64 Slice MDCT Protocols: Musculoskeletal

Specific anatomic region

lower extremity- run off

Application

Evaluate for peripheral vascular disease, evaluate S/P trauma (ie gun shot wound), tumor staging

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 (thin)
5.0mm (thick)

Pitch

0.6

Kernel

B30f medium smooth abdomen (thick, ST) (thin)
B70f very sharp bone (bone)

Reconstruction interval

0.5mm (thin)
5.0mm (thick)

Image order (acquisition)

Cr-ca

Oral contrast

N/A

IV contrast volume and type

120-140 cc Visipaque 320

Injection rate

3.0-3.5 cc/sec

Scan delay (sec)

45 sec

3D technique used

VRT & MIP

Comment: Saline chaser of 30-50cc works well in these cases.