Liver - Revision history

212.227.126.22 at 12:45, 12 January 2021

2021-01-12T12:45:52Z

← Older revision		Revision as of 13:45, 12 January 2021
Line 1:		Line 1:

			Priority Description<br />
			1. P1 High probability of potentially life threatening condition <br />
			2. P2 High probability of condition potentially causing significant long term harm <br />
			3. P3 Possibility of potentially life threatening condition <br />
			4. P4 Possibility of condition potentially causing significant long term harm <br />
			5. P5 Unlikely to be life threatening or cause significant long term harm <br />
			<br />
			{\| class="wikitable"
			\|-
			!Protocol code
			!When to use
			\|-
			\| ?Ca 2Wk
			\|\| ? Cancer 2ww – use as normal – scan to be scheduled within 2 weeks
			\|-
			\| Urgent
			\|\| Urgent – use as normal – scan to be scheduled within 4 weeks
			\|-
			\| COVID – Semi Urgent
			\|\| Examination needs performing during next few months
			\|-
			\| Routine
			\|\| Do not use during Covid pandemic
			\|-
			\| COVID P5 Cancel
			\|\| Examination is P5 exam and will be cancelled and re refer back to clinician
			\|-
			\| Cancel
			\|\| Examination to be cancelled due to non-justification of examination only ( not due to COVID)
			\|-
			\| On hold
			\|\| Use as normal

			\|}

			All routine are reclassified as above.

	{\| class="wikitable"		{\| class="wikitable"
	\|-		\|-

185.49.75.145 at 08:18, 12 January 2021

2021-01-12T08:18:51Z

← Older revision		Revision as of 09:18, 12 January 2021
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	\|		\|
	Haemangioma		Haemangioma
			\|\| <!--Put an X after the angled bracket if COVID Cancel -->
			\|\| <!--Put an X after the angled bracket if COVID Urgent -->
	\|\|		\|\|
	CT triple phase liver and delayed		CT triple phase liver and delayed
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	\|		\|
	Post TACE		Post TACE
			\|\| <!--Put an X after the angled bracket if COVID Cancel -->
			\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	CT triple phase liver (arterial/portal venous/5 min delayed)		CT triple phase liver (arterial/portal venous/5 min delayed)
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	\|		\|
	Post RFA		Post RFA
			\|\| <!--Put an X after the angled bracket if COVID Cancel -->
			\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	See either Liver metastases protocol or HCC protocol, some people want pre contrast		See either Liver metastases protocol or HCC protocol, some people want pre contrast
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	\|		\|
	Post embolisation f/u of HCC		Post embolisation f/u of HCC
			\|\| <!--Put an X after the angled bracket if COVID Cancel -->
			\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	Aterial, portal venous and delayed phases		Aterial, portal venous and delayed phases
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	\|-		\|-
	\|rowspan="2"\|Post embolization f/u of liver metastatic deposit		\|rowspan="2"\|Post embolization f/u of liver metastatic deposit
			\|rowspan="2"\| <!--Put an X after the angled bracket if COVID Cancel -->
			\|rowspan="2"\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|rowspan="2"\|CT arterial or arterial/PV liver		\|rowspan="2"\|CT arterial or arterial/PV liver
	\|rowspan="2"\|1.5 mm B30f, 5 mm B30f, 1.2 mm increment.		\|rowspan="2"\|1.5 mm B30f, 5 mm B30f, 1.2 mm increment.
Line 175:		Line 185:

	Splenic lesions		Splenic lesions
			\|\| <!--Put an X after the angled bracket if COVID Cancel -->
			\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	Triple phase abdomen		Triple phase abdomen

