64 Slice MDCT Protocols: Head and Neck

Specific Anatomic Region

Neck

Application

R/O Jugular vein thrombosis

Author

Elliot K. Fishman, MD

Reference Source

JHU Protocol

Scanner Used

Siemens Sensation 64

KV/Effective mAs/Rotation time (sec)

120/200/0.33

Detector Collimation (mm)

0.6

Slice Thickness (mm)

3 or .75

Pitch

0.9

Kernel

31

Reconstruction Interval

3 or .5

Image Order (acquisition)

Cr-ca

Oral Contrast

N/A

IV contrast volume and type

100 cc of Omnipaque-350

Injection Rate

3 cc/sec

Scan delay (sec)

40 to 50

3D technique used

VRT

Comment: Scanning too early can cause "pseudo-lesions." I recommend scanning from the arch through the base of the skull. MPR and coronal 3Ds with VRT are helpful.