CTA CEREBRAL (CTA --> HEAD) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0 mm 0.5mm Image Interval 1.0 mm 0.3mm Recon FC FC43 FC43 Window WL +70, WW 450 WL +70, WW 450 A R T E RIA L P H A S E MIP Slice Thickness 8.0 mm Lock Images 19 NIL CORONAL Window WL +70, WW 450 Slice Thickness 8.0 mm Lock Images 19 NIL SAGITTAL Window WL +70, WW 450 VRT SUBSTRACTED Lock Images 19 NIL VRT R-L Axis Vertical NIL (Right to Left) Lock Images 19 NIL VRT U-D Axis Horizontal NIL (UP to DOWN) POST PROCESSING CT ANGIOGRAPHY CEREBRAL 47
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 HEAD 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 VENOGRAPHY Cerebral (SUBSTRACTED) 48
CT VENOGRAPHY Cerebral (SUBSTRACTED) SURESTART kV 120 mA 80 Delay Scan 20 sec. HU Trigger EYE BOLUS TRIGGER (VERTEBRAL ARTERY dim while JUGULAR VEIN still enhance) at level C2 S C A N NIN G P A R A M E T E R: Injector Setting Contrast Flushing Volume 60 ml 50 ml 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 HEAD AXIS 49
CTV CEREBRAL (CTA --> HEAD) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0 mm 0.5mm Image Interval 1.0 mm 0.3mm Recon FC FC43 FC43 Window WL +70, WW 450 WL +70, WW 450 A R T E RIA L P H A S E MIP Slice Thickness 8.0 mm Lock Images 19 NIL CORONAL Window WL +70, WW 450 Slice Thickness 8.0 mm Lock Images 19 NIL SAGITTAL Window WL +70, WW 450 VRT SUBSTRACTED Lock Images 19 NIL VRT R-L Axis Vertical NIL (Right to Left) Lock Images 19 NIL VRT U-D Axis Horizontal NIL (UP to DOWN) POST PROCESSING CT VENOGRAPHY CEREBRAL 51
AP LAT kV 120 mA 100 50 Scano Length 500 mm GLABELLAR to MANUBIRIUM Tube Postion AP Lateral Direction OUT IN Recon Process FL04 FL04 Window WL +90, WW 140 WL +130, WW 130 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: SUB-HELICAL 1 PLAIN 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 Arch of AORTA to BASE of SKULL (level of T4) AXIAL Planar PERPENDICULAR to THE HEAD AXIS Breathing Instruction Inspiration Scan Direction Cranocaudal SCAN & VIEW kV 100 mA 50~200 LEVEL of ROI ARCH of AORTA Breathing Instruction Inspiration Patient Position : Supine Arm resting against the body Neck is STRAIGHT Secure head well in the Head Craddle CT Angiography Carotid (SUBSTRACTED) 52
SURESTART kV 120 mA 80 Delay Scan 10 sec. HU Trigger 120 Breathing Instruction Inspiration 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 5.0 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 Arch of AORTA to BASE of SKULL AXIAL Planar PERPENDICULAR to THE HEAD AXIS Breathing Instruction Inspiration CT Angiography Carotid (SUBSTRACTED) 53
CTA CAROTID (CTA --> NECK) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0 mm 0.5mm Image Interval 1.0 mm 0.3mm Recon FC FC FC Window WL +70, WW 450 WL +70, WW 450 A R T E RIA L P H A S E MIP Slice Thickness 8.0 mm Lock Images 19 NIL CORONAL Window WL +70, WW 450 Slice Thickness 8.0 mm Lock Images 19 NIL SAGITTAL Window WL +70, WW 450 VRT SUBSTRACTED Lock Images 19 NIL VRT R-L Axis Vertical NIL (Right to Left) Lock Images 19 NIL VRT U-D Axis Horizontal NIL (UP to DOWN) POST PROCESSING CT Angiography Carotid 54
