Renal - Revision history

212.227.126.18 at 10:49, 14 January 2021

2021-01-14T10:49:50Z

212.227.126.24 at 12:46, 12 January 2021

2021-01-12T12:46:38Z

← Older revision		Revision as of 13:46, 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 08:23, 12 January 2021

2021-01-12T08:23:53Z

← Older revision		Revision as of 09:23, 12 January 2021
Line 12:		Line 12:
	\|		\|
	Renal stones?		Renal stones?
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->X
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->
	\|\|		\|\|
	CT Kidneys Ureter Bladder (non-contrast, low dose)		CT Kidneys Ureter Bladder (non-contrast, low dose)
Line 27:		Line 27:
	\|		\|
	Follow up of VUJ stones		Follow up of VUJ stones
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->X
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->
	\|\|		\|\|
	Limited CT bladder (non-contrast)		Limited CT bladder (non-contrast)
Line 42:		Line 42:
	\|		\|
	Cause of PUJ obstruction, not from stones		Cause of PUJ obstruction, not from stones
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->X
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->
	\|\|		\|\|
	Pre, arterial and delayed - Change to pre + combined dual bolus angio and delayed?		Pre, arterial and delayed - Change to pre + combined dual bolus angio and delayed?
Line 61:		Line 61:
	Asymptomatic Microscopic haematuria		Asymptomatic Microscopic haematuria
	Low risk (<40 years, no other risk factor)		Low risk (<40 years, no other risk factor)
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->X
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->If persistent
	\|\|		\|\|
	Renal tract US, Plain KUB		Renal tract US, Plain KUB
Line 77:		Line 77:
	\|		\|
	Symptomatic microscopic haematuria Low risk (<40 years, no other risk factor)		Symptomatic microscopic haematuria Low risk (<40 years, no other risk factor)
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	CT KUB non contrast , low dose		CT KUB non contrast , low dose
Line 92:		Line 92:
	\|		\|
	Symptomatic microscopic haematuria High risk (>40 years, smokers, occupational history, drugs, pelvic radiation, UTIs, LUTS, familial)		Symptomatic microscopic haematuria High risk (>40 years, smokers, occupational history, drugs, pelvic radiation, UTIs, LUTS, familial)
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	CT IVU (contrast) and flexible cystoscopy		CT IVU (contrast) and flexible cystoscopy
Line 107:		Line 107:
	\|		\|
	Macroscopic haematuria (20% malignant) Low risk (<40 years, no other risk factor)		Macroscopic haematuria (20% malignant) Low risk (<40 years, no other risk factor)
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	CT KUB for stone diagnosis (non-contrast) and flexible cystoscopy		CT KUB for stone diagnosis (non-contrast) and flexible cystoscopy
Line 122:		Line 122:
	\|		\|
	Macroscopic haematuria (20% malignant) High risk(>40 years, smokers, occupational history, drugs, pelvic radiation, familial)		Macroscopic haematuria (20% malignant) High risk(>40 years, smokers, occupational history, drugs, pelvic radiation, familial)
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	CT IVU (contrast) and flexible cystoscopy		CT IVU (contrast) and flexible cystoscopy
Line 138:		Line 138:
	Abnormality on ultrasound for characterisation		Abnormality on ultrasound for characterisation
	Follow up of Bosniak cysts (2F and greater)		Follow up of Bosniak cysts (2F and greater)
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	Pre contrast and 90 second (nephrographic)		Pre contrast and 90 second (nephrographic)
Line 157:		Line 157:
	\|		\|
	Renal cell cancer staging		Renal cell cancer staging
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	CT kidneys (arterial) and chest, abdomen and pelvis (PV phase)		CT kidneys (arterial) and chest, abdomen and pelvis (PV phase)
Line 170:		Line 170:
	\|		\|
	Renal cell cancer follow up		Renal cell cancer follow up
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	CT kidneys (arterial) and chest, abdomen and pelvis (PV phase)		CT kidneys (arterial) and chest, abdomen and pelvis (PV phase)
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	\|		\|
	Potential live donor		Potential live donor
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->
	\|\|		\|\|
	CT pre, renal angiogram and venous phase + topogram delayed		CT pre, renal angiogram and venous phase + topogram delayed
Line 199:		Line 199:
	\|		\|
	Potential transplant recipient		Potential transplant recipient
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->
	\|\|		\|\|
	Non contrast abdomen and pelvis		Non contrast abdomen and pelvis
Line 213:		Line 213:
	\|		\|
	Hypertension, renal artery stenosis?		Hypertension, renal artery stenosis?
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->X
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->
	\|\|		\|\|
	CT renal angiogram		CT renal angiogram
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	\|		\|
	Hypertension, renal or adrenal?		Hypertension, renal or adrenal?
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->X
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->
	\|\|		\|\|
	Pre adrenals and review for full adrenals + renal, otherwise just renal angio		Pre adrenals and review for full adrenals + renal, otherwise just renal angio
Line 241:		Line 241:
	\|		\|
	Follow up RFA		Follow up RFA
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\|		\|\| <!--Put an X after the angled bracket if COVID Urgent -->X
	\|\|		\|\|
	Triple phase kidneys - Pre/art/nephrographic (90 s)		Triple phase kidneys - Pre/art/nephrographic (90 s)

