ABDOMEN/PELVIS

CT PEDI PROTOCOLS

NEURO BODY MSK

Carotids & Circle of Willis

CTA Abdomen/Pelvis Baby Hips

Carotids Abdomen/Pelvis Hip

Circle of Willis Chest/Abdomen/Pelvis Knee or Ankle

C-Spine Chest Shoulder

Head Chest/Abdomen/Pelvis

& Neck Wrist or Elbow

L-Spine CTA Thoracic Aorta

Orbits or Face Bone Trauma

Abdomen/Pelvis

Orbits or Face ST Trauma

Chest/Abdomen/Pelvis

Soft Tissue Neck

Temporal Bones

Trauma Head

3D Head

ABDOMEN/PELVIS

ABDOMEN/PELVIS REVISED: 10/3/16

IV SIZE

IV CONTRAST ***PER WEIGHT***

INJECTION RATE

PT POSITION SUPINE / FEET FIRST

LANDMARK GE XYPHOID

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER SCAN

START ABOVE DIAPHRAGM

END BELOW SYMPHYSIS PUBIS

DFOV <TO PATIENT>

PREP GROUP

GE 70 SEC

SIEMENS

INDICATION

ORAL PREP SELECT FROM LIST

SCAN PV PHASE 60-70 SEC AFTER INJECTION STARTS

RECON

• 5mm AXIAL RECONS – SOFT OR STANDARD ALGORITHM

• 0.625mm OR 1.25mm AXIAL RECONS – SOFT OR STANDARD ALGORITHM

REFORMAT o 3mm CORONAL AND SAGITTAL

3D POST PROCESSING

ABDOMEN/PELVIS

16 SLICE – GE

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG (13-16.4

LBS)

7.5-9.4 KG (16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4 LBS)

11.5-14.4 KG (25.5-31.4 LBS)

14.5-18.4 KG (31.5-40.4 LBS)

18.5-22.4 KG (40.5-49.4 LBS)

22.5-31.4 KG (49.5-69.4 LBS)

31.5-40.4 KG (69.5-88.4 LBS)

40.5-55 KG (88.5-121

LBS)

PEDI > 122 LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 5.0

PITCH 0.938:1

SPEED 18.75

INTERVAL 5.0

GANTRY TILT

SCAN FOV SMALL SMALL LARGE LARGE LARGE LARGE LARGE LARGE LARGE LARGE

kVp 100 100 100 100 100 100 100 100 100 100

mA AUTO mA TO 100

AUTO mA TO 100

AUTO mA TO 125

AUTO mA TO 150

AUTO mA TO 175

AUTO mA TO 175

AUTO mA TO 175 W/ SMART mA

AUTO mA TO 225 W/ SMART mA

AUTO mA TO 300 W/ SMART mA

AUTO mA TO 420 W/ SMART mA

NOISE INDEX 14.40 14.40 14.40 14.40 14.40 14.40 14.40 14.40 16.29 16.29

DOSE REDUCTION

ASIR/MODE 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS

RECON 1 ALGORITHM SOFT STANDARD

REFORMATS

RECON 2

THICK/INCR. 1.25 q 0.700

ALGORITHM SOFT

REFORMATS COR/SAG

ASiR/MODE 30% / PLUS

Estimated CTDI 2.68 4.78 2.25 2.25 2.25 4.20 2.25 2.25 2.25 10.55

Estimated DLP 89.12 159.18 74.92 74.92 74.92 139.85 74.92 74.92 74.92 456.59

ABDOMEN/PELVIS

64 SLICE – GE VCT

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG

(13-16.4

LBS)

7.5-9.4 KG

(16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4

LBS)

11.5-14.4

KG (25.5-

31.4 LBS)

14.5-18.4

KG (31.5-

40.4 LBS)

18.5-22.4

KG (40.5-

49.4 LBS)

22.5-31.4

KG (49.5-

69.4 LBS)

31.5-40.4

KG (69.5-

88.4 LBS)

40.5-55 KG

(88.5-121

LBS)

PEDI > 122

LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 5.0

PITCH 0.969:1

SPEED 19.37

INTERVAL 5.0

GANTRY TILT

SCAN FOV

PEDI BODY PEDI BODY PEDI BODY PEDI BODY PEDI BODY SMALL BODY

SMALL BODY

MEDIUM BODY

LARGE BODY

LARGE BODY

kVp 80 100 100 100 100 100 100 100 100 120

mA AUTO mA TO 100

AUTO mA TO 100

AUTO mA TO 120

AUTO mA TO 130

AUTO mA TO 140

AUTO mA TO 175

AUTO mA TO 175 W/ SMART mA

AUTO mA TO 225 W/ SMART mA

AUTO mA TO 300 W/ SMART mA

AUTO mA TO 440 W/ SMART mA

NOISE INDEX 14.40 14.40 14.40 14.40 14.40 14.40 14.40 14.40 16.29 16.29

DOSE REDUCTION

ASIR/MODE 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS

RECON 1

ALGORITHM SOFT STANDARD

REFORMATS

RECON

2

THICK/INCR. 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE 30% / PLUS-E

Estimated CTDI 1.89 14.18 6.81 5.10 7.94 7.15 7.15 8.46 10.06 12.75

Estimated DLP 64.76 485.15 231.15 174.65 271.68 244.71 244.71 289.33 278.70 436.23

ABDOMEN/PELVIS

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

CAROTIDS

CAROTIDS REVISED: 10/3/16

IV SIZE

IV CONTRAST ***PER WEIGHT***

INJECTION RATE

PT POSITION SUPINE / HEAD FIRST

LANDMARK GE STERNAL NOTCH

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER CTA

START CARINA

END SELLA TURCICIA

DFOV 12-20

PREP GROUP

GE MIROI

SIEMENS

*MIROI: Inject a small amount of contrast, stop scan after carotid artery has peaked. Place an MIROI in the carotid artery, calculate the peak of the contrast.

INDICATION CAROTID STENOSIS / DISSECTION

ORAL PREP

SCAN ARTERIAL PHASE NECK

RECON • 2.5mm AXIAL RECON – STANDARD ALGORITHM

• 0.625mm OR 1.25mm AXIAL RECON – STANDARD ALGORITHM (HEAD AND NECK)

REFORMAT o 4mm MIP CORONAL (NECK)

3D POST PROCESSING

CURVED ROTATIONS RT/LT CAROTID AND RT/LT VERTEBRAL

MIP IIMAGES ARCH, CAROTID BIFURCATIONS AND VERTEBRAL ORIGINS

STENOSIS MEASUREMENTS (IF STENOSIS PRESENT)

CAROTIDS

16 SLICE – GE

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG (13-16.4

LBS)

7.5-9.4 KG (16.5-20.4 LBS)

9.5-11.4 KG

(20.5-25.4 LBS)

11.5-14.4 KG (25.5-31.4 LBS)

14.5-18.4 KG (31.5-40.4 LBS)

18.5-22.4 KG (40.5-49.4 LBS)

22.5-31.4 KG (49.5-69.4 LBS)

31.5-40.4 KG (69.5-88.4 LBS)

40.5-55 KG (88.5-121 LBS)

PEDI > 122 LBS

PARAMETER MIROI*

SCAN TYPE AXIAL FULL HELICAL FULL

ROTATION TIME

0.5 SEC 0.5 SEC

THICKNESS 5.0 2.5

PITCH 0.938:1 (PINK), 1.375:1 (RED-BLACK)

SPEED 9.37 (PINK) 13.75 (RED – BLACK)

INTERVAL 0.0 2.5

GANTRY TILT

SCAN FOV

SMALL (PINK-WHITE)

