Editing Adrenals


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"
|-
! Indication
! COVID Cancel
! COVID Urgent
! 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&rsquo;s)
|| <!--Put an X after the angled bracket if COVID Cancel -->
|| <!--Put an X after the angled bracket if COVID Urgent -->X
||
Pre-contrast and review for possible 65 seconds and 15 minute delayed

Currently we do arterial for Conn's...
||
1.5 mm B30f, 1.2 mm increment.
||
Pre/65 seconds/15 minutes
||
Pre contrast and review for CT adrenals


|-
|
Previous adrenal cancer
|| <!--Put an X after the angled bracket if COVID Cancel -->
|| <!--Put an X after the angled bracket if COVID Urgent -->X
||
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?
|| <!--Put an X after the angled bracket if COVID Cancel -->
|| <!--Put an X after the angled bracket if COVID Urgent -->X
||
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
|| <!--Put an X after the angled bracket if COVID Cancel -->
|| <!--Put an X after the angled bracket if COVID Urgent -->X
||
CT chest, abdomen &amp; pelvis + contrast
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT CAP + c
|}