Trauma: Difference between revisions

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CT head, neck, split bolus: chest, abdomen and pelvis
CT head, neck, split bolus: chest, abdomen and pelvis
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Neck 0.75 mm axial slices. Sagittal and coronal recons. Body and bone: 1.5 mm with 1.2 mm increment. Sagittal and coronal recons.
Neck 0.75 mm axial slices. Sagittal and coronal recons. Body and bone/lung: 1.5 mm with 1.2 mm increment. Sagittal and coronal recons.
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60 ml contrast at 3 ml/s then 60 ml saline at 3 ml/s then 40 ml contrast at 4 ml/s then 40 ml saline at 3 ml/s
60 ml contrast at 3 ml/s then 60 ml saline at 3 ml/s then 40 ml contrast at 4 ml/s then 40 ml saline at 3 ml/s
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CT Cystogram
CT Cystogram


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Renal collecting system injury
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When suspected following trauma scan, a delayed CT may be indicated. Ideally at time of scanning or if recognized later, later as a single phase.
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1.5 mm B30f, 1.2 mm increment.
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10 minute delay opacifies ureters
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CT delayed phase/urographic phase abdo/pelvis
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Fracture neck of femur
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No CT - MRI
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Latest revision as of 13:51, 8 April 2019

Indication Brief description Slice thickness and reconstruction kernel Further details of contrast timing/explanation of what the radiographers do Abbreviation

Major trauma

CT head, neck, split bolus: chest, abdomen and pelvis

Neck 0.75 mm axial slices. Sagittal and coronal recons. Body and bone/lung: 1.5 mm with 1.2 mm increment. Sagittal and coronal recons.

60 ml contrast at 3 ml/s then 60 ml saline at 3 ml/s then 40 ml contrast at 4 ml/s then 40 ml saline at 3 ml/s

Scan at 60 s post contrast

CT HNCAP + C

Bladder injury

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

Renal collecting system injury

When suspected following trauma scan, a delayed CT may be indicated. Ideally at time of scanning or if recognized later, later as a single phase.

1.5 mm B30f, 1.2 mm increment.

10 minute delay opacifies ureters

CT delayed phase/urographic phase abdo/pelvis

Fracture neck of femur

No CT - MRI