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Chest CT Protocols
Standard CTA/CTV Cardiac
Chest With CTA Thoracic Aorta Gated CTA Thoracic
Aorta
Chest Without CTV Chest CTA Cardiac
Chest Low Dose CTA Pulmonary Arteries CTA Coronary
Lung Screening TAVR
High Res Chest Calcium Scoring
Chest & Neck Pulmonary Vein
Tracheobronchomalacia Left Atrial Appendage -
Lariat Protocol
Left Atrial Appendage -
Watchman Protocol
CALCIUM SCORING
CALCIUM SCORING REVISED: 8/24/18
IV SIZE
IV CONTRAST
INJECTION RATE
PT POSITION SUPINE / FEET FIRST
LANDMARK GE STERNAL NOTCH
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
PARAMETER SCAN START CARINA
END BELOW HEART
DFOV 25
PREP GROUP
GE
SIEMENS
INDICATION INTERMEDIATE CHD RISK
ORAL PREP None
SCAN I- CINE THROUGH HEART
RECON 2.5mm / 3.0mm AXIAL RECONS – STANDARD
ALGORITHM
REFORMAT
3D POST PROCESSING CALCIUM SCORING
CALCIUM SCORING
64 SLICE – GE VCT
PARAMETER SCAN*
SCAN TYPE CINE SEGMENT
ROTATION TIME 0.35 SEC
THICKNESS 2.5
PITCH
SPEED
INTERVAL 20.0
GANTRY TILT SCAN FOV LARGE BODY
kVp 120
mA 430
NOISE INDEX
DOSE REDUCTION 40%
ASIR/MODE 30% / SEGMENT
ALGORITHM
STANDARD
REFORMATS
Estimated CTDI 5.29
Estimated DLP 52.90
CHEST & NECK
CHEST & NECK REVISED: 8/24/18
IV SIZE
IV CONTRAST 110CC OMNIPAQUE 350
INJECTION RATE
PT POSITION SUPINE / FEET FIRST / ARMS UP (CHEST) / ARMS
DOWN (NECK)
LANDMARK GE STERNAL NOTCH
SIEMENS ABOVE EARS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL (ARMS DOWN)
PARAMETER CHEST NECK
START ABOVE APICES TOP OF EAR
END BELOW ADRENALS BELOW CLAVICLES
DFOV <TO PATIENT> 20
PREP GROUP
GE 25 SEC 5 MINS
SIEMENS 25 SEC 5 MINS
INDICATION
ORAL PREP NONE
SCAN CHEST ~25 SECONDS AFTER START OF INJECTION WITH NECK SCAN TO IMMEDIATELY FOLLOW
RECON
3.0mm / 3.75mm AXIAL RECONS – STANDARD ALGORITHM (CHEST)
2.mm / 2.5mm AXIAL RECONS – STANDARD ALGORITHM (NECK)
0.625mm / 1.25mm / 1.5mm AXIAL RECONS – STANDARD ALGORITHM (CHEST)
0.625mm / 1.25MM AXIAL RECONS - DETAIL ALGORITHM (NECK) -- GE SCANNERS
0.6mm AXIAL RECONS – STANDARD ALGORITHM (NECK) – FORCE SCANNER
3.0mm / 3.75mm AXIAL RECONS – LUNG ALGORITHM
-REFORMAT 3mm CORONAL AND SAGITTAL (CHEST) 2mm CORONAL AND SAGITTAL (NECK)
3D POST PROCESSING NONE
CHEST & NECK
16 SLICE – GE
PARAMETER GROUP 1 ( CHEST) GROUP 2 ( NECK)
SCAN TYPE HELICAL FULL HELICAL FULL
ROTATION TIME 0.8 SEC 0.8 SEC
THICKNESS 3.75 2.5
PITCH 1.375:1 1.375:1
SPEED 27.50 27.50
INTERVAL 3.75 2.5
GANTRY TILT SCAN FOV LARGE LARGE
kVp 120 120
mA AUTO mA TO 440 W/
SMART mA AUTO mA TO 440 W/
SMART mA
NOISE INDEX 22.53 14.56
DOSE REDUCTION
ASiR/MODE 40% / PLUS 30% / PLUS
ALGORITHM STD Chest-Neck
STANDARD STD Chest-Neck
DETAIL
REFORMATS
THICK/INCR.
LUNG
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS COR 3 / SAG 3
40% / PLUS
THICK/INCR.
STD THN Neck
1.25 q 0.700
ALGORITHM DETAIL
REFORMATS COR 2 / SAG 2
ASiR/MODE 30% / PLUS
Estimated CTDI 28.10
Estimated DLP 850.80
CHEST & NECK
64 SLICE – GE VCT
PARAMETER GROUP 1 CHEST) GROUP 2 (NECK)
SCAN TYPE HELICAL FULL HELICAL FULL
ROTATION TIME 0.5 SEC 0.5 SEC
THICKNESS 3.75 2.5
PITCH 0.984:1 0.984:1
SPEED 39.37 39.37
INTERVAL 3.75 2.5
GANTRY TILT SCAN FOV LARGE BODY LARGE BODY
kVp 120 120
mA AUTO mA TO 440 W/
SMART mA AUTO mA TO 440 W/ SMART
mA
NOISE INDEX 13.88 13.20
DOSE REDUCTION 40% 30%
ASIR/MODE 40% / PLUS 30% / PLUS
ALGORITHM STD Chest-Neck
STANDARD STD Chest-Neck
DETAIL
REFORMATS
THICK/INCR.
LUNG
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR.
STD THN
0.625 q 0.625
ALGORITHM STANDARD
REFORMATS COR 3 / SAG 3
ASiR/MODE 40% / PLUS-E
THICK/INCR.
STD THN Neck
0.625 q 0.625
ALGORITHM DETAIL
REFORMATS COR 2 / SAG 2
ASiR/MODE 30% / PLUS-E
THICK/INCR.
STD 2
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS
ASiR/MODE 40% / PLUS
Estimated CTDI 34.94
Estimated DLP 890.38
CHEST & NECK
196(2) – SIEMENS FORCE
PARAMETER TF CHEST DE NECK
SCAN TYPE
ROTATION TIME 0.28 SEC 0.25 SEC
THICKNESS 3.0mm 2.0mm
PITCH 2.0 0.7
SPEED
INTERVAL 3.0mm 2.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV – ON 90 / Sn150
mAs CARE Dose4D CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV <TO PATIENT> 20
PREP GROUP 25 SEC 45 SEC
KERNEL STD
Br40 STD
Br40
ADMIRE 3 1
THICK/INCR.
Lung
3.0 q 3.0 DE #PP STD THN
0.75 q 0.5
KERNEL Bl57 Qr40
ADMIRE 3 3
THICK/INCR.
COR 3
3.0 q 3.0
COR 2
2.0 q 2.0
KERNEL Br40 Br40
ADMIRE 3 3
THICK/INCR.
SAG 3
3.0 q 3.0
SAG 2
2.0 q 2.0
KERNEL Br40 Br40
ADMIRE 3 3
THICK/INCR. STD THN
1.5 q 1.0 STD THN
0.6 q 0.6
KERNEL Br40 Br40
ADMIRE 3 1
Estimated CTDI 6.16
Estimated DLP
CHEST LOW DOSE
CHEST LOW DOSE REVISED: 8/24/18
IV SIZE
IV CONTRAST
INJECTION RATE
PT POSITION SUPINE / FEET FIRST
LANDMARK GE STERNAL NOTCH
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
INDICATION EVAL OR F/U PULMONARY NODULE, BRONCHIECTASIS
ORAL PREP NONE
SCAN NON-CONTRAST
RECON
2.5mm / 3.0mm AXIAL RECON – STANDARD ALGORITHM
2.5mm / 3.0mm AXIAL RECON – LUNG ALGORITHM
1.25mm / 1.5mm AXIAL RECON – STANDARD ALGORITHM
REFORMAT 3mm CORONAL AND SAGITTAL
3D POST PROCESSING VOLUME DOUBLING TIME (PULMONARY NODULE)
PARAMETER SCAN
START ABOVE APICES -- UNLESS OTHERWISE SPECIFIED
END BELOW ADRENAL GLANDS –
UNLESS OTHERWISE SPECIFIED
DFOV <TO PATIENT>
PREP GROUP
GE
SIEMENS
CHEST LOW DOSE
16 SLICE – GE
PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 2.5
PITCH 1.375:1
SPEED 27.50
INTERVAL 2.5
GANTRY TILT
SCAN FOV LARGE
kVp 120
mA 100
NOISE INDEX DOSE REDUCTION
ASiR/MODE 0% / PLUS
ALGORITHM STD
STANDARD
REFORMATS
THICK/INCR.
Lung
2.5 q 2.5
ALGORITHM LUNG
REFORMATS
ASiR/MODE 0% / FULL
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS COR 3 / SAG 3
ASiR/MODE 0% / PLUS
Estimated CTDI 3.40
Estimated DLP 105.50
CHEST LOW DOSE
64 SLICE – GE VCT
PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 2.5
PITCH 0.984:1
SPEED 39.37
INTERVAL 2.5
GANTRY TILT SCAN FOV LARGE BODY
kVp 120
mA AUTO mA TO 100 W/
SMART mA
NOISE INDEX 12.75
DOSE REDUCTION
ASIR/MODE 0% / PLUS
ALGORITHM STD
STANDARD
REFORMATS
THICK/INCR.