LARGE (BLUE-BLACK

SMALL SMALL SMALL SMALL SMALL LARGE LARGE LARGE LARGE

kVp 80 80 100 100 100 100 100 100 100 100

mA

10 AUTO mA

TO 100 AUTO mA

TO 125 AUTO mA

TO 125 AUTO mA

TO 140 AUTO mA

TO 150 AUTO mA

TO 175 AUTO mA

TO 175 AUTO mA

TO 225 AUTO mA

TO 300

NOISE INDEX 9.10 9.10 9.10 9.10 9.10 9.10 9.10 9.10 9.10

DOSE REDUCTION

ASIR/MODE 0% / FULL

0% / PLUS 0% / PLUS 0% / PLUS 0% / PLUS 0% / PLUS 0% / PLUS 0% / PLUS 0% / PLUS 0% / PLUS

RECON 1

ALGORITHM STANDARD STANDARD REFORMATS

RECON 2

THICK/INCR 1.25 q 0.700

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE

0% / PLUS

Estimated CTDI 11.37 20.91 289.07 28.07 28.07 9.47 13.14 13.14 13.14

Estimated DLP 57.74 163.10 286.68 286.68 286.68 71.84 135.09 135.09 135.09

CAROTIDS

64 SLICE – GE VCT PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG

(13-16.4

LBS)

7.5-9.4

KG (16.5-

20.4 LBS)

9.5-11.4 KG

(20.5-

25.4 LBS)

11.5-14.4

KG (25.5-

31.4 LBS)

14.5-18.4

KG (31.5-

40.4 LBS)

18.5-22.4

KG (40.5-

49.4 LBS)

22.5-31.4

KG (49.5-

69.4 LBS)

31.5-40.4

KG (69.5-

88.4 LBS)

40.5-55

KG (88.5-

121 LBS)

PEDI >

122 LBS PARAMETER MIROI*

SCAN TYPE AXIAL FULL HELICAL FULL

ROTATION TIME

0.5 SEC 0.5 SEC

THICKNESS 5.0 2.5 PITCH 0.969:1 SPEED 19.37 INTERVAL 0.0 2.5 GANTRY TILT

SCAN FOV

SMALL BODY (PINK-

PURPLE) / PEDI BODY (YELLOW – ORANGE)

LARGE BODY (GREEN-BLACK +)

PEDI BODY

PEDI BODY

PEDI BODY

PEDI BODY

PEDI BODY

PEDI BODY

PEDI BODY

LARGE BODY

LARGE BODY

LARGE BODY

kVp 80 80 80 100 100 100 100 100 100 100 100

mA

10 (PINK-WHITE)

20 (BLUE-ORANGE)

40 (GREEN-BLACK)

AUTO mA TO 100

AUTO mA TO 125

AUTO mA TO 125

AUTO mA TO 140

AUTO mA TO 150

AUTO mA TO 175

AUTO mA TO 175

AUTO mA TO 225

AUTO mA TO 300

AUTO mA TO 440

440 NOISE INDEX 6.63 9.10 9.10 9.10 9.10 9.10 9.10 9.10 9.10 9.10 9.10

DOSE REDUCTION

ASIR/MODE 0% / FULL 0% /PLUS 0% / PLUS

0%/ PLUS 0% / PLUS

0% / PLUS

0%/ PLUS 0% / PLUS

0% / PLUS

0% PLUS 0% / PLUS

RECON 1

ALGORITHM STANDARD STANDARD

REFORMATS

CAROTIDS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE

0% / PLUS-E

Estimated CTDI 31.07 36.06 42.16 78.51 78.51 78.51 78.51 38.39 38.39 38.39

Estimated DLP 61.84 151.49 261.03 279.21 279.21 279.21 279.21 135.99 135.99 135.99

CAROTIDS

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

CAROTIDS AND CIRCLE OF WILLIS

CAROTID AND CIRCLE OF WILLIS REVISED: 10/3/16

IV SIZE

IV CONTRAST ***PER WEIGHT***

INJECTION RATE

PT POSITION SUPINE / HEAD FIRST

LANDMARK GE STERNAL

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER SCAN

START CARINA

END TOP OF HEAD

DFOV 16-20

PREP GROUP

GE MIROI + 2 SEC

SIEMENS

*MIROI: Inject a small amount of contrast, stop scan after carotid artery has peaked. Place an MIROI in the carotid artery, calculate the peak of the contrast (image # times 2).

INDICATION ACUTE STROKE / DISSECTION

ORAL PREP

SCAN ARTERIAL PHASE HEAD AND NECK

RECON

• 5mm AXIAL RECON – STANDARD ALGORITHM (CAROTIDS AND COW)

• 0.625mm AXIAL RECON – STANDARD ALGORITHM (CAROTIDS AND COW)

• 0.625mm AXIAL RECON – STANDARD ALGORITHM (COW)

• 0.625mm AXIAL RECON – STANDARD ALGORITHM (CAROTIDS)

REFORMAT

o 2mm MIP CORONAL AND SAGITTAL (COW) o 10mm THICK MIP AXIAL CORONAL AND SAGITTAL

(COW) o 3mm MIP CORONAL (CAROTIDS)

3D POST PROCESSING

CURVED ROTATIONS RT/LT CAROTID AND RT/LT VERTEBRAL

MIP IIMAGES ARCH, CAROTID BIFURCATIONS AND VERTEBRAL ORIGINS

STENOSIS MEASUREMENTS (IF STENOSIS PRESENT) 3D ROTATIONS CIRCLE OF WILLIS

CAROTIDS AND CIRCLE OF WILLIS

16 SLICE – GE

PARAMETER MIROI 0-1 YEARS 1-2 YEARS 2-3 YEARS 3-4 YEARS 4-5 YEARS 6+ YEARS

SCAN TYPE AXIAL FULL HELICAL FULL

ROTATION TIME 1.0 SEC 0.5 SEC

THICKNESS 5.0 5.0

PITCH 0.562:1

SPEED 5.62

INTERVAL 0.0 5.0

GANTRY TILT

SCAN FOV LARGE PEDI HEAD PEDI HEAD HEAD HEAD LARGE LARGE

kVp 100 100 100 100 100 100 100

mA 10 85 100 95 110 150 185

NOISE INDEX

DOSE REDUCTION

ASIR/MODE 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL

RECON 1

ALGORITHM STANDARD

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS COR/SAG (CAROTIDS)

ASiR/MODE

0% / PLUS-E

RECON 3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS 2X2 MIP COR/SAG (COW) / 10X5 AXIAL/COR/SAG (COW)

ASiR/MODE

0% / PLUS-E

RECON 4

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS

ASiR/MODE

0% / PLUS-E

Estimated CTDI 36.63 38.42 37.82 39.62 34.80 36.81

Estimated DLP 205.14 239.01 250.45 3.7.64 230.43 281.11

CAROTIDS AND CIRCLE OF WILLIS

64 SLICE – GE VCT

PARAMETER MIROI 0-1 YEARS 1-2 YEARS 2-3 YEARS 3-4 YEARS 4-5 YEARS 6+ YEARS

SCAN TYPE AXIAL FULL HELICAL FULL

ROTATION TIME 1.0 SEC 0.5 SEC

THICKNESS 5.0 5.0

PITCH 0.531:1

SPEED 10.62

INTERVAL 0.0 5.0

GANTRY TILT

SCAN FOV LARGE BODY PEDI HEAD PEDI HEAD HEAD HEAD LARGE BODY LARGE BODY

kVp 100 100 100 100 100 100 100

mA 10 80 100 95 110 150 180

NOISE INDEX 2.47

DOSE REDUCTION

ASIR/MODE 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / PLUS

RECON 1 ALGORITHM STANDARD STANDARD

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS 2X2 MIP COR/SAG (COW) / 10X5 AX/COR/SAG (COW)

ASiR/MODE

0% / PLUS-E

RECON 3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS COR/SAG (CAROTIDS)

ASiR/MODE

0% / PLUS-E

Estimated CTDI 68.23 70.30 71.04 72.79 67.56 69.07

Estimated DLP 189.68 250.54 266.33 323.14 299.96 269.95

CAROTIDS AND CIRCLE OF WILLIS

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

CHEST

CHEST REVISED: 10/3/16

IV SIZE

IV CONTRAST ***PER WEIGHT***

INJECTION RATE

PT POSITION SUPINE / FEET FIRST

LANDMARK GE STERNAL NOTCH

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER SCAN START ABOVE APICES

END BELOW ADRENAL GLANDS

DFOV <TO PATIENT>

PREP GROUP

GE 30 SEC

SIEMENS

INDICATION

ORAL PREP NONE

SCAN 30 SEC AFTER INJECTION STARTS

RECON

• 3.75mm AXIAL RECON – STANDARD ALGORITHM

• 3.75mm AXIAL RECON – LUNG ALGORITHM

• 0.625mm OR 1.25mm AXIAL RECON – STANDARD ALGORITHM

REFORMAT o 3mm CORONAL AND SAGITTAL

3D POST PROCESSING

CHEST

16 SLICE – GE

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG (13-16.4

LBS)

