64 Slice MDCT Protocols: Chest

Specific Anatomic Region

Chest

Application

R/O Occupational Lung Disease (asbestosis screening)

Author

Elliot K. Fishman, MD and Paul Wheeler, MD

Reference Source

JHU Protocol

Scanner Used

Siemens Sensation 64

KV/Effective mAs/Rotation time (sec)

120/150/0.5

Detector Collimation (mm)

0.6

Slice Thickness (mm)

3-5

Pitch

0.9

Kernel

30 (soft tissue) and 80 (lung HRCT)

Reconstruction Interval

3

Image Order (acquisition)

Cr-ca

Oral Contrast

N/A

IV contrast volume and type

None

Injection Rate

N/A

Scan delay (sec)

N/A

3D technique used

N/A

Comment: Dr. Wheeler is a world class expert in Occupational Lung Disease and recommends 3-5 mm thick sections at lung and soft tissue windows with standard algorithm followed by nine .75 mm HRCT scan with HRCT algorithm (80 Kernel) spaced from the aortic arch through the lung bases. Both supine and prone images should be done.