AP LAT kV 120 mA 100 150 Scano length 500 mm T7 to LESSER TROCHANTER Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +130, WW 170 WL +170, WW 250 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: SCAN & VIEW kV 100 mA 50~200 LEVEL of ROI DESCENDING AORTA Breathing Instruction Inspiration SURESTART kV 120 mA 80 Delay Scan 10 sec. HU Trigger 120 Breathing Instruction Inspiration Injector Setting Contrast Flushing Volume 80 ml 50 ml Flow Rate 5.0 ml/s 5.0 ml/s Pressure 305 PSI Patient Position : Supine Arm position comfortably above the head on the armrest CT ABDOMINAL AORTA 55
S C A N NIN G P A R A M E T E R: CT ABDOMINAL AORTA HELICAL CONTRAST Scan Delay 13 sec. kV AUTO Tube Rotation 0.5 sec. Thickness 0.5 x 80 HP FAST Sure Exp. 3D STANDARD Scan Area APEX of LUNGS until ILIAC CREST (L4) AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration 56
CT AA (CTA --> BODY) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0 mm 0.5mm Image Interval 1.0 mm 0.3mm Recon FC FC08 FC08 Window WL +70, WW 500 WL +70, WW 500 A R T E RIA L P H A S E MIP Slice Thickness 8.0 mm Lock Images 19 NIL CORONAL Window WL +70, WW 500 Slice Thickness 8.0 mm Lock Images 19 NIL SAGITTAL Window WL +70, WW 500 VRT SUBSTRACTED Lock Images 19 NIL VRT R-L Axis Vertical NIL (Right to Left) POST PROCESSING ABDOMINAL AORTA 57
AP LAT kV 120 mA 100 150 Scano length 360 mm Scan Area C7 to LOWER END of Costophrenic angle Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +130, WW 170 WL +170, WW 250 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: SCAN & VIEW kV 100 mA 50~200 LEVEL of ROI ARCH of AORTA Breathing Instruction Inspiration SURESTART kV 120 mA 80 Delay Scan 8 sec. HU Trigger 120 Breathing Instruction Inspiration Injector Setting Contrast Flushing Volume 60 ml 50 ml Flow Rate 5.0 ml/s 5.0 ml/s Pressure 305 PSI Patient Position : Supine Arm position comfortably above the head on the armrest CT ANGIOGRAPHY THORAX 58
S C A N NIN G P A R A M E T E R: HELICAL CONTRAST Scan Delay 0 sec. kV AUTO Tube Rotation 0.5 sec. 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 AXIAL to THE BODY AXIS Breathing Instruction Inspiration CT ANGIOGRAPHY THORAX 59
CT THORAX (CTA --> BODY) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0 mm 0.5mm Image Interval 1.0 mm 0.3mm Recon FC FC08 FC08 Window WL +70, WW 500 WL +70, WW 500 A R T E RIA L P H A S E MIP Slice Thickness 8.0 mm Lock Images 19 NIL CORONAL Window WL +70, WW 500 Slice Thickness 8.0 mm Lock Images 19 NIL SAGITTAL Window WL +70, WW 500 VRT SUBSTRACTED Lock Images 19 NIL VRT R-L Axis Vertical NIL (Right to Left) POST PROCESSING CT ANGIOGRAPHY THORAX 60 LUNG WINDOW (LUNG --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC 52 FC 52 Window WL -550, WW +1600 WL -550, WW +1600
AP LAT kV 120 mA 100 150 Scano length 500 mm Scan Area C7 to LOWER END of Costophrenic angle Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +130, WW 170 WL +170, WW 250 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: SCAN & VIEW kV 100 mA 50~200 LEVEL of ROI 1CM BELOW CARINA (PULMONARY TRUNK) Breathing Instruction Inspiration SURESTART kV 80-100 mA 200 Delay Scan 5 sec. Voice Instruction 6 sec. HU Trigger 120 Breathing Instruction Inspiration Injector Setting Contrast Flushing Volume 50 ml 50 ml Flow Rate 5.0 ml/s 5.0 ml/s Pressure 305 PSI Patient Position : Supine Arm position comfortably above the head on the armrest CT PULMONARY ANGIOGRAPHY 61