7.5-9.4 KG (16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4 LBS)

11.5-14.4 KG (25.5-31.4 LBS)

14.5-18.4 KG (31.5-40.4 LBS)

18.5-22.4 KG (40.5-49.4 LBS)

22.5-31.4 KG (49.5-69.4 LBS)

31.5-40.4 KG (69.5-88.4 LBS)

40.5-55 KG (88.5-121

LBS)

PEDI > 122 LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME

0.5 SEC

THICKNESS 3.75

PITCH 0.938:1

SPEED 18.75

INTERVAL 3.75

GANTRY TILT

SCAN FOV SMALL SMALL LARGE LARGE LARGE LARGE LARGE LARGE LARGE LARGE

kVp 80 100 100 100 100 100 100 100 100 120

mA AUTO mA TO 100

AUTO mA TO 100

AUTO mA TO 125

AUTO mA TO 150

AUTO mA TO 150

AUTO mA TO 175

AUTO mA TO 175

AUTO mA TO 225 W/ SMART mA

AUTO mA TO 300 W/ SMART mA

AUTO mA TO 420 W/ SMART mA

NOISE INDEX 14.82 14.82 14.82 14.82 14.82 14.82 14.82 14.82 19.50 19.50

DOSE REDUCTION

ASIR/MODE 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS

RECON 1

ALGORITHM SOFT STANDARD

REFORMATS

RECON 2

THICK/INCR 3.75 q 3.75

ALGORITHM LUNG

REFORMATS

ASiR/MODE

30% / FULL

RECON 3

THICK/INCR 1.25 q 0.700

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE

30% / PLUS

CHEST

Estimated CTDI 3.39 6.06 2.85 2.85 2.85 2.85 2.85 2.85 2.85 10.10

Estimated DLP 70.18 200.30 94.28 94.28 59.00 94.28 94.28 94.28 94.28 239.37

CHEST

64 SLICE – GE VCT

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG

(13-16.4

LBS)

7.5-9.4 KG

(16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4

LBS)

11.5-14.4

KG (25.5-

31.4 LBS)

14.5-18.4

KG (31.5-

40.4 LBS)

18.5-22.4

KG (40.5-

49.4 LBS)

22.5-31.4

KG (49.5-

69.4 LBS)

31.5-40.4

KG (69.5-

88.4 LBS)

40.5-55 KG

(88.5-121

LBS)

PEDI > 122

LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 3.75

PITCH 0.969:1

SPEED 19.37

INTERVAL 3.75

GANTRY TILT

SCAN FOV PEDI BODY PEDI BODY PEDI BODY PEDI BODY PEDI BODY SMALL BODY

SMALL BODY

MEDIUM BODY

LARGE BODY

LARGE BODY

kVp 80 100 100 100 100 100 100 100 100 120

mA AUTO mA

TO 100 AUTO mA

TO 100 AUTO mA

TO 120 AUTO mA

TO 130 AUTO mA

TO 140 AUTO mA

TO 100

AUTO mA TO 175 W/ SMART mA

AUTO mA TO 225 W/ SMART mA

AUTO mA TO 300 W/ SMART mA

AUTO mA TO 440 W/ SMART mA

NOISE INDEX 14.82 14.82 14.82 14.82 14.82 14.82 14.82 14.82 19.50 19.50

DOSE REDUCTION

ASIR/MODE 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS

RECON 1

ALGORITHM STANDARD

REFORMATS

RECON

2

THICK/INCR 3.75 q 3.75

ALGORITHM LUNG

REFORMATS

ASiR/MODE

30% / FULL

RECON

3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE

30% / PLUS -E

CHEST

Estimated CTDI 12.07 14.06 14.06 14.06 14.06 9.77 9.77 11.56 11.13 17.47

Estimated DLP 243.29

..29

283.27 283.27 283.27 283.27 196.95 196.95 232.96 224.26 404.40

CHEST

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

CHEST/ABDOMEN/PELVIS

CHEST/ABDOMEN/PELVIS REVISED: 10/3/16

IV SIZE

IV CONTRAST ***PER WEIGHT***

INJECTION RATE

PT POSITION SUPINE / FEET FIRST

LANDMARK GE STERNAL NOTCH

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER SCAN

START ABOVE APICES

END BELOW SYMPHYSIS PUBIS

DFOV <TO PATIENT>

PREP GROUP

GE 70 SEC

SIEMENS

INDICATION

ORAL PREP

SCAN PV PHASE 60-70 SEC AFTER INJECTION STARTS

RECON

• 5mm AXIAL RECONS - STANDARD ALGORITHM

• 0.625mm OR 1.25mm AXIAL RECONS - STANDARD ALGORITHM

• 5mm AXIAL RECONS - LUNG ALGORITHM

REFORMAT o 3mm CORONAL AND SAGITTAL

3D POST PROCESSING NONE

CHEST/ABDOMEN/PELVIS

16 SLICE – GE

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG (13-16.4

LBS)

7.5-9.4 KG (16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4 LBS)

11.5-14.4 KG (25.5-31.4 LBS)

14.5-18.4 KG (31.5-40.4 LBS)

18.5-22.4 KG (40.5-49.4 LBS)

22.5-31.4 KG (49.5-69.4 LBS)

31.5-40.4 KG (69.5-88.4 LBS)

40.5-55 KG (88.5-121

LBS)

PEDI > 122 LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME

0.5 SEC

THICKNESS 5.0

PITCH 0.938:1

SPEED 18.75

INTERVAL 5.0

GANTRY TILT

SCAN FOV SMALL SMALL LARGE LARGE LARGE LARGE LARGE LARGE LARGE LARGE

kVp 80 100 100 100 100 100 100 100 100 120

mA AUTO mA TO 100

AUTO mA TO 100

AUTO mA TO 150

AUTO mA TO 150

AUTO mA TO 150

AUTO mA TO 175

AUTO mA TO 175

AUTO mA TO 225 W/ SMART mA

AUTO mA TO 300 W/ SMART mA

AUTO mA TO 440 W/ SMART mA

To NOISE INDEX 14.40 14.40 14.40 14.40 14.40 14.40 14.40 14.40 16.29 16.29

DOSE REDUCTION

ASIR/MODE 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS

RECON 1

ALGORITHM SOFT STANDARD

REFORMATS

RECON 2

5.0 q 5.0

ALGORITHM LUNG

REFORMATS

ASiR/MODE

30% / FULL

RECON 3

THICK/INCR 1.25 q 0.700

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE

30% / PLUS

CHEST/ABDOMEN/PELVIS

Estimated CTDI 2.68 4.78 3.30 3.60 2.25 3.75 3.75 2.25 2.25 17.51

Estimated DLP 70.38 159.18 109.89 119.87 74.92 124.87 124.87 74.92 97.43 609.33

CHEST/ABDOMEN/PELVIS

64 SLICE – GE VCT 1

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG

(13-16.4

LBS)

7.5-9.4 KG

(16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4

LBS)

11.5-14.4

KG (25.5-

31.4 LBS)

14.5-18.4

KG (31.5-

40.4 LBS)

18.5-22.4

KG (40.5-

49.4 LBS)

22.5-31.4

KG (49.5-

69.4 LBS)

31.5-40.4

KG (69.5-

88.4 LBS)

40.5-55 KG

(88.5-121

LBS)

