Specific anatomic region	Adrenal
Application	Stage adrenal cancer
Author	Elliot K Fishman, MD
Reference Source	JHU Protocol
Scanner Used	Siemens Sensation 64
KV/Effective mAs/ Rotation time (sec)	120 / 250/ 0.5
Detector Collimation (mm)	0.6
Slice thickness (mm)	0.75- 3mm
Pitch	0.75
Kernel	30
Reconstruction interval	0.75-3mm
Image order (acquisition)	Cr-ca
Oral contrast	1000 cc water
IV contrast volume and type	100-120 cc Omnipaque 350
Injection rate	3-4cc/sec
Scan delay (sec)	25 & 60 sec
3D technique used	VRT & MIP
Comment: Dual phase CT is done for staging and defining tumor extent. The venous phase at 60-70 sec is critical for renal vein and IVC involvement. We do not do non-contrast CT like we do for suspected adenoma.