S C A N NIN G P A R A M E T E R: HELICAL CONTRAST Scan Delay 0 sec. kV 100 Tube Rotation 0.5 sec. Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D STANDARD Scan Area APEX of lung TO LOWER END of Costophrenic angle AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration CT PULMONARY ANGIOGRAPHY 62
CT PA (CTA --> BODY) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0 mm 0.5mm Image Interval 1.0 mm 0.3mm Recon FC FC08 FC08 Window WL +70, WW 500 WL +70, WW 500 A R T E RIA L P H A S E MIP Slice Thickness 8.0 mm Lock Images 19 NIL CORONAL Window WL +70, WW 500 Slice Thickness 8.0 mm Lock Images 19 NIL SAGITTAL Window WL +70, WW 500 LUNG WINDOW (LUNG --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC 52 FC 52 Window WL -550, WW +1600 WL -550, WW +1600 POST PROCESSING CT PULMONARY ANGIOGRAPHY 63
AP LAT kV 120 mA 50 100 Scano length 800 mm Scan Area MANUBIRIUM to LESSER TROCHANTER Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +150, WW 170 WL +200, WW 320 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: SCAN & VIEW kV 100 mA 50~200 LEVEL of ROI ABDOMINAL AORTA (T12) Breathing Instruction Inspiration SURESTART kV 120 mA 80 Delay Scan 10 sec. HU Trigger 120 Breathing Instruction Inspiration Injector Setting Contrast Flushing Volume 80 ml 50 ml Flow Rate 5.0 ml/s 5.0 ml/s Pressure 305 PSI Patient Position : Supine Arm position comfortably above the head on the armrest CT ANGIOGRAPHY MESENTRIC 64
S C A N NIN G P A R A M E T E R: GG-HELICAL ARTERIAL Scan Delay 10 sec. kV AUTO Tube Rotation 0.5 sec. Thickness 0.5 x 80 Helical Pitch STANDARD Sure Exp. 3D STANDARD Scan Area T11 to SYMPHYSIS PUBIS AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration GG-HELICAL VENOUS Scan Delay 75 sec. POST CONTRAST INJECTION 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 CT ANGIOGRAPHY MESENTRIC 65
CT MESENTRIC (CTA --> BODY) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0 mm 0.5mm Image Interval 1.0 mm 0.3mm Recon FC FC08 FC08 Window WL +70, WW 500 WL +70, WW 500 A R T E RIA L P H A S E POST PROCESSING CT ANGIOGRAPHY MESENTRIC MIP Slice Thickness 8.0 mm Lock Images 19 NIL CORONAL Window WL +70, WW 500 Slice Thickness 8.0 mm Lock Images 19 NIL SAGITTAL Window WL +70, WW 500 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 V E N O U S P H A S E 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 66
AP LAT kV 120 mA 50 100 Scano length 800 mm MANUBIRIUM to LESSER TROCHANTER Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +150, WW 170 WL +200, WW 320 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: SCAN & VIEW kV 100 mA 50~200 LEVEL of ROI ABDOMINAL AORTA (T12) Breathing Instruction Inspiration Patient Position : Supine Arm position comfortably above the head on the armrest CT ANGIOGRAPHY ABDOMEN SURESTART kV 120 mA 80 Delay Scan 10 sec. HU Trigger 120 Breathing Instruction Inspiration Injector Setting Contrast Flushing Volume 80 ml 50 ml Flow Rate 5.0 ml/s 5.0 ml/s Pressure 305 PSI 67