PEDI > 122

LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME

0.5 SEC

THICKNESS 5.0

PITCH 0.969:1

SPEED 19.37

INTERVAL 5.0

GANTRY TILT

SCAN FOV

PEDI BODY PEDI BODY PEDI BODY PEDI BODY PEDI BODY SMALL BODY

SMALL BODY

MEDIUM BODY

LARGE BODY

LARGE BODY

kVp 80 100 100 100 100 100 100 100 100 120

mA AUTO mA TO 100

AUTO mA TO 100

AUTO mA TO 120

AUTO mA TO 130

AUTO mA TO 140

AUTO mA TO 175

AUTO mA TO 175 W/ SMART mA

AUTO mA TO 225 W/ SMART mA

AUTO mA TO 300 W/ SMART mA

AUTO mA TO 440 W/ SMART mA

NOISE INDEX 14.40 14.40 14.40 14.40 14.40 14.40 14.40 14.40 16.29 16.29

DOSE REDUCTION

ASIR/MODE 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS

RECON 1

ALGORITHM SOFT STANDARD

REFORMATS

RECON

2

THICK/INCR 5.0 q 5.0

ALGORITHM LUNG

REFORMATS

ASiR/MODE

30% / FULL

RECON

3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE

30% / PLUS-E

CHEST/ABDOMEN/PELVIS

Estimated CTDI 1.89 14.18 6.81 5.10 7.94 7.15 7.15 8.46 8.14 12.75

Estimated DLP 64.76 485.15 232.87 174.65 271.68 244.71 244.71 289.33 278.65 436.23

CHEST/ABDOMEN/PELVIS

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

CHEST/ABDOMEN/PELVIS & NECK

CHEST/ABDOMEN/PELVIS & NECK REVISED: 10/3/16

IV SIZE

IV CONTRAST ***PER WEIGHT***

INJECTION RATE

PT POSITION SUPINE / FEET FIRST / ARMS UP (C/A/P) / ARMS

DOWN (NECK)

LANDMARK GE STERNAL NOTCH

SIEMENS

BREATHING

SCOUTS AP AND LATERAL (ARMS DOWN)

PARAMETER C/A/P NECK

START ABOVE APICES TOP OF EAR

END BELOW SYMPHYSIS

PUBIS BELOW CLAVICLES

DFOV <TO PATIENT> 16-20

PREP GROUP

GE 70 SEC

SIEMENS

INDICATION

ORAL PREP

SCAN PV C/A/P ~70 SECONDS AFTER START OF INJECTION WITH NECK SCAN TO IMMEDIATELY FOLLOW

RECON

• 5mm AXIAL RECONS – STANDARD ALGORITHM (C/A/P)

• 2.5mm AXIAL RECONS – DETAIL ALGORTIHM (NECK)

• 0.625mm OR 1.25mm AXIAL RECONS – STANDARD ALGORITHM (C/A/P)

• 0.625mm OR 1.25MM AXIAL RECONS – DETAIL ALGORITHM (NECK)

• 5mm AXIAL RECONS – LUNG ALGORITHM

REFORMAT o 3mm CORONAL AND SAGITTAL C/A/P o 2mm CORONAL AND SAGITTAL NECK

3D POST PROCESSING

CHEST/ABDOMEN/PELVIS & NECK

16 SLICE – GE

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG (13-16.4

LBS)

7.5-9.4 KG (16.5-20.4

LBS)

9.5-11.4 KG (20.5-25.4

LBS)

11.5-14.4 KG (25.5-31.4 LBS)

14.5-18.4 KG (31.5-40.4 LBS)

18.5-22.4 KG (40.5-49.4 LBS)

22.5-31.4 KG (49.5-69.4 LBS)

31.5-40.4 KG (69.5-88.4 LBS)

40.5-55 KG (88.5-121

LBS)

PEDI > 122 LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME

0.5 SEC

THICKNESS 5.0 (C/A/P) / 2.5 (NECK)

PITCH 0.938:1

SPEED 18.75

INTERVAL 5.0 (C/A/P) / 2.5 (NECK)

GANTRY TILT

SCAN FOV SMALL SMALL LARGE LARGE LARGE LARGE LARGE LARGE LARGE LARGE

kVp 100 100 100 100 100 100 100 100 100 100

mA AUTO mA TO 100 /

125

AUTO mA TO 100 /

125

AUTO mA TO 150 /

125

AUTO mA TO 150 /

125

AUTO mA TO 150

AUTO mA TO 175

AUTO mA TO 175

AUTO mA TO 225 (W/ SMART mA

- C/A/P)

AUTO mA TO 300 (W/ SMART mA

- C/A/P)

AUTO mA TO 420 (W/ SMART mA

- C/A/P)

NOISE INDEX

14.40 / 10.92

14.40 / 10.92

14.40 / 10.92

14.40 / 10.92

14.40 / 10.92

14.40 / 10.92

14.40 / 10.92

14.40 / 10.92

16.29 / 10.92

16.29 / 10.92

DOSE REDUCTION

ASIR/MODE

30% PLUS / 30% FULL

30% PLUS / 30% FULL

30% PLUS / 30% FULL

30% PLUS / 30% FULL

30% PLUS / 30% FULL

30% PLUS / 30% FULL

30% PLUS / 30% FULL

30% PLUS / 30% FULL

30% PLUS / 30% FULL

30% PLUS / 30% FULL

RECON 1

ALGORITHM SOFT (C/A/P) / DETAIL (NECK) STANDARD (C/A/P) /

DETAIL (NECK)

REFORMATS

RECON 2

THICK/INCR 5.0 q 5.0

ALGORITHM LUNG

REFORMATS

ASiR/MODE

30% / FULL

RECON 3

THICK/INCR 1.25 q 0.700

ALGORITHM STANDARD

REFORMATS COR/SAG (C/A/P)

CHEST/ABDOMEN/PELVIS & NECK

ASiR/MODE

30% / PLUS

RECON 4

THICK/INCR 1.25 q 0.700

ALGORITHM DETAIL

REFORMATS COR/SAG (NECK)

ASiR/MODE

30% / FULL

Estimated CTDI 8.75 15.62 7.35 8.40 7.35 7.35 7.35 7.35 7.35 23.03

Estimated DLP 181.14 357.00 168.03 203.00 168.03 168.03 168.03 168.03 168.03 739.54

CHEST/ABDOMEN/PELVIS & NECK

64 SLICE – GE VCT

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG (13-16.4

LBS)

7.5-9.4 KG (16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4 LBS)

11.5-14.4 KG (25.5-31.4 LBS)

14.5-18.4 KG (31.5-40.4 LBS)

18.5-22.4 KG (40.5-49.4 LBS)

22.5-31.4 KG (49.5-69.4 LBS)

31.5-40.4 KG (69.5-88.4 LBS)

40.5-55 KG (88.5-121

LBS)

PEDI > 122 LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 5.0 (C/A/P) / 2.5 (NECK)

PITCH 0.969:1

SPEED 19.37

INTERVAL 5.0 (C/A/P) / 2.5 (NECK)

GANTRY TILT

SCAN FOV PEDI BODY PEDI BODY PEDI BODY PEDI BODY PEDI BODY SMALL BODY

SMALL BODY

MEDIUM BODY

LARGE BODY

LARGE BODY

kVp 80 100 100 100 100 100 100 100 100 100

mA AUTO mA

TO 100 AUTO mA

TO 100 AUTO mA

TO 120 AUTO mA

TO 120 AUTO mA

TO 140

AUTO mA TO 175 /

(W/ SMART mA

- C/A/P)

AUTO mA TO 175 /

(W/ SMART mA

- C/A/P)

AUTO mA TO 225 /

(W/ SMART mA

- C/A/P)

AUTO mA TO 300 /

(W/ SMART mA

- C/A/P)

AUTO mA TO 440 /

(W/ SMART mA

- C/A/P)

NOISE INDEX 14.40 / 10.92

14.40 / 10.92

14.40 / 10.92

14.40 / 10.92

14.40 / 10.92

14.40 / 10.92

14.40 / 10.92

14.40 / 10.92

16.29 / 10.92

16.29 / 10.92

DOSE REDUCTION

ASIR/MODE 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS

RECON 1

ALGORITHM STANDARD (C/A/P) / DETAIL (NECK)

REFORMATS

RECON 2

THICK/INCR 5.0 q 5.0

ALGORITHM LUNG

REFORMATS

ASiR/MODE

30% / FULL

CHEST/ABDOMEN/PELVIS & NECK

RECON 3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS COR/SAG (C/A/P)

ASiR/MODE

30% / PLUS-E

RECON 4

THICK/INCR 0.625 q 0.625

ALGORITHM DETAIL

REFORMATS COR/SAG (NECK)

ASiR/MODE

30% / PLUS-E

Estimated CTDI 18.55 33.55 28.20 28.20 28.20 21.71 14.22 25.68 24.96 38.86

Estimated DLP 653.29 874.71 737.01 737.01 737.01 506.31 371.74 598.79 1127.52 1176.55

