adjusted based on IV stability or patient criteria) Redicat/Gastrografin ( Refer to Prep Protocol) *ER patients receive oral contrast only at physician request.
Oral Contrast: Not listed
Scan Delay
80sec
2D/3D
DMPR- coronal, average mode, (auto batched)
Comments:
NA
Images Required in PACS
Scouts, 5mm X 5mm axial images, sagittal and coronal reformations & Dose report
Images to Workstation
None