Lung
2.5 q 2.5
ALGORITHM LUNG
REFORMATS
ASiR/MODE 0% / FULL
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS COR 3 / SAG 3
ASiR/MODE 0% / PLUS
Estimated CTDI 3.07
Estimated DLP 91.25
CHEST LOW DOSE
196(2) – SIEMENS FORCE
PARAMETER CHEST LOW DOSE
NO TF
SCAN TYPE
ROTATION TIME 0.5 SEC
THICKNESS 3.0mm
PITCH 1.2
SPEED
INTERVAL 3.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV
mAs CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV <TO PATIENT>
PREP GROUP
KERNEL STD
Br40
ADMIRE 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
THICK/INCR. STD THN
1.5 q 1.0
KERNEL Br40
ADMIRE 3
THICK/INCR.
COR 3
3.0 q 3.0
KERNEL Br40
ADMIRE 3
THICK/INCR.
SAG 3
3.0 q 3.0
KERNEL Br40
ADMIRE 3
Estimated CTDI 1.14
Estimated DLP
CHEST WITH
CHEST WITH REVISED: 8/24/18
IV SIZE
IV CONTRAST 60cc OMNIPAQUE 350
INJECTION RATE
PT POSITION SUPINE / FEET FIRST
LANDMARK GE STERNAL NOTCH
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
PARAMETER SCAN START ABOVE APICES
END BELOW ADRENAL GLANDS
DFOV <TO PATIENT>
PREP GROUP
GE 25 SEC
SIEMENS 25 SEC
INDICATION
ORAL PREP NONE
SCAN 25 SEC AFTER INJECTION STARTS
RECON
3.0mm / 3.75mm AXIAL RECON – STANDARD ALGORITHM
3.0mm / 3.75mm AXIAL RECON – LUNG ALGORITHM
1.25mm /1.5mm AXIAL RECON – STANDARD ALGORITHM
REFORMAT 3mm CORONAL AND SAGITTAL
3D POST PROCESSING
CHEST WITH
16 SLICE – GE
PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 3.75
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
mA AUTO mA TO 440 W/
SMART mA
NOISE INDEX 19.51
DOSE REDUCTION ASiR/MODE 40% / PLUS
ALGORITHM STD
STANDARD
REFORMATS
THICK/INCR.
Lung
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS COR 3 / SAG 3
ASiR/MODE 40% / PLUS
Estimated CTDI 10.76
Estimated DLP 338.05
CHEST WITH
64 SLICE – GE VCT
PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 3.75
PITCH 0.984:1
SPEED 39.37
INTERVAL 3.75
GANTRY TILT SCAN FOV LARGE BODY
kVp 120
mA AUTO mA TO 440 W/
SMART mA
NOISE INDEX 17.28
DOSE REDUCTION 40%
ASIR/MODE 40% / PLUS
ALGORITHM STD
STANDARD
REFORMATS
THICK/INCR.
Lung
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS COR 3 / SAG 3
ASiR/MODE 40% / PLUS
Estimated CTDI 7.15
Estimated DLP 246.44
CHEST WITH
196(2) – SIEMENS FORCE
PARAMETER TF CHEST WITH
SCAN TYPE
ROTATION TIME 0.28 SEC
THICKNESS 3.0mm
PITCH 2.0
SPEED
INTERVAL 3.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV
mAs CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV <TO PATIENT>
PREP GROUP 25 SEC
KERNEL STD
Br40
ADMIRE 3
THICK/INCR. STD THN
1.5 q 1.0
KERNEL Br40
ADMIRE 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
THICK/INCR.
COR 3
3.0 q 3.0
KERNEL Br40
ADMIRE 3
THICK/INCR.
SAG 3
3.0 q 3.0
KERNEL Br40
ADMIRE 3
***IF ANATOMY OF INTEREST EXCEEDS TURBO FLASH SFOV, USE SINGLE ENERGY SCAN (XXL PROTOCOL) ***
Estimated CTDI 4.81
Estimated DLP
CHEST WITH
PARAMETER XXL CHEST W/
SCAN TYPE
ROTATION TIME 0.25 SEC
THICKNESS 3.0mm
PITCH 0.6
SPEED
INTERVAL 3.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV
mAs CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV <TO PATIENT>
PREP GROUP 25 SEC
KERNEL STD
Br40
ADMIRE 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
THICK/INCR.
SAG 3
3.0 q 3.0
KERNEL Br40
ADMIRE 3
THICK/INCR.
COR 3
3.0 q 3.0
KERNEL Br40
ADMIRE 3
THICK/INCR. STD THN
1.5 q 1.0
KERNEL Br40
ADMIRE 3
Estimated CTDI 3.14
Estimated DLP
CHEST WITHOUT
CHEST WITHOUT REVISED: 8/24/18
IV SIZE
IV CONTRAST
INJECTION RATE
PT POSITION SUPINE / FEET FIRST
LANDMARK GE STERNAL NOTCH
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
PARAMETER SCAN START ABOVE APICES
END BELOW ADRENAL GLANDS
DFOV <TO PATIENT>
PREP GROUP
GE
SIEMENS
PECTUS EXCAVATUM: Start scan above Manubrium, extend below the tip of the Xyphoid (do not need apices or all of ribs), in bone 5.0mm q 5.0mm in a standard algorithm recons and thin bone recons. **Per Dr. Czum
CHEST CT MODIFICATIONS:
1. PLEURAL EFFUSION WORK-UP: To Look for underlying lung pathology in the setting of known or unknown
etiology. Prone (preferred) or decubitus (if prone not possible)
2. ESOPHAGEAL MASS WORK-UP: Oral Barium contrast administered on table immediately before scan.
3. ESOPHAGEAL POST-OP LEAK: Oral water soluble contrast administered on table immediately before scan.
4. SOLITARY PULMONARY NODULE: 12 cm FOV reconstruction covering known focal pathology 1.25mm thick by
1.25mm interval, limited to target lesion of interest.
INDICATION
ORAL PREP NONE
SCAN 25 SEC AFTER INJECTION STARTS
RECON
3.0mm / 3.75mm AXIAL RECON – STANDARD ALGORITHM
3.0mm / 3.75mm AXIAL RECON – LUNG ALGORITHM
1.25mm /1.5mm AXIAL RECON – STANDARD ALGORITHM
REFORMAT 3mm CORONAL AND SAGITTAL
3D POST PROCESSING
CHEST WITHOUT
16 SLICE – GE
PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 3.75
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
mA AUTO mA TO 440 W/
SMART mA
NOISE INDEX 19.51
DOSE REDUCTION ASiR/MODE 40% / PLUS
ALGORITHM STD WO
STANDARD
REFORMATS
THICK/INCR.
Lung
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR.
STD THN WO
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS COR 3 WO / SAG 3 WO
ASiR/MODE 40% / PLUS
Estimated CTDI 10.76
Estimated DLP 338.05
CHEST WITHOUT
64 SLICE – GE VCT
PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 3.75
PITCH 0.984:1
SPEED 39.37
INTERVAL 3.75
GANTRY TILT SCAN FOV LARGE BODY
kVp 120
mA AUTO mA TO 440 W/
SMART mA
NOISE INDEX 17.28
DOSE REDUCTION 40%
ASIR/MODE 40% / PLUS
ALGORITHM STD WO
STANDARD
REFORMATS
THICK/INCR.
Lung
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR.
STD THN WO
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS COR 3 WO / SAG 3 WO
ASiR/MODE 40% / PLUS
Estimated CTDI 7.15
Estimated DLP 246.44
CHEST WITHOUT
PARAMETER TF CHEST WO
SCAN TYPE
ROTATION TIME 0.28 SEC
THICKNESS 3.0mm
PITCH 2.0
SPEED
INTERVAL 3.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV
mAs CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV <TO PATIENT>
PREP GROUP
KERNEL STD WO
Br40
ADMIRE 3
THICK/INCR. STD THN WO
1.5 q 1.0
KERNEL Br40
ADMIRE 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
THICK/INCR. COR 3
WO
3.0 q 3.0
KERNEL Br40
ADMIRE 3
THICK/INCR. SAG 3 WO
3.0 q 3.0
KERNEL Br40
ADMIRE 3
Estimated CTDI 4.81
Estimated DLP
CTA CARDIAC
CTA CARDIAC REVISED: 8/24/18
IV SIZE 18g
IV CONTRAST WEIGHT BASED
INJECTION RATE 5cc/SEC
PT POSITION SUPINE / FEET FIRST
LANDMARK GE STERNAL NOTCH
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
PARAMETER CTA START CARINA
END BELOW HEART
DFOV
PREP GROUP
GE MIROI + 14
SIEMENS MIROI + 14
INDICATION
1. AORTIC STENOSIS TAVR EVALUATION 2. CARDIAC VOLUMES/FUNCTION 3. CARDIAC MASS 4. CONGENITAL HEARD DISEASE PRE OR POST OP
EVALUATION
ORAL PREP NONE
SCAN 1. I+ CINE SCAN THROUGH HEART
RECON 0.625mm / 3.0mm STANDARD ALGORITHM
0.6mm / 0.625mm STANDARD ALGORITHM (0-95% PHASES)
REFORMAT
3D POST PROCESSING LV VOLUME RV VOLUME
CTA CARDIAC
64 SLICE – GE VCT
PARAMETER MIROI **CTA (SNAPSHOT SEGMENT LARGE)
SCAN TYPE AXIAL FULL CARDIAC SEGMENT
ROTATION TIME 0.5 SEC 0.35 SEC
THICKNESS 5.0 0.625
PITCH 0.16:1
SPEED 6.40
INTERVAL 0.0 0.625
GANTRY TILT SCAN FOV SMALL BODY CARDIAC LARGE
kVp 120 100
mA 150 ECG MODULATED TO
770
NOISE INDEX DOSE REDUCTION 40% 10%
ASIR/MODE 40% / FULL 30% / SNAPSHOT
SEGMENT
ALGORITHM MIROI
STANDARD STD
STANDARD
REFORMATS
***PREP GROUP: (MIROI): Start breathing instructions (they take 20.6 seconds). Watch the scanner and start the injection with there is 5 seconds left before the scan. Pause the scan after the peak in the aorta. Place MIROI in the ascending aorta.