CHEST/ABDOMEN/PELVIS & NECK

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

CIRCLE OF WILLIS

CIRCLE OF WILLIS REVISED: 10/3/16

IV SIZE

IV CONTRAST ***PER WEIGHT***

INJECTION RATE

PT POSITION SUPINE / HEAD FIRST

LANDMARK GE OMBL

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER CTA

START C2

END TOP OF HEAD

DFOV 16-20

PREP GROUP

GE MIROI

SIEMENS

**MIROI: Inject a small amount of contrast, stop scan after carotid artery has peaked. Place an MIROI in the carotid Artery, calculate the peak of the contrast. (Image # times 2)

INDICATION SAH / ANEURYSM / INTRACEREBRAL HEMORRHAGE

ORAL PREP

SCAN ARTERIAL PHASE HEAD

RECON • 5mm AXIAL RECONS – STANDARD ALGORITHM

• 0.625mm AXIAL RECONS – STANDARD ALGORITHM

REFORMAT o 2mm MIP CORONAL AND SAGITTAL o 10mm MIP AXIAL, CORONAL AND SAGITTAL

3D POST PROCESSING 3D ROTATION CIRCLE OF WILLIS

CIRCLE OF WILLIS

16 SLICE – GE

PARAMETER MIROI 0-1 YEARS 1-2 YEARS 2-3 YEARS 3-4 YEARS 4-5 YEARS 6+ YEARS

SCAN TYPE AXIAL FULL HELICAL FULL

ROTATION TIME 1.0 SEC 0.5 SEC

THICKNESS 5.0 5.0

PITCH 0.562:1

SPEED 5.62

INTERVAL 0.0 5.0

GANTRY TILT

SCAN FOV LARGE PEDI HEAD PEDI HEAD HEAD HEAD HEAD HEAD

kVp 100 100 100 120 120 120 120

mA 10 80 100 95 110 150 180

NOISE INDEX 2.80

DOSE REDUCTION

ASIR/MODE 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL

RECON 1 ALGORITHM STANDARD STANDARD

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS 2X2 MIP COR/SAG / 10X5 AX/COR/SAG

ASiR/MODE

0% / PLUS-E

Estimated CTDI 36.03 38.42 44.12 46.90 54.34 59.91

Estimated DLP 122.09 149.31 214.10 245.82 386.18 460.73

CIRCLE OF WILLIS

64 SLICE – GE VCT

PARAMETER MIROI 0-1 YEARS 1-2 YEARS 2-3 YEARS 3-4 YEARS 4-5 YEARS 6+ YEARS

SCAN TYPE AXIAL FULL HELICAL FULL

ROTATION TIME 1.0 SEC 0.5 SEC

THICKNESS 5.0 5.0

PITCH 0.531:1

SPEED 10.62

INTERVAL 0.0 5.0

GANTRY TILT

SCAN FOV LARGE BODY PEDI HEAD PEDI HEAD HEAD HEAD HEAD HEAD

kVp 100 (0-3 YEARS)

120 (3-6+ YEARS) 100 100 120 120 120 120

mA 10 80 100 95 110 150 215

NOISE INDEX 2.47

DOSE REDUCTION

ASIR/MODE 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL

RECON 1

ALGORITHM STANDARD STANDARD

REFORMATS

RECON

2

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS 2X2 MIP COR/SAG / 10X5 AX/COR/SAG

ASiR/MODE

0% / PLUS-E

Estimated CTDI 68.13 70.15 76.61 113.09 120.20 131.60

Estimated DLP 127.63 152.04 230.01 278.52 416.93 577.25

CIRCLE OF WILLIS

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

C-SPINE

C-SPINE REVISED: 10/3/16

IV SIZE

IV CONTRAST

INJECTION RATE

PT POSITION SUPINE / HEAD FIRST

LANDMARK GE STERNAL NOTCH

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER SCAN

START ABOVE C1

END T1

DFOV 10

PREP GROUP

GE

SIEMENS

INDICATION TRAUMA / TUMOR

ORAL PREP

SCAN NON-CONTRAST C-SPINE

RECON • 1.25mm AXIAL RECONS – BONE ALGORITHM

• 1.25mm (OVERLAPPING) AXIAL RECONS – BONE ALGORITHM

REFORMAT o 2mm CORONAL AND SAGITTAL

3D POST PROCESSING NONE

C-SPINE

16 SLICE – GE

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG (13-16.4

LBS)

7.5-9.4 KG (16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4 LBS)

11.5-14.4 KG (25.5-31.4 LBS)

14.5-18.4 KG (31.5-40.4 LBS)

18.5-22.4 KG (40.5-49.4 LBS)

22.5-31.4 KG (49.5-69.4 LBS)

31.5-40.4 KG (69.5-88.4 LBS)

40.5-55 KG (88.5-121

LBS)

PEDI > 122 LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC (PINK-GREEN) / 0.8 SEC (BLACK)

THICKNESS 1.25

PITCH 0.938:1

SPEED 9.37

INTERVAL 1.25

GANTRY TILT

SCAN FOV LARGE LARGE LARGE LARGE LARGE LARGE LARGE LARGE LARGE

kVp 100 100 100 100 100 100 100 120 120

mA

AUTO mA TO 125

AUTO mA TO 125

AUTO mA TO 125

AUTO mA TO 130

AUTO mA TO 150

AUTO mA TO 175

AUTO mA TO 175

AUTO mA TO 160

AUTO mA TO 200

NOISE INDEX 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00

DOSE REDUCTION

ASIR/MODE 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL

RECON 1

ALGORITHM BONE

REFORMATS

RECON 2

THICK/INCR 1.25 q 0.700

ALGORITHM BONE

REFORMATS COR/SAG

ASiR/MODE

0% / FULL

Estimated CTDI 14.76 15.50 15.50 15.50 15.50 15.50 15.50 25.74 25.49

Estimated DLP 134.55 141.28 141.28 141.28 141.28 141.28 141.28 234.62 232.24

C-SPINE

64 SLICE – GE VCT

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG

(13-16.4

LBS)

7.5-9.4 KG

(16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4

LBS)

11.5-14.4

KG (25.5-

31.4 LBS)

14.5-18.4

KG (31.5-

40.4 LBS)

18.5-22.4

KG (40.5-

49.4 LBS)

22.5-31.4

KG (49.5-

69.4 LBS)

31.5-40.4

KG (69.5-

88.4 LBS)

40.5-55 KG

(88.5-121

LBS)

PEDI > 122

LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC (PINK – GREEN) / 0.8 SEC (BLACK)

THICKNESS 1.25

PITCH 0.969:1

SPEED 19.37

INTERVAL 0.600

GANTRY TILT

SCAN FOV

SMALL BODY

SMALL BODY

SMALL BODY

SMALL BODY

SMALL BODY

SMALL BODY

SMALL BODY

SMALL BODY

SMALL BODY

kVp 100 100 100 100 100 100 100 120 120

mA

AUTO mA to 125

AUTO mA to 125

AUTO mA to 125

AUTO mA to 130

AUTO mA to 150

AUTO mA to 175

AUTO mA to 175

AUTO mA to 160

AUTO mA to 200

NOISE INDEX 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00

DOSE REDUCTION

ASIR/MODE 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL

RECON 1

ALGORITHM BONE

REFORMATS

Estimated CTDI 14.57 14.57 14.57 14.57 14.57 14.57 14.57 22.85 22.86

Estimated DLP 153.89 153.89 153.89 153.89 153.89 153.89 153.89 241.23 241.16

C-SPINE

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

CTA ABODMEN/PELVIS

CTA ABDOMEN/PELVIS REVISED: 10/3/16

IV SIZE

IV CONTRAST ***PER WEIGHT***

INJECTION RATE

PT POSITION SUPINE / FEET FIRST

LANDMARK GE XYPHOID

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER CTA START ABOVE DIAPHRAGM

END BELOW SYMPHYSIS PUBIS

DFOV <TO PATIENT>

PREP GROUP

GE 30 SEC / SMART PREP >100LBS

(10mA AT DIAPHRAGM)

SIEMENS

INDICATION

ORAL PREP

SCAN ARTERIAL PHASE ABDOMEN/PELVIS

RECON • 2.5mm AXIAL RECON – STANDARD ALGORITHM

• 0.625mm OR 1.25mm AXIAL RECON – STANDARD ALGORITHM

REFORMAT o 1.5mm MIP CORONAL AND SAGITTAL

3D POST PROCESSING ✓ 3D ROTATION AORTA ✓ MIP ROTATION AORTA / RT ILIAC / LT ILIAC ✓ MAX VESSEL MEASUREMENT

CTA ABODMEN/PELVIS

16 SLICE – GE

PARAMETER 0-20LBS 21-60 LBS 61-100 LBS > 100 LBS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 2.5

PITCH 0.938:1

SPEED 18.75

INTERVAL 2.5

GANTRY TILT

SCAN FOV SMALL LARGE LARGE LARGE

kVp 100 100 100 100

mA AUTO mA to

125 AUTO mA TO

280

AUTO mA TO 300 W/ SMART

mA

AUTO mA TO 420 W/ SMART

mA

NOISE INDEX 15.86 15.86 15.86 15.86

DOSE REDUCTION

ASIR/MODE 40% / PLUS 40% / PLUS 40% / PLUS 40% / PLUS

RECON 1 ALGORITHM STANDARD

REFORMATS

RECON 2

THICK/INCR 1.25 q 0.700

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE

40% / PLUS

Estimated CTDI 22.09 10.40 10.40 22.67

Estimated DLP 449.38 211.51 315.50 408.38

CTA ABODMEN/PELVIS

64 SLICE – GE VCT

PARAMETER 0-20LBS 21-60 LBS 61-100 LBS > 100 LBS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 2.5

PITCH 0.969:1 (0-60 LBS) / 0.984:1 (61+ LBS)

SPEED 19.37 (0-60 LBS) / 39.37 (61+ LBS)

INTERVAL 2.5

GANTRY TILT

SCAN FOV PEDI BODY SMALL BODY LARGE BODY LARGE BODY

kVp 100 100 100 100

mA AUTO mA TO

125 AUTO mA TO

280

AUTO mA TO 300 W/

SMART mA

AUTO mA TO 700 W/

SMART mA

NOISE INDEX 15.86 15.86 15.86 15.86

DOSE REDUCTION 40% 40%

ASIR/MODE 40% / PLUS 40% / PLUS 40% / PLUS 40% / PLUS

RECON 1

ALGORITHM STANDARD

REFORMATS

RECON 2

0.625 q 0.625

STANDARD

COR/SAG

40% / PLUS

Estimated CTDI 6.93 6.74 7.41 30.36

Estimated DLP 86.45 151.51 258.11

..11

678.70

CTA ABODMEN/PELVIS

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

CTA THORAX

CTA THORACIC AORTA REVISED: 10/3/16

IV SIZE

IV CONTRAST ***PER WEIGHT***

INJECTION RATE

PT POSITION SUPINE / FEET FIRST

LANDMARK GE STERNAL NOTCH

SIEMENS

BREATHING INSPIRATION

SCOUTS AP AND LATERAL

PARAMETER SCAN

START ABOVE APICES

END BELOW DIAPHRAGM

DFOV <TO PATIENT>

PREP GROUP

GE 30 SECONDS / SMART PREP >100LBS (10mA AT ARCH)

SIEMENS

INDICATION

ORAL PREP

SCAN ARTERIAL CHEST

RECON

• 2.5mm AXIAL RECONS – STANDARD ALGORITHM

• 3.75mm AXIAL RECONS – LUNG ALGORITHM

• 0.625mm OR 1.25mm AXIAL RECONS – STANDARD ALGORITHM

REFORMAT o 1.5mm MIP CORONAL AND SAGITTAL

3D POST PROCESSING 3D ROTATION AORTA CURVED REFORMATS AORTA AND BOTH ILIACS MAX VESSEL MEASUREMENT

CTA THORAX

16 SLICE – GE

PARAMETER 0-20LBS 21-60 LBS 61-100 LBS > 100 LBS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 2.5

PITCH 0.938:1

SPEED 18.75

INTERVAL 2.5

GANTRY TILT

SCAN FOV SMALL SMALL LARGE LARGE

kVp 100 100 100 100

mA AUTO mA to

125 AUTO mA to

280

AUTO mA TO 300 W/

SMART mA

AUTO mA TO 420 W/

SMART mA

NOISE INDEX 15.86 15.86 15.86 15.86

DOSE REDUCTION

ASIR/MODE 40% / PLUS 40% / PLUS 40% / PLUS 40% / PLUS

RECON 1

ALGORITHM STANDARD

REFORMATS

RECON 2

THICK/INCR 1.25 q 0.700

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE

40% / PLUS

RECON 3

THICK/INCR 3.75 q 3.75

ALGORITHM LUNG

REFORMATS

ASiR/MODE

40% / FULL

Estimated CTDI 6.38 20.83 7.58 23.26

Estimated DLP 81.86 475.78 248.80 354.36

CTA THORAX

64 SLICE – GE VCT

PARAMETER 0-20LBS 21-60 LBS 61-100 LBS 100-200 LBS > 200 LBS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 2.5

PITCH 0.969:1 ( 0-60LBS) / 0.984:1 (61+ LBS)

SPEED 19.37 ( 0-60LBS) / 39.37 (61+ LBS)

INTERVAL 2.5

GANTRY TILT

SCAN FOV PEDI BODY SMALL BODY LARGE BODY LARGE BODY LARGE BODY

kVp 100 100 100 100 100

mA AUTO mA TO

125 AUTO mA TO

280

AUTO mA TO 300 W/

SMART mA

AUTO mA TO 500 W/

SMART mA

AUTO mA TO 700 W/

SMART mA

NOISE INDEX 15.86 15.86 15.86 15.86 15.86

DOSE REDUCTION 40% 40% 40%

ASIR/MODE 40% / PLUS 40% / PLUS 40% / PLUS 40% / PLUS 40% / PLUS

RECON 1 ALGORITHM STANDARD

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE

40% / PLUS-E

RECON 3

THICK/INCR 3.75 q 3.75

ALGORITHM LUNG

REFORMATS

ASiR/MODE

40% / FULL

Estimated CTDI 6.93 6.74 7.41 24.23 47.29

Estimated DLP 86.45 151.51 258.11 271.48 821.04

CTA THORAX

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

HELICAL HEAD

HEAD REVISED: 10/3/16

IV SIZE

IV CONTRAST

INJECTION RATE

PT POSITION SUPINE / HEAD FIRST

LANDMARK GE OMBL

SIEMENS

BREATHING

SCOUTS LATERAL

PARAMETER SCAN

START BASE OF SKULL

END TOP OF HEAD

DFOV 16-20

PREP GROUP

GE

SIEMENS

INDICATION HEADACHE

ORAL PREP

SCAN NON-CONTRAST HEAD

RECON • 5.0mm AXIAL RECON – STANDARD ALGORITHM

• 0.625mm AXIAL RECON – STANDARD ALGORITHM

• 0.625mm AXIAL RECON – BONE ALGORITHM

REFORMAT o 3mm CORONAL AND SAGITTAL

3D POST PROCESSING 2 YO AND UNDER : 3D ROTATION OF SKULL

HELICAL HEAD

16 SLICE – GE

PARAMETER 0-1 YEARS 1-2 YEARS 2-3 YEARS 3-4 YEARS 4-5 YEARS 6+ YEARS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 5.0

