64 Slice MDCT Protocols: Abdomen

Specific anatomic region

Adrenal

Application

Stage adrenal cancer

Author

Elliot K Fishman, MD

Reference Source

JHU Protocol

Scanner Used

Siemens Sensation 64

KV/Effective mAs/ Rotation time (sec)

120 / 250/ 0.5

Detector Collimation (mm)

0.6

Slice thickness (mm)

0.75- 3mm

Pitch

0.75

Kernel

30

Reconstruction interval

0.75-3mm

Image order (acquisition)

Cr-ca

Oral contrast

1000 cc water

IV contrast volume and type

100-120 cc Omnipaque 350

Injection rate

3-4cc/sec

Scan delay (sec)

25 & 60 sec

3D technique used

VRT & MIP

Comment: Dual phase CT is done for staging and defining tumor extent. The venous phase at 60-70 sec is critical for renal vein and IVC involvement. We do not do non-contrast CT like we do for suspected adenoma.