CT SCAN PROTOCOLS RADIOLOGY DEPARTMENT HOSPITAL SUNGAI BULOH
CT SCAN PROTOCOLS This document is prepared to be used as reference in CT-Scan examination. No changes are allowed without approval by the committee. Approved By: ................................. Dr Rofiah binti Ali Consultant Radiologist & Head of Department Radiology Department Hospital Sungai Buloh Date: First Edition 24th July 2023
Dr Rofiah binti Ali Consultant Radiologist & Head of Department Radiology Department Hospital Sungai Buloh Dr Noor Aida binti Mat Daud Senior Radiologist Radiology Department Hospital Sungai Buloh Dr Emy Saera binti Rosani Senior Radiologist Radiology Department Hospital Sungai Buloh Amita Kaur Kartar Singh Senior Radiographer Radiology Department Hospital Sungai Buloh Zurita binti Aziz Senior Radiographer Radiology Department Hospital Sungai Buloh Ummi Musliha binti Othman Senior Radiographer Radiology Department Hospital Sungai Buloh COMMITTEE MEMBER of CT SCAN PROTOCOLS Muhammad Azrie bin Ab Rahim Senior Radiographer Radiology Department Hospital Sungai Buloh Ahmad Riadhi bin Ahmad Shabri Senior Radiographer Radiology Department Hospital Sungai Buloh Tanesan Subramaniam Senior Radiographer Radiology Department Hospital Sungai Buloh Zahid bin Kahar @ Khamis Senior Radiographer Radiology Department Hospital Sungai Buloh Shahrin Amri bin Ahmed Nawawi Radiographer Radiology Department Hospital Sungai Buloh
Content of CT Scan Protocols 1 36 9 48 5 42 15 55 3 40 11 52 7 45 17 61 25 70 29 73 33 22 67 19 64 Brain Plain & IV Orbit Plain & IV PNS Plain & IV HRCT Petrous Bone Neck IV Neck TAP IV HRCT Thorax Thorax IV TAP IV Adrenal Abdomen Pelvis IV Liver 4 phase Kidney 4 phase Pancrease 4 phase CTA Cerebral CTU Colonoscopy CTA Mesentric CT PA CTA Abdomen CTV Cerebral CTA Carotid CTA Abdomen CTA Lower Limb CTA Upper Limb
AP LAT kV 120 mA 50 30 Scano Length 300mm 300mm Scan Area MENTUM to VERTEX Tube Postion AP Lateral Direction OUT IN Recon Process FL03 FL03 Window WL +90, WW 140 WL +130, WW 130 SCAN PLAIN CONTRAST Scan Delay 0 sec 60 sec kV 120 Tube Rotation 0.75 sec Gantry Position Tilt 0~19 degree (SupraOrbital Meatal Line) Thickness 0.5 x 40 Helical Pitch DETAIL Sure Exp. 3D STANDARD Scan Area FORAMEN MAGNUM to VERTEX AXIAL Planar Paralle to Canthomeatal Line S C A N NIN G P A R A M E T E R: S C A N O G R A M: Injector Setting Contrast Flushing Volume 30ml 40ml Flow Rate 1.0ml/s 1.0ml/s Pressure 100 PSI 100 PSI BRAIN PLAIN & IV Patient Position : Supine Arm resting against the body Neck is flexed Head position slightly flexion so OML perpendicular to Z plane Secure head well in the Head Craddle 1
BRAIN (HEAD--> BRAIN) Recon GEPACS INFINIT AXIAL Slice Thickness 4.0mm 0.5mm Image Interval 4.0mm 0.3mm Recon FC FC25 FC21 Window WL +35, WW 75 WL +35, WW 75 MPR Slice Thickness 5.0mm Lock Images 19 NIL CORONAL Window WL +35, WW 75 Slice Thickness 5.0mm Lock Images 19 NIL SAGITTAL Window WL +35, WW 75 B R AIN P L AIN & IV POST PROCESSING BRAIN 2
AP LAT kV 80 mA 50 50 Scano Length 240mm 240mm Scan Area UPPER LIP to FRONTAL SINUS Tube Postion AP Lateral Direction OUT IN Recon Process FL04 FL04 Window WL +90, WW 140 WL +130, WW 130 SCAN PLAIN CONTRAST Scan Delay 0 sec 60 sec kV 120 Tube Rotation 0.75 sec mA 200 Thickness 0.5 x 80 Helical Pitch STANDARD Sure Exp. 3D OFF Scan Area 1CM BELOW INFRAORBITAL MARGIN to UPPER BORDER FRONTAL SINUS AXIAL Planar S C A N NIN G P A R A M E T E R: S C A N O G R A M: Patient Position : Supine Arm resting against the body Neck is straight Secure head well in the Head Craddle ORBIT PLAIN & IV Injector Setting Contrast Flushing Volume 50ml 50ml Flow Rate 2.0ml/s 2.0ml/s Pressure 150 PSI 3
