Chest Printer-ready protocol

Bronchial tree: Susp tumor or inflam

Specific Anatomic Region

Bronchial Tree

Application

Suspected tumor or inflammatory disease

Author

Lee KS et al.

Reference Source

RadioGraphics 1997; 17:555-567

Scanner Used

GE HiSpeed Advantage

Injection Rate

N/A

Contrast Volume and Type

None

Area Scanned

Level of right middle lobe bronchus cephalad to the distal trachea

Scan Delay

None

Length of Spiral (time)

30sec

Slice Thickness

3mm

Table Speed/Pitch

3mm/sec or pitch of 1

Reconstruction Interval

1.5mm

3D Technique Used

Thresholding on Advantage windows 3D

Comment: If you increase the pitch to 2 you can scan the entire airway. This is more logical. IV contrast may be helpful in staging tumors by defining nodal disease. The authors reconstructed the raw data with the bone algorithm. We do not use thresholding for 3D studies but recommend volume rendering as well as MIP.

1A 1B Case 1: 3D imaging of a normal trachea

2A 2B Case 2: active pulmonary tuberculosis
2C

3A 3B Case 3: small cell lung cancer encases the left main pulmonary artery

4A 4B Case 4: left lower lung collapse

5A 5B Case 5: mucus plug causing left upper lobe collapse
5C 5D