PITCH 0.562:1

SPEED 5.62

INTERVAL 5.0

GANTRY TILT

SCAN FOV PEDI HEAD PEDI HEAD PEDI HEAD PEDI HEAD PEDI HEAD PEDI HEAD

kVp 100 100 100 120 120 120

mA AUTO mA

TO 120 AUTO mA

TO 200 AUTO mA

TO 200 AUTO mA

TO 200 AUTO mA

TO 200 AUTO mA

TO 200

NOISE INDEX 3.50 3.50 3.50 3.50 3.50 3.50

DOSE REDUCTION

ASIR/MODE 0% / PLUS 0% / PLUS 0% / PLUS 0% / PLUS 0% / PLUS 0% / PLUS

RECON 1

ALGORITHM STANDARD

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS

ASiR/MODE

0% / FULL-E

RECON 3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE

0% / PLUS-E

Estimated CTDI 12.56 12.56 12.56 19.51 19.51 19.51

Estimated DLP 144.53 144.53 144.53 224.57 302.62 302.62

HELICAL HEAD

64 SLICE – GE VCT

PARAMETER 0-1 YEARS 1-2 YEARS 2-3 YEARS 3-4 YEARS 4-5 YEARS 6+ YEARS

SCAN TYPE HELICAL FULL

ROTATION TIME 1.0 SEC

THICKNESS 5.0

PITCH 0.531:1

SPEED 10.62

INTERVAL 5.0

GANTRY TILT

SCAN FOV PEDI HEAD PEDI HEAD HEAD HEAD HEAD HEAD

kVp 100 100 100 120 120 120

mA AUTO mA

TO 200 AUTO mA

TO 200 AUTO mA

TO 200 AUTO mA

TO 200 AUTO mA

TO 200 AUTO mA

TO 200

NOISE INDEX 3.50 3.50 3.50 3.50 3.50 3.50

DOSE REDUCTION

ASIR/MODE 0% / PLUS 0% / PLUS 0% / PLUS 0% / PLUS 0% / PLUS 0% / PLUS

RECON 1

ALGORITHM STANDARD

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS

ASiR/MODE

0% / FULL

RECON 3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE

0% / PLUS

Estimated CTDI 11.11 13.14 14.82 26.15 22.78 26.29

Estimated DLP 129.12 152.60 172.13 303.78 310.25 357.98

HELICAL HEAD

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

HIP

HIP REVISED: 10/3/16

IV SIZE

IV CONTRAST

INJECTION RATE

PT POSITION SUPINE / FEET FIRST

LANDMARK GE ILIAC CREST

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER SCAN

START ASIS

END GREATER TROCHANTER

DFOV 12

PREP GROUP

GE

SIEMENS

INDICATION

ORAL PREP

SCAN NON-CONTRAST THROUGH HIP

RECON • 1.25mm AXIAL RECONS – BONE ALGORITHM

• 0.625mm AXIAL RECONS – STANDARD ALGORITHM

• 0.625mm AXIAL RECONS – BONE ALGORITHM

REFORMAT o 1mm CORONAL AND SAGITTAL

3D POST PROCESSING 3D ROTATION OF HIP WITH PELVIS DISARTICULATED

HIP

16 SLICE – GE

PARAMETER 0-20LBS 21-60 LBS 61+ LBS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 1.25

PITCH 0.938:1

SPEED 9.37

INTERVAL 1.25

GANTRY TILT

SCAN FOV SMALL LARGE LARGE

kVp 100 100 100

mA 80 100 125

NOISE INDEX

DOSE REDUCTION

ASIR/MODE 20% / FULL 20% / FULL 20% / FULL

RECON 1

ALGORITHM BONE

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS COR/SAG

ASiR/MODE

20% / FULL-E

RECON 3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS

ASiR/MODE

20% / PLUS-E

Estimated CTDI 5.74 3.36 4.20

Estimated DLP 65.25 38.16 47.70

HIP

64 SLICE – GE VCT

PARAMETER 0-20LBS 21-60 LBS 61+ LBS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 1.25

PITCH 0.969:1

SPEED 19.37

INTERVAL 1.25

GANTRY TILT

SCAN FOV PEDI BODY PEDI BODY

kVp 100 100

mA 80 100

NOISE INDEX

DOSE REDUCTION

ASIR/MODE 20% / FULL-E 20% / FULL-E

RECON 1

ALGORITHM BONE

REFORMATS

RECON

2

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS

ASiR/MODE

20% / PLUS-E

RECON

3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS

ASiR/MODE

20% / PLUS-E

Estimated CTDI 4.44 5.58

Estimated DLP 54.61 82.62

HIP

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

HIP

KNEE OR ANKLE REVISED: 10/3/16

IV SIZE

IV CONTRAST

INJECTION RATE

PT POSITION SUPINE / FEET FIRST / UNAFFECTED KNEE BENT

UP / TOES STRAIGHT UP / CENTERED IN GANTRY

LANDMARK GE MID KNEE / MID ANKLE

SIEMENS ABOVE KNEE / ABOVE KNEE

BREATHING

SCOUTS AP AND LATERAL

PARAMETER SCAN

START ABOVE KNEE JOINT (KNEE) / ABOVE

ANKLE (ANKLE)

END BELOW KNEE JOINT / BOTTOM OF

FOOT (ANKLE)

DFOV 12

PREP GROUP

GE

SIEMENS

INDICATION

ORAL PREP

SCAN NON-CONTRAST THROUGH ANKLE OR KNEE

RECON • 1.25mm AXIAL RECONS – BONE ALGORITHM

• 0.625mm AXIAL RECONS – BONE ALGORITHM

• 0.625mm AXIAL RECONS – STANDARD ALGORITHM

REFORMAT o 1mm CORONAL AND SAGITTAL

3D POST PROCESSING 3D ROTATION ANKLE OR KNEE (DISARTICULATED IF FRACTURED)

KNEE OR ANKLE

16 SLICE – GE

PARAMETER 0-20LBS 21-60 LBS 61+ LBS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 1.25

PITCH 0.938:1

SPEED 9.37

INTERVAL 1.25

GANTRY TILT

SCAN FOV SMALL SMALL LARGE

kVp 100 100 120

mA 65 85 60

NOISE INDEX

DOSE REDUCTION

ASiR/MODE 20% / FULL 20% / FULL 20% / FULL

RECON 1

ALGORITHM BONE

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS COR/SAG

ASiR/MODE

20% / FULL-E

RECON 3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS

ASiR/MODE

20% / PLUS-E

Estimated CTDI 4.66 6.10 3.35

Estimated DLP 53.02 69.33 38.02

KNEE OR ANKLE

64 SLICE – GE VCT

PARAMETER 0-20LBS 21-60 LBS 61+ LBS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 1.25

PITCH 0.969:1

SPEED 19.37

INTERVAL 1.25

GANTRY TILT

SCAN FOV PEDI BODY PEDI BODY PEDI BODY

kVp 100 100 120

mA 65 85 60

NOISE INDEX

DOSE REDUCTION

ASIR/MODE 20% / FULL-E 20% / FULL-E 20% / FULL-E RECON

1 ALGORITHM BONE

REFORMATS

RECON

2

0.625 q 0.625

BONE

COR/SAG

20% / PLUS-E

RECON

3

0.625 q 0.625

STANDARD

20% / PLUS-E

Estimated CTDI 3.60 4.63 5.00

Estimated DLP 44.37 38.50 41.59

KNEE OR ANKLE

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

L-SPINE

L-SPINE REVISED: 10/3/16

IV SIZE

IV CONTRAST

INJECTION RATE

PT POSITION SUPINE / FEET FIRST

LANDMARK GE ILIAC CREST

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER SCAN

START T12

END S1

DFOV 12-16

PREP GROUP

GE

SIEMENS

INDICATION TRAUMA / TUMOR

ORAL PREP

SCAN NON-CONTRAST L-SPINE

RECON • 1.25mm AXIAL RECONS – DETAIL ALGORITHM

• 0.625mm AXIAL RECONS – BONE ALGORITHM

• 0.625mm AXIAL RECONS – STANDARD ALGORITHM

REFORMAT o 2mm CORONAL AND SAGITTAL

3D POST PROCESSING NONE

L-SPINE

16 SLICE – GE

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG (13-16.4

LBS)

7.5-9.4 KG (16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4 LBS)

11.5-14.4 KG (25.5-31.4 LBS)

14.5-18.4 KG (31.5-40.4 LBS)

18.5-22.4 KG (40.5-49.4 LBS)

22.5-31.4 KG (49.5-69.4 LBS)

31.5-40.4 KG (69.5-88.4 LBS)

40.5-55 KG (88.5-121

LBS)

