Pancreas

Priority Description
1. P1 High probability of potentially life threatening condition
2. P2 High probability of condition potentially causing significant long term harm
3. P3 Possibility of potentially life threatening condition
4. P4 Possibility of condition potentially causing significant long term harm
5. P5 Unlikely to be life threatening or cause significant long term harm

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.

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		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		X	Appropriate scans according to recent characterisation scan and whatever else is needed e.g. chest and pelvis
Follow up pancreatic cancer		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			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			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