Protocoles Flashcards
1
Q
Head - NECT
A
- Trauma, atrophy, hemorrhage, hydrocephaly, Stroke, dementia
- Just below base of skull to just above vertex
- Axial
- OML or Supraorbital meatal line
- WW: 100 WL:30
- Soft tissue & Bone
- Coronal & Sagittal
2
Q
Head - CECT
A
- Abscess, neoplasm, epilepsy, aneurysm.
- 80-100 mL @ 1-2 mL/s
- 2 to 5 minute scan delay
- Axial
- OML or Supraorbital meatal line
- WW: 100 WL: 30
- Soft tissue & Bone
- Coronal & Sagittal
3
Q
CTA - COW
A
- Acute stroke, aneurysm, vascular, arteriovenous malformation
- Group 1: NECT
- Group 2: arterial
- 80mL @ 4-5 mL/s
- 18 s delay or scan bolus
- ROI: C4 - Carotid
- C1 to vertex
- Helical
- WW: 140 WL: 40 - Posterior fossa
- Soft tissue
- Coronal, Sagittal & Oblique
4
Q
Sinus - Routine - NECT
A
- Sinusitis, neoplasm
- Sella turcica (posterior) to frontal sinus (anterior)
- Helical
- WW: 350 WL: 50
- Soft tissue & Bone
- Coronal & Sagittal
5
Q
Facial Bones - Trauma - NECT
A
- Trauma, fx, FB
- Inferior to mandible to frontal sinus
- Helical
- WW: 350 WL: 50
- Soft tissue & Bone
- Coronal & Sagittal
- WW: 4000 WL: 400
6
Q
Neck - CECT
A
- Mass, abscess, lymphadenopathy (disease of lymph nodes), goiter (enlargement of thryoid)
- 100-125 mL @ 2-3 mL/s
- Split bolus: 50 mL @ 2 min delay, 75 mL
- 35 s delay
- Mid orbits to clavicular heads
- Helical
- Soft tissue
- Coronal & Sagittal
7
Q
Neck - Angio
A
- Stroke, dissection, stenosis
- 80 ml @ 4-5 mL/s
- 18s delay or bolus tracking
- Aortic arch to sella turcica
- Helical
- Soft tissue - angio
- Coronal, Sagittal, MIP & VR
8
Q
C-spine - Routine
A
- Trauma, mets, degeneration, fx, dislocation
- Base of skull to T2
- Helical
- WW: 350 WL: 50
- Soft tissue & bone
- Coronal & Sagittal
- WW: 4000 WL: 400
9
Q
T-spine - Routine
A
- Trauma, mets, degeneration, fx, dislocation
- T1-T12
- Helical
- WW: 350 WL: 50
- Soft tissue & bone
- Coronal & Sagittal
- WW: 4000 WL: 400
10
Q
L-spine - Routine
A
- Trauma, mets, degeneration, fx, dislocation
- L1-S1
- Helical
- WW: 350 WL: 50
- Soft tissue & bone
- Coronal, Sagittal, Obliques for discs
- WW: 4000 WL: 400
11
Q
Thorax - Routine
A
- Infection, mass, emphysema, trauma, abnormality
- 80 Ml @ 3 mL/s
- 35 s delay
- Oral contrast may be given for known or suspected lung cancer (16 oz of barium sulfate)
- helical
- Soft tissue: WW:350 WL: 50
- Lungs: WW:1500 WL:-700
- Inspiration
12
Q
High-resolution - Lungs
A
- Asbestos exposure, inhalation injury, interstitial disease, diffuse pulmonary disease, suspected bronchiectasis, suspected small airway disease
- Group 1: Supine, inspiration
- Group 2: Supine, expiration
- Group 3: Prone, inspiration
- Apices to costophrenic angles
- Helical
- Soft tissue: WW:350 WL: 50
- Lungs: WW:1500 WL:-700
- Bone
13
Q
CTA- Thorax (for PE)
A
- 120 mL @ 4mL/s - Split bolus
- ROI: Pulmonary artery
- Apices to costophrenic angles
- Inspiration
- WW: 700 WL: 180 (vascular)
- Group 1
- Can use smart prep or test bolus
- Suspend respiration
- Group 2 - Run off
- 180 sec after the start of the injection
- Iliac crest to below tibial plateau
14
Q
CTA- Aorta
A
- Blunt trauma, aortic dissection, aneurysm rupture, atherosclerotic occlusive disease, congenital vascular anomalies
- Cardiac helical
- Soft tissue: WW:350 WL: 50
- Vascular: WW:700 WL:180
- Group 1:
- 2cm above aortic arch to 2 cm inferior to celiac trunc
- no contrast
- inspiration
- Group 2 - Run off
- 2 cm above aortic arch to 2 cm below celiac trunc
- Contrast: 100 mL @ 4mL/s + 20 mL saline @ 4mL/s
- Delay: bolus or ROI in descending aorta at level of carina
15
Q
Abdomen + Pelvis - Routine
A
- Masses, tumors, abscess, appendicitis
- 125 mL @ 3ml/s
- Delay of 65s
- Oral: 1.5 bottles of ready Cat
- Diaphragm to symph
- Helical
- WW: 400 WL: 50 - SOft tissue
- Inspiration