Radiology Protocols - User contributions [en]

MediaWiki:Mainpage

2024-03-20T09:01:31Z

K8om9g: Created page with "CT and MR protocols"

CT and MR protocols

2024-03-20T08:58:06Z

K8om9g: K8om9g moved page CT and MR protocols for Barts and the Royal London Hospitals to CT and MR protocols without leaving a redirect: Misspelled title

== CT Protocols ==
* [[Chest]]
* [[Gastrointestinal]]
* [[Liver]]
* [[Pancreas]]
* [[Adrenals]]
* [[Renal]]
* [[Bladder/prostate/testicles]]
* [[Gynaecology]]
* [[Head and Neck]]
* [[Other]]
* [[Trauma]]

== MR Protocols ==
* [[MSK MR]]
* [[Gastrointestinal MR]]
* [[Neuro MR]]

== Radiographer led protocolling ==

Suitable protocols are all protocols within this wiki along with guidance here: [[Radiographer led protocolling]]

== General information ==

== Standard report texts ==
Uniformity amongst all radiologists is not necessary, but each person may wish to have a set of standard texts which may, in the future, assist natural language processing which in turn can assist AI.
* [[Chest standard texts]]
* [[Renal standard texts]]
* [[Paediatric standard texts]]

== Getting started ==
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Configuration_settings Configuration settings list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:FAQ MediaWiki FAQ]
* [https://lists.wikimedia.org/mailman/listinfo/mediawiki-announce MediaWiki release mailing list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Localisation#Translation_resources Localise MediaWiki for your language]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Combating_spam Learn how to combat spam on your wiki]

CT and MR protocols

2024-03-20T08:57:38Z

K8om9g: K8om9g moved page CT and MR protocols to CT and MR protocols for Barts and the Royal London Hospitals over a redirect without leaving a redirect: Misspelled title

CT and MR protocols

2024-03-20T08:55:01Z

K8om9g: K8om9g moved page CT and MR protocols for Barts and the Royal London Hospitals to CT and MR protocols: Misspelled title

Gastrointestinal MR

2018-04-15T15:47:44Z

K8om9g:

{| class="wikitable"
|-
!rowspan="2"| Indication
!rowspan="2"| Brief description
!rowspan="2"| Sequences and planes
!colspan="5"|Sequence parameters
|-
! NEX
! FOV and matrix size
! TR
! TE
! TI
|-
|colspan="8"|Insert data here

|}

Gastrointestinal MR

2018-04-15T15:47:02Z

K8om9g: Created page with "{| class="wikitable" |- !rowspan="2"| Indication !rowspan="2"| Brief description ! Sequences and planes !colspan="5"|Sequence parameters |- ! NEX ! FOV and matrix size ! TR !..."

{| class="wikitable"
|-
!rowspan="2"| Indication
!rowspan="2"| Brief description
! Sequences and planes
!colspan="5"|Sequence parameters
|-
! NEX
! FOV and matrix size
! TR
! TE
! TI
|-
|Insert data here

|}

CT and MR protocols

2018-04-15T15:40:58Z

K8om9g:

== CT Protocols ==
* [[Chest]]
* [[Gastrointestinal]]
* [[Liver]]
* [[Pancreas]]
* [[Adrenals]]
* [[Renal]]
* [[Bladder/prostate/testicles]]
* [[Gynaecology]]
* [[Other]]

== MR Protocols ==
* MSK MR
* [[Gastrointestinal MR]]

== Getting started ==
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Configuration_settings Configuration settings list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:FAQ MediaWiki FAQ]
* [https://lists.wikimedia.org/mailman/listinfo/mediawiki-announce MediaWiki release mailing list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Localisation#Translation_resources Localise MediaWiki for your language]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Combating_spam Learn how to combat spam on your wiki]

== Test ==

== General information ==

CT and MR protocols

2018-04-15T15:39:46Z

K8om9g:

== CT Protocols ==
* [[Chest CT]]
* [[Gastrointestinal]]
* [[Liver]]
* [[Pancreas]]
* [[Adrenals]]
* [[Renal]]
* [[Bladder/prostate/testicles]]
* [[Gynaecology]]
* [[Other]]

== MR Protocols ==
* MSK MR
* [[Gastrointestinal MR]]

== Getting started ==
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Configuration_settings Configuration settings list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:FAQ MediaWiki FAQ]
* [https://lists.wikimedia.org/mailman/listinfo/mediawiki-announce MediaWiki release mailing list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Localisation#Translation_resources Localise MediaWiki for your language]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Combating_spam Learn how to combat spam on your wiki]

== Test ==

== General information ==

CT and MR protocols

2018-04-15T15:39:33Z

K8om9g:

Other

2018-04-15T15:37:12Z

K8om9g:

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

|-
|
Breast Cancer
||
CT chest & abdomen & pelvis (contrast)
Include neck if palpable neck lymph nodes
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT CAP + c

|-
|
Lymphoma
||
CT chest, abdomen & pelvis +/- neck/brain/orbits as indicated (contrast)
PET Hodgkin’s etc
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT CAP + c

|-
|
Malignant melanoma
||
PET-CT, ultrasound of liver if ocular melanoma
||

||

||

|}

Other

2018-04-15T15:36:41Z

K8om9g: Created page with "{| class="wikitable" |- ! Indication ! Brief description ! Slice thickness and reconstruction kernel !Further details of contrast timing/explanation of what the radiographers..."

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

|-
|
Breast Cancer
||
CT chest & abdomen & pelvis (contrast)
Include neck if palpable neck lymph nodes
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT CAP + c

|-
|
Lymphoma
||
CT chest, abdomen & pelvis +/- neck/brain/orbits as indicated (contrast)
PET Hodgkin’s etc
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT CAP + c

|-
|
Malignant melanoma
||
PET-CT, ultrasound if ocular melanoma
||

||

||

|}

Gynaecology

2018-04-15T15:33:11Z

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

|-
|
Ovarian
||
CT chest, abdomen & pelvis (contrast)
Water load - 40 minutes drinking preparation (1 litre)
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT abdo, pelvis + c + water
CT CAP

|-
|
Endometrial and cervical cancer
||
CT abdomen & pelvis (contrast) chest?
Water load- 40 minutes drinking preparation (1 litre)
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT abdo, pelvis + c + water
CT CAP

|}

Bladder/prostate/testicles

2018-04-15T15:31:19Z

K8om9g:

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation
|-
|
Bladder cancer
Some cases we’ll want an IVU?
||
CT chest, abdomen & pelvis (contrast)
Additional 400 ml of water immediately prior to scanning, full bladder essential, clamp catheter if present
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT CAP + c
Pre CAP IVU

|-
|
Bladder cancer surveillance
Why the difference to above?
||
CT IVU
||
1.5 mm B30f, 1.2 mm increment.
||
Pre, bolus 5 minutes before, repeat bolus and 90 second scan
||
CT IVU -no
CTCAP

|-
|
Prostate cancer
||
CT chest, abdomen & pelvis (contrast)
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT CAP + c

|-
|
Testicular cancer initial scan
||
CT chest and abdomen (contrast)
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT chest and abdo + c

|-
|
Testicular Cancer Follow up scan
||
CT abdomen + contrast
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT abdo + c

|-
|
Ureteric injury
||
CT IVU
||
1.5 mm B30f, 1.2 mm increment.
||
CT IVU as above
||
CT IVU

|}

Bladder/prostate/testicles

2018-04-15T15:30:33Z

K8om9g:

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation
|-
|
Bladder cancer
Some cases we’ll want an IVU?
||
CT chest, abdomen & pelvis (contrast)
Additional 400 ml of water immediately prior to scanning, full bladder essential, clamp catheter if present
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT CAP + c
Pre CAP IVU YZT

|-
|
Bladder cancer surveillance
Why the difference to above?
||
CT IVU
||
1.5 mm B30f, 1.2 mm increment.
||
Pre, bolus 5 minutes before, repeat bolus and 90 second scan
||
CT IVU -no
CTCAP yzt

|-
|
Prostate cancer
||
CT chest, abdomen & pelvis (contrast)
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT CAP + c

|-
|
Testicular cancer initial scan
||
CT chest and abdomen (contrast)
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT chest and abdo + c

|-
|
Testicular Cancer Follow up scan
||
CT abdomen + contrast
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT abdo + c
YZt

|-
|
Ureteric injury
||
CT IVU
||
1.5 mm B30f, 1.2 mm increment.
||
CT IVU as above
||
CT IVU

|}

Bladder/prostate/testicles

2018-04-15T15:30:07Z

K8om9g: Created page with "|- | Bladder cancer Some cases we’ll want an IVU? || CT chest, abdomen & pelvis (contrast) Additional 400 ml of water immediately prior to scanning, full bladder ess..."

|-
|
Bladder cancer
Some cases we’ll want an IVU?
||
CT chest, abdomen & pelvis (contrast)
Additional 400 ml of water immediately prior to scanning, full bladder essential, clamp catheter if present
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT CAP + c
Pre CAP IVU YZT

|-
|
Bladder cancer surveillance
Why the difference to above?
||
CT IVU
||
1.5 mm B30f, 1.2 mm increment.
||
Pre, bolus 5 minutes before, repeat bolus and 90 second scan
||
CT IVU -no
CTCAP yzt

|-
|
Prostate cancer
||
CT chest, abdomen & pelvis (contrast)
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT CAP + c

|-
|
Testicular cancer initial scan
||
CT chest and abdomen (contrast)
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT chest and abdo + c

|-
|
Testicular Cancer Follow up scan
||
CT abdomen + contrast
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT abdo + c
YZt

|-
|
Ureteric injury
||
CT IVU
||
1.5 mm B30f, 1.2 mm increment.
||
CT IVU as above
||
CT IVU

Renal

2018-04-15T15:26:02Z

K8om9g:

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

|-
|
Renal stones?
||
CT Kidneys Ureter Bladder (non-contrast, low dose)
||
1.5 mm B30f, 1.2 mm increment.
||
No contrast
||
CT KUB

|-
|
Follow up of VUJ stones
||
Limited CT bladder (non-contrast)
||
1.5 mm B30f, 1.2 mm increment.
||
No contrast
||
CT bladder

|-
|
Cause of PUJ obstruction, not from stones
||
CT IVU & Renal angio
Change to combined dual bolus angio and delayed?? Or separate angio and delayed?
||
1.5 mm B30f, 1.2 mm increment.
|| ||
CT IVU but renal angio YZT

|-
|
Haematuria:

|-
|
Asymptomatic Microscopic haematuria
Low risk (<40 years, no other risk factor)
||
Renal tract US, Plain KUB
BUT In persistent haematuria CT IVU
||
1.5 mm B30f, 1.2 mm increment.
||
CT IVU - Pre, bolus 5 minutes before, repeat bolus and 90 second scan
||
CT IVU

|-
|
Symptomatic microscopic haematuria Low risk (<40 years, no other risk factor)
||
CT KUB non contrast , low dose
||
1.5 mm B30f, 1.2 mm increment.
||
No contrast
||
CT KUB

|-
|
Symptomatic microscopic haematuria High risk (>40 years, smokers, occupational history, drugs, pelvic radiation, UTIs, LUTS, familial)
||
CT IVU (contrast) and flexible cystoscopy
||
1.5 mm B30f, 1.2 mm increment.
||
CT IVU - Pre, bolus 5 minutes before, repeat bolus and 90 second scan
||
CT IVU

|-
|
Macroscopic haematuria (20% malignant) Low risk (<40 years, no other risk factor)
||
CT KUB for stone diagnosis (non-contrast) and flexible cystoscopy
||
1.5 mm B30f, 1.2 mm increment.
||
No contrast
||
CT KUB

|-
|
Macroscopic haematuria (20% malignant) High risk(>40 years, smokers, occupational history, drugs, pelvic radiation, familial)
||
CT IVU (contrast) and flexible cystoscopy
||
1.5 mm B30f, 1.2 mm increment.
||
CT IVU - Pre, bolus 5 minutes before, repeat bolus and 90 second scan
||
CT IVU

|-
|
Abnormality on ultrasound for characterisation
Follow up of Bosniak cysts (2F and greater)
||
Pre contrast and 90 second (nephrographic)
||
1.5 mm B30f, 1.2 mm increment.
||
Pre-contrast and 90 seconds
||
CT dual phase renal

|-
|
Renal cell cancer staging
||
CT kidneys (arterial) and chest, abdomen and pelvis (PV phase)
||
1.5 mm B30f, 1.2 mm increment.
|| ||
CT renal staging

|-
|
Renal cell cancer follow up
||
CT kidneys (arterial) and chest, abdomen and pelvis (PV phase)
||
1.5 mm B30f, 1.2 mm increment.
|| ||
CT CAP + C + art renal

|-
| || || || || 

|-
|
Potential live donor
||
CT renal angiogram and venous phase + topogram delayed
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus track arterial and pv. Timings? HU threshold?
|| 

|-
|
Hypertension, renal artery stenosis?
||
CT renal angiogram
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus track arterial (HU 100, 12 second delay)
||
CT renal angio

|}

Renal

2018-04-15T15:25:18Z

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

Adrenals

2018-04-15T15:24:20Z

K8om9g:

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation
|-
|
Characterise adrenal lesion/nodule (inc Conn’s)
||
Pre-contrast and review for possible 65 seconds and 15 minute delayed
||
1.5 mm B30f, 1.2 mm increment.
||
Pre/65 seconds/15 minutes
||
Pre contrast and review for CT adrenals

|-
|
Previous adrenal cancer
||
CT triple phase adrenals (pre-contrast/65 second and 15 minute delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Pre/65 seconds/15 minutes
||
CT adrenals
Post contrast

|-
|
Phaeochromocytoma?
||
CT abdomen to below aortic bifurcation to exclude paraganglioma
(pre-contrast/65 second PV +/- 15 minute delayed
||
1.5 mm B30f, 1.2 mm increment.
||
Pre/65 seconds/15 minutes
||
Pre-contrast abdo + abdo + c +/- 15 min delay

|-
|
Adrenocortical cancer staging
||
CT chest, abdomen & pelvis + contrast
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT CAP + c
|}

Adrenals

2018-04-15T15:24:04Z

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation
|-
|
Indication
||
Brief description
||
Slice thickness, reconstruction kernel
||
Further details of contrast timing/explanation of what the radiographers do
||
Abbreviation

|-
|
Characterise adrenal lesion/nodule (inc Conn’s)
||
Pre-contrast and review for possible 65 seconds and 15 minute delayed
||
1.5 mm B30f, 1.2 mm increment.
||
Pre/65 seconds/15 minutes
||
Pre contrast and review for CT adrenals

|-
|
Previous adrenal cancer
||
CT triple phase adrenals (pre-contrast/65 second and 15 minute delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Pre/65 seconds/15 minutes
||
CT adrenals
Post contrast

|-
|
Phaeochromocytoma?
||
CT abdomen to below aortic bifurcation to exclude paraganglioma
(pre-contrast/65 second PV +/- 15 minute delayed
||
1.5 mm B30f, 1.2 mm increment.
||
Pre/65 seconds/15 minutes
||
Pre-contrast abdo + abdo + c +/- 15 min delay

|-
|
Adrenocortical cancer staging
||
CT chest, abdomen & pelvis + contrast
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT CAP + c
|}

Pancreas

2018-04-15T15:22:28Z

K8om9g:

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

|-
|
Pancreatic lesion characterisation
||
CT triple phase pancreas (pre/arterial/pv)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase pancreas

|-
|
Pancreatic cancer staging
|colspan="4"|Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Follow up pancreatic cancer
||
Arterial pancreas and PV Chest, abdomen and pelvis (may drop arterial in certain circumstances)
||
1.5 mm B30f, 1.2 mm increment.
||
As above.
||
CT CAP + arterial pancreas

|-
|
Acute and chronic pancreatitis
||
CT triple phase pancreas (pre/arterial/pv) with abdomen and pelvis in PV phase
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus track as above
||
Triple phase pancreas with abdomen and pelvis in PV phase

|-
|
Follow up pancreatitis
||
Arterial and PV phase pancreas (may drop arterial in certain circumstances)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT arterial and portal venous phase pancreas

|}

Pancreas

2018-04-15T15:21:08Z

K8om9g: Created page with "|- | Pancreatic lesion characterisation || CT triple phase pancreas (pre/arterial/pv) || 1.5 mm B30f, 1.2 mm increment. || Bolus tracked as above. || CT triple phase pancreas..."

|-
|
Pancreatic lesion characterisation
||
CT triple phase pancreas (pre/arterial/pv)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase pancreas

|-
|
Pancreatic cancer staging
||
Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Follow up pancreatic cancer
||
Arterial pancreas and PV Chest, abdomen and pelvis (may drop arterial in certain circumstances)
||
1.5 mm B30f, 1.2 mm increment.
||
As above.
||
CT CAP + arterial pancreas

|-
|
Acute and chronic pancreatitis
||
CT triple phase pancreas (pre/arterial/pv) with abdomen and pelvis in PV phase
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus track as above
||
Triple phase pancreas with abdomen and pelvis in PV phase

|-
|
Follow up pancreatitis
||
Arterial and PV phase pancreas (may drop arterial in certain circumstances)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT arterial and portal venous phase pancreas

Liver

2018-04-15T15:19:05Z

K8om9g:

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

|-
|
Cholangiocarcinoma?
||
Triple phase liver (Art/PV/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
Triple phase liver (Art/PV/5 min)

|-
|
Staging cholangiocarcinoma
|colspan="4"|
Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Follow up cholangiocarcinoma
||
5 min delayed liver and PV Chest, abdomen and pelvis
||
1.5 mm B30f, 1.2 mm increment.
||
As above
||
CAP with 5 min delayed liver

|-
|
Characterise liver lesion/HCC
||
CT triple phase liver
Usually do not require pre-contrast unless possible focal fat, etc.
Non contrast, arterial, PV and 5 minute delayed liver.
(No pelvis required unless clinically indicated)
||
1.5 mm B30f, 1.2 mm increment.
||
ROI placed over aorta, monitoring begins after 10 seconds and bolus tracking triggers scan at 100 HU with a delay of 12 seconds. After arterial scan 30 s delay till PV scan.
||
CT Quad/triple Phase Liver

|-
|
Hepatocellular carcinoma staging
|colspan="4"|Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|rowspan="2"|Liver metastases
|rowspan="2"|CT liver
Depends on primary site.
If colorectal only need PV phase.
Breast/renal/neuroendocrine/melanoma/sarcoma/lung usually include chest
|rowspan="2"|
1.5 mm B30f, 1.2 mm increment.
||
If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
||
CT PV liver

|-
|
Breast, melanoma, lung:
Arterial chest and liver
65 seconds abdomen and pelvis
||
CT Art + PV liver

|-
|
Haemangioma
||
CT triple phase liver and delayed
Art, PV and 5 minute liver
||
1.5 mm B30f, 1.2 mm increment.
||
MRI preferable (see new protocol for incidental liver lesion pick up).
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post TACE
||
CT triple phase liver (arterial/portal venous/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post RFA
||
CT triple phase liver (pre/arterial/portal venous/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT quad phase liver

|-
|
Post embolisation f/u of HCC
||
Aterial, portal venous and delayed phases
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase liver

|-
|rowspan="2"|Post embolization f/u of liver metastatic deposit
|rowspan="2"|CT arterial or arterial/PV liver
|rowspan="2"|1.5 mm B30f, 1.2 mm increment.
||
If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
||
CT PV liver

|-
|Breast, melanoma, lung:
40 seconds chest and liver
65 seconds abdomen and pelvis
||
CT art + PV liver

|}

Liver

2018-04-15T15:16:52Z

K8om9g:

