Tips and tricks for general radiologists1 onlineonly cme see. Page 1 somatom emotion 616 slice configuration application guide protocols principles helpful hints software version syngo ct 2007e. Scans coming from nonvalidated scanners will be rejected. All sections journal club lectures pearls protocols case studies medical illustrations search. Like all fi elds of medicine, ct is constantly evolving so it follows that examination protocols constantly undergo reevaluation and refi nement. Quantification of obstructive and nonobstructive coronary lesions by 64slice computed tomography a comparative study with quantitative coronary angiography and intravascular ultrasound. Slice counts dual source, 320 slice, 256 slice, 128 slice, 64 slice, 16 slice, 4 slice, single detector.
It outlines ct protocols for diagnostic imaging currently applied to ou ct scanners. The introduction of single slice spiral ct in the early 1990s was a quantum leap for ct technology kalender et al. The following cardiovascular ct scanning and injection protocols have been developed with the goal to derive theoretically sound and at the same time practicable scanning and injections protocols for the siemens sensation 64 multislice scanner at stanford. The table shows an overview of some of the ctprotocols, that we use click to enlarge. Thoughtful use of these protocols is an integral part of building resilient professional learning communities.
Kub nephrolithiasis stones, urolithiasis, flank pain and hematuria series 1 scan slice thickness 5 index 5 fov pt size algorithm std. Which is why weve looked to the clinical professionals at the university of wisconsinmadison school of medicine and public health for protocols optimized for ge ct systems. The latest 64slice ct systems with gantry rotation times of 0. Spiral scanning with continuous gantry rotation, table. The latest protocol should be readily and obviously available to users during clinical protocol selection. Lp riccelli works closely with ohsu ct techs in the art of creating optimal images from current technology. Spiral and multislice computed tomography of the body.
Bhargava and a great selection of related books, art and collectibles available now at. The 4 and 16row systems currently available necessitate the use of new protocols, which are proposed herein. Ctcbct scan protocol for trumatch cmf products and services. Documentation should include the rationale for changes.
Substantial changes in computed tomography ct protocols are essential as radiologists migrate from 4slice to 16slice and more recently towards 64slice multidetector ct mdct systems. The introduction of singleslice spiral ct in the early 1990s was a quantum leap for ct technology kalender et al. Page 2 this material does not substitute for that duty and is not intended by siemens medical solutions inc. This book provides structured uptodate information on all routine protocols used for multislice multidetector row ct. The process and costs of implementing a ct radiation dose optimization committee in a medium.
This will help filter your search to just protocols within that specific list. Mcintosh do, mph university of massachusetts medical center unecom 2014 cme programreunion and alumni weekend. Application of the mppg this mppg only applies to ct scanners used. Jan 16, 2006 this book provides structured uptodate information on all routine protocols used for multislice multidetector row ct. In a convenient doublepage layout, this book provides structured information on all routine protocols to be used for multislice ct. This book strives to present practical protocols for daytoday practice. Being a fresh graduate and having lots of free time, i stumbled upon your site when i was searching for work at home opportunities, good thing i did. Ct scanning instructions images scanned under a gantry tilt and oblique or reformatted images negatively influence the accuracy. Contains information on the routine protocols used for multislice multidetector row ct. Set the slice thickness, interval, fov and mode to the values for the protocol it will be used with. For routine and trauma paediatric ct protocols, the slice thickness was 4.