S C A N NIN G P A R A M E T E R: GG-HELICAL ARTERIAL Scan Delay 10 sec. kV AUTO 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 V E N O U S CT ANGIOGRAPHY ABDOMEN 68 GG-HELICAL VENOUS Scan Delay 75 sec. POST CONTRAST INJECTION 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
CT THORAX (CTA --> BODY) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0 mm 0.5mm Image Interval 1.0 mm 0.3mm Recon FC FC08 FC08 Window WL +70, WW 500 WL +70, WW 500 A R T E RIA L P H A S E POST PROCESSING CT ANGIOGRAPHY ABDOMEN MIP Slice Thickness 8.0 mm Lock Images 19 NIL CORONAL Window WL +70, WW 500 Slice Thickness 8.0 mm Lock Images 19 NIL SAGITTAL Window WL +70, WW 500 VRT SUBSTRACTED Lock Images 19 NIL VRT R-L Axis Vertical NIL (Right to Left) 69 LUNG WINDOW (LUNG --> STANDARD AXIAL/VOLUME) Recon GEPACS INFINIT AXIAL Slice Thickness 3.0 mm 0.5mm Image Interval 3.0 mm 0.3mm Recon FC FC 52 FC 52 Window WL -550, WW +1600 WL -550, WW +1600 L U N G
AP LAT kV 120 mA 50 100 Scano length 1450 mm Scan Area XIPHOID PROCESS to END of FOREFOOT Tube Postion AP Lateral Direction OUT IN Recon Process FL04 FL04 Window WL +60, WW 170 WL +120, WW 280 S C A N NIN G P A R A M E T E R: S C A N O G R A M: SCAN & VIEW kV 100 mA 50~200 LEVEL of ROI AT LEVEL L2 (BEFORE BIFURCATION) SURESTART kV 120 mA 80 Delay Scan 10 sec. HU Trigger 120 Injector Setting Contrast Flushing Volume 100-120 ml 50 ml Flow Rate 5.0 ml/s 5.0 ml/s Pressure 305 PSI Patient Position : Supine Arm position comfortably above the head on the armrest Feet first CT ANGIOGRAPHY LOWER LIMB 70
S C A N NIN G P A R A M E T E R: CT ANGIOGRAPHY LOWER LIMB GG-HELICAL ARTERIAL Scan Delay 15 sec. kV 120 Tube Rotation 0.5 sec. Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D OFF Scan Area L2 to END of FOREFOOT AXIAL Planar AXIAL to THE BODY AXIS GG-HELICAL DISTAL RUN OFF Scan Delay IMMEDIATELY AFTER ARTERIAL PHASE. kV 120 mA 200 Tube Rotation 0.5 sec. Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D OFF Scan Area KNEE to END of FOREFOOT AXIAL Planar AXIAL to THE BODY AXIS Scan Direction Craniocaudal 71
CTA (CTA --> BODY) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0 mm 0.5mm Image Interval 1.0 mm 0.3mm Recon FC FC08 FC08 Window WL +70, WW 500 WL +70, WW 500 A R T E RIA L P H A S E POST PROCESSING CT ANGIOGRAPHY LOWER LIMB MIP Slice Thickness 8.0 mm Lock Images 19 NIL CORONAL Window WL +70, WW 500 Slice Thickness 8.0 mm Lock Images 19 NIL SAGITTAL RT Window WL +70, WW 500 VRT SUBSTRACTED Lock Images 19 NIL VRT R-L Axis Vertical NIL (Right to Left) Slice Thickness 8.0 mm Lock Images 19 NIL SAGITTAL LT Window WL +70, WW 500 72
AP LAT kV 120 mA 50 100 Scano length 800 mm XIPHOID PROCESS to END of FINGERS Tube Postion AP Lateral Direction OUT IN Recon Process FL04 FL04 Window WL +130, WW 170 WL +170, WW 250 S C A N NIN G P A R A M E T E R: S C A N O G R A M: SCAN & VIEW kV 100 mA 50~200 LEVEL of ROI ARCH of AORTA SURESTART kV 100 mA 80 Delay Scan 8 sec. HU Trigger 120 Injector Setting Contrast Flushing Volume 60 ml 50 ml Flow Rate 5.0 ml/s 5.0 ml/s Pressure 305 PSI Patient Position : Supine Arm position comfortably above the head. For Unilateral CTA Upper LImb, Branulla 18G inserted at Contra lateral upper limb **For CTA BILATERAL UPPER LIMBS, Branullar 18G SHOULD BE INSERTED at LOWER LIMB EXTREMITY CT ANGIOGRAPHY UPPER LIMB 73