PEDI > 122 LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 1.25

PITCH 0.938:1

SPEED 9.37

INTERVAL 1.25

GANTRY TILT

SCAN FOV SMALL SMALL SMALL SMALL SMALL SMALL SMALL SMALL LARGE

kVp 100 100 100 100 100 100 100 100 100

mA AUTO mA

TO 100 AUTO mA

TO 100 AUTO mA

TO 125 AUTO mA

TO 150 AUTO mA

TO 150 AUTO mA

TO 180 AUTO mA

TO 180 AUTO mA

TO 220 AUTO mA

TO 300

NOISE INDEX 22.45 22.45 22.45 22.45 22.45 22.45 22.45 22.45 22.45

DOSE REDUCTION

ASIR/MODE 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL

RECON 1

ALGORITHM DETAIL

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS COR/SAG

ASiR/MODE

0% / FULL-E

RECON 3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS

ASiR/MODE

0% / PLUS-E

L-SPINE

Estimated CTDI 6.85 6.82 6.82 6.82 6.82 6.82 6.82 6.82 6.82

Estimated DLP 77.49 77.49 77.49 77.49 77.49 77.49 77.49 77.49 77.49

L-SPINE

64 SLICE – GE VCT

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG

(13-16.4

LBS)

7.5-9.4 KG

(16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4

LBS)

11.5-14.4

KG (25.5-

31.4 LBS)

14.5-18.4

KG (31.5-

40.4 LBS)

18.5-22.4

KG (40.5-

49.4 LBS)

22.5-31.4

KG (49.5-

69.4 LBS)

31.5-40.4

KG (69.5-

88.4 LBS)

40.5-55 KG

(88.5-121

LBS)

PEDI > 122

LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 1.25

PITCH 0.969:1

SPEED 19.37

INTERVAL 1.25

GANTRY TILT

SCAN FOV

SMALL BODY

SMALL BODY

SMALL BODY

SMALL BODY

SMALL BODY

SMALL BODY

SMALL BODY

SMALL BODY

SMALL BODY

kVp 100 100 100 100 100 100 100 100 100

mA

AUTO mA TO 100

AUTO mA TO 100

AUTO mA TO 125

AUTO mA TO 150

AUTO mA TO 150

AUTO mA TO 180

AUTO mA TO 180

AUTO mA TO 220

AUTO mA TO 300

NOISE INDEX 22.43 22.43 22.43 22.43 22.43 22.43 22.43 22.43 22.43

DOSE REDUCTION

ASIR/MODE 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL 0% / FULL

RECON 1

ALGORITHM DETAIL

REFORMATS

RECON

2

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS COR/SAG

ASiR/MODE

0% / PLUS-E

RECON

3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS

ASiR/MODE

0% / PLUS-E

L-SPINE

Estimated CTDI 4.79 14.79 14.79 14.79 14.79 14.79 14.79 14.79 14.79

Estimated DLP 82.90 256.10 256.10 256.10 256.10 256.10 256.10 256.10 256.10

L-SPINE

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

ORBITS OR FACE - BONE

ORBITS OR FACE BONE REVISED: 10/3/16

IV SIZE

IV CONTRAST

INJECTION RATE

PT POSITION SUPINE / HEAD FIRST

LANDMARK GE OMBL

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER SCAN

START MAXILLARY SINUSES (ORBITS) / BELOW

MANDIBLE (FACE)

END ROOF OF ORBITS (ORBITS) / ABOVE FRONTAL

SINUSES (FACE)

DFOV 16-18

PREP GROUP GE

SIEMENS

INDICATION TRAUMA / FACE PAIN

ORAL PREP

SCAN 1. NON-CONTRAST

RECON • 2.5mm AXIAL RECON – BONE ALGORITHM

• 0.625mm AXIAL RECON – BONE ALGORITHM

• 0.625mm AXIAL RECON – STANDARD ALGORITHM

REFORMAT o 2mm CORONAL AND SAGITTAL

3D POST PROCESSING 3D ROTATION (IF REQUESTED)

ORBITS OR FACE BONE

16 SLICE – GE

PARAMETER 0-6 YEARS 7-10 YEARS 11-18 YEARS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 2.5

PITCH 0.562:1

SPEED 5.62

INTERVAL 2.5

GANTRY TILT

SCAN FOV PEDI HEAD PEDI HEAD HEAD

kVp 100 120 120

mA 50 50 60

NOISE INDEX

DOSE REDUCTION

ASIR/MODE 30% / PLUS 30% / PLUS 30% / PLUS

RECON 1

ALGORITHM BONE

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS COR/SAG

ASiR/MODE

30% / FULL-E

RECON 3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS

ASiR/MODE

30% / PLUS-E

Estimated CTDI 5.98 9.29 11.15

Estimated DLP 78.12 112.06 134.47

ORBITS OR FACE BONE

64 SLICE – GE VCT

PARAMETER 0-6 YEARS 7-10 YEARS 11-18 YEARS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.4 SEC

THICKNESS 2.5

PITCH 0.531:1

SPEED 10.62

INTERVAL 2.5

GANTRY TILT

SCAN FOV PEDI HEAD PEDI HEAD HEAD

kVp 100 120 120

mA 75 75 95

NOISE INDEX

DOSE REDUCTION 20% 20% 20%

ASIR/MODE 30% / FULL 30% / FULL 30% / FULL

RECON 1

ALGORITHM BONE

REFORMATS

RECON

2

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS COR/SAG

ASiR/MODE

30% / FULL-E

RECON

3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS

ASiR/MODE

30% / PLUS-E

Estimated CTDI 4.86 7.44 10.49

Estimated DLP 62.35 95.43 134.47

ORBITS OR FACE BONE

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

ORBITS OR FACE ST

ORBITS OR FACE ST TISSUE REVISED: 10/3/16

IV SIZE

IV CONTRAST ***PER WEIGHT***

INJECTION RATE

PT POSITION SUPINE / HEAD FIRST

LANDMARK GE OMBL

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER SCAN

START MAXILLARY SINUSES (ORBITS) /

BELOW MANDIBLE (FACE)

END ROOF OF ORBITS (ORBITS) /

ABOVE FRONTAL SINUSES (FACE)

DFOV 16-18

PREP GROUP

GE 45 SEC

SIEMENS

*DUAL INJECTION: Inject approximately ½ of contrast, wait 5 minutes, give remaining contrast at 45 sec delay.

INDICATION FACE PAIN / INFECTION

ORAL PREP

SCAN I+ SCAN AFTER DUAL INJECTION (5 MINS AND 45 SEC BEFORE SCAN)

RECON • 2.5mm AXIAL RECONS – STANDARD ALGORITHM

• 0.625mm AXIAL RECONS – STANDARD ALGORITHM

• 0.625mm AXIAL RECONS – BONE ALGORITHM

REFORMAT o 2mm CORONAL AND SAGITTAL

3D POST PROCESSING NONE

ORBITS OR FACE ST

16 SLICE – GE

PARAMETER 0-6 YEARS 7-10 YEARS 11-18 YEARS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 2.5

PITCH 0.562:1

SPEED 5.62

INTERVAL 2.5

GANTRY TILT

SCAN FOV PEDI HEAD PEDI HEAD HEAD

kVp 100 120 120

mA 80 80 120

NOISE INDEX

DOSE REDUCTION

ASIR/MODE 30% / PLUS 30% / PLUS 30% / PLUS

RECON 1

ALGORITHM STANDARD

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS COR/SAG

ASiR/MODE

30% / FULL-E

RECON 3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS

ASiR/MODE

30% / PLUS-E

Estimated CTDI 9.57 14.87 22.30

Estimated DLP 115.39 179.29 268.94

ORBITS OR FACE ST

64 SLICE – GE VCT

PARAMETER 0-6 YEARS 7-10 YEARS 11-18 YEARS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.4 SEC

THICKNESS 2.5

PITCH 0.531:1

SPEED 10.62

INTERVAL 2.5

GANTRY TILT

SCAN FOV PEDI HEAD PEDI HEAD HEAD

kVp 100 120 120

mA 125 125 190

NOISE INDEX

DOSE REDUCTION 20% 20% 20%

ASIR/MODE 30% / FULL 30% / FULL 30% / FULL

RECON 1

ALGORITHM STANDARD

REFORMATS

RECON

2

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE

30% / PLUS-E

RECON

3

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS

ASiR/MODE

30% / FULL-E

Estimated CTDI 8.11 12.41 20.98

Estimated DLP 103.92 159.04 268.95

ORBITS OR FACE ST

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

SHOULDER

SHOULDER REVISED: 10/3/16

IV SIZE

IV CONTRAST

INJECTION RATE

PT POSITION SUPINE / HEAD FIRST / