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. |