CT A UPPER LIMB (CTA --> BODY) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0 mm 0.5mm Image Interval 1.0 mm 0.3mm Recon FC FC08 FC08 Window WL +70, WW 500 WL +70, WW 500 A R T E RIA L P H A S E POST PROCESSING CT ANGIOGRAPHY UPPER LIMB MIP Slice Thickness 8.0 mm Lock Images 19 NIL CORONAL Window WL +70, WW 500 Slice Thickness 8.0 mm Lock Images 19 NIL SAGITTAL RT Window WL +70, WW 500 VRT SUBSTRACTED Lock Images 19 NIL VRT R-L Axis Vertical NIL (Right to Left) Slice Thickness 8.0 mm Lock Images 19 NIL SAGITTAL LT Window WL +70, WW 500 75
TRAUMA CT SCAN PROTOCOLS RADIOLOGY DEPARTMENT HOSPITAL SUNGAI BULOH
Content of CT Scan Protocols 1 11 5 17 3 13 8 21 26 Brain Trauma Facial Trauma Brain & Facial Trauma Brain & Cervical Trauma Cervical Trauma CT Pan TAP Split Bolus CT Abdo Split Bolus CT Thorax Split Bolus CT TAP Trauma Multiphase (TAP Arterial & PV) 30 CT TAP Trauma Multiphase (Abdo Arterial & TAP PV
AP LAT kV 120 mA 50 30 Scano length 300mm 300mm MENTUM to VERTEX Tube Postion AP Lateral Direction OUT IN Recon Process FC04 FC04 Window WL +90, WW 140 WL +90, WW 140 SCAN PLAIN Scan Delay 0 sec kV 120 Tube Rotation 0.75 sec Gantry Position Tilt 0~19 degree (SupraOrbital Meatal Line) Thickness 0.5 x 40 HP DETAIL Sure Exp. 3D STANDARD Scan Area FORAMEN MAGNUM to VERTEX AXIAL Planar 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: BRAIN TRAUMA (HEAD ONLY) Patient Position : Supine Arm resting against the body Neck is flexed Secure head well in the Head Craddle 1
BRAIN GREY MATTER (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 S O F T TIS S U E 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 Lock Images 19 NIL SAGITTAL Window WL +350, WW 2700 B R AIN B O N E POST PROCESSING BRAIN TRAUMA (HEAD ONLY) 2
AP LAT kV 80 mA 50 30 Scano length 240mm 240mm MENTUM to GLABELAR Tube Postion AP Lateral Direction OUT IN Recon Process FC04 FC04 Window WL +90, WW 140 WL +130, WW 130 SCAN PLAIN Scan Delay 0 sec kV 120 mA 250 Tube Rotation 0.75 sec Thickness 0.5 x 80 HP STANDARD Sure Exp. 3D OFF Scan Area MENTUM to GLABELAR 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: FACIAL TRAUMA Patient Position : Supine Arm resting against the body Neck is STRAIGHT Head position slightly extended so IOML perpendicular to Z plane Secure head well in the Head Craddle 3
FACIAL 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 S O F T TIS S U E P L AIN 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 Lock Images 19 NIL SAGITTAL Window WL +350, WW 2700 B O N E POST PROCESSING FACIAL TRAUMA 4
AP LAT kV 120 mA 50 30 Scano length 300mm 300mm MENTUM to VERTEX Tube Postion AP Lateral Direction OUT IN Recon Process FC04 FC04 Window WL +90, WW 140 WL +90, WW 140 SCAN PLAIN Scan Delay 0 sec kV 120 Tube Rotation 0.75 sec Gantry Position NO TILTING Thickness 0.5 x 40 HP DETAIL Sure Exp. 3D STANDARD Scan Area MENTUM to VERTEX 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: BRAIN + FACIAL TRAUMA Patient Position : Supine Arm resting against the body Neck is flexed Secure head well in the Head Craddle 5
BRAIN (HEAD--> BRAIN) Recon GEPACS INFINIT AXIAL Slice Thickness 4.0mm 0.5mm Image Interval 4.0mm 0.3mm Recon FC FC25 FC21 Angulation Paralle to canthomeatal line 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 S O F T TIS S U E 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 Lock Images 19 NIL SAGITTAL Window WL +350, WW 2700 B R AIN B O N E POST PROCESSING BRAIN + FACIAL TRAUMA 6
FACIAL SOFT TISSUES (HEAD--> SOFT TISSUES) Recon GEPACS INFINIT AXIAL Slice Thickness 1.0 mm 0.5mm Image Interval 1.0 mm 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 Lock Images 19 NIL SAGITTAL Window WL +35, WW 320 F A CIA L S O F T TIS S U E POST PROCESSING BRAIN + FACIAL TRAUMA 7
AP LAT kV 120 mA 50 30 Scano length 300mm 300mm VERTEX to MANUBRIUM Tube Postion AP Lateral Direction IN OUT Recon Process FC04 FC04 Window WL +90, WW 140 WL +90, WW 140 SCAN PHASE 1 PHASE 2 Scan Delay 0 sec kV 120 mA 300 Modulate Tube Rotation 0.75 sec Gantry Position NO TILTING Thickness 0.5 x 40 HP DETAIL STANDARD Sure Exp. 3D OFF HIGH QUALITY Scan Area Vertex to T2 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: BRAIN + CERVICAL TRAUMA (VHP) Patient Position : Supine Arm resting against the body Neck is STRAIGHT Secure head well in the Head Cradle or ON Spinal board 8
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 S O F T TIS S U E 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 Lock Images 19 NIL SAGITTAL Window WL +350, WW 2700 S K U L L B O N E POST PROCESSING BRAIN + CERVICAL TRAUMA BRAIN 9
CERVICAL SOFT TISSUES (SPINE-->CERVICAL) Recon GEPACS INFINIT AXIAL Slice Thickness 2.0mm 0.5mm Image Interval 2.0mm 0.3mm Recon FC FC09 FC09 Window WL +40, WW 320 WL +40, WW 320 MPR CERVICAL SOFT TISSUES Slice Thickness 2.0mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 320 C E R VIC A L S O F T TIS S U E MPR BONE CERVICAL Slice Thickness 0.5mm Lock Images 19 NIL CORONAL Window WL +350, WW 2700 Slice Thickness 0.5mm Lock Images 19 NIL SAGITTAL C Window WL +350, WW 2700 E R VIC A L B O N E POST PROCESSING BRAIN + CERVICAL TRAUMA CERVICAL 10
AP LAT kV 120 mA 100 50 Scano length 500mm 500mm INFRAORBITAL MARGIN to MANUBRIUM Tube Postion AP Lateral Direction IN OUT Recon Process FL04 FL04 Window WL +170, WW 250 WL +130, WW 170 SCAN PLAIN Scan Delay 0 sec kV 120 mA MODULATE Tube Rotation 0.5 sec Thickness 0.5 x 80 HP DETAIL Sure Exp. 3D QUALITY Scan Area 2cm ABOVE Foramen Magnum to T1 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: CERVICAL TRAUMA Patient Position : Supine Arm resting against the body Neck is flexed Secure head well in the Head Craddle 11
CERVICAL SOFT TISSUES (SPINE-->CERVICAL) Recon GEPACS INFINIT AXIAL Slice Thickness 2.0mm 0.5mm Image Interval 2.0mm 0.3mm Recon FC FC09 FC09 Window WL +40, WW 320 WL +40, WW 320 MPR CERVICAL SOFT TISSUES Slice Thickness 2.0mm Lock Images 19 NIL SAGITTAL Window WL +40, WW 320 C E R VIC A L S O F T TIS S U E C E R VIC A L B O N E POST PROCESSING CERVICAL TRAUMA CERVICAL 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 Lock Images 19 NIL SAGITTAL Window WL +350, WW 2700 12
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 C7 to LESSER TROCHANTER Tube Postion AP Lateral Direction IN OUT 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 CT PAN TAP SPLIT BOLUS SPLIT BOLUS PHASE SCAN CONTRAST Scan Delay 70 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 C7 to SYMPHYSIS PUBIS AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration 13