212.227.126.22 at 07:59, 12 January 2021

2021-01-12T07:59:35Z

← Older revision		Revision as of 08:59, 12 January 2021
Line 2:		Line 2:
	\|-		\|-
	! Indication		! Indication
			! COVID Cancel
			! COVID Urgent
	! Brief description		! Brief description
	! Slice thickness and reconstruction kernel		! Slice thickness and reconstruction kernel
Line 10:		Line 12:
	\|		\|
	Renal stones?		Renal stones?
			\|\|
			\|\|
	\|\|		\|\|
	CT Kidneys Ureter Bladder (non-contrast, low dose)		CT Kidneys Ureter Bladder (non-contrast, low dose)
Line 23:		Line 27:
	\|		\|
	Follow up of VUJ stones		Follow up of VUJ stones
			\|\|
			\|\|
	\|\|		\|\|
	Limited CT bladder (non-contrast)		Limited CT bladder (non-contrast)
Line 36:		Line 42:
	\|		\|
	Cause of PUJ obstruction, not from stones		Cause of PUJ obstruction, not from stones
			\|\|
			\|\|
	\|\|		\|\|
	Pre, arterial and delayed - Change to pre + combined dual bolus angio and delayed?		Pre, arterial and delayed - Change to pre + combined dual bolus angio and delayed?
Line 45:		Line 53:

	\|-		\|-
	\|colspan="5"\|		\|colspan="7"\|
	Haematuria:		Haematuria:

Line 53:		Line 61:
	Asymptomatic Microscopic haematuria		Asymptomatic Microscopic haematuria
	Low risk (<40 years, no other risk factor)		Low risk (<40 years, no other risk factor)
			\|\|
			\|\|
	\|\|		\|\|
	Renal tract US, Plain KUB		Renal tract US, Plain KUB
Line 67:		Line 77:
	\|		\|
	Symptomatic microscopic haematuria Low risk (<40 years, no other risk factor)		Symptomatic microscopic haematuria Low risk (<40 years, no other risk factor)
			\|\|
			\|\|
	\|\|		\|\|
	CT KUB non contrast , low dose		CT KUB non contrast , low dose
Line 80:		Line 92:
	\|		\|
	Symptomatic microscopic haematuria High risk (>40 years, smokers, occupational history, drugs, pelvic radiation, UTIs, LUTS, familial)		Symptomatic microscopic haematuria High risk (>40 years, smokers, occupational history, drugs, pelvic radiation, UTIs, LUTS, familial)
			\|\|
			\|\|
	\|\|		\|\|
	CT IVU (contrast) and flexible cystoscopy		CT IVU (contrast) and flexible cystoscopy
Line 93:		Line 107:
	\|		\|
	Macroscopic haematuria (20% malignant) Low risk (<40 years, no other risk factor)		Macroscopic haematuria (20% malignant) Low risk (<40 years, no other risk factor)
			\|\|
			\|\|
	\|\|		\|\|
	CT KUB for stone diagnosis (non-contrast) and flexible cystoscopy		CT KUB for stone diagnosis (non-contrast) and flexible cystoscopy
Line 106:		Line 122:
	\|		\|
	Macroscopic haematuria (20% malignant) High risk(>40 years, smokers, occupational history, drugs, pelvic radiation, familial)		Macroscopic haematuria (20% malignant) High risk(>40 years, smokers, occupational history, drugs, pelvic radiation, familial)
			\|\|
			\|\|
	\|\|		\|\|
	CT IVU (contrast) and flexible cystoscopy		CT IVU (contrast) and flexible cystoscopy
Line 120:		Line 138:
	Abnormality on ultrasound for characterisation		Abnormality on ultrasound for characterisation
	Follow up of Bosniak cysts (2F and greater)		Follow up of Bosniak cysts (2F and greater)
			\|\|
			\|\|
	\|\|		\|\|
	Pre contrast and 90 second (nephrographic)		Pre contrast and 90 second (nephrographic)
Line 137:		Line 157:
	\|		\|
	Renal cell cancer staging		Renal cell cancer staging
			\|\|
			\|\|
	\|\|		\|\|
	CT kidneys (arterial) and chest, abdomen and pelvis (PV phase)		CT kidneys (arterial) and chest, abdomen and pelvis (PV phase)
Line 148:		Line 170:
	\|		\|
	Renal cell cancer follow up		Renal cell cancer follow up
			\|\|
			\|\|
	\|\|		\|\|
	CT kidneys (arterial) and chest, abdomen and pelvis (PV phase)		CT kidneys (arterial) and chest, abdomen and pelvis (PV phase)
Line 157:		Line 181:

	\|-		\|-
	\|colspan="5"\|		\|colspan="7"\|

	\|-		\|-
	\|		\|
	Potential live donor		Potential live donor
			\|\|
			\|\|
	\|\|		\|\|
	CT pre, renal angiogram and venous phase + topogram delayed		CT pre, renal angiogram and venous phase + topogram delayed
Line 173:		Line 199:
	\|		\|
	Potential transplant recipient		Potential transplant recipient
			\|\|
			\|\|
	\|\|		\|\|
	Non contrast abdomen and pelvis		Non contrast abdomen and pelvis
Line 185:		Line 213:
	\|		\|
	Hypertension, renal artery stenosis?		Hypertension, renal artery stenosis?
			\|\|
			\|\|
	\|\|		\|\|
	CT renal angiogram		CT renal angiogram
Line 197:		Line 227:
	\|		\|
	Hypertension, renal or adrenal?		Hypertension, renal or adrenal?
			\|\|
			\|\|
	\|\|		\|\|
	Pre adrenals and review for full adrenals + renal, otherwise just renal angio		Pre adrenals and review for full adrenals + renal, otherwise just renal angio
Line 209:		Line 241:
	\|		\|
	Follow up RFA		Follow up RFA
			\|\|
			\|\|
	\|\|		\|\|
	Triple phase kidneys - Pre/art/nephrographic (90 s)		Triple phase kidneys - Pre/art/nephrographic (90 s)

185.49.75.145 at 09:08, 23 August 2018

2018-08-23T09:08:33Z

← Older revision		Revision as of 10:08, 23 August 2018
Line 174:		Line 174:
	Potential transplant recipient		Potential transplant recipient
	\|\|		\|\|
	~~Split bolus~~		Non contrast abdomen and pelvis

	~~Or sometimes non con?~~
	\|\|		\|\|
	1.5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 1.2 mm increment.
	\|\|		\|\|
	50 ml at 1.6 ml/s, pause 10 seconds, 50 ml at 4 ml/s, 50 ml flush at 4 ml/s		Old split bolus was 50 ml at 1.6 ml/s, pause 10 seconds, 50 ml at 4 ml/s, 50 ml flush at 4 ml/s
	\|\|~~ ~~		Now, just non con to look for iliac calcific atheroma
			\|\|Non con abdo pelvis

	\|-		\|-

185.49.74.145 at 07:32, 17 April 2018

2018-04-17T07:32:37Z

@@ Line 206: / Line 206: @@
 ||
 CT adrenals and renal angio
 |}

185.49.74.145 at 15:57, 16 April 2018

2018-04-16T15:57:42Z

← Older revision		Revision as of 16:57, 16 April 2018
Line 124:		Line 124:

	Or Pre, arterial and 90 seconds		Or Pre, arterial and 90 seconds
	If ~~people~~ have a ~~preference~~, let me know ~~why.~~
			I have been asked to add both of these and have been protocolling some as one, some as another. If you have a way to differentiate, please let me know
	\|\|		\|\|
	1.5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 1.2 mm increment.

