64 Slice MDCT Protocols: Abdomen

Specific anatomic region

Kidney

Application

Hematuria

Author

Elliot K Fishman, MD

Reference Source

JHU Protocol

Scanner Used

Siemens Sensation 64

KV/Effective mAs/ Rotation time (sec)

120 / 250/ 0.33

Detector Collimation (mm)

0.6

Slice thickness (mm)

0.75mm

Pitch

0.75

Kernel

30

Reconstruction interval

0.5mm

Image order (acquisition)

Cr-ca

Oral contrast

1000 cc water 15-20 minutes prior to study

IV contrast volume and type

100-120 cc Omnipaque 350

Injection rate

3-4cc/sec

Scan delay (sec)

25 sec (arterial)/ 60 sev (venous)/ 4-5 min (excretory)

3D technique used

VRT & MIP

Comment: The question is to maximize the information yet minimize the phases used. Non contrast is done with 5 mm thick sections at 5 mm intervals. The venous phase can be eliminated in many cases but an excretory phase is mandatory to exclude infection by TCC.