The process and costs of implementing a ct radiation dose optimization committee. Contrast oral no iv no scanning anatomical start top of liver anatomical stop symphysis inspiration yes filmingwindowing soft tissue yes. The minimum slice thickness depends on the detector configuration used for the particular scan. Ctcbct scan protocol for trumatch cmf products and. The volume contains a detailed technical section and covers the prevailing investigations of the brain, neck, lungs and chest, abdomen with parenchymal organs and gastrointestinal tract, the musculoskeletal system and cta as well as dedicated protocols for the heart. The following cardiovascular ct scanning and injection protocols have been developed with the goal to derive theoretically sound and at the same time practicable scanning and injections protocols for the siemens sensation 64 multi slice scanner at stanford. We use cookies to offer you a better experience, personalize content, tailor advertising, provide social media features, and better understand the use of our services. To quantitatively evaluate the effect of our ct liver protocol modifications according to established imaging quality criteria. Typically 200 imaging protocols per scanner need the actual ct protocols. It is best to do reconstructions soon after the scan book provides structured uptodate information on all routine protocols used for multislice multidetector row ct. This page is for physicians, inside and outside this institution, and ct technologists. Cardiothoracic multislice ct in the emergency department. Ct angiography versus conventional angiography for the postoperative evaluation of clipped cerebral aneurysm april 2020. Are scanning protocols adjusted for paediatric patients.
Factors that infl uence a specifi c sites protocol parameters include the type of equipment available e. Technologists role center of the protocol process first contact for new protocols and modifications triage to appropriate people or group, if necessary centralizes protocol activity author first drafts and iterations consulting with others. They are based on a 64slice scanner but can be used for any ctscanner independent of manufacturer. In this table only specific protocols are summarized, since most institutions have their own. The slice thickness will be represented in the size of the voxel. Although the book is designed for use with siemens equipment, the. Protocols for multislice ct ebook by 9783662051429. It gives a very good and concise general overview of ct with info on contrast agents, scanner protocols by slice, and a lot of images detailing normal pathology. The book page 6 pixel, voxel, and matrix a pixel is what is used to display an image on the screen.
Ct scan computed tomographycat scan centers and services. Ct scanning ct protocols ctisus ct scan, protocols. Calcified lesions can be detected without motion artifacts with 4slice ct despite. University of wisconsinmadison ct protocols for revolution discovery ct discovery ct750 hd table of contents page no. Consider naming ct protocols in a manner consistent with the. A new systematic approach for the imaging assessment of patients with chronic pancreatitis april 2020. The contrast media amount was reduced from 160 ml in the beginning of cardiac ct with 4 slice ct systems to around 5080 ml with 320slice ct and dualsource ct 54, 55, 57, 61, 64, 70. Mcintosh do, mph university of massachusetts medical center. Page 2 this material does not substitute for that duty and is not intended by siemens medical. Ct protocols for common primary care diagnoses lacey j. Chest, abdomen and pelvis ct protocols chest chest ct low dose nodule evaluation. Slice counts dual source, 320 slice, 256 slice, 128 slice, 64 slice, 16 slice, 4.
Book title multislice and dualsource ct in cardiac imaging book subtitle. For any given ct examination, the protocol will vary according the individual requirement of the imaging site. Developing dose and protocol monitoring from scratch ingrid reiser, phd dabr. Patient specific devices will be designed to fit the patient anatomy at the time of the ct or cbct. When you look at the ct computer monitor, you see the matrix. Single slice the origin of the word tomography is from the greek word tomos meaning slice or section and graphe meaning drawing. Technologists role center of the protocol process first contact for new protocols and modifications triage to appropriate people or group, if necessary centralizes protocol activity author first drafts and iterations consulting with others assist in preflights. Find protocols for performing ct scans on the abdomen and pelvis at rhode island hospital, also welcoming massachusetts patients.
Computed tomography ct scanners have become markedly more complex over the past three decades, with a myriad of new options for performing ct examinations. Use of automatic tube current modulation with a standardized. Book title multislice and dualsource ct in cardiac imaging book subtitle principles protocols indications. Leber aw, knez a, ziegler f, becker a, nikolaou k, paul s, wintersperger b, reiser mf, becker cr, steinbeck g, boekstegers p 2005. Image gently pediatric imaging image wisely adult imaging the purpose of these ct protocol pages is to provide a reference. Page 1 somatom emotion 616slice configuration application guide protocols principles helpful hints software version syngo ct 2007e. Use 100 cc if combined with abdomen ct injection rate 4 5ccsec. For pulmonary masses 3cm or hilar enlargement use chest ct with contrast routine protocol scan comments. Standard imaging protocols this document includes typical imaging protocols for diagnostic imaging. Developing, optimizing and managing protocols can be a timeconsuming and expensive task for you. The protocols provided in this text provide complete information regarding i patient.
The images in this book are laid out so that images are are grouped together on one page showing the same anatomy ranging from normal anatomy to common pathological conditions. Use 100 cc if combined with abdomen ct injection rate 4 5ccsec oral contrast na oral contrast volume na. Ct protocols for revolution discovery ct discovery ct750. American college of radiology liver imaging reporting and data system acr lirads. Ct scan computed tomography cat scan centers and services. All slices must have the same field of view, reconstruction center, and table height. Therefore, stateoftheart ct systems have the potential to reduce the risk of contrastinduced nephropathy. Thus, with doseoptimized protocols 16slice ct can achieve equal to lower effective doses in examinations of the chest and abdomen compared with 4slice ct. The smart prep phase was mistakenly called a series. Clinical examination protocols with 4 to 64slice ct. Protocols for multislice ct second edition pdf free pdf. Use the smallest fov possible no fat sat ax 3d t1 lava flex or mdixon abd through abdomen verify that ipop and water. A metaanalysis on the effectiveness of multidetector ct for the diagnosis of small bowel obstruction. Other similar protocols can be used with different ct equipment 15.
To update our ct liver protocol according to recommended guidelines. April 2020 ct angiography versus conventional angiography for the postoperative evaluation of clipped cerebral aneurysm april 2020 a new systematic approach for the imaging assessment of patients with chronic pancreatitis april 2020 a metaanalysis on the effectiveness of multidetector ct for the diagnosis of small bowel obstruction. This title contains a technical section and covers the investigations of the brain, neck, lungs and chest, abdomen with parenchymal organs and gastrointestinal tract, the musculoskeletal system and cta as well as dedicated protocols for the heart. Whats difference between single slice ct and multislice. Abdomen plus post gadolinium screening pelvis sequence coverage slicegap notes cor t2 ssfse 3240 61 coverage from all sequences is above the liver dome, through the kidneys. Tissue bone lung thin data sag cor 3dspecial slice thickness x recon spacing 5mm x 5mm 5mm x 5mm 2mm x 1mm 3mm x 3mm 3mm x 3mm na plane axial axial. Outline ct protocol monitoring lets build a protocol book. April 2020 ct angiography versus conventional angiography for the postoperative evaluation of clipped cerebral aneurysm april 2020 a new systematic approach for the imaging assessment of patients with chronic pancreatitis. Evaluation of subdural hematoma, epidural hematoma, stroke, bleed, headaches, initial workup of acute or changing dementia, mental status changes, fractures, trauma, shunt malfunction, new onset of seizures particularly in adults hydrocephalus. If you know the machine type that the protocol you are looking for falls under, select that machine e.
Ct scan protocols, ct protocols by manufacturer ge, siemens, phillips, toshiba. The volume contains a detailed technical section and covers the prevailing investigations of the brain neck lungs and chest abdomen with parenchymal organs and gastrointestinal tract the musculoskeletal system and cta as well as dedicated protocols for the heart. Technical developments in the past have focused on helical technology, increased speed of gantry rotation, increasing number of detector rows, and increasing tube outputs to maintain. Routine abdomenpelvis oral po omnipaque if looking for cancer. Computer monitors use a series of thousands and thousands of pixels that display light. As the patient passes through the ct imaging system, a source of x rays rotates around the inside of the c. Scan with the same slice spacing, less than or equal to the slice thickness. Geometry of a 4slice ct scanner demonstrating the fig. Protocols sris tools include protocols that offer structured processes to support focused and productive conversations, build collective understanding, and drive school improvement. Stanford cardiovascular ct scanning and injection protocols. Practical tips for the imaging physicist physicist. Sequence coverage slicegap notes cor t2 ssfse 3240 61 coverage from all sequences is above the. The book presents the stateoftheart capabilities and requirements of ct as a key diagnostic and interventional tool, with special emphasis on the role of spiral and multislice ct.
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