64 Slice MDCT Protocols: Abdomen

Specific Anatomic Region

Pelvis

Application

Pelvic mass or tumor staging

Author

Elliot K. Fishman, MD

Reference Source

JHU Protocol

Scanner Used

Siemens Sensation 64

KV/Effective mAs/Rotation time (sec)

120/300/0.37

Detector Collimation (mm)

0.6

Slice Thickness (mm)

5, 3, or .75

Pitch

0.7

Kernel

30

Reconstruction Interval

5, 3, or .5

Image Order (acquisition)

Cr-ca

Oral Contrast

1000 cc of Omnipaque solution or water

IV contrast volume and type

100-120 cc of Omnipaque-350

Injection Rate

3-4 cc/sec

Scan delay (sec)

25-70 sec (depends on application)

3D technique used

VRT with bone removal

Comment: The application defines the protocol (i.e. stage bladder cancer, suspected pelvic abscess, pelvic bleed). In select cases, dual phase imaging is needed (vascular pathology). In select cases, rectal cases may also be of value.