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Optimizing CT Image Protocols. With Respect To Image Quality and Radiation Dose. AAPM Annual Meeting, July 2008. Dianna D. Cody, Ph.D. U.T.M.D. Anderson Cancer Center. Houston, Texas. Scan Protocols. ???? Influence the image quality and radiation dose of EVERY CT scan. - Especially important in longitudinal
Overview. * Basic concepts. • Contrast administration – arterial opacification. • Time scan acquisition during the arterial phase. * Protocol examples. • Helical non-gated CTA. • Pulmonary embolism. • Abdominal aorta. • Aortogram with run-off. • DIEP flap. • ECG-synchronized CTA. • Thoracic aorta. • Thoraco-abdominal aorta
2. Siemens Sensation 64. Stanford Cardiovascular CT. Scanning and Injection Protocols. (v2.04, Nov. 2006). Department of Radiology. Stanford University Medical Center. Stanford, CA
protocol. Neither vRad nor vRad radiologists are responsible for establishing or approving protocols in use at the place of service. The imaging facility is NOTES: ORAL CONTRAST GIVEN PER ROUTINE ABD. PROTOCOL. CT: KUB. Nephrolithiasis (stones, urolithiasis, “flank pain and hematuria"). SERIES. 1. SCAN.
of benefit for cardiac scanning, this new technique can also be used for PE detection by performing either a dual-source CT protocol resulting in CTA and CT perfusion datasets obtained during one image acquisition, or as a fast track protocol resulting in a dataset obtained within 1 s and without disturbing breathing artifacts,
CT Protocol Review: Practical tips for the. Imaging Physicist. • How to. • Come up to speed on a wide range of scanner types. • Leverage your experience from one site to others. • Build relationships that ER physician orders CT scans. • Head. • Chest (r/o PE) Use AAPM “CT Protocols" resources. • Pilot the project and
CT Protocols. New updated CT Protocols coming soon CT Cardiac Screening Form (PDF) (English | Russian | Spanish). CT Contrast Questionnaire (PDF) (English | Russian | Spanish). Patient Informed Consent Form (MCN link). CT General Prep Guide (PDF) (Oral-Cystogram-Rectal). CT Colonoscopy Prep Guide (PDF)
3mm coronal and sag recons-all phases. CT UROGRAM 3 PHASE PROTOCOL done for hematuria. Oral Prep: One liter water PO within one hour of scanning. Scanning: 1. Unenhanced: a. Low dose, above kidney to below bladder. 2. Nephrogram phase : a. abdomen pelvis (most sensitive for detection of urothelial tumors
preferences of the radiologists in charge. Like all fields of medicine, CT is constantly evolving so it follows that examination protocols constantly undergo re- evaluation and refinement. A cookbook approach to CT scanning is impractical as it cannot possibly account for all possible variables. The protocols presented in this.
Scan Comments: Low dose: reduce mAs appropriate to patients size: consider. 100 kVP/mAS modulation per scanner software. Nodules are lesions <3cm. For pulmonary masses (>3cm) or hilar enlargement use Chest CT With Contrast. Routine protocol. Scan Comments: Low dose: reduce kVP appropriate to patients size:
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