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

|-
|
Cholangiocarcinoma?
||
Triple phase liver (Art/PV/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
Triple phase liver (Art/PV/5 min)

|-
|
Staging cholangiocarcinoma
|colspan="4"|
Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Follow up cholangiocarcinoma
||
5 min delayed liver and PV Chest, abdomen and pelvis
||
1.5 mm B30f, 1.2 mm increment.
||
As above
||
CAP with 5 min delayed liver

|-
|
Characterise liver lesion/HCC
||
CT triple phase liver
Usually do not require pre-contrast unless possible focal fat, etc.
Non contrast, arterial, PV and 5 minute delayed liver.
(No pelvis required unless clinically indicated)
||
1.5 mm B30f, 1.2 mm increment.
||
ROI placed over aorta, monitoring begins after 10 seconds and bolus tracking triggers scan at 100 HU with a delay of 12 seconds. After arterial scan 30 s delay till PV scan.
||
CT Quad/triple Phase Liver

|-
|
Hepatocellular carcinoma staging
||
Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Liver metastases
||
CT liver
Depends on primary site.
If colorectal only need PV phase.
Breast/renal/neuroendocrine/melanoma/sarcoma/lung usually include chest
||
1.5 mm B30f, 1.2 mm increment.
||
If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
||
CT PV liver

|-
|
||
||
||
Breast, melanoma, lung:
Arterial chest and liver
65 seconds abdomen and pelvis
||
CT Art + PV liver

|-
|
Haemangioma
||
CT triple phase liver and delayed
Art, PV and 5 minute liver
||
1.5 mm B30f, 1.2 mm increment.
||
MRI preferable (see new protocol for incidental liver lesion pick up).
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post TACE
||
CT triple phase liver (arterial/portal venous/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post RFA
||
CT triple phase liver (pre/arterial/portal venous/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT quad phase liver

|-
|
Post embolisation f/u of HCC
||
Aterial, portal venous and delayed phases
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase liver

|-
|rowspan="2"|Post embolization f/u of liver metastatic deposit
|rowspan="2"|CT arterial or arterial/PV liver
|rowspan="2"|1.5 mm B30f, 1.2 mm increment.
||
If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
||
CT PV liver

|-
|Breast, melanoma, lung:
40 seconds chest and liver
65 seconds abdomen and pelvis
||
CT art + PV liver

|}

Liver

2018-04-15T15:12:59Z

K8om9g:

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

|-
|
Cholangiocarcinoma?
||
Triple phase liver (Art/PV/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
Triple phase liver (Art/PV/5 min)

|-
|
Staging cholangiocarcinoma
|colspan="4"|
Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Follow up cholangiocarcinoma
||
5 min delayed liver and PV Chest, abdomen and pelvis
||
1.5 mm B30f, 1.2 mm increment.
||
As above
||
CAP with 5 min delayed liver

|-
|
Characterise liver lesion/HCC
||
CT triple phase liver
Usually do not require pre-contrast unless possible focal fat, etc.
Non contrast, arterial, PV and 5 minute delayed liver.
(No pelvis required unless clinically indicated)
||
1.5 mm B30f, 1.2 mm increment.
||
ROI placed over aorta, monitoring begins after 10 seconds and bolus tracking triggers scan at 100 HU with a delay of 12 seconds. After arterial scan 30 s delay till PV scan.
||
CT Quad/triple Phase Liver

|-
|
Hepatocellular carcinoma staging
||
Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Liver metastases
||
CT liver
Depends on primary site.
If colorectal only need PV phase.
Breast/renal/neuroendocrine/melanoma/sarcoma/lung usually include chest
||
1.5 mm B30f, 1.2 mm increment.
||
If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
||
CT PV liver

|-
|
||
||
||
Breast, melanoma, lung:
Arterial chest and liver
65 seconds abdomen and pelvis
||
CT Art + PV liver

|-
|
Haemangioma
||
CT triple phase liver and delayed
Art, PV and 5 minute liver
||
1.5 mm B30f, 1.2 mm increment.
||
MRI preferable (see new protocol for incidental liver lesion pick up).
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post TACE
||
CT triple phase liver (arterial/portal venous/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post RFA
||
CT triple phase liver (pre/arterial/portal venous/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT quad phase liver

|-
|
Post embolisation f/u of HCC
||
Aterial, portal venous and delayed phases
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post embolization f/u of liver metastatic deposit
||
CT arterial or arterial/PV liver
||
1.5 mm B30f, 1.2 mm increment.
||
If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
||
CT PV liver

|-
|
||
||
||
Breast, melanoma, lung:
40 seconds chest and liver
65 seconds abdomen and pelvis
||
CT art + PV liver

|}

Liver

2018-04-15T15:12:34Z

K8om9g:

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

|-
|
Cholangiocarcinoma?
||
Triple phase liver (Art/PV/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
Triple phase liver (Art/PV/5 min)

|-
|
Staging cholangiocarcinoma ||colspan="4" ||
Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Follow up cholangiocarcinoma
||
5 min delayed liver and PV Chest, abdomen and pelvis
||
1.5 mm B30f, 1.2 mm increment.
||
As above
||
CAP with 5 min delayed liver

|-
|
Characterise liver lesion/HCC
||
CT triple phase liver
Usually do not require pre-contrast unless possible focal fat, etc.
Non contrast, arterial, PV and 5 minute delayed liver.
(No pelvis required unless clinically indicated)
||
1.5 mm B30f, 1.2 mm increment.
||
ROI placed over aorta, monitoring begins after 10 seconds and bolus tracking triggers scan at 100 HU with a delay of 12 seconds. After arterial scan 30 s delay till PV scan.
||
CT Quad/triple Phase Liver

|-
|
Hepatocellular carcinoma staging
||
Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Liver metastases
||
CT liver
Depends on primary site.
If colorectal only need PV phase.
Breast/renal/neuroendocrine/melanoma/sarcoma/lung usually include chest
||
1.5 mm B30f, 1.2 mm increment.
||
If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
||
CT PV liver

|-
|
||
||
||
Breast, melanoma, lung:
Arterial chest and liver
65 seconds abdomen and pelvis
||
CT Art + PV liver

|-
|
Haemangioma
||
CT triple phase liver and delayed
Art, PV and 5 minute liver
||
1.5 mm B30f, 1.2 mm increment.
||
MRI preferable (see new protocol for incidental liver lesion pick up).
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post TACE
||
CT triple phase liver (arterial/portal venous/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post RFA
||
CT triple phase liver (pre/arterial/portal venous/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT quad phase liver

|-
|
Post embolisation f/u of HCC
||
Aterial, portal venous and delayed phases
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post embolization f/u of liver metastatic deposit
||
CT arterial or arterial/PV liver
||
1.5 mm B30f, 1.2 mm increment.
||
If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
||
CT PV liver

|-
|
||
||
||
Breast, melanoma, lung:
40 seconds chest and liver
65 seconds abdomen and pelvis
||
CT art + PV liver

|}

Liver

2018-04-15T15:10:04Z

K8om9g:

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

|-
|
Cholangiocarcinoma?
||
Triple phase liver (Art/PV/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
Triple phase liver (Art/PV/5 min)

|-
|
Staging cholangiocarcinoma
||
Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Follow up cholangiocarcinoma
||
5 min delayed liver and PV Chest, abdomen and pelvis
||
1.5 mm B30f, 1.2 mm increment.
||
As above
||
CAP with 5 min delayed liver

|-
|
Characterise liver lesion/HCC
||
CT triple phase liver
Usually do not require pre-contrast unless possible focal fat, etc.
Non contrast, arterial, PV and 5 minute delayed liver.
(No pelvis required unless clinically indicated)
||
1.5 mm B30f, 1.2 mm increment.
||
ROI placed over aorta, monitoring begins after 10 seconds and bolus tracking triggers scan at 100 HU with a delay of 12 seconds. After arterial scan 30 s delay till PV scan.
||
CT Quad/triple Phase Liver

|-
|
Hepatocellular carcinoma staging
||
Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Liver metastases
||
CT liver
Depends on primary site.
If colorectal only need PV phase.
Breast/renal/neuroendocrine/melanoma/sarcoma/lung usually include chest
||
1.5 mm B30f, 1.2 mm increment.
||
If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
||
CT PV liver

|-
|
||
||
||
Breast, melanoma, lung:
Arterial chest and liver
65 seconds abdomen and pelvis
||
CT Art + PV liver

|-
|
Haemangioma
||
CT triple phase liver and delayed
Art, PV and 5 minute liver
||
1.5 mm B30f, 1.2 mm increment.
||
MRI preferable (see new protocol for incidental liver lesion pick up).
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post TACE
||
CT triple phase liver (arterial/portal venous/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post RFA
||
CT triple phase liver (pre/arterial/portal venous/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT quad phase liver

|-
|
Post embolisation f/u of HCC
||
Aterial, portal venous and delayed phases
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post embolization f/u of liver metastatic deposit
||
CT arterial or arterial/PV liver
||
1.5 mm B30f, 1.2 mm increment.
||
If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
||
CT PV liver

|-
|
||
||
||
Breast, melanoma, lung:
40 seconds chest and liver
65 seconds abdomen and pelvis
||
CT art + PV liver

|}

Liver

2018-04-15T15:09:30Z

K8om9g:

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

|-
|
Cholangiocarcinoma?
||
Triple phase liver (Art/PV/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
Triple phase liver (Art/PV/5 min)

|-
|
Staging cholangiocarcinoma
||
Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Follow up cholangiocarcinoma
||
5 min delayed liver and PV Chest, abdomen and pelvis
||
1.5 mm B30f, 1.2 mm increment.
||
As above
||
CAP with 5 min delayed liver

|-
|
Characterise liver lesion/HCC
||
CT triple phase liver
Usually do not require pre-contrast unless possible focal fat, etc.
Non contrast, arterial, PV and 5 minute delayed liver.
(No pelvis required unless clinically indicated)
||
1.5 mm B30f, 1.2 mm increment.
||
ROI placed over aorta, monitoring begins after 10 seconds and bolus tracking triggers scan at 100 HU with a delay of 12 seconds. After arterial scan 30 s delay till PV scan.
||
CT Quad/triple Phase Liver

|-
|
Hepatocellular carcinoma staging
||
Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Liver metastases
||
CT liver
Depends on primary site.
If colorectal only need PV phase.
Breast/renal/neuroendocrine/melanoma/sarcoma/lung usually include chest
||
1.5 mm B30f, 1.2 mm increment.
||
If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
||
CT PV liver

|-
|
||
||
Breast, melanoma, lung:
Arterial chest and liver
65 seconds abdomen and pelvis
||
CT Art + PV liver

|-
|
Haemangioma
||
CT triple phase liver and delayed
Art, PV and 5 minute liver
||
1.5 mm B30f, 1.2 mm increment.
||
MRI preferable (see new protocol for incidental liver lesion pick up).
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post TACE
||
CT triple phase liver (arterial/portal venous/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post RFA
||
CT triple phase liver (pre/arterial/portal venous/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT quad phase liver

|-
|
Post embolisation f/u of HCC
||
Aterial, portal venous and delayed phases
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post embolization f/u of liver metastatic deposit
||
CT arterial or arterial/PV liver
||
1.5 mm B30f, 1.2 mm increment.
||
If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
||
CT PV liver

|-
|
||
||
Breast, melanoma, lung:
40 seconds chest and liver
65 seconds abdomen and pelvis
||
CT art + PV liver

|}

Liver

2018-04-15T15:07:36Z

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

|-
|
Cholangiocarcinoma?
||
Triple phase liver (Art/PV/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
Triple phase liver (Art/PV/5 min)

|-
|
Staging cholangiocarcinoma
||
Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Follow up cholangiocarcinoma
||
5 min delayed liver and PV Chest, abdomen and pelvis
||
1.5 mm B30f, 1.2 mm increment.
||
As above
||
CAP with 5 min delayed liver

|-
|
Characterise liver lesion/HCC
||
CT triple phase liver
Usually do not require pre-contrast unless possible focal fat, etc.
Non contrast, arterial, PV and 5 minute delayed liver.
(No pelvis required unless clinically indicated)
||
1.5 mm B30f, 1.2 mm increment.
||
ROI placed over aorta, monitoring begins after 10 seconds and bolus tracking triggers scan at 100 HU with a delay of 12 seconds. After arterial scan 30 s delay till PV scan.
||
CT Quad/triple Phase Liver

|-
|
Hepatocellular carcinoma staging
||
Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

|-
|
Liver metastases
||
CT liver
Depends on primary site.
If colorectal only need PV phase.
Breast/renal/neuroendocrine/melanoma/sarcoma/lung usually include chest
||
1.5 mm B30f, 1.2 mm increment.
||
If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
||
CT PV liver

|-
|
Breast, melanoma, lung:
Arterial chest and liver
65 seconds abdomen and pelvis
||
CT Art + PV liver

|-
|
Haemangioma
||
CT triple phase liver and delayed
Art, PV and 5 minute liver
||
1.5 mm B30f, 1.2 mm increment.
||
MRI preferable (see new protocol for incidental liver lesion pick up).
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post TACE
||
CT triple phase liver (arterial/portal venous/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post RFA
||
CT triple phase liver (pre/arterial/portal venous/5 min delayed)
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT quad phase liver

|-
|
Post embolisation f/u of HCC
||
Aterial, portal venous and delayed phases
||
1.5 mm B30f, 1.2 mm increment.
||
Bolus tracked as above.
||
CT triple phase liver

|-
|
Post embolization f/u of liver metastatic deposit
||
CT arterial or arterial/PV liver
||
1.5 mm B30f, 1.2 mm increment.
||
If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
||
CT PV liver

|-
|
Breast, melanoma, lung:
40 seconds chest and liver
65 seconds abdomen and pelvis
||
CT art + PV liver

|}

Gastrointestinal

2018-04-15T14:45:50Z

K8om9g:

Water loading: give 5 cups (about 800 ml) during the 15 minutes before getting on the CT scanner table. 3 of these cups should be given outside awaiting the scan and 2 cups of water in the scanner room. Do not give the water too early.