ORBIT SOFT TISSUES (HEAD--> SOFT TISSUES) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0mm 0.5mm Image Interval 1.0mm 0.3mm Recon FC FC08 FC08 Window WL +35, WW 320 WL +35, WW 320 MPR Slice Thickness 2.0mm Lock Images 19 NIL CORONAL Window WL +35, WW 320 Slice Thickness 2.0mm NIL RT & LT SAGITTAL OBLIQUE Lock Images 19 Window WL +35, WW 320 O R BIT P L AIN & IV BONE WINDOW (BONE--> SHARP) Recon GEPACS INFINIT AXIAL Slice Thickness 0.5mm 0.5mm Image Interval 1.0mm 0.3mm Recon FC FC30 FC30 Window WL +350, WW 2700 WL +350, WW 2700 MPR Slice Thickness 0.5mm Lock Images 19 NIL CORONAL Window WL +350, WW 2700 Slice Thickness 0.5mm NIL RT & LT SAGITTAL OBLIQUE Lock Images 19 Window WL +350, WW 2700 B O N E POST PROCESSING ORBIT 4
AP LAT kV 80 mA 50 50 Scano length 240mm 240mm UPPER LIP to FRONTAL SINUS Tube Postion AP Lateral Direction OUT IN Recon Process FL04 FL04 Window WL +90, WW 140 WL +130, WW 130 SCAN PLAIN CONTRAST Scan Delay 0 sec 60 sec kV 120 Tube Rotation 0.75 sec Ma 200 Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D OFF Scan Area 2CM BELOW HARD PALATE to UPPER BORDER OF THE FRONTAL SINUS AXIAL Planar PARALLEL to HARD PALATE S C A N NIN G P A R A M E T E R: S C A N O G R A M: Injector Setting Contrast Flushing Volume 50ml 50ml Flow Rate 2.0ml/s 2.0ml/s Pressure 150 PSI Patient Position : Supine Arm resting against the body Neck is straight Secure head well in the Head Craddle PNS PLAIN & IV 5
PNS SOFT TISSUES (HEAD--> SOFT TISSUES) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0mm 0.5mm Image Interval 1.0mm 0.3mm Recon FC FC08 FC08 Window WL +40, WW 230 WL +40, WW 230 MPR Slice Thickness 2.0mm Lock Images 19 NIL CORONAL Window WL +40, WW 230 Slice Thickness 2.0mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 230 P N S P L AIN & IV BONE WINDOW (BONE--> SHARP) Recon GEPACS INFINIT AXIAL Slice Thickness 0.5mm 0.5mm Image Interval 1.0mm 0.3mm Recon FC FC30 FC30 Window WL +350, WW 2700 WL +350, WW 2700 MPR Slice Thickness 0.5mm Lock Images 19 NIL CORONAL Window WL +350, WW 2700 Slice Thickness 0.5 Lock Images 19 NIL SAGITTAL Window WL +350, WW 2700 B O N E POST PROCESSING PNS 6
AP LAT kV 80 mA 50 30 Scano length 240mm 240mm LOWER LIP to GLABELLAR Tube Postion AP Lateral Direction OUT IN Recon Process FL04 FL04 Window WL +90, WW 140 WL +90, WW 140 SCAN PLAIN Scan Delay 0 sec kV 120 Tube Rotation 0.5 sec. mA 250 Thickness 0.5 x 80 Helical Pitch DETAIL Sure Exp. 3D OFF Scan Area BASE OF OCCIPITAL BONE to UPPER BORDER MASTOID BONE. AXIAL Planar GLABELLOMEATAL LINE S C A N NIN G P A R A M E T E R: S C A N O G R A M: Patient Position : Supine Arm resting against the body Neck is straight Secure head well in the Head Craddle HRCT PETROUS BONE 7
BONE WINDOW (BONE--> SHARP) Recon GEPACS INFINIT AXIAL Slice Thickness 0.5 SR mm 0.5 SR mm Image Interval 0.5 mm 0.3mm Recon FC FC81 FC81 Window WL +450, WW 4500 WL +450, WW 4500 MPR Slice Thickness 0.5mm Lock Images 19 NIL CORONAL Window WL +450, WW 4500 Slice Thickness 0.5 Lock Images 19 NIL SAGITTAL Window WL +450, WW 4500 B O N E POST PROCESSING HRCT PETROUS BONE 8
AP LAT kV 120 mA 100 50 Scano length 300mm 300mm GLABELLA to MANUBRIUM Tube Postion AP Lateral Direction OUT IN Recon Process FL04 FL04 Window WL +170, WW 250 WL +130, WW 170 Breathing Instruction Inspiration SCAN CONTRAST Scan Delay 50 sec kV 120 Tube Rotation 0.5 sec. mA MODULATE/AEC Thickness 0.5 x 80 Helical Pitch STANDARD Sure Exp. 3D QUALITY Scan Area ARCH of AORTA to PITUITARY FOSSA AXIAL Planar PERPENDICULAR to HEAD NECK AXIS S C A N NIN G P A R A M E T E R: S C A N O G R A M: Injector Setting Contrast Flushing Volume 50ml 50ml Flow Rate 2.0ml/s 2.0ml/s Pressure 150 PSI Patient Position : Supine Arm resting against the body Neck is STRAIGHT Secure head well in the Head Craddle NECK IV 9
NECK SOFT TISSUES (NECK-->STANDARD) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0mm 0.5mm Image Interval 2.0mm 0.3mm Recon FC FC08 FC08 Window WL +40, WW 320 WL +40, WW 320 MPR Slice Thickness 2.0mm Lock Images 19 NIL CORONAL Window WL +40, WW 230 Slice Thickness 2.0mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 230 N E C K IV POST PROCESSING NECK IV 10
NECK IV SCAN CONTRAST Scan Delay 50 sec kV 120 Tube Rotation 0.5 sec. Gantry Position NO TILTING Thickness 0.5 x 80 Helical Pitch STANDARD Sure Exp. 3D QUALITY Scan Area ARCH of AORTA to PITUITARY FOSSA AXIAL Planar PERPENDICULAR to HEAD NECK AXIS Breathing Instruction Inspiration Arm Position Arm's down Scan Direction Caudo Cranial S C A N NIN G P A R A M E T E R: S C A N O G R A M: AP LAT kV 120 mA 50 100 Scano length 1400mm 1400mm GLABELLAR to LESSER TROCHANTER Tube Postion AP Lateral Direction OUT IN Recon Process FL04 FL04 Window WL +130, WW170 WL +170, WW250 Breathing Instruction Inspiration Patient Position : Supine Arm position comfortably above the head on the armrest NECK + THORAX ABDOMEN PELVIS IV PRE-SCAN PREP 1000ml PLAIN WATER / 1000ml ORAL CONTRAST (ASK M.O) 120ml ~ 500ml RECTAL CONTRAST - if NECESSARY TAMPON if NECESSARY 11
Injector Setting Contrast Flushing Volume 80ml 50ml Flow Rate 2.5 ml/s 2.5 ml/s Pressure 160 PSI THORAX ABDOMEN PELVIS SCAN CONTRAST Scan Delay 70 SEC AFTER CONTRAST INJECTED kV (<60kg) 100 (60Kg - 90kg) 120 (>90kg) 135 Tube Rotation 0.5 sec. Gantry Position NO TILTING Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D STANDARD Scan Area 1CM ABOVE APEX OF LUNGS to SYMPHYSIS PUBIS AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration Arm Position Arm's up S C A N NIN G P A R A M E T E R: NECK + THORAX ABDOMEN PELVIS IV *1ml -2ml/kg - according to body weight (60ml - 100ml) DELAY PHASE - IF NECESSARY SCAN POST CONTRAST Scan Delay 5 MIN AFTER CONTRAST INJECTED kV (<60Kg) 100 (60Kg<>90Kg) 120 (90Kg<) 135 Tube Rotation 0.5 sec. Gantry Position NO TILTING Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D STANDARD Scan Area DOME of BLADDER to SYMPHYSIS PUBIS AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration S C A N NIN G P A R A M E T E R: 12
NECK SOFT TISSUES (NECK-->STANDARD) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0mm 0.5mm Image Interval 2.0mm 0.3mm Recon FC FC08 FC18 Window WL +40, WW 320 WL +40, WW 320 N E C K S O F T TIS S U E S IV ABDOMEN MEDIASTINUM (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 MPR Slice Thickness 2.0 mm Lock Images 19 NIL CORONAL Window WL +40, WW 400 Slice Thickness 2.0 mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 400 S O F T TIS S U E S M E DIA S T E R N U M POST PROCESSING NECK + TAP MPR Slice Thickness 2.0mm Lock Images 19 NIL CORONAL Window WL +40, WW 320 Slice Thickness 2.0mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 320 13
LUNG (LUNG --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC52 FC52 Window WL -550, WW +1600 WL -550, WW +1600 L U N G ABDOMEN MEDIASTINUM (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 D Window WL +40, WW 400 WL +40, WW 400 E L A Y B L A D D E R POST PROCESSING NECK + TAP 14
AP LAT kV 120 mA 50 100 Scano Length 500mm 500mm Scan Area C7 to 1cm below Costophrenic angle Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +130, WW170 WL +170, WW250 Breathing Instruction Inspiration SCAN PLAIN Scan Delay 0 sec kV (<70kg) 100 (>70kg) 120 Tube Rotation 0.5 sec. mA 250 Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D QUALITY Scan Area LOWER END of Costophrenic angle TO APEX of lung AXIAL Planar AXIAL to THE BODY AXIS S Breathing Instruction Inspiration C A N NIN G P A R A M E T E R: S C A N O G R A M: Patient Position : Supine Arm position comfortably above the head on the armrest HRCT THORAX 15