CT TAP SPLIT BOLUS Injector Setting Contrast Flushing Volume 60-80 ml 30ml VENOUS PHASE Flow Rate 3.0 ml/s 3.0 ml/s *CONTRAST VOLUME for VENOUS PHASE according to PATIENT WEIGHT DELAY PHASE 15 sec OR SHORTER to COMPLY WITH ARTERIAL PHASE timing (to be calculated) Volume 50 50 ARTERIAL PHASE Flow Rate 3.5 ml/s 3.5 ml/s *SCAN PATIENT 15 sec AFTER CONTRAST INJECTION for ARTERIAL PHASE FINISHED Pressure 160 PSI S C A N NIN G P A R A M E T E R: DELAY PHASE SCAN POST CONTRAST Scan Delay 0 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 REGION OF INTERESTED (BASE ON CLINICAL EVIDENCE) AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration 14
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 FC08 FC18 Window WL +40, WW 400 WL +40, WW 400 S P LIT B O L U S P H A S E POST PROCESSING CT TAP SPLIT BOLUS 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 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 15
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 P H A S E POST PROCESSING CT PAN TAP SPLIT BOLUS 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 BONE Slice Thickness 0.5mm Lock Images 19 NIL CORONAL Window WL +350, WW 2700 Slice Thickness 0.5mm Lock Images 19 NIL SAGITTAL Window WL +350, WW 2700 B O N E 16
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 MIDDLE of STERNUM 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 CT ABDOMEN SPLIT BOLUS SPLIT BOLUS PHASE SCAN CONTRAST Scan Delay 70 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 17
CT ABDOMEN SPLIT BOLUS Injector Setting Contrast Flushing Volume 60-80 ml 30 ml VENOUS PHASE Flow Rate 3.0 ml/s 3.0 ml/s *CONTRAST VOLUME for VENOUS PHASE = PATIENT WEIGHT DELAY PHASE 18sec OR READJUST to COMPLY WITH ARTERIAL PHASE Volume 40 ml 50 ml ARTERIAL PHASE Flow Rate 3.5 ml/s 3.5 ml/s *CONTRAST VOLUME for ARTERIAL PHASE MUST FINISH INJECTED 18sec BEFORE SCAN Pressure 160 PSI S C A N NIN G P A R A M E T E R: DELAY PHASE SCAN POST CONTRAST Scan Delay 5 - 15 MIN (IF NECESSARY) 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 REGION OF INTERESTED (BASE ON PRIOR PHASE) AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration 18
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 S P LIT B O L U S P H A S E POST PROCESSING CT ABDOMEN SPLIT BOLUS 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 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 19
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 D E L A Y P H A S E 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 BONE Slice Thickness 0.5mm Lock Images 19 NIL CORONAL Window WL +350, WW 2700 Slice Thickness 0.5mm Lock Images 19 NIL SAGITTAL Window WL +350, WW 2700 B O N E POST PROCESSING CT ABDOMEN SPLIT BOLUS 20
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 C7 to 1cm below Costophrenic angle 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 CT THORAX SPLIT BOLUS SPLIT BOLUS PHASE SCAN CONTRAST Scan Delay 70 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 APEX of lung TO LOWER END of Costophrenic angle AXIAL Planar AXIAL to THE BODY AXIS Breathing Instruction Inspiration 21