185.49.74.145 at 15:55, 16 April 2018

2018-04-16T15:55:36Z

← Older revision		Revision as of 16:55, 16 April 2018
Line 124:		Line 124:

	Or Pre, arterial and 90 seconds		Or Pre, arterial and 90 seconds
			If people have a preference, let me know why.
	\|\|		\|\|
	1.5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 1.2 mm increment.
Line 129:		Line 130:
	Pre-contrast and 90 seconds		Pre-contrast and 90 seconds
	\|\|		\|\|
	CT dual phase renal		CT dual phase renal or triple phase renal

185.49.74.145 at 15:51, 16 April 2018

2018-04-16T15:51:01Z

← Older revision		Revision as of 16:51, 16 April 2018
Line 37:		Line 37:
	Cause of PUJ obstruction, not from stones		Cause of PUJ obstruction, not from stones
	\|\|		\|\|
	~~CT IVU & Renal angio~~		Pre, arterial and delayed - Change to pre + combined dual bolus angio and delayed?
	Change to combined dual bolus ~~angio and delayed?? Or separate~~ angio and delayed?
	\|\|		\|\|
	1.5 mm B30f, 1.2 mm increment.		1.5 mm B30f, 1.2 mm increment.

185.49.74.145 at 15:35, 16 April 2018

2018-04-16T15:35:17Z

← Older revision		Revision as of 16:35, 16 April 2018
Line 46:		Line 46:

	\|-		\|-
	\|		\|colspan="5"\|
	Haematuria:		Haematuria:

← Older revision		Revision as of 11:49, 14 January 2021
Line 50:		Line 50:
	\|		\|
	Renal stones?		Renal stones?
	\|\| <!--Put an X after the angled bracket if COVID Cancel -->X		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\| <!--Put an X after the angled bracket if COVID Urgent -->		\|\| <!--Put an X after the angled bracket if COVID Urgent -->
	\|\|		\|\|
Line 65:		Line 65:
	\|		\|
	Follow up of VUJ stones		Follow up of VUJ stones
	\|\| <!--Put an X after the angled bracket if COVID Cancel -->X		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\| <!--Put an X after the angled bracket if COVID Urgent -->		\|\| <!--Put an X after the angled bracket if COVID Urgent -->
	\|\|		\|\|
Line 80:		Line 80:
	\|		\|
	Cause of PUJ obstruction, not from stones		Cause of PUJ obstruction, not from stones
	\|\| <!--Put an X after the angled bracket if COVID Cancel -->X		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\| <!--Put an X after the angled bracket if COVID Urgent -->		\|\| <!--Put an X after the angled bracket if COVID Urgent -->
	\|\|		\|\|
Line 99:		Line 99:
	Asymptomatic Microscopic haematuria		Asymptomatic Microscopic haematuria
	Low risk (<40 years, no other risk factor)		Low risk (<40 years, no other risk factor)
	\|\| <!--Put an X after the angled bracket if COVID Cancel -->X		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\| <!--Put an X after the angled bracket if COVID Urgent -->If persistent		\|\| <!--Put an X after the angled bracket if COVID Urgent -->If persistent
	\|\|		\|\|
Line 251:		Line 251:
	\|		\|
	Hypertension, renal artery stenosis?		Hypertension, renal artery stenosis?
	\|\| <!--Put an X after the angled bracket if COVID Cancel -->X		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\| <!--Put an X after the angled bracket if COVID Urgent -->		\|\| <!--Put an X after the angled bracket if COVID Urgent -->
	\|\|		\|\|
Line 265:		Line 265:
	\|		\|
	Hypertension, renal or adrenal?		Hypertension, renal or adrenal?
	\|\| <!--Put an X after the angled bracket if COVID Cancel -->X		\|\| <!--Put an X after the angled bracket if COVID Cancel -->
	\|\| <!--Put an X after the angled bracket if COVID Urgent -->		\|\| <!--Put an X after the angled bracket if COVID Urgent -->
	\|\|		\|\|