LUNG (LUNG --> HIGH RESOLUTION) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0mm 0.5mm Image Interval 1.0mm 0.3mm Recon FC FC81 FC81 Window WL -500, WW 1500 WL -500, WW 1500 MPR Slice Thickness 1.0 mm Lock Images 19 NIL CORONAL Window WL -500, WW 1500 Slice Thickness 1.0 mm Lock Images 19 NIL SAGITTAL Window WL -500, WW 1500 H R C T L U N G THORAX SOFT (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 MPR Slice Thickness 2.0 mm Lock Images 19 NIL CORONAL Window WL +40, WW 400 Slice Thickness 2.0 mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 400 S O F T TIS S U E S M E DIA S TIN U M POST PROCESSING HRCT THORAX 16
AP LAT kV 120 mA 50 100 Scano Length 500mm 500mm Scan Area C7 to 1cm below Costophrenic angle Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +130, WW170 WL +170, WW250 Breathing Instruction Inspiration PORTAL VENOUS PHASE SCAN CONTRAST Scan Delay 60 sec kV (<70kg) 100 (>70kg) 120 Tube Rotation 0.5 sec. mA MODULATE Thickness 0.5 x 80 Helical Pitch STANDARD Sure Exp. 3D STANDARD Scan Area APEX of lung TO LOWER END of Costophrenic angle AXIAL Planar PERPENDICULAR to BODY AXIS Breathing Instruction Inspiration S C A N NIN G P A R A M E T E R: S C A N O G R A M: Injector Setting Contrast Flushing Volume 50ml 50ml Flow Rate 2.5ml/s 2.5ml/s Pressure 160 PSI Patient Position : Supine Arm position comfortably above the head on the armrest THORAX IV 17
P O R T A L V E N O U S THORAX SOFT (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 MPR Slice Thickness 2.0 mm Lock Images 19 NIL CORONAL Window WL +40, WW 400 Slice Thickness 2.0 mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 400 L U N G LUNG (LUNG --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC52 FC52 Window WL +550, WW 1600 WL +550, WW 1600 POST PROCESSING THORAX IV 18
S C A N NIN G P A R A M E T E R: S C A N O G R A M: AP LAT kV 120 mA 50 100 Scano Length 1000 mm 1000 mm Scan Area C7 to LESSER TROCHANTER Tube Postion AP Lateral Direction IN OUTS Recon Process FL04 FL04 Window WL +130, WW170 WL +170, WW250 Breathing Instruction Inspiration Patient Position : Supine Arm position comfortably above the head on the armrest THORAX ABDOMEN PELVIS (TAP) IV PRE-SCAN PREP 1000ml PLAIN WATER / 1000ml ORAL CONTRAST (ASK M.O) 120ml ~ 500ml RECTAL CONTRAST - if NECESSARY TAMPON if NECESSARY VENOUS PHASE SCAN CONTRAST Scan Delay 70 SEC kV (<60kg) 100 (60kg - 90kg) 120 (>90kg) 135 Tube Rotation 0.5 sec. Gantry Position NO TILTING Thickness 0.5 x 80 Helical Pitch STANDARD Sure Exp. 3D STANDARD Scan Area 1CM ABOVE APEX OF LUNGS to SYMPHYSIS PUBIS AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration Scan Direction Cranio Caudal Injector Setting Contrast Flushing Volume 80ml 50ml Flow Rate 2.0 ml/s 2.0 ml/s Pressure 160 PSI *max 2ml/kg 19
DELAY PHASE - IF NECESSARY SCAN POST CONTRAST Scan Delay 5 MIN AFTER CONTRAST INJECTED kV (<60kg) 100 (60kg - 90kg) 120 (>90kg) 135 Tube Rotation 0.5 sec. Gantry Position NO TILTING Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D STANDARD Scan Area DOME of BLADDER to SYMPHYSIS PUBIS AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration Scan Direction Cranio Caudal S C A N NIN G P A R A M E T E R: THORAX ABDOMEN PELVIS (TAP) IV 20
ABDOMEN PELVIS (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 MPR Slice Thickness 2.0mm Lock Images 19 NIL CORONAL Window WL +40, WW 400 Slice Thickness 2.0mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 400 P O R T A L V E N O U S P H A S E LUNG (LUNG --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC52 FC52 Window WL -550, WW +1600 WL -550, WW +1600 L U N G POST PROCESSING TAP ABDOMEN PELVIS (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 D E L A Y 21
AP LAT kV 120 mA 50 100 Scano length 800mm 800mm MIDDLE of STERNUM to LESSER TROCHANTER Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +130, WW170 WL +170, WW250 Breathing Instruction Inspiration S C A N NIN G P A R A M E T E R: S C A N O G R A M: Injector Setting Contrast Flushing Volume 80ml 50ml Flow Rate 3.0 ml/s 3.0 ml/s Pressure 160 PSI VENOUS PHASE SCAN CONTRAST Scan Delay 75 SEC kV (<60kg) 100 (60kg - 90kg) 120 (>90kg) 135 Tube Rotation 0.5 sec. Gantry Position NO TILTING Thickness 0.5 x 80 Helical Pitch STANDARD Sure Exp. 3D STANDARD Scan Area 1CM ABOVE DIAPHRAGM to SYMPHYSIS PUBIS AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration Scan Direction Cranio Caudal Patient Position : Supine Arm position comfortably above the head on the armrest ABDOMEN PELVIS IV 22 1000ml PLAIN WATER / 1000ml ORAL CONTRAST (ASK M.O) 120ml ~ 500ml RECTAL CONTRAST - IF NECESSARY TAMPON IF NECESSARY PRE-SCAN PREP *1ml -2ml/kg - according to body weight (60ml - 100ml)
DELAY PHASE - IF NECESSARY SCAN POST CONTRAST Scan Delay 5 MIN POST CONTRAST INJECTION kV (<60Kg) 100 (60Kg<>90Kg) 120 (90Kg<) 135 Tube Rotation 0.5 sec. Gantry Position NO TILTING Thickness 0.5 x 80 Helical Pitch STANDARD Sure Exp. 3D STANDARD Scan Area UPPER REGION of MASS OR DOME of BLADDER to SYMPHYSIS PUBIS AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration S C A N NIN G P A R A M E T E R: ABDOMEN PELVIS IV 23
ABDOMEN MEDIASTINUM (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 MPR Slice Thickness 2.0mm Lock Images 19 NIL CORONAL Window WL +40, WW 400 Slice Thickness 2.0mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 400 P O R T A L V E N O U S P H A S E LUNG (LUNG --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC52 FC52 Window WL +550, WW 1600 WL +550, WW 1600 L U N G POST PROCESSING ABDOMEN PELVIS IV ABDOMEN MEDIASTERNUM (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 D E L A Y 24
AP LAT kV 120 mA 50 100 Scano length 800mm 800mm MIDDLE of STERNUM to LESSER TROCHANTER Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +130, WW170 WL +170, WW250 Breathing Instruction Inspiration S C A N NIN G P A R A M E T E R: S C A N O G R A M: PHASE 1 - PLAIN Scan Delay 0 SEC kV (<60kg) 100 (60kg - 90kg) 120 (>90kg) 135 Tube Rotation 0.5 sec. Gantry Position NO TILTING Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D STANDARD Scan Area 1CM ABOVE DIAPHRAGM to LOWER BORDER of LIVER AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration SCAN & VIEW kV 100 mA 50~200 LEVEL of ROI ABDOMINAL AORTA Breathing Instruction Inspiration Patient Position : Supine Arm position comfortably above the head on the armrest LIVER 4 PHASE 25
LIVER 4 PHASE SURESTART kV (<60kg) 100 (60kg - 90kg) 120 (>90kg) 135 mA 80 Delay Scan 10 sec. HU Trigger 180 Breathing Instruction Inspiration S C A N NIN G P A R A M E T E R: Injector Setting Contrast Flushing Volume 80ml 50ml Flow Rate 3.0ml/s 3.0ml/s Pressure 160 PSI SCAN SETTING PROTOKOL for ARTERIAL, VENOUS and DELAY kV (<60kg) 100 (60kg - 90kg) 120 (>90kg) 135 Tube Rotation 0.5 sec Thickness 0.5x80 HP STANDARD Sure Exp. 3D STANDARD AXIAL Planar PERPENDICULAR to THE BODY AXIS Breathing Instruction Inspiration PHASE 2 - ARTERIAL Scan Delay 10 sec. AFTER SURESTART TRIGGER Scan Area 1CM ABOVE DIAPHRAGM to LOWER BORDER of LIVER PHASE 3 - VENOUS Scan Delay 45 sec AFTER ARTERIAL SCAN Scan Area 1CM ABOVE DIAPHRAGM to SYMPHYSIS PUBIS PHASE 4 - DELAY Scan Delay 5 min AFTER CONTRAST INJECTED Scan Area 1CM ABOVE DIAPHRAGM to LOWER BORDER of LIVER 26
ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 P L AIN A R T E RIA L P H A S E ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 MIP Slice Thickness 8.0 mm Lock Images 19 NIL CORONAL Window WL +40, WW 400 Slice Thickness 8.0 mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 400 POST PROCESSING LIVER 4 PHASE 27
V E N O U S P H A S E POST PROCESSING LIVER 4 PHASE ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 MPR Slice Thickness 2.0 mm Lock Images 19 NIL CORONAL Window WL +40, WW 400 Slice Thickness 2.0 mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 400 D E L A Y ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 28
