Specific Anatomic RegionKidney
ApplicationHematuria
AuthorYuh BI and Cohan RH
Reference SourceSemin Ultrasound CT MR 1997; 18(2):82-90
Scanner UsedGE Advantage
Injection RateSee comment (below) for precontrast study1-3ml/sec, although 2.5cc is common
Contrast Volume and Type100-150ml of 60% nonionic contrast
Area ScannedEntire kidneys
Scan Delay (2 delays if dual spiral)40sec for cortical phase100sec for nephrographic phase
Length of Spiral (time)30-40sec
Slice Thickness5mm
Table Speed/Pitch5mm/sec
Reconstruction Interval5mm (1.5-3mm for masses less than 10mm)
3D Technique UsedNone
Comment: The study first requires 5mm collimation and a spiral scan with 1:1 pitch without contrast. A contrast injection is then given. Occasionally excretory-phase images at 3-10min are also obtained. The authors reserve cortical-phase images for cases where information regarding renal vessels is needed. We will in cases of hematuria also do noncontrast scans at 5mm through the kidneys only.