SCAN PITCH: Check chart and compare heart rate. Adjust pitch if necessary. To override heart rate turn override heart rate button to on, and click accept.
RETRO RECONS:
- Start Phase 5% - End Phase 95% - Increment of 10
**** Send ECG strip to PACS****
Estimated CTDI 92.81
Estimated DLP 898.21
CTA CARDIAC
196(2) – SIEMENS FORCE
PARAMETER TEST BOLUS RETROSPECTIVE
SCAN TYPE FULL
ROTATION TIME 0.25 SEC 0.25 SEC
THICKNESS 10.0mm 3.0mm
PITCH 0.15
SPEED
INTERVAL 0.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 100 CARE kV
mAs 20 CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV 20 20
PREP GROUP TEST BOLUS PEAK +
14
KERNEL
Bv40 STD
Br36
ADMIRE 2
THICK/INCR.
PHASES MATRIX
256 (5-95 q
10)
0.6 q 0.5
KERNEL Qr36
ADMIRE 2
**** Send ECG strip to PACS****
Estimated CTDI 71.86
Estimated DLP
CTA CORONARY
CTA CORONARY REVISED: 8/24/18
IV SIZE 18g
IV CONTRAST WEIGHT BASED
INJECTION RATE 5cc/SEC
PT POSITION SUPINE / FEET FIRST
LANDMARK GE STERNAL NOTCH
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
PARAMETER CALCIUM SCORING CTA START CARINA 2Omm ABOVE LAD
END BELOW HEART 20mm BELOW HEART
DFOV 25 20
PREP GROUP
GE MIROI + 14
SIEMENS MIROI + 14
INDICATION
1. CORONARY ANOMALY 2. CORONARY ARTERY DISEASE 3. CHEST PAIN 4. ABNORMAL STRESS TEST
ORAL PREP NONE
SCAN 1. I- CINE THROUGH HEART 2. I+ CINE SCAN THROUGH HEART
RECON
2.5mm / 3.0mm AXIAL RECON - STANDARD ALGORITHM (CALCIUM SCORING)
0.625mm / 3.0mm AXIAL RECON - STANDARD ALGORITHM (CTA)
0.6mm / 0.625mm AXIAL RECON - STANDARD ALGORITHM (40-85% PHASES)
REFORMAT
3D POST PROCESSING
CALCIUM SCORING CURVED REFORMATS – EACH CORONARY 3D CORONARIES 3D CORONARIES W/ TRANSPARENT HEART X-SECTION CORONARY
CTA CORONARY
64 SLICE – GE VCT
PARAMETER *NON-CONTRAST MIROI **CTA (SNAPSHOT SEGMENT LARGE)
SCAN TYPE CINE SEGMENT AXIAL FULL CARDIAC SEGMENT
ROTATION TIME 0.35 SEC 0.5 SEC 0.35 SEC
THICKNESS 2.5 5.0 0.625
PITCH 0.16:1
SPEED 6.40
INTERVAL 20.0 0.0 0.625
GANTRY TILT SCAN FOV LARGE BODY SMALL BODY CARDIAC LARGE
kVp 120 120 100
mA 430 150 ECG MODULATED TO
770
NOISE INDEX DOSE REDUCTION 40% 40% 10%
ASIR/MODE 30% / SEGMENT 40% / FULL 30% / SNAPSHOT
SEGMENT
ALGORITHM CASC
STANDARD MIROI
STANDARD STD
STANDARD
REFORMATS
*NON-CONTRAST: Choose Smart Score – Gate 0.35 sec on protocol list under chest.
**SNAPSHOT SEGMENT LARGE: Protocol is found under the chest
***PREP GROUP: (MIROI): Start breathing instructions (they take 20.6 seconds). Watch the scanner and start the injection with there is 5 seconds left before the scan. Pause the scan after the peak in the aorta. Place MIROI in the ascending aorta.
SCAN PITCH: Check chart and compare heart rate. Adjust pitch if necessary. To override heart rate turn override heart rate button to on, and click accept.
RETRO RECONS:
o Start Phase 40% o End Phase 85% o Increment of 5
**** Send ECG strip to PACS****
Estimated CTDI 92.81
Estimated DLP 898.21
CTA CORONARY
196(2) – SIEMENS FORCE
PARAMETER CASC TEST BOLUS PROSPECTIVE RETROSPECTIVE
SCAN TYPE FULL FLEX
ROTATION TIME 0.25 SEC 0.25 SEC 0.25 SEC 0.25 SEC
THICKNESS 3.0mm 10.0mm 3.0mm 3.0mm
PITCH 3.2 0.15
SPEED
INTERVAL 1.5mm 0.0mm 3.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV 100 CARE kV CARE kV
mAs CARE Dose4D 20 CARE Dose4D CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV 20 20 20 20
PREP GROUP 10 SEC TEST BOLUS PEAK +
14 SEC TEST BOLUS PEAK +
14 SEC
KERNEL CASC
Qr36
Bv40 STD
Qr36 STD
Qr36
ADMIRE 3 3
THICK/INCR.
PHASES
0.6 q 0.5
PHASES
0.6 q 0.5
KERNEL Qr36 Qr36
ADMIRE 3 3
**** Send ECG strip to PACS****
Estimated CTDI 15.58 (CASC) / 18.74 (PROSPECTIVE) / 73.20
(RETROSPECTIVE)
Estimated DLP
CTA PULMONARY ARTERIES
CTA PULMONARY ARTERIES REVISED: 8/24/18
IV SIZE 18g OR 20g
IV CONTRAST WEIGHT BASED
INJECTION RATE 5cc/SEC
PT POSITION SUPINE / FEET FIRST
LANDMARK GE STERNAL NOTCH
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
PARAMETER CTA START ABOVE APICES
END BELOW DIAPHRAGM
DFOV <TO PATIENT>
PREP GROUP
GE MIROI + 4
SIEMENS SMART PREP @ PULMONARY ARTERY
INDICATION PULMONARY EMBOLISM, PULMONARY AVM
ORAL PREP NONE
SCAN FIRST PASS (ARTERIAL PHASE) SCAN TIMED OFF THE PULMONARY ARTERIES
RECON
2.5mm / 3.0mm AXIAL RECON – STANDARD ALGORITHM
3.0mm / 3.75mm AXIAL RECON – LUNG ALGORITHM
1.25mm / 1.5mm AXIAL RECON – CHEST/STANDARD ALGORITHM
REFORMAT 3mm q 1.5mm MIP CORONAL AND SAGITTAL 3mm CORONAL AND SAGITTAL
3D POST PROCESSING
CTA PULMONARY ARTERIES
16 SLICE – GE
PARAMETER MIROI* CTA
SCAN TYPE AXIAL FULL HELICAL FULL
ROTATION TIME 0.5 SEC 0.5 SEC
THICKNESS 5.0 2.5
PITCH 0.938:1
SPEED 18.75
INTERVAL 0.0 2.5
GANTRY TILT
SCAN FOV LARGE LARGE
kVp 120 100
mA 40 AUTO mA TO 420 W/ SMART mA
NOISE INDEX 18.26
DOSE REDUCTION ASiR/MODE 0% / FULL 40% / PLUS
ALGORITHM MIROI
STANDARD STD
STANDARD
REFORMATS
THICK/INCR.
Lung
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 30% / FULL
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM CHEST
REFORMATS COR MIP / SAG MIP /
COR 3 / SAG 3
ASiR/MODE 30% / PLUS
Estimated CTDI 92.78
Estimated DLP 226.70
CTA PULMONARY ARTERIES
64 SLICE – GE VCT
PARAMETER MIROI CTA
SCAN TYPE AXIAL FULL HELICAL FULL
ROTATION TIME 0.5 SEC 0.9 SEC
THICKNESS 5.0 2.5
PITCH 0.984:1
SPEED 39.37
INTERVAL 0.0 2.5
GANTRY TILT SCAN FOV LARGE BODY LARGE BODY
kVp 120 100
mA 60 AUTO mA TO 420 W/ SMART mA
NOISE INDEX 15.86
DOSE REDUCTION 20% 40%
ASIR/MODE 20% / FULL 40% / PLUS
ALGORITHM MIROI
STANDARD STD
STANDARD
REFORMATS
THICK/INCR.