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation

|-
|
Cancer of oesophagus, stomach, duodenum, gallbladder, pancreas and colon/rectum
||
CT chest, abdomen & pelvis (contrast)
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds post contrast + oral water as above
||
CT CAP + c + oral water

|-
|
Anal cancer
||
CT abdomen & pelvis (contrast)
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds post contrast
||
CT abdomen and pelvis + c

|-
|
Colorectal Ca? Including if failed or refused colonoscopy
||
CT colonography
||
1.5 mm B30f, 1.2 mm increment.
||
See specific guidance
||
CT colonography

|-
|
Active GI bleeding
||
Pre/arterial/PV abdomen and pelvis
||
1.5 mm B30f, 1.2 mm increment.
||
Pre, arterial and PV bolus tracked as described below
||
CT angio triple phase abdomen

|-
|
Acute abdominal pain (diverticulitis, appendicitis, perforation, obstruction, GB perforation, abdominal or pelvic collection, etc)
||
PV abdomen and pelvis
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT abdomen and pelvis + c

|-
|
Neuroendocrine tumour including carcinoid
||
CT Chest, abdomen and pelvis + arterial phase abdomen
||
1.5 mm B30f, 1.2 mm increment.
|| ||
Arterial abdo + CAP in PV phase

|-
|
Anastamotic leak
||
CT abdomen and pelvis witn i.v. and oral contrast
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds + 1% gastrografin (10 ml gastrografin/L water) timing depending on site e.g. 15-30 mins stomach and duodenum, 60 mins for small bowel, 4 hours for large bowel
||
CT abdomen and pelvis + i.v. + oral contrast
|}

Gastrointestinal

2018-04-15T14:45:31Z

K8om9g:

Water loading: give 5 cups (about 800 ml) during the 15 minutes before getting on the CT scanner table. 3 of these cups should be given outside awaiting the scan and 2 cups of water in the scanner room. Do not give the water too early.

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation
|-
|
Indication
||
Brief description
||
Slice thickness, reconstruction kernel
||
Further details of contrast timing/explanation of what the radiographers do
||
Abbreviation

|-
|
Cancer of oesophagus, stomach, duodenum, gallbladder, pancreas and colon/rectum
||
CT chest, abdomen & pelvis (contrast)
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds post contrast + oral water as above
||
CT CAP + c + oral water

|-
|
Anal cancer
||
CT abdomen & pelvis (contrast)
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds post contrast
||
CT abdomen and pelvis + c

|-
|
Colorectal Ca? Including if failed or refused colonoscopy
||
CT colonography
||
1.5 mm B30f, 1.2 mm increment.
||
See specific guidance
||
CT colonography

|-
|
Active GI bleeding
||
Pre/arterial/PV abdomen and pelvis
||
1.5 mm B30f, 1.2 mm increment.
||
Pre, arterial and PV bolus tracked as described below
||
CT angio triple phase abdomen

|-
|
Acute abdominal pain (diverticulitis, appendicitis, perforation, obstruction, GB perforation, abdominal or pelvic collection, etc)
||
PV abdomen and pelvis
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT abdomen and pelvis + c

|-
|
Neuroendocrine tumour including carcinoid
||
CT Chest, abdomen and pelvis + arterial phase abdomen
||
1.5 mm B30f, 1.2 mm increment.
|| ||
Arterial abdo + CAP in PV phase

|-
|
Anastamotic leak
||
CT abdomen and pelvis witn i.v. and oral contrast
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds + 1% gastrografin (10 ml gastrografin/L water) timing depending on site e.g. 15-30 mins stomach and duodenum, 60 mins for small bowel, 4 hours for large bowel
||
CT abdomen and pelvis + i.v. + oral contrast
|}

Gastrointestinal

2018-04-15T14:44:46Z

K8om9g:

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation
Water loading: give 5 cups (about 800 ml) during the 15 minutes before getting on the CT scanner table. 3 of these cups should be given outside awaiting the scan and 2 cups of water in the scanner room. Do not give the water too early.

|-
|
Indication
||
Brief description
||
Slice thickness, reconstruction kernel
||
Further details of contrast timing/explanation of what the radiographers do
||
Abbreviation

|-
|
Cancer of oesophagus, stomach, duodenum, gallbladder, pancreas and colon/rectum
||
CT chest, abdomen & pelvis (contrast)
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds post contrast + oral water as above
||
CT CAP + c + oral water

|-
|
Anal cancer
||
CT abdomen & pelvis (contrast)
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds post contrast
||
CT abdomen and pelvis + c

|-
|
Colorectal Ca? Including if failed or refused colonoscopy
||
CT colonography
||
1.5 mm B30f, 1.2 mm increment.
||
See specific guidance
||
CT colonography

|-
|
Active GI bleeding
||
Pre/arterial/PV abdomen and pelvis
||
1.5 mm B30f, 1.2 mm increment.
||
Pre, arterial and PV bolus tracked as described below
||
CT angio triple phase abdomen

|-
|
Acute abdominal pain (diverticulitis, appendicitis, perforation, obstruction, GB perforation, abdominal or pelvic collection, etc)
||
PV abdomen and pelvis
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT abdomen and pelvis + c

|-
|
Neuroendocrine tumour including carcinoid
||
CT Chest, abdomen and pelvis + arterial phase abdomen
||
1.5 mm B30f, 1.2 mm increment.
|| ||
Arterial abdo + CAP in PV phase

|-
|
Anastamotic leak
||
CT abdomen and pelvis witn i.v. and oral contrast
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds + 1% gastrografin (10 ml gastrografin/L water) timing depending on site e.g. 15-30 mins stomach and duodenum, 60 mins for small bowel, 4 hours for large bowel
||
CT abdomen and pelvis + i.v. + oral contrast
|}

Chest

2018-04-15T10:43:04Z

K8om9g:

Chest

2018-04-15T10:41:19Z

K8om9g:

Chest

2018-04-15T10:40:23Z

K8om9g:

Chest

2018-04-15T10:34:45Z

K8om9g:

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation
|-
| Lung cancer staging || Chest and abdomen post contrast || 1 mm B30f, 1 mm B70f both 0.7 mm increment || 40 seconds || CT chest and abdo + c
|-
| Insert text || Insert text || Insert text || Insert text || Insert text
|-
| Insert text || Insert text || Insert text || Insert text || Insert text
|-
| Insert text || Insert text || Insert text || Insert text || Insert text
|-
| Insert text || Insert text || Insert text || Insert text || Insert text
|-
| Insert text || Insert text || Insert text || Insert text || Insert text
|-
| Insert text || Insert text || Insert text || Insert text || Insert text
|-
| Insert text || Insert text || Insert text || Insert text || Insert text

|}

<div>
<table>
<tbody>
<tr>
<td>
Indication
</td>
<td>
Brief description
</td>
<td>
Slice thickness, reconstruction kernel
</td>
<td>
Further details of contrast timing/explanation of what the radiographers do
</td>
<td>
Abbreviation
</td>
</tr>
<tr>
<td>
ENT cancer staging chest
</td>
<td>
CT chest (contrast)
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
65 seconds
</td>
<td>
CT chest + c
</td>
</tr>
<tr>
<td>
Lung cancer staging
</td>
<td>
CT chest and abdomen (contrast)
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
40 seconds
</td>
<td>
CT chest and abdo + c
</td>
</tr>
<tr>
<td>
Nodule on chest x-ray or nodule follow up
</td>
<td>
CT chest limited through nodule (non-contrast)
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
No contrast
</td>
<td>
Limited CT chest
</td>
</tr>
<tr>
<td>
Pulmonary embolus?
</td>
<td>
CTPA
</td>
<td>
1 mm B26f, 1 mm B70f both 0.7 mm increment.
Vascular windows: C:200 W:600
</td>
<td>
ROI placed over main PA monitoring begins after 4 seconds and bolus tracking triggers scan at 140 HU with a delay of 6 seconds.
</td>
<td>
CTPA
</td>
</tr>
<tr>
<td>
Interstitial lung disease? Bronchiectasis, rheumatoid arthritis, fibrosis, sarcoidosis, fungal infection, PCP?
</td>
<td>
CT chest volume (non-contrast)
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
No contrast
</td>
<td>
Non-contrast CT chest
</td>
</tr>
<tr>
<td>
Mesothelioma? Empyema/unilateral pleural effusion?
</td>
<td>
CT pleural disease (65 s contrast)
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
Scan at 65 seconds post contrast.
</td>
<td>
CT chest + c
</td>
</tr>
<tr>
<td>
Mesothelioma follow-up
</td>
<td>
CT chest & abdomen (contrast) mesothelioma protocol
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
Scan at 65 seconds post contrast.
</td>
<td>
CT chest and abdo + c
</td>
</tr>
<tr>
<td>
Mediastinal mass
</td>
<td>
CT chest + c
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
Scan at 65 seconds post contrast.
</td>
<td>
CT chest + c
</td>
</tr>
<tr>
<td>
Fungal infection?
</td>
<td>
CT chest (non-contrast)
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
No contrast
</td>
<td>
Non-contrast CT chest
</td>
</tr>
<tr>
<td>
For left atrial ablation
</td>
<td>
CT left atrium (contrast)
</td>
<td> </td>
<td>
Now done by cardiology
</td>
<td>
CTLA
</td>
</tr>
<tr>
<td>
Post-sternotomy. Infection?
</td>
<td>
CT sternum (65 s contrast)
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
65 seconds post contrast.
</td>
<td>
CT chest + c
</td>
</tr>
<tr>
<td>
For anatomy prior to re-do sternotomy
</td>
<td>
CT sternum (non-contrast)
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
No contrast
</td>
<td>
Non-contrast CT chest
</td>
</tr>
<tr>
<td>
Pneumothorax? Pneumothorax vs bulla
</td>
<td>
CT chest volume (non-contrast)
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
No contrast
</td>
<td>
Non-contrast CT chest
</td>
</tr>
<tr>
<td colspan="5" width="930">
Aortic scans may be performed using a dual energy protocol
</td>
</tr>
<tr>
<td>
Aortic dissection? Aneurysm? Acute aortic syndrome
</td>
<td>
CT angiogram aorta
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
Pre contrast aorta followed by cardiac gated CT angiogram or Flash (high pitch) angiogram of the aorta.
</td>
<td>
Gated CT aorta
Flash CT aorta
See appendix
</td>
</tr>
<tr>
<td>
Ruptured aortic aneurysm
</td>
<td>
Pre/arterial/PV
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
Pre-contrast, angio (bolus tracked) then PV
</td>
<td>
Triple phase aorta
</td>
</tr>
<tr>
<td>
Post aortic dissection/aneurysm/EVAR repair first follow up
</td>
<td>
CT angiogram aorta with pre-contrast
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
Bolus tracking with ROI over descending aorta triggers at 100 HU with 6 second delay
</td>
<td>
CT aorta pre and angio
</td>
</tr>
<tr>
<td>
Post aortic repair surveillance
</td>
<td>
CT angiogram aorta or MRI, no pre-contrast
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
As above
</td>
<td>
CT angio aorta
</td>
</tr>
<tr>
<td>
Endoleak?
</td>
<td>
Pre and arterial covering stented aorta. If no leak, but continued sac expansion/type V suspected the 60 second delay
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
As above
</td>
<td>
CT aorta pre and angio (specify which part of aorta)
</td>
</tr>
<tr>
<td>
Acute aortic syndromes
</td>
<td>
Gated CT angiogram aorta
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
Pre contrast aorta followed by retrospective cardiac gated CT angiogram with CT abdo pelvis or Flash (high pitch) angiogram of the aorta.
</td>
<td>
Gated CT angio aorta with pre-contrast
</td>
</tr>
<tr>
<td>
Aortic coarctation?
</td>
<td>
CT angiogram aorta
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
Bolus tracking with ROI over descending aorta triggers at 100 HU with 6 second delay
</td>
<td>
CT aorta
</td>
</tr>
<tr>
<td>
Pre-operative aortic diameter/calcification
</td>
<td>
CT ascending aorta (non-contrast top of arch to mid heart)
</td>
<td>
1 mm B30f, 1 mm B70f both 0.7 mm increment.
</td>
<td>
No contrast
</td>
<td>
CT non-con ascending aorta
</td>
</tr>
</tbody>
</table>
</div>

Gastrointestinal

2018-04-11T14:23:12Z

{| class="wikitable"
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation
|-
| Insert text || Insert text || Insert text || Insert text || Insert text
|-
| Insert text || Insert text || Insert text || Insert text || Insert text
|-
| Insert text || Insert text || Insert text || Insert text || Insert text
|-
| Insert text || Insert text || Insert text || Insert text || Insert text
|-
| Insert text || Insert text || Insert text || Insert text || Insert text
|-
| Insert text || Insert text || Insert text || Insert text || Insert text
|-
| Insert text || Insert text || Insert text || Insert text || Insert text

|}

CT and MR protocols

2018-04-11T14:22:31Z

K8om9g:

== CT Protocols ==
* [[Chest]]
* [[Gastrointestinal]]
* [[Liver]]
* [[Pancreas]]
* [[Adrenals]]
* [[Renal]]
* [[Bladder/prostate/testicles]]
* [[Gynaecology]]
* [[Other]]

== MR Protocols ==
* MSK
* Gastrointestinal

== Getting started ==
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Configuration_settings Configuration settings list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:FAQ MediaWiki FAQ]
* [https://lists.wikimedia.org/mailman/listinfo/mediawiki-announce MediaWiki release mailing list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Localisation#Translation_resources Localise MediaWiki for your language]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Combating_spam Learn how to combat spam on your wiki]

== Test ==

== General information ==

Chest

2018-04-11T14:19:59Z

K8om9g:

Chest

2018-04-11T14:19:17Z

K8om9g:

Chest

2018-04-11T14:17:11Z

K8om9g:

Chest

2018-04-11T14:14:53Z

K8om9g: Created page with "{| |- ! Indication ! Brief description ! Slice thickness and reconstruction kernel !Further details of contrast timing/explanation of what the radiographers do ! Abbreviation..."

