Specific Anatomic RegionPancreas
ApplicationSuspected islet cell tumor (dual phase)
AuthorFishman EK
Reference SourcePersonal Communication
Scanner UsedSiemens Plus4 Volume Zoom
KV / mAs / Time per Rotation (sec)120/125/.5 or 120/150/.5
Detector Collimation (mm)1
Slice Thickness (mm)1.25
Data Reconstruction Interval (mm)1
Table Speed (mm per rotation) / Pitch6/6
Oral Contrast750 cc of water
IV Contrast Volume and Type120 cc of Omnipaque 350
Injection Rate3 cc/sec
Scan Delay (sec)25 sec
3D Technique UsedVolume rendering
Comment:
Both the primary tumor and the liver metastases are hypervascular. The arterial phase is key to detecting the primary tumor and liver metastases, while the second phase is ideal for venous invasion.