Lung
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 30% / FULL
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM CHEST
REFORMATS COR MIP / SAG MIP /
COR 3 / SAG 3
ASiR/MODE 30% / PLUS
Estimated CTDI 67.38
Estimated DLP 222.05
CTA PULMONARY ARTERIES
196(2) – SIEMENS FORCE
PARAMETER PREMONITORING /
SMART PREP TF PE
SCAN TYPE FULL
ROTATION TIME 0.25 SEC 0.25 SEC
THICKNESS 10.0mm 3.0mm
PITCH 2.6
SPEED
INTERVAL 0.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 100 CARE kV
mAs 23 CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV 30 <TO PATIENT>
PREP GROUP 6 SEC SMART PREP
KERNEL
Br36 STD
Bv36
ADMIRE 3
THICK/INCR.
STD THN
1.5 q 1.0
KERNEL Bv36
ADMIRE 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
THICK/INCR.
COR MIP
3.0 q 1.5
KERNEL Br36
ADMIRE 3
THICK/INCR.
SAG MIP
3.0 q 1.5
KERNEL Br36
ADMIRE 3
THICK/INCR.
COR 3
3.0 q 3.0
KERNEL Br36
ADMIRE 3
THICK/INCR.
SAG 3
3.0 q 3.0
KERNEL Br36
ADMIRE 3
Estimated CTDI 24.04
Estimated DLP
CTA PULMONARY ARTERIES
***IF ANATOMY OF INTEREST EXCEEDS TURBO FLASH SFOV, USE SINGLE ENERGY SCAN (XXL PROTOCOL) ***
PARAMETER PREMONITORING /
SMART PREP XXL PE
SCAN TYPE FULL
ROTATION TIME 0.5 SEC 0.5 SEC
THICKNESS 10.0mm 3.0mm
PITCH 1.5
SPEED
INTERVAL 0.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 140 CARE kV – SEMI - 130
mAs 65 CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV 40 <TO PATIENT>
KERNEL
Br36 STD
Br40
ADMIRE 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
THICK/INCR.
STD THN
1.0 q 0.7
KERNEL Br40
ADMIRE 3
THICK/INCR.
COR MIP
3.0 q 1.5
KERNEL Br36
ADMIRE 3
THICK/INCR.
SAG MIP
3.0 q 1.5
KERNEL Br36
ADMIRE 3
THICK/INCR.
COR 3
3.0 q 3.0
KERNEL Br36
ADMIRE 3
THICK/INCR.
SAG 3
3.0 q 3.0
KERNEL Br36
ADMIRE 3
Estimated CTDI 180.51
Estimated DLP
CTA THORACIC AORTA
CTA THORACIC AORTA REVISED: 8/24/18
IV SIZE 18g OR 20g
IV CONTRAST WEIGHT BASED
INJECTION RATE 4-5cc/SEC
PT POSITION SUPINE / FEET FIRST
LANDMARK GE STERNAL NOTCH
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
PARAMETER CTA START ABOVE APICES
END BELOW DIAPHRAGM
DFOV <TO PATIENT>
PREP GROUP
GE SMART PREP
SIEMENS SMART PREP
SIEMENS FORCE: Turbo Flash protocols are to be used for all CTA Chest:
Acute Dissection: I- Turbo Flash I+ Turbo Flash
All Other Aortic Pathology I+ Turbo Flash ONLY
***DE CTA protocols are only to be used if specifically requested by MD***
INDICATION AORTIC PATHOLOGY
ORAL PREP NONE
SCAN I+ SMART PREP TIMED
RECON
2.5mm / 3.0mm AXIAL RECONS - STANDARD ALGORITHM
3.0mm / 3.75mm AXIAL RECONS LUNG ALGORITHM
0.6mm / 0.625mm / 1.25mm AXIAL RECONS – STANDARD ALGORITHM
REFORMAT 3mm q 1.5mm MIP CORONAL AND SAGITTAL
3D POST PROCESSING
3D ROTATION AORTA CURVED REFORMAT AORTA MAX VESSEL DIAMETER W/ 0* AND 90* VIEWS OF
AORTA
CTA THORACIC AORTA
16 SLICE – GE
PARAMETER SMART PREP CTA
SCAN TYPE HELICAL FULL
ROTATION TIME 0.8 SEC
THICKNESS 2.5
PITCH 1.375:1
SPEED 27.50
INTERVAL 2.5
GANTRY TILT
SCAN FOV LARGE
kVp 100
mA 10 AUTO mA TO 420 W/
SMART mA
NOISE INDEX 15.62
DOSE REDUCTION ASiR/MODE 50% / PLUS
ALGORITHM
STD
STANDARD
REFORMATS
THICK/INCR.
Lung
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 50% / FULL
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS COR MIP / SAG MIP
ASiR/MODE 50% / PLUS
Estimated CTDI 33.06
Estimated DLP 557.61
CTA THORACIC AORTA
64 SLICE – GE VCT
PARAMETER SMART PREP CTA
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 2.5
PITCH 0.984:1
SPEED 39.37
INTERVAL 2.5
GANTRY TILT SCAN FOV LARGE BODY
kVp 100
mA 10 AUTO mA TO 700 W/
SMART mA
NOISE INDEX 12.73
DOSE REDUCTION 50%
ASIR/MODE 50% / PLUS
ALGORITHM
STD
STANDARD
REFORMATS
THICK/INCR.
Lung
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 50% / FULL
THICK/INCR.
STD THN
0.625 q 0.625
ALGORITHM STANDARD
REFORMATS COR MIP / SAG
MIP
ASiR/MODE 50% / PLUS-E
Estimated CTDI 21.31
Estimated DLP 214.18
CTA THORACIC AORTA
196(2) – SIEMENS FORCE
PARAMETER TF CHEST PREMONITORING /
SMART PREP TF AORTA DELAY
SCAN TYPE FULL
ROTATION TIME 0.28 SEC 0.25 SEC 0.25 SEC 0.5 SEC
THICKNESS 3.0mm 10.0mm 3.0mm 3.0mm
PITCH 2.0 1.9 1.0
SPEED
INTERVAL 3.0mm 0.0mm 3.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV 100 CARE kV CARE kV
mAs CARE Dose4D 23 CARE Dose4D CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV <TO PATIENT> 30 <TO PATIENT> <TO PATIENT>
PREP GROUP 10 SEC SMART PREP 3-5 MINS
KERNEL STD WO
Bv36
Br36 STD
Bv36 STD Delay
Bv36
ADMIRE 3 3 3
THICK/INCR. STD THN WO
1.5 q 1.0
Lung
3.0 q 3.0
KERNEL Br40 Bl57
ADMIRE 3 3
THICK/INCR.
Lung
3.0 q 3.0
STD THN
0.6 q 0.6
KERNEL Bl57 Bv36
ADMIRE 3 3
THICK/INCR. COR MIP WO
3.0 q 1.5
COR MIP
3.0 q 1.5
KERNEL Bv36 BV36
ADMIRE 3 3
THICK/INCR. SAG MIP WO
3.0 q 1.5
SAG MIP
3.0 q 1.5
KERNEL Bv36 Bv36
ADMIRE 3 3
Estimated CTDI 37.44
Estimated DLP
CTA THORACIC AORTA
PARAMETER PREMONITORING /
SMART PREP TF CHEST DELAY
SCAN TYPE FULL
ROTATION TIME 0.25 SEC 0.25 SEC 0.5 SEC
THICKNESS 10.0mm 3.0mm 3.0mm
PITCH 1.9 1.0
SPEED
INTERVAL 0.0mm 3.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 100 CARE kV CARE Kv
mAs 23 CARE Dose4D CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV 30 <TO PATIENT> <TO PATIENT>
PREP GROUP 10 SEC SMART PREP 3-5 MINS
KERNEL
Br36 STD
Bv36 STD Delay
Br36
ADMIRE 3 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
THICK/INCR.
STD THN
0.6 q 0.6
KERNEL Bv36
ADMIRE 3
THICK/INCR.
COR MIP
3.0 q 1.5
KERNEL Bv36
ADMIRE 3
THICK/INCR.
SAG MIP
3.0 q 1.5
KERNEL Bv36
ADMIRE 3
Estimated CTDI
Estimated DLP
CTA THORACIC AORTA
PARAMETER PREMONITORING /
SMART PREP DE CTA
SCAN TYPE FULL
ROTATION TIME 0.5 SEC 0.5 SEC
THICKNESS 10.0mm 3.0mm
PITCH 0.7
SPEED
INTERVAL 0.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 100 90 / Sn150
mAs 23 CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV 30 <TO PATIENT>
PREP GROUP 10 SEC SMART PREP
KERNEL
Br36 STD
Qr36
ADMIRE 3
THICK/INCR.
DE #PP STD THN
1.5 q 1.0
KERNEL Qr36
ADMIRE 3
THICK/INCR.
COR MIP
3.0 q 1.5
KERNEL Bv36
ADMIRE 3
THICK/INCR.
SAG MIP
3.0 q 1.5
KERNEL Bv36
ADMIRE 3
THICK/INCR.
