Editing Pancreas


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

|-
|
Pancreatic lesion characterisation
|| <!--Put an X after the angled bracket if COVID Cancel -->
|| <!--Put an X after the angled bracket if COVID Urgent -->X
||
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
|| <!--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


|-
|
Follow up pancreatic cancer
|| <!--Put an X after the angled bracket if COVID Cancel -->
|| <!--Put an X after the angled bracket if COVID Urgent -->X
||
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
|| <!--Put an X after the angled bracket if COVID Cancel -->
|| <!--Put an X after the angled bracket if COVID Urgent -->
||
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
|| <!--Put an X after the angled bracket if COVID Cancel -->
|| <!--Put an X after the angled bracket if COVID Urgent -->
||
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

|}