185.49.75.145 at 08:16, 12 January 2021

2021-01-12T08:16:34Z

← Older revision		Revision as of 09:16, 12 January 2021
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	\|-		\|-
	! Indication		! Indication
			! COVID Cancel
			! COVID Urgent
	! Brief description		! Brief description
	! Slice thickness and reconstruction kernel		! Slice thickness and reconstruction kernel
Line 10:		Line 12:
	\|		\|
	Cholangiocarcinoma?		Cholangiocarcinoma?
			\|\| <!--Put an X after the angled bracket if COVID Cancel -->
			\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	Triple phase liver (Art/PV/5 min delayed)		Triple phase liver (Art/PV/5 min delayed)
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	\|-		\|-
	\|		\|
	Staging cholangiocarcinoma		Staging cholangiocarcinoma
			\|\| <!--Put an X after the angled bracket if COVID Cancel -->
			\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|colspan="4"\|		\|colspan="4"\|
	Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis		Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis
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	\|		\|
	Follow up cholangiocarcinoma		Follow up cholangiocarcinoma
			\|\| <!--Put an X after the angled bracket if COVID Cancel -->
			\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	5 min delayed liver and PV Chest, abdomen and pelvis		5 min delayed liver and PV Chest, abdomen and pelvis
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	\|		\|
	Characterise liver lesion/HCC		Characterise liver lesion/HCC
			\|\| <!--Put an X after the angled bracket if COVID Cancel -->
			\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	CT triple phase liver		CT triple phase liver
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	\|		\|
	Hepatocellular carcinoma staging		Hepatocellular carcinoma staging
			\|\| <!--Put an X after the angled bracket if COVID Cancel -->
			\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|colspan="4"\|Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis		\|colspan="4"\|Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

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	\|-		\|-
	\|rowspan="2"\|Liver metastases		\|rowspan="2"\|Liver metastases
			\|rowspan="2"\| <!--Put an X after the angled bracket if COVID Cancel -->
			\|rowspan="2"\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|rowspan="2"\|CT liver		\|rowspan="2"\|CT liver
	Depends on primary site.		Depends on primary site.

185.49.74.145 at 07:35, 17 April 2018

2018-04-17T07:35:50Z

← Older revision		Revision as of 08:35, 17 April 2018
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	Post RFA		Post RFA
	\|\|		\|\|
	~~CT triple phase liver (~~pre~~/arterial/portal venous/5 min delayed)~~		See either Liver metastases protocol or HCC protocol, some people want pre contrast
	\|\|		\|\|
	1.5 mm B30f, 5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 5 mm B30f, 1.2 mm increment.
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	Bolus tracked as above.		Bolus tracked as above.
	\|\|		\|\|
	~~CT quad phase liver~~		See either Liver metastases protocol or HCC protocol

185.49.74.145 at 07:30, 17 April 2018

2018-04-17T07:30:11Z

← Older revision		Revision as of 08:30, 17 April 2018
Line 13:		Line 13:
	Triple phase liver (Art/PV/5 min delayed)		Triple phase liver (Art/PV/5 min delayed)
	\|\|		\|\|
	1.5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 5 mm B30f, 1.2 mm increment.
	\|\|		\|\|
	Bolus tracked as above.		Bolus tracked as above.
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	5 min delayed liver and PV Chest, abdomen and pelvis		5 min delayed liver and PV Chest, abdomen and pelvis
	\|\|		\|\|
	1.5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 5 mm B30f, 1.2 mm increment.
	\|\|		\|\|
	As above		As above
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	(No pelvis required unless clinically indicated)		(No pelvis required unless clinically indicated)
	\|\|		\|\|
	1.5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 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.		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.
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	Breast/renal/neuroendocrine/melanoma/sarcoma/lung usually include chest		Breast/renal/neuroendocrine/melanoma/sarcoma/lung usually include chest
	\|rowspan="2"\|		\|rowspan="2"\|
	1.5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 5 mm B30f, 1.2 mm increment.
	\|\|		\|\|
	If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.		If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
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	Art, PV and 5 minute liver		Art, PV and 5 minute liver
	\|\|		\|\|
	1.5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 5 mm B30f, 1.2 mm increment.
	\|\|		\|\|
	MRI preferable (see new protocol for incidental liver lesion pick up).		MRI preferable (see new protocol for incidental liver lesion pick up).
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	CT triple phase liver (arterial/portal venous/5 min delayed)		CT triple phase liver (arterial/portal venous/5 min delayed)
	\|\|		\|\|
	1.5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 5 mm B30f, 1.2 mm increment.
	\|\|		\|\|
	Bolus tracked as above.		Bolus tracked as above.
Line 119:		Line 119:
	CT triple phase liver (pre/arterial/portal venous/5 min delayed)		CT triple phase liver (pre/arterial/portal venous/5 min delayed)
	\|\|		\|\|
	1.5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 5 mm B30f, 1.2 mm increment.
	\|\|		\|\|
	Bolus tracked as above.		Bolus tracked as above.
Line 132:		Line 132:
	Aterial, portal venous and delayed phases		Aterial, portal venous and delayed phases
	\|\|		\|\|
	1.5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 5 mm B30f, 1.2 mm increment.
	\|\|		\|\|
	Bolus tracked as above.		Bolus tracked as above.
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	\|rowspan="2"\|Post embolization f/u of liver metastatic deposit		\|rowspan="2"\|Post embolization f/u of liver metastatic deposit
	\|rowspan="2"\|CT arterial or arterial/PV liver		\|rowspan="2"\|CT arterial or arterial/PV liver
	\|rowspan="2"\|1.5 mm B30f, 1.2 mm increment.		\|rowspan="2"\|1.5 mm B30f, 5 mm B30f, 1.2 mm increment.
	\|\|		\|\|
	If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.		If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
Line 164:		Line 164:
	Triple phase abdomen		Triple phase abdomen
	\|\|		\|\|
	1.5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 5 mm B30f, 1.2 mm increment.
	\|\|		\|\|
	As above		As above