STD THN
0.6 q 0.6
KERNEL Qr36
ADMIRE 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
Estimated CTDI 30.40
Estimated DLP
CTA THORACIC AORTA
PARAMETER DE W/O PREMONITORING /
SMART PREP DE AORTA (CTA) DELAY
SCAN TYPE FULL
ROTATION TIME 0.5 SEC 0.5 SEC 0.5 SEC 0.5 SEC
THICKNESS 3.0mm 10.0mm 3.0mm 3.0mm
PITCH 0.7 0.7 0.7
SPEED
INTERVAL 3.0mm 0.0mm 3.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 90 / Sn150 100 90 / Sn150 90 / Sn150
mAs CARE Dose4D 23 CARE Dose4D CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV <TO PATIENT> 30 <TO PATIENT> <TO PATIENT>
PREP GROUP 10 SEC SMART PREP 3-5 MINS
KERNEL STD WO
Bv36
Br36 STD
Bv36 STD Delay
Bv36
ADMIRE 3 3 3
THICK/INCR. DE #PP STD THN WO
1.5 q 1.0
DE #PP STD THN
1.5 q 1.0 DE #PP STD THN
Delay
1.5 q 1.0
KERNEL Qr40 Qr36 Qr40
ADMIRE 3
3 3
THICK/INCR. COR MIP WO
3.0 q 1.5
COR MIP
3.0 q 1.5
KERNEL Bv36 Bv36
ADMIRE 3 3
THICK/INCR. SAG MIP WO
3.0 q 1.5
SAG MIP
3.0 q 1.5
KERNEL Bv36 Bv36
ADMIRE 3 3
THICK/INCR. STD THN WO
0.6 q 0.6
STD THN
0.6 q 0.6
KERNEL Bv36 Bv36
ADMIRE 3 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
Estimated CTDI 39.94
Estimated DLP
CTV CHEST
CTV CHEST REVISED: 8/24/18
IV SIZE 20g OR 18g
IV CONTRAST 110cc OMNIPAQUE 350
INJECTION RATE 4cc/SEC
PT POSITION SUPINE / FEET FIRST
LANDMARK GE STERNAL NOTCH
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
PARAMETER CTV START ABOVE APICES
END BELOW ADRENAL GLANDS
DFOV <TO PATIENT>
PREP GROUP
GE 120 SEC
SIEMENS 120 SEC
INDICATION EVALUATE FOR ? SVC SYNDROME, VENA CAVA THROMBUS/TUMOR
ORAL PREP NONE
SCAN I+ 120 SEC DELAY
RECON
3.0mm / 3.75mm AXIAL RECONS – STANDARD ALGORITHM
3.0mm / 3.75mm AXIAL RECONS - LUNG ALGORITHM
1.25mm / 1.5mm AXIAL RECONS -STANDARD ALGORITHM
REFORMAT 3mm q 1.5mm MIP CORONAL AND SAGITTAL 3mm CORONAL AND SAGITTAL
3D POST PROCESSING
CTV CHEST
16 SLICE – GE
PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 3.75
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
mA AUTO mA TO 440 W/ SMART
mA
NOISE INDEX 19.51
DOSE REDUCTION
ASiR/MODE 40% / PLUS
ALGORITHM STD
STANDARD
REFORMATS
THICK/INCR.
Lung
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS COR MIP / SAG MIP
/ COR 3 / SAG 3
ASiR/MODE 40% / PLUS
Estimated CTDI 10.76
Estimated DLP 338.05
CTV CHEST
64 SLICE – GE VCT
PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 3.75
PITCH 0.984:1
SPEED 39.37
INTERVAL 3.75
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
mA AUTO mA TO 440 W/ SMART
mA
NOISE INDEX 17.28
DOSE REDUCTION 40%
ASiR/MODE 40% / PLUS
ALGORITHM STD
STANDARD
REFORMATS
THICK/INCR.
Lung
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS COR MIP / SAG MIP
/ COR 3 / SAG 3
ASiR/MODE 40% / PLUS
Estimated CTDI 7.15
Estimated DLP 246.44
CTV CHEST
196(2) – SIEMENS FORCE
PARAMETER TF CTV CHEST W/
SCAN TYPE
ROTATION TIME 0.28 SEC
THICKNESS 3.0mm
PITCH 2.0
SPEED
INTERVAL 3.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV – SEMI - 100
mAs CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV <TO PATIENT>
PREP GROUP 120 SEC
KERNEL STD
Br40
ADMIRE 3
THICK/INCR. STD THN
1.5 q 1.0
KERNEL Br40
ADMIRE 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
THICK/INCR.
COR 3
3.0 q 3.0
KERNEL Br40
ADMIRE 3
THICK/INCR.
SAG 3
3.0 q 3.0
KERNEL Br40
ADMIRE 3
THICK/INCR. COR MIP
3.0 q 1.5
KERNEL Br40
ADMIRE 3
THICK/INCR. SAG MIP
3.0 q 1.5
KERNEL Br40
ADMIRE 3
Estimated CTDI 2.91
Estimated DLP
CTV CHEST
***IF ANATOMY OF INTEREST EXCEEDS TURBO FLASH SFOV, USE SINGLE ENERGY SCAN (XXL PROTOCOL) ***
PARAMETER XXL CHEST CTV
SCAN TYPE
ROTATION TIME 0.25 SEC
THICKNESS 4.0mm
PITCH 0.6
SPEED
INTERVAL 4.0mm
GANTRY TILT
SCAN FOV
kVp CARE kV
mAs CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV <TO PATIENT>
PREP GROUP 120 SEC
KERNEL STD
Br40
ADMIRE 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
THICK/INCR. SAG MIP
3.0 q 1.5
KERNEL Br40
ADMIRE 3
THICK/INCR. COR MIP
3.0 q 1.5
KERNEL Br40
ADMIRE 3
THICK/INCR. STD THN
1.5 q 1.0
KERNEL Br40
ADMIRE 3
THICK/INCR.
SAG 3
3.0 q 3.0
KERNEL Br40
ADMIRE 3
THICK/INCR.
COR 3
3.0 q 3.0
KERNEL Br40
ADMIRE 3
Estimated CTDI 3.14
Estimated DLP
GATED CTA THORACIC AORTA
GATED CTA THORACIC AORTA REVISED: 8/24/18
IV SIZE 18g OR 20g
IV CONTRAST WEIGHT BASED
INJECTION RATE 4-5cc/SEC
PT POSITION SUPINE / FEET FIRST / ECG MONITOR
ATTACHED
LANDMARK GE STERNAL NOTCH
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
PARAMETER CTA START ABOVE APICES
END BELOW DIAPHRAGM
DFOV <TO PATIENT>
PREP GROUP
GE SMART PREP @ ARCH
SIEMENS SMART PREP @ ARCH
INDICATION SINUS OF VALSALVA ANEURYSM; WHEN REQUESTED TO MINIMIZE AORTIC PULSATION ARTIFACT BY AORTIC ROOT
ORAL PREP NONE
SCAN I+ ARTERIAL PHASE CHEST
RECON 2.5mm AXIAL RECON – STANDARD ALGORITHM
2.5mm AXIAL RECON – LUNG ALGORITHM
1.25mm AXIAL RECON – STANDARD ALGORITHM
REFORMAT 3mm q 1.5mm MIP CORONAL AND SAGITTAL
3D POST PROCESSING 3D ROTATION AORTA MIP ROTATION AORTA MAX VESSEL MEASUREMENT
GATED CTA THORACIC AORTA
64 SLICE – GE VCT
PARAMETER SMART PREP CTA
SCAN TYPE CARDIAC SEGMENT
ROTATION TIME 0.35 SEC
THICKNESS 2.5
PITCH 0.16:1
SPEED 6.40
INTERVAL 2.5
GANTRY TILT SCAN FOV CARDIAC LARGE
kVp 100
mA 10 ECG MODULATED mA TO 700
NOISE INDEX DOSE REDUCTION 40%
ASiR/MODE 40% / SNAPSHOT SEGMENT
ALGORITHM STD
STANDARD
REFORMATS
THICK/INCR.
Lung
2.5 q 2.5
ALGORITHM LUNG
REFORMATS
ASiR/MODE 50% / SNAPSHOT
SEGMENT
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS COR MIP / SAG MIP
ASiR/MODE 50% / SNAPSHOT
SEGMENT
Estimated CTDI 30.28
Estimated DLP 660.83
HIGH RES CHEST
HIGH RES CHEST REVISED: 8/24/18
IV SIZE
IV CONTRAST
INJECTION RATE
PT POSITION SUPINE / PRONE / FEET FIRST
LANDMARK GE STERNAL NOTCH
SIEMENS N/A
BREATHING INSPIRATION / EXPIRATION / INSPIRATION
SCOUTS AP AND LATERAL
PARAMETER SUPINE INSPIRATION SUPINE
EXPIRATION PRONE
INSPIRATION START ABOVE APICES ABOVE APICES ABOVE APICES
END BELOW DIPAHRAGM BELOW DIAPHRAGM BELOW DIAPHRAGM
DFOV <TO PATIENT> <TO PATIENT> <TO PATIENT>
PREP GROUP
GE
SIEMENS
INDICATION INTERSTITIAL LUNG DISEASE
ORAL PREP NONE
SCAN 1. I- SUPINE INSPIRATION 2. I- SUPINE EXPIRATION 3. I- PRONE INSPIRATION
RECON
3.75mm AXIAL RECON – STANDARD ALGORITHM (SUPINE INSPIRATION
3.75mm AXIAL RECON – LUNG ALGORITHM ( SUPINE INSPIRATION)
1.25mm AXIAL RECON – CHEST ALGORITHM (SUPINE INSPIRATION)
1.25 q 10mm AXIAL RECON – BONE ALGORITHM (ALL)
REFORMAT 3mm CORONAL AND SAGITTAL (SUPINE
INSPIRATION)
3D POST PROCESSING
HIGH RES CHEST
16 SLICE – GE
PARAMETER SUPINE
INSPIRATION SUPINE
EXPIRATION PRONE
INSPIRATION
SCAN TYPE HELICAL FULL AXIAL FULL AXIAL FULL
ROTATION TIME 0.5 SEC 0.5 SEC 0.5 SEC
THICKNESS 3.75 1.25 1.25
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75 10 10
GANTRY TILT
SCAN FOV LARGE LARGE LARGE
kVp 120 120 120
mA AUTO mA TO 440 W/
SMART mA AUTO mA TO 100 W/
SMART mA AUTO mA TO 100 W/
SMART mA
NOISE INDEX 15.43 25.39 25.39
DOSE REDUCTION
ASiR/MODE 30% / PLUS 30% / FULL 30% / FULL
ALGORITHM STD INSP
STANDARD Bone EXP
BONE Bone Prone INSP
BONE
REFORMATS
THICK/INCR.
Lung INSP
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 30% / FULL
THICK/INCR.
STD THN INSP
1.25 q 0.700
ALGORITHM CHEST
REFORMATS COR 3 INSP / SAG 3 INSP
ASiR/MODE 30% / PLUS
THICK/INCR.
Bone INSP
1.25 q 10
ALGORITHM BONE
REFORMATS
ASiR/MODE 30% / FULL
Estimated CTDI 13.45
Estimated DLP 357.34
HIGH RES CHEST
64 SLICE – GE VCT
PARAMETER SUPINE INSPIRATION SUPINE EXPIRATION PRONE INSPIRATION
SCAN TYPE HELICAL FULL AXIAL FULL AXIAL FULL
ROTATION TIME 0.5 SEC 0.5 SEC 1.0 SEC
THICKNESS 3.75 1.25 1.25
PITCH 1.375:1
SPEED 27.50
INTERVAL 3.75 10.0 10.0
GANTRY TILT SCAN FOV LARGE BODY LARGE BODY LARGE BODY
kVp 120 120 120
mA AUTO mA TO 440 W/
SMART mA AUTO mA TO 100 W/ SMART
mA AUTO mA TO 100 W/
SMART mA
NOISE INDEX 13.58 23.59 23.59
DOSE REDUCTION 30% 30% 30%
ASIR/MODE 30% / PLUS 30% / FULL 30% / FULL
ALGORITHM STD INSP
STANDARD BONE EXP
BONE Bone Prone INSP
BONE
REFORMATS
THICK/INCR.
Lung INSP
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 30% / FULL
THICK/INCR.
STD THN INSP
1.25 q 0.700
ALGORITHM CHEST
REFORMATS COR 3 INSP / SAG 3 INSP
ASiR/MODE 30% / PLUS
THICK/INCR.
Bone INSP
1.25 q 10.0
ALGORITHM BONE
REFORMATS
ASiR/MODE 30% / FULL
Estimated CTDI 6.93
Estimated DLP 159.07
LEFT ATRIAL APPENDAGE – LARIAT PROTOCOL
LEFT ATRIAL APPENDAGE – LARIAT PROTOCOL REVISED: 8/24/18
IV SIZE 18g
IV CONTRAST 110cc OMNIPAQUE 350
INJECTION RATE 5cc/SEC
PT POSITION SUPINE / FEET FIRST
LANDMARK GE STERNAL NOTCH
SIEMENS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
PARAMETER SCAN START CARINA
END BELOW HEART
DFOV <TO PATIENT>
PREP GROUP
GE MIROI (LEFT ATRIUM) +12
SIEMENS
INDICATION LT ATRIAL APPENDAGE LIGATION PLANNING
ORAL PREP NONE
SCAN FIRST PASS PULMONARY VEIN PHASE TIMED OFF THE LEFT ATRIUM
RECON 1.25mm AXIAL RECON – STANDARD ALGORITHM
3.75mm AXIAL RECON – LUNG ALGORITHM
1.25mm AXIAL RECON – CHEST ALGORITHM
REFORMAT 3mm CORONAL AND SAGITTAL
3D POST PROCESSING
3D ROTATION PULMONARY VEIN CURVED REFORMAT LEFT ATRIAL APPENDAGE NECK AND MAX DIAMETER MEASUREMENTS LT
ATRIAL APPENDAGE
LEFT ATRIAL APPENDAGE – LARIAT PROTOCOL
16 SLICE – GE
PARAMETER *MIROI CTA
SCAN TYPE AXIAL FULL HELICAL FULL
ROTATION TIME 0.5 SEC 0.5 SEC
THICKNESS 5.0 1.25
PITCH 0.938:1
SPEED 18.75
INTERVAL 0.0 1.25
GANTRY TILT
SCAN FOV LARGE LARGE
kVp 120 100
mA 40 AUTO mA TO 420 W/
SMART mA
NOISE INDEX 25.60
DOSE REDUCTION ASiR/MODE 0% / FULL 40% / PLUS
ALGORITHM
STANDARD
STANDARD
REFORMATS
THICK/INCR.
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR.
1.25 q 0.700
ALGORITHM CHEST
REFORMATS COR/SAG
ASiR/MODE 40% / PLUS
Estimated CTDI 94.86
Estimated DLP 261.07
LEFT ATRIAL APPENDAGE – LARIAT PROTOCOL
64 SLICE – GE VCT
PARAMETER *MIROI CTA
SCAN TYPE AXIAL FULL HELICAL FULL
ROTATION TIME 0.5 SEC 0.9 SEC
THICKNESS 5.0 1.25
PITCH 0.984:1
SPEED 39.37
INTERVAL 0.0 1.25
GANTRY TILT SCAN FOV LARGE BODY LARGE BODY
kVp 120 100
mA 60 AUTO mA TO 420 W/
SMART mA
NOISE INDEX 22.43
DOSE REDUCTION 40%
ASIR/MODE 0% / FULL 40% / PLUS
ALGORITHM
STANDARD
STANDARD
REFORMATS
THICK/INCR.
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR.
1.25 q 0.700
ALGORITHM CHEST
REFORMATS COR/SAG
ASiR/MODE 40% / PLUS
Estimated CTDI 87.75
Estimated DLP 419.59
LEFT ATRIAL APPENDAGE – LARIAT PROTOCOL
196(2) – SIEMENS FORCE
This study is not scanned on 196(2) Slice – Siemens Force
LEFT ATRIAL APPENDAGE – WATCHMAN PROTOCOL
LEFT ATRIAL APPENDAGE – WATCHMAN PROTOCOL REVISED: 8/24/18
IV SIZE 18g
IV CONTRAST WEIGHT BASED
INJECTION RATE 5cc/SEC
PT POSITION SUPINE / FEET FIRST
LANDMARK GE
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
INDICATION LT ATRIAL APPENDAGE – WATCHMAN PLANNING
ORAL PREP NONE
SCAN PULMONARY VEIN PHASE TIMED OFF THE LEFT ATRIUM – TWO PHASES
RECON 3.0mm AXIAL RECON – STANDARD ALGORITHM
3.0mm AXIAL RECON – LUNG ALGORITHM
0.6mm AXIAL RECON – STANDARD ALGORITHM
REFORMAT 3mm q 1.5mm MIP CORONAL AND SAGITTAL
3D POST PROCESSING
3D ROTATION PULMONARY VEIN CURVED REFORMAT LEFT ATRIAL APPENDAGE NECK AND MAX DIAMETER MEASUREMENTS LT
ATRIAL APPENDAGE WATCHMAN MEASUREMENTS
PARAMETER SCAN START CARINA
END BELOW HEART
DFOV 20
PREP GROUP
GE
SIEMENS SMART PREP @ LEFT ATRIUM
LEFT ATRIAL APPENDAGE – WATCHMAN PROTOCOL
16 SLICE – GE
This study is not scanned on 16 Slice GE Scanner
LEFT ATRIAL APPENDAGE – WATCHMAN PROTOCOL
64 SLICE – GE VCT
PROTOCOL COMING SOON!!
Estimated CTDI
Estimated DLP
LEFT ATRIAL APPENDAGE – WATCHMAN PROTOCOL
196(2) – SIEMENS FORCE
PARAMETER PREMONITORING /
SMART PREP TF TF
SCAN TYPE FULL
ROTATION TIME 0.25 SEC 0.25 SEC 0.25 SEC
THICKNESS 10.0mm 3.0mm 3.0mm
PITCH 3.2 3.2
SPEED
INTERVAL 0.0mm 3.0mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 100 CARE kV CARE kV
mAs 23 CAREDose4D CAREDose4D
NOISE INDEX
DOSE REDUCTION
DFOV 20 20 20
PREP GROUP SMART PREP 6 SEC
KERNEL
Br36 STD
Qr36 STD
Qr36
ADMIRE 3 3
THICK/INCR.