{|
|-
! Indication
! Brief description
! Slice thickness and reconstruction kernel
!Further details of contrast timing/explanation of what the radiographers do
! Abbreviation
|- | Lung cancer staging || Chest and abdomen post contrast || 1 mm B30f, 1 mm B70f both 0.7 mm increment || 40 seconds || CT chest and abdo + c
|}

CT and MR protocols

2018-04-11T14:07:05Z

K8om9g: /* CT Protocols */

== CT Protocols ==
* [[Chest]]
* Gastrointestinal
* Liver
* Pancreas
* Adrenals
* Renal
* Bladder/prostate/testicles
* Gynaecology
* Other

== MR Protocols ==
* MSK
* Gastrointestinal

== Getting started ==
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Configuration_settings Configuration settings list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:FAQ MediaWiki FAQ]
* [https://lists.wikimedia.org/mailman/listinfo/mediawiki-announce MediaWiki release mailing list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Localisation#Translation_resources Localise MediaWiki for your language]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Combating_spam Learn how to combat spam on your wiki]

== Test ==

== General information ==

CT and MR protocols

2018-04-11T14:03:57Z

K8om9g:

== CT Protocols ==
* Chest
* Gastrointestinal
* Liver
* Pancreas
* Adrenals
* Renal
* Bladder/prostate/testicles
* Gynaecology
* Other

== MR Protocols ==
* MSK
* Gastrointestinal

== Getting started ==
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Configuration_settings Configuration settings list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:FAQ MediaWiki FAQ]
* [https://lists.wikimedia.org/mailman/listinfo/mediawiki-announce MediaWiki release mailing list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Localisation#Translation_resources Localise MediaWiki for your language]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Combating_spam Learn how to combat spam on your wiki]

== Test ==

== General information ==

CT and MR protocols

2018-04-11T14:03:17Z

K8om9g: K8om9g moved page Main Page to CT and MR protocols for Barts and the Royal London Hospitals

CT and MR protocols for Barts and the Royal London Hospitals



== CT Protocols ==
* Chest
* Gastrointestinal
* Liver
* Pancreas
* Adrenals
* Renal
* Bladder/prostate/testicles
* Gynaecology
* Other

== MR Protocols ==
* MSK
* Gastrointestinal

== Getting started ==
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Configuration_settings Configuration settings list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:FAQ MediaWiki FAQ]
* [https://lists.wikimedia.org/mailman/listinfo/mediawiki-announce MediaWiki release mailing list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Localisation#Translation_resources Localise MediaWiki for your language]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Combating_spam Learn how to combat spam on your wiki]

== Test ==

== General information ==

CT and MR protocols

2018-04-11T14:00:15Z

K8om9g:

CT and MR protocols

2018-04-11T13:58:57Z

K8om9g:

CT and MR protocols for Barts and the Royal London Hospitals

Consult the [https://www.mediawiki.org/wiki/Special:MyLanguage/Help:Contents User's Guide] for information on using the wiki software.

== CT Protocols ==
* Chest
* Gastrointestinal
* Liver
* Pancreas
* Adrenals
* Renal
* Bladder/prostate/testicles
* Gynaecology
* Other

== MR Protocols ==
* MSK
* Gastrointestinal

== Getting started ==
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Configuration_settings Configuration settings list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:FAQ MediaWiki FAQ]
* [https://lists.wikimedia.org/mailman/listinfo/mediawiki-announce MediaWiki release mailing list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Localisation#Translation_resources Localise MediaWiki for your language]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Combating_spam Learn how to combat spam on your wiki]

== Test ==

== General information ==

CT and MR protocols

2018-04-11T13:31:37Z

K8om9g: /* MR Protocols */

CT and MR protocols

2018-04-11T13:31:03Z

K8om9g: /* CT Protocols */

CT and MR protocols for Barts and the Royal London Hospitals

Consult the [https://www.mediawiki.org/wiki/Special:MyLanguage/Help:Contents User's Guide] for information on using the wiki software.

== CT Protocols ==
* Chest
* Gastrointestinal
* Liver
* Pancreas
* Adrenals
* Renal
* Bladder/prostate/testicles
* Gynaecology
* Other

== MR Protocols ==

== Getting started ==
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Configuration_settings Configuration settings list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:FAQ MediaWiki FAQ]
* [https://lists.wikimedia.org/mailman/listinfo/mediawiki-announce MediaWiki release mailing list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Localisation#Translation_resources Localise MediaWiki for your language]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Combating_spam Learn how to combat spam on your wiki]

CT and MR protocols

2018-04-11T13:22:34Z

K8om9g:

CT and MR protocols for Barts and the Royal London Hospitals

Consult the [https://www.mediawiki.org/wiki/Special:MyLanguage/Help:Contents User's Guide] for information on using the wiki software.

== CT Protocols ==
* Chest
* Abdomen
* Renal
*

== MR Protocols ==

== Getting started ==
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Configuration_settings Configuration settings list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:FAQ MediaWiki FAQ]
* [https://lists.wikimedia.org/mailman/listinfo/mediawiki-announce MediaWiki release mailing list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Localisation#Translation_resources Localise MediaWiki for your language]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Combating_spam Learn how to combat spam on your wiki]

CT and MR protocols

2018-04-11T13:20:26Z

K8om9g:

CT and MR protocols for Barts and the Royal London Hospitals

Consult the [https://www.mediawiki.org/wiki/Special:MyLanguage/Help:Contents User's Guide] for information on using the wiki software.

== Getting started ==
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Configuration_settings Configuration settings list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:FAQ MediaWiki FAQ]
* [https://lists.wikimedia.org/mailman/listinfo/mediawiki-announce MediaWiki release mailing list]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Localisation#Translation_resources Localise MediaWiki for your language]
* [https://www.mediawiki.org/wiki/Special:MyLanguage/Manual:Combating_spam Learn how to combat spam on your wiki]