AP LAT kV 120 mA 50 100 Scano length 800mm 800mm MIDDLE of STERNUM to LESSER TROCHANTER Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +130, WW170 WL +170, WW250 Breathing Instruction Inspiration S C A N NIN G P A R A M E T E R: S C A N O G R A M: PHASE 1 - PLAIN Scan Delay 0 SEC kV (<60kg) 100 (60kg - 90kg) 120 (>90kg) 135 Tube Rotation 0.5 sec. Gantry Position NO TILTING Thickness 0.5 x 80 Helical Pitch STANDARD Sure Exp. 3D STANDARD Scan Area UPPER to LOWER POLE OF KIDNEY AREA & if KIDNEY NOT SEEN IN SCANO START from UPPER BORDER T12 AXIAL Planar PERPENDICULAR to THE BODY AXIS Breathing Instruction Inspiration SCAN & VIEW kV 100 mA 50~200 LEVEL of ROI ABDOMINAL AORTA (level T12) Breathing Instruction Inspiration Patient Position : Supine Arm position comfortably above the head on the armrest KIDNEY 4 PHASE 29
SURESTART kV (<60kg) 100 (60kg - 90kg) 120 (>90kg) 135 mA 80 Delay Scan 10 sec. HU Trigger 180 Breathing Instruction Inspiration S C A N NIN G P A R A M E T E R: Injector Setting Contrast Flushing Volume 80ml 50ml Flow Rate 3.5 ml/s 3.0 ml/s Pressure 160 PSI SCAN SETTING PROTOKOL for ARTERIAL, VENOUS and DELAY kV (<60Kg) 100 (60kg - 90kg) 120 (>90kg) 135 Tube Rotation 0.5 sec Thickness 0.5x80 Helical Pitch STANDARD Sure Exp. 3D STANDARD AXIAL Planar PERPENDICULAR to THE BODY AXIS Breathing Instruction Inspiration PHASE 2 - ARTERIAL (Corticomedullary Phase) Scan Delay 10 sec. AFTER SURESTART TRIGGER Scan Area UPPER to LOWER POLE OF KIDNEY AREA PHASE 3 - VENOUS (Nephrographic Phase) Scan Delay 80 sec AFTER CONTRAST INJECTED Scan Area 1CM ABOVE DIAPHRAGM to SYMPHYSIS PUBIS PHASE 4 - DELAY KUB (Excretory Phase) Scan Delay 15 min AFTER CONTRAST INJECTED Scan Area UPPER POLE of KIDNEY to SYMPHSIS PUBIS KIDNEY 4 PHASE 30 Contrast *1ml -2ml/kg - according to body weight (60ml - 100ml)
ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 P L AIN A R T E RIA L P H A S E ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 MPR Slice Thickness 2.0 mm Lock Images 19 NIL CORONAL Window WL +40, WW 400 Slice Thickness 2.0 mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 400 POST PROCESSING KIDNEY 4 PHASE 31
V E N O U S P H A S E ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 MPR Slice Thickness 2.0 mm Lock Images 19 NIL CORONAL Window WL +40, WW 400 Slice Thickness 2.0 mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 400 D E L A Y ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 POST PROCESSING KIDNEY 4 PHASE 32
AP LAT kV 120 mA 50 100 Scano Length 800mm 800mm Scan Area MIDDLE of STERNUM to LESSER TROCHANTER Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +130, WW170 WL +170, WW250 Breathing Instruction Inspiration S C A N NIN G P A R A M E T E R: S C A N O G R A M: PHASE 1 - PLAIN Scan Delay 0 SEC kV (<60Kg) 100 (60kg - 90kg) 120 (>90kg) 135 Tube Rotation 0.5 sec. Gantry Position NO TILTING Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D STANDARD Scan Area 1CM ABOVE DIAPHRAGM to LOWER BORDER of LIVER AXIAL Planar PERPENDICULAR to THE BODY AXIS Breathing Instruction Inspiration SCAN & VIEW kV 100 mA 50~200 LEVEL of ROI ABDOMINAL AORTA Breathing Instruction Inspiration Patient Position : Supine Arm position comfortably above the head on the armrest PANCREAS 4 PHASE 33
SURESTART kV (<60kg) 100 (60kg - 90kg) 120 (>90kg) 135 mA 80 Delay Scan 10 sec. HU Trigger 180 Breathing Instruction Inspiration S C A N NIN G P A R A M E T E R: Injector Setting Contrast Flushing Volume 80ml 50ml Flow Rate 3.5 ml/s 3.0 ml/s Pressure 160 PSI SCAN SETTING PROTOKOL for ARTERIAL, VENOUS and DELAY kV (<60kg) 100 (60kg - 90kg) 120 (>90kg) 135 Tube Rotation 0.5 sec Thickness 0.5x80 HP STANDARD Sure Exp. 3D STANDARD AXIAL Planar PERPENDICULAR to THE BODY AXIS Breathing Instruction Inspiration PHASE 2 - ARTERIAL Scan Delay 10 sec. AFTER SURESTART TRIGGER Scan Area WHOLE PANCREAS ORGAN PHASE 3 - VENOUS Scan Delay 45 sec AFTER ARTERIAL SCAN OR 75 sec AFTER CONTRAST INJECTED Scan Area 1CM ABOVE DIAPHRAGM to SYMPHYSIS PUBIS PHASE 4 - DELAY PANCREAS Scan Delay 5 min AFTER CONTRAST INJECTED Scan Area WHOLE PANCREAS ORGAN PANCREAS 4 PHASE 34 Contrast *1ml -2ml/kg - according to body weight (60ml - 100ml)
ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0 mm 0.5 mm Image Interval 1.0 mm 0.3 mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 P L AIN A R T E RIA L P H A S E ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0 mm 0.5 mm Image Interval 1.0 mm 0.3 mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 MPR Slice Thickness 2.0 mm Lock Images 19 NIL CORONAL Window WL +40, WW 400 Slice Thickness 2.0 mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 400 LUNG (LUNG --> STANDARD AXIAL/VOLUME) POST PROCESSING PANCREAS 4 PHASE 35 Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5 mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +550, WW 1600 WL +550, WW 1600 L U N G
V E N O U S P H A S E ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 MPR Slice Thickness 2.0 mm NIL CORONAL Lock Images 19 Window WL +40, WW 400 Slice Thickness 2.0 mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 400 D E L A Y ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 POST PROCESSING PANCREAS 4 PHASE 36
AP LAT kV 120 mA 50 100 Scano length 800mm 800mm Scan Area MIDDLE of STERNUM to LESSER TROCHANTER Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +130, WW170 WL +170, WW250 Breathing Instruction Inspiration S C A N NIN G P A R A M E T E R: S C A N O G R A M: PHASE 1 - PLAIN Scan Delay 0 SEC kV (<60kg) 100 (60kg - 90kg) 120 (>90kg) 135 Tube Rotation 0.5 sec. Gantry Position NO TILTING Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D STANDARD Scan Area 3CM ABOVE UPPER POLE OF KIDNEY to LOWER POLE OF KIDNEY AREA AXIAL Planar PERPENDICULAR to THE BODY AXIS Breathing Instruction Inspiration Injector Setting Contrast Flushing Volume 80ml 50ml Flow Rate 3.0 ml/s 3.0 ml/s Pressure 160 PSI Patient Position : Supine Arm position comfortably above the head on the armrest ADRENAL 37 Contrast *1ml -2ml/kg - according to body weight (60ml - 100ml)
S C A N NIN G P A R A M E T E R: SCAN SETTING PROTOKOL for ARTERIAL, VENOUS and DELAY kV (<60kg) 100 (60kg - 90g) 120 (>90kg) 135 Tube Rotation 0.5 sec Thickness 0.5x80 HP STANDARD Sure Exp. 3D STANDARD AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration PHASE 2 - VENOUS Scan Delay 75 sec AFTER CONTRAST INJECTED Scan Area 1CM ABOVE DIAPHRAGM to SYMPHYSIS PUBIS PHASE 3 -DELAY ADRENAL GLAND Scan Delay 15 min AFTER CONTRAST INJECTED Scan Area 3CM ABOVE UPPER POLE OF KIDNEY to LOWER POLE OF KIDNEY AREA ADRENAL 38
ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 2.0 mm 0.5 mm Image Interval 2.0 mm 0.3 mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 P L AIN V E N O U S P H A S E ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 2.0 mm 0.5 mm Image Interval 2.0 mm 0.3 mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 MPR Slice Thickness 2.0 mm Lock Images 19 NIL CORONAL Window WL +40, WW 400 Slice Thickness 2.0 mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 400 POST PROCESSING ADRENAL D E L A Y ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 2.0 mm 0.5mm Image Interval 2.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 39
AP LAT kV 120 mA 50 100 Scano Length 800mm 800mm 1CM ABOVE DIAPHRAGM to SYMPHYSIS PUBIS Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +130, WW170 WL +170, WW250 Breathing Instruction Inspiration S C A N NIN G P A R A M E T E R: S C A N O G R A M: PLAIN SCAN NON CONTRAST Scan Delay FULL BLADDER kV (<60Kg) 100 (60kg - 90kg) 120 (>90kg) 135 Tube Rotation 0.5 sec. Gantry Position NO TILTING Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D STANDARD Scan Area UPPER POLE OF KIDNEY to SYMPHYSIS PUBIS AXIAL Planar PERPENDICULAR to THE BODY AXIS Breathing Instruction Inspiration Patient Position : Supine Arm position comfortably above the head on the armrest CTU PRE-SCAN PREP : 1000ml PLAIN WATER 40
ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 P L AIN MIP Slice Thickness 10.0 mm NIL CORONAL Lock Images 19 Window WL +40, WW 400 Slice Thickness 10.0 mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 400 POST PROCESSING CTU 41
PLAIN AP LAT Patient Position PRONE kV 120 mA 50 100 Scano length 800mm 800mm MIDDLE of STERNUM to LESSER TROCHANTER Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +130, WW170 WL +170, WW250 Breathing Instruction Inspiration S C A N NIN G P A R A M E T E R: S C A N O G R A M: PLAIN Patient Position PRONE Scan Delay 0 SEC kV (<60kg) 100 (60kg - 90kg) 120 (>90kg) 135 Tube Rotation 0.5 sec. Thickness 0.5 x 80 Helical Pitch STANDARD Sure Exp. 3D STANDARD Scan Area ABOVE DIAPHRAGM to SYMPHYSIS PUBIS AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration PRONE POSITION Patient Position : PRONE and SUPINE Arm position comfortably above the head COLONOSCOPY 42 PRE-SCAN PREP : AIR INSULFATION
PORTAL VENOUS PHASE AP LAT Patient Position SUPINE kV 120 mA 50 100 Scano length 800mm 800mm MIDDLE of STERNUM to LESSER TROCHANTER Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +130, WW170 WL +170, WW250 Breathing Instruction Inspiration S C A N NIN G P A R A M E T E R: S C A N O G R A M: PORTAL VENOUS PHASE Patient Position SUPINE Scan Delay 75 SEC kV (<60kg) 100 (60kg - 90kg) 120 (>90kg) 135 Tube Rotation 0.5 sec. Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D STANDARD Scan Area 1CM ABOVE DIAPHRAGM to SYMPHYSIS PUBIS AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration Patient Position : PRONE and SUPINE Arm position comfortably above the head COLONOSCOPY SUPINE POSITION Injector Setting Contrast Flushing Volume 80ml 50ml Flow Rate 3.0 ml/s 3.0 ml/s Pressure 160 PSI PRE-SCAN PREP : AIR INSULFATION Contrast *1ml -2ml/kg - according to body weight (60ml - 100ml) 43
ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 P L AIN - P R O N E P O R T A L V E N O U S P H A S E - S U PIN E ABDOMEN (BODY --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC18 FC08 Window WL +40, WW 400 WL +40, WW 400 MPR + 3D Bowel Spectrum Slice Thickness 2.0 mm Lock Images 19 NIL CORONAL Window WL +40, WW 400 Slice Thickness 2.0 mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 400 L U N G - S U PIN E LUNG (LUNG --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC52 FC52 Window WL +550, WW 1600 WL +550, WW 1600 POST PROCESSING COLONOSCOPY 44
AP LAT kV 120 mA 50 50 Scano length 400mm Mentum to VERTEX Tube Postion AP Lateral Direction OUT IN Recon Process FL04 FL04 Window WL +90, WW 140 WL +130, WW 130 S C A N NIN G P A R A M E T E R: S C A N O G R A M: SUB-HELICAL 1 PLAIN Scan Delay 0 SEC kV 120 Tube Rotation 0.5 sec. Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D OFF Scan Area C2 to VERTEX AXIAL Planar PERPENDICULAR to THE BODY AXIS SCAN & VIEW kV 100 mA 50~200 LEVEL of ROI C2 BODY Patient Position : Supine Arm resting against the body Neck is STRAIGHT Secure head well in the Head Craddle CT ANGIOGRAPHY Cerebral (SUBSTRACTED) 45
SURESTART kV 120 mA 80 Delay Scan 5 sec. HU Trigger EYE BOLUS TRIGGER (VERTEBRAL ARTERY dimm while JUGULAR VEIN still enhance) S C A N NIN G P A R A M E T E R: Injector Setting Contrast Flushing Volume 60 ml 50ml Flow Rate 5 ml/s 4.0 ml/s Pressure 305 PSI SUB-HELICAL 2 CONTRAST Scan Delay 0 SEC kV 120 mA 300 Tube Rotation 0.5 sec. Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D OFF Scan Area C2 to VERTEX AXIAL Planar PERPENDICULAR to THE BODY AXIS CT ANGIOGRAPHY Cerebral (SUBSTRACTED) 46