STD THN
0.6 q 0.3 STD THN
0.6 q 0.3
KERNEL Qr36 Qr36
ADMIRE 3 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
THICK/INCR.
COR MIP
3.0 q 1.5
KERNEL Br36
ADMIRE 3
THICK/INCR.
SAG MIP
3.0 q 1.5
KERNEL Br36
ADMIRE 3
Estimated CTDI 27.16
Estimated DLP
LUNG SCREENING
LUNG SCREENING REVISED: 8/24/18
IV SIZE
IV CONTRAST
INJECTION RATE
PT POSITION SUPINE / FEET FIRST
LANDMARK GE STERNAL NOTCH
SIEMENS N/A
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
PARAMETER SCAN START ABOVE APICES
END BELOW DIAPHRAGM
DFOV <TO PATIENT>
PREP GROUP
GE
SIEMENS
INDICATION LUNG CANCER SCREENING. ASYMPTOMATIC BUT AT HIGH RISK FOR LUNG CANCER
ORAL PREP NONE
SCAN NON-CONTRAST
RECON 2.5mm AXIAL RECON – STANDARD ALGORITHM
2.5mm AXIAL RECON – LUNG ALGORITHM
1.25mm AXIAL RECON – STANDARD ALGORITHM
REFORMAT 3.0mm CORONAL AND SAGITTAL 6.0mm q 3.0mm AXIAL MIP
3D POST PROCESSING
LUNG SCREENING
16 SLICE – GE
PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 2.5
PITCH 1.375:1
SPEED 27.50
INTERVAL 2.5
GANTRY TILT
SCAN FOV LARGE
kVp 120
mA
40mA (110-155 lbs) 80mA (155-200 lbs)
120mA (200-265 lbs)
NOISE INDEX
DOSE REDUCTION
ASiR/MODE 0% / FULL
ALGORITHM STD
STANDARD
REFORMATS
THICK/INCR.
Lung
2.5 q 2.5
ALGORITHM LUNG
REFORMATS
ASiR/MODE 0% / FULL
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS COR 3 / SAG 3
/ AX MIP 6
ASiR/MODE 0% / FULL
Estimated CTDI 1.36 / 2.72 / 4.08
Estimated DLP 38.01 / 76.01 / 114.02
LUNG SCREENING
64 SLICE – GE VCT
PARAMETER SCAN
SCAN TYPE HELICAL FULL
ROTATION TIME 0.5 SEC
THICKNESS 2.5
PITCH 0.984:1
SPEED 39.37
INTERVAL 2.5
GANTRY TILT
SCAN FOV LARGE BODY
kVp 120
mA
40mA (110-155 lbs) 80mA (155-200 lbs)
120mA (200-265 lbs)
NOISE INDEX DOSE REDUCTION
ASiR/MODE 0% / FULL
ALGORITHM STD
STANDARD
REFORMATS
THICK/INCR.
Lung
2.5 q 2.5
ALGORITHM LUNG
REFORMATS
ASiR/MODE 0% / FULL
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS COR 3 / SAG 3
/ AX MIP 6
ASiR/MODE 0% / FULL
Estimated CTDI 1.54 / 3.07 / 4.61
Estimated DLP 45.63 / 91.25 / 136.88
PULMONARY VEIN
PULMONARY VEIN REVISED: 8/24/18
PARAMETER SCAN START ABOVE APICES
END BELOW DIAPHRAGM
DFOV <TO PATIENT>
PREP GROUP
GE MIROI + 8 SEC
SIEMENS SMART PREP @ LEFT ATRIUM
INDICATION PULMONARY VEIN ISOLATION / PULMONARY VEIN MAPPING / ATRIAL FIBRILATION ABLATION PLANNING
ORAL PREP NONE
SCAN LATE ARTERIAL PHASE – TIMING OFF PULMONARY VEIN PLUS 8 SECONDS
RECON
1.25mm / 1.5mm AXIAL RECON – STANDARD ALGORITHM
3.0mm / 3.75mm AXIAL RECON – LUNG ALGORITHM
1.25mm / 1.5mm AXIAL RECON – CHEST ALGORITHM
REFORMAT 3mm q 1.5mm MIP CORONAL AND SAGITTAL 3mm CORONAL AND SAGITTAL
3D POST PROCESSING
3D ROTATION PULMONARY VEIN AXIAL/CORONAL NECK MEASUREMENTS RT/LT
SUPERIOR/INFERIOR VEIN, COMMON ORIGIN(S), AND AP/CC/RL LEFT ATRIUM
IV SIZE 18g
IV CONTRAST WEIGHT BASED
INJECTION RATE 5cc/SEC
PT POSITION SUPINE / FEET FIRST
LANDMARK GE STERNAL NOTCH
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
PULMONARY VEIN
16 SLICE – GE
PARAMETER *MIROI CTA
SCAN TYPE AXIAL FULL HELICAL FULL
ROTATION TIME 0.5 SEC 0.5 SEC
THICKNESS 5.0 1.25
PITCH 0.938:1
SPEED 18.75
INTERVAL 0.0 1.25
GANTRY TILT
SCAN FOV LARGE LARGE
kVp 120 100
mA 40 AUTO mA TO 420 W/ SMART mA
NOISE INDEX 25.60
DOSE REDUCTION ASiR/MODE 0% / FULL 40% / PLUS
ALGORITHM MIROI
STANDARD STD
STANDARD
REFORMATS
THICK/INCR.
Lung
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM CHEST
REFORMATS COR MIP / SAG MIP /
COR 3 / SAG 3
ASiR/MODE 40% / PLUS
Estimated CTDI 94.86
Estimated DLP 261.07
PULMONARY VEIN
64 SLICE – GE VCT
PARAMETER *MIROI CTA
SCAN TYPE AXIAL FULL HELICAL FULL
ROTATION TIME 0.5 SEC 0.9 SEC
THICKNESS 5.0 1.25
PITCH 0.984:1
SPEED 39.37
INTERVAL 0.0 1.25
GANTRY TILT SCAN FOV LARGE BODY LARGE BODY
kVp 120 100
mA 60 AUTO mA TO 420 W/ SMART mA
NOISE INDEX 22.43
DOSE REDUCTION 40%
ASIR/MODE 0% / FULL 40% / PLUS
ALGORITHM MIROI
STANDARD STD
STANDARD
REFORMATS
THICK/INCR.
Lung
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM CHEST
REFORMATS COR MIP / SAG MIP /
COR 3 / SAG 3
ASiR/MODE 40% / PLUS
Estimated CTDI 87.84
Estimated DLP 419.98
PULMONARY VEIN
196(2) – SIEMENS FORCE
PARAMETER PREMONITORING /
SMART PREP TF PV
SCAN TYPE FULL
ROTATION TIME 0.25 SEC 0.25 SEC
THICKNESS 10.0mm 1.5mm
PITCH 2.6
SPEED
INTERVAL 0.0mm 1.5mm
GANTRY TILT
SCAN FOV
kVp 100 CARE kV
mAs 23 CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV 30 <TO PATIENT>
PREP GROUP 6 SEC SMART PREP
KERNEL
Br36 STD
Bv36
ADMIRE 3
THICK/INCR.
STD THN
1.5 q 1.0
KERNEL Bv36
ADMIRE 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
THICK/INCR.
COR 3
3.0 q 3.0
KERNEL Br36
ADMIRE 3
THICK/INCR.
SAG 3
3.0 q 3.0
KERNEL Br36
ADMIRE 3
THICK/INCR.
COR MIP
3.0 q 1.5
KERNEL Br36
ADMIRE 3
THICK/INCR.
SAG MIP
3.0 q 1.5
KERNEL Br36
ADMIRE 3
Estimated CTDI 24.04
Estimated DLP
TAVR
TAVR REVISED: 8/24/18
IV SIZE 18g
IV CONTRAST WEIGHT BASED
INJECTION RATE 5cc/SEC
PT POSITION SUPINE / FEET FIRST / ECG MONITOR
ATTACHED
LANDMARK GE STERNAL NOTCH
SIEMENS ABOVE SHOULDERS
BREATHING INSPIRATION
SCOUTS AP AND LATERAL
PARAMETER HEART C/A/P START ABOVE CARINA ABOVE APICES
END THROUGH HEART BELOW FEMORAL
BIFURCATION
DFOV 25 <TO PATIENT>
PREP GROUP
GE MIROI + 12 SEC
SIEMENS SMART PREP @ CARINA (IN
DESCENDING AORTA)
INDICATION PRE TAVR
ORAL PREP NONE
SCAN 1. HEART 2. ARTERIAL PHASE CHEST/ABDOMEN/PELVIS
RECON
0.6mm / 0.625mm AXIAL RECON – STANDARD ALGORITHM (HEART)
0.6mm / 0.625mm AXIAL RECONS – STANDARD ALGORITHM 0-95% PHASES (HEART)
2.5mm / 3.0mm AXIAL RECONS – STANDARD ALGORITHM (C/A/P)
0.625mm / 1.5mm AXIAL RECONS – STANDARD ALGORITHM (C/A/P)
3.0mm / 3.75mm AXIAL RECONS – LUNG ALGORITHM (C/A/P)
3.75mm AXIAL RECON – STANDARD ALGORITHM (C/A/P) – GE SCANNER ONLY
REFORMAT 3mm q 1.5mm MIP CORONAL AND SAGITTAL (C/A/P)
3D POST PROCESSING
VALVE MEASUREMENTS 3D ROTATION OF TAA/AAA CURVED REFORMATS AORTA/RT ILIAC/LT ILIAC THIN MIP DOUBLE OBLIQUE CELIAC/SMA/RENAL
ARTERIES/IMA ORIGINS ACCESS MEASUREMENTS
TAVR
64 SLICE – GE VCT
PARAMETER MIROI GROUP 1 (HEART) GROUP 2 (C/A/P)
SCAN TYPE AXIAL FULL CARDIAC SEGMENT HELICAL FULL
ROTATION TIME 0.5 SEC 0.35 SEC 0.4 SEC
THICKNESS 5.0 0.625 2.5
PITCH 0.16:1 0.984:1
SPEED 6.40 39.37
INTERVAL 0.0 0.625 2.5
GANTRY TILT SCAN FOV SMALL BODY CARDIAC LARGE LARGE BODY
kVp 120 100 100
mA 20
ECG MODULATED TO 750 AUTO mA TO 700 W/ SMART
mA
NOISE INDEX 11.05
DOSE REDUCTION 10% 40%
ASIR/MODE 0% / FULL
30% / SNAPSHOT SEGMENT
40% / PLUS
ALGORITHM MIROI
STANDARD STD
STANDARD STD
STANDARD
REFORMATS
THICK/INCR.
STD THN
1.25 q 0.700
ALGORITHM STANDARD
REFORMATS COR MIP / SAG MIP
ASiR/MODE 40% / PLUS-E
THICK/INCR.
Lung
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 40% / FULL
THICK/INCR.
STD THK
3.75 q 3.75
ALGORITHM STANDARD
REFORMATS
ASiR/MODE 40% / PLUS
THICK/INCR.
Phases
0.625 q 0.625
ALGORITHM STANDARD
REFORMATS PHASE 5-95
(10)
ASiR/MODE 0% / SNAPSHOT
SEGMENT
Estimated CTDI 65.10
Estimated DLP 1129.11
TAVR
196(2) – SIEMENS FORCE
PARAMETER PREMONITORING /
SMART PREP GATED HEART TF TAVR
SCAN TYPE FULL
ROTATION TIME 0.25 SEC 0.25 SEC 0.25 SEC
THICKNESS 10.0mm 0.6mm 3.0mm
PITCH 0.15 3.0
SPEED
INTERVAL 0.0mm 0.6mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 100 CARE kV – SEMI - 100 CARE kV
mAs 23 CARE Dose4D CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV 20 20 <TO PATIENT>
PREP GROUP 10 SEC SMART PREP
KERNEL
Br36 STD Heart
Qr36 STD
Qr36
ADMIRE 2 3
THICK/INCR.
PHASES
0.6 q 0.5 STD THN
1.5 q 1.0
KERNEL Qr36 Qr36
ADMIRE 2 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
THICK/INCR.
COR MIP
3.0 q 1.5
KERNEL Qr36
ADMIRE 3
THICK/INCR.
SAG MIP
3.0 q 1.5
KERNEL Qr36
ADMIRE 3
***IF PATIENT EXCEEDS 250LBS PLEASE USE XXL PROTOCOL ***
Estimated CTDI 85.51
Estimated DLP
TAVR
PARAMETER PREMONITORING /
SMART PREP
XXL GATED HEART
XXL TF TAVR
SCAN TYPE FULL
ROTATION TIME 0.25 SEC 0.25 SEC 0.25 SEC
THICKNESS 10.0mm 0.6mm 3.0mm
PITCH 0.15 1.2
SPEED
INTERVAL 0.0mm 0.6mm 3.0mm
GANTRY TILT
SCAN FOV
kVp 100 CARE kV – SEMI - 120 CARE kV
mAs 40 CARE Dose4D CARE Dose4D
NOISE INDEX
DOSE REDUCTION
DFOV 20 20 <TO PATIENT>
PREP GROUP 10 SEC SMART PREP
KERNEL
Br36 STD Heart
Qr36 STD
Qr36
ADMIRE 2 3
THICK/INCR.
PHASES
0.6 q 0.5 STD THN
1.5 q 1.0
KERNEL Qr36 Qr36
ADMIRE 2 3
THICK/INCR.
Lung
3.0 q 3.0
KERNEL Bl57
ADMIRE 3
THICK/INCR.
COR MIP
3.0 q 1.5
KERNEL Qr36
ADMIRE 3
THICK/INCR.
SAG MIP
3.0 q 1.5
KERNEL Qr36
ADMIRE 3
Estimated CTDI 130.13
Estimated DLP
TRACHEOBRONCHOMALACIA
TRACHEOBRONCHOMALACIA REVISED: 8/24/18
IV SIZE
IV CONTRAST
INJECTION RATE
PT POSITION SUPINE / ARMS UP
LANDMARK GE STERNAL NOTCH
SIEMENS N/A
BREATHING INSPIRATION / EXPIRATION / FREE
BREATHING***
SCOUTS AP AND LATERAL
PARAMETER INSPIRATION EXPIRATION DYNAMIC #1 DYNAMIC #2 DYNAMIC #3 START ABOVE APICES ABOVE APICES UPPER T0 MID
INTRATHORACIC TRACHEA
MID TO LOWER INTRATHORACIC
TRACHEA
JUST BELOW CARINA END
BELOW ADRENAL GLANDS
BELOW ADRENAL GLANDS
DFOV <TO PATIENT> <TO PATIENT> <TO PATIENT> <TO PATIENT> <TO PATIENT>
PREP GROUP
GE
SIEMENS
INDICATION TRACHEOBRONCHOMALACIA
ORAL PREP NONE
SCAN
1. INSPIRATORY – FULL COVERAGE 2. EXPIRATORY – FULL COVERAGE 3. DYNAMIC SERIES #1 4. DYNAMIC SERIES #2 5. DYNAMIC SERIES #3
RECON
3.75mm AXIAL RECON - STANDARD ALGORITHM (INSPIRATORY)
3.75mm AXIAL RECON - LUNG ALGORITHM (INSPIRATORY)
1.25mm AXIAL RECON - CHEST ALGORITHM (INSPIRATORY)
1.26 q 10mm AXIAL RECON - BONE ALGORITHM (INSPIRATORY)
2.5mm AXIAL RECON - STANDARD ALGORITHM (EXPIRATORY)
5.0mm AXIAL RECON - STANDARD ALGORITHM (EACH DYNAMIC SET)
REFORMAT 3MM SAGITTAL AND CORONAL (INSPIRATION)
3D POST PROCESSING NONE
TRACHEOBRONCHOMALACIA
*** FREE BREATHING: ASK PATIENT TO TAKE A BREATH IN, LET IT OUT, BREATH IN LET IT OUT (SLIGHTLY FASTER THAN INSTRUCTIONS FOR REGULAR CT) AND THEN BREATH IN AND OUT NORMALLY DURING THE SCAN
DYNAMIC #1: UPPER TO MID INTRATHORACIC TRACHEA. BETWEEN CLAVICLES AND AORTIC ARCH
DYNAMIC #2: MID TO LOWER INTRATHORACIC TRACHEA. JUST ABOVE CARINA
TRACHEOBRONCHOMALACIA
64 SLICE – GE VCT
PARAMETER INSPIRATION EXPIRATION DYNAMIC #1 DYNAMIC
#2 DYNAMIC
#3
SCAN TYPE HELICAL FULL HELICAL FULL AXIAL FULL AXIAL FULL AXIAL FULL
ROTATION TME 0.5 SEC 0.5 SEC 0.5 SEC 0.5 SEC 0.5 SEC
THICKNESS 3.75mm 2.5mm 5.0mm 5.0mm 5.0mm
PITCH 1.375:1 0.969:1
SPEED 27.50 19.37
INTERVAL 3.75mm 2.5mm 0.0mm 0.0mm 0.0mm
GANTRY TILT
SCAN FOV LARGE BODY LARGE BODY LARGE BODY LARGE BODY LARGE BODY
kVp 120 120 120 120 120
mA AUTO mA TO 440
W/ SMART mA AUTO mA TO 100
W/ SMART mA AUTO mA TO 100 W/
SMART mA
AUTO mA TO 100 W/ SMART
mA
AUTO mA TO 100 W/
SMART mA
NOISE INDEX 13.58 12.75 7.82 7.82 7.82
DOSE REDUCTION
30% 30% 30% 30% 30%
ASIR/MODE 0% / PLUS 0% / FULL 0% / FULL 0% / FULL 0% / FULL
ALGORITHM STD INSP
STD STD EXP
STD INSP Dynamic
1
STD INSP Dynamic
2
STD INSP Dynamic
2
STD
REFORMATS
THICK/INCR.
Lung INSP
3.75 q 3.75
ALGORITHM LUNG
REFORMATS
ASiR/MODE 0% / FULL
THICK/INCR.
STD THN INSP
1.25 q 0.700
ALGORITHM CHEST
REFORMATS
COR 3 INSP / SAG 3
INSP
ASiR/MODE 0% / PLUS
THICK/INCR.
Bone INSP
1.25 q 10
ALGORITHM BONE
REFORMATS
ASiR/MODE 0% / FULL
Estimated CTDI 55.07
Estimated DLP 175.11