185.49.74.145 at 07:20, 17 April 2018

2018-04-17T07:20:47Z

← Older revision		Revision as of 08:20, 17 April 2018
Line 157:		Line 157:


			\|-
			\|

			Splenic lesions
			\|\|
			Triple phase abdomen
			\|\|
			1.5 mm B30f, 1.2 mm increment.
			\|\|
			As above
			\|\|
			CT triple phase spleen
	\|}		\|}

K8om9g at 15:19, 15 April 2018

2018-04-15T15:19:05Z

← Older revision		Revision as of 16:19, 15 April 2018
Line 59:		Line 59:
	\|		\|
	Hepatocellular carcinoma staging		Hepatocellular carcinoma staging
	\|\|		\|colspan="4"\|Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis
	Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis


	\|-		\|-
	\|		\|rowspan="2"\|Liver metastases
	Liver metastases		\|rowspan="2"\|CT liver
	\|\|
	CT liver
	Depends on primary site.		Depends on primary site.
	If colorectal only need PV phase.		If colorectal only need PV phase.
	Breast/renal/neuroendocrine/melanoma/sarcoma/lung usually include chest		Breast/renal/neuroendocrine/melanoma/sarcoma/lung usually include chest
	\|\|		\|rowspan="2"\|
	1.5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 1.2 mm increment.
	\|\|		\|\|
Line 81:		Line 78:
	\|-		\|-
	\|		\|
	\|\|
	\|\|
	\|\|
	Breast, melanoma, lung:		Breast, melanoma, lung:
	Arterial chest and liver		Arterial chest and liver

K8om9g at 15:16, 15 April 2018

2018-04-15T15:16:52Z

← Older revision		Revision as of 16:16, 15 April 2018
Line 146:		Line 146:

	\|-		\|-
	\|		\|rowspan="2"\|Post embolization f/u of liver metastatic deposit
	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.
	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.		If colorectal, lung, squamous cell, adeno ca. (hypovascular) 65 seconds abdomen and pelvis.
Line 159:		Line 156:

	\|-		\|-
	\|		\|Breast, melanoma, lung:
	\|\|
	\|\|
	\|\|
	Breast, melanoma, lung:
	40 seconds chest and liver		40 seconds chest and liver
	65 seconds abdomen and pelvis		65 seconds abdomen and pelvis

K8om9g at 15:12, 15 April 2018

2018-04-15T15:12:59Z

← Older revision		Revision as of 16:12, 15 April 2018
Line 22:		Line 22:
	\|-		\|-
	\|		\|
	Staging cholangiocarcinoma \|\|colspan="4" \|\|		Staging cholangiocarcinoma
			\|colspan="4"\|
	Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis		Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis

K8om9g at 15:12, 15 April 2018

2018-04-15T15:12:34Z

← Older revision		Revision as of 16:12, 15 April 2018
Line 22:		Line 22:
	\|-		\|-
	\|		\|
	Staging cholangiocarcinoma		Staging cholangiocarcinoma \|\|colspan="4" \|\|
	\|\|
	Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis		Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis