Editing Bladder/prostate/testicles


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
|-
|
Bladder cancer
Some cases we&rsquo;ll want an IVU?
|| <!--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)
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?
|| <!--Put an X after the angled bracket if COVID Cancel -->
|| <!--Put an X after the angled bracket if COVID Urgent -->X
||
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
|| <!--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


|-
|
Testicular cancer initial scan
|| <!--Put an X after the angled bracket if COVID Cancel -->
|| <!--Put an X after the angled bracket if COVID Urgent -->X
||
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
|| <!--Put an X after the angled bracket if COVID Cancel -->
|| <!--Put an X after the angled bracket if COVID Urgent -->X
||
CT abdomen + contrast
||
1.5 mm B30f, 1.2 mm increment.
||
65 seconds
||
CT abdo + c


|-
|
Ureteric injury
|| <!--Put an X after the angled bracket if COVID Cancel -->
|| <!--Put an X after the angled bracket if COVID Urgent -->X
||
CT IVU
||
1.5 mm B30f, 1.2 mm increment.
||
CT IVU as above
||
CT IVU

|-
|
Bladder injury
|| <!--Put an X after the angled bracket if COVID Cancel -->
|| <!--Put an X after the angled bracket if COVID Urgent -->X
||
CT cystogram, 50 ml water soluble contrast (300 mg/ml) in 500 ml water and instill ~350 ml via catheter, then clamp and scan
||
1.5 mm B30f, 1.2 mm increment.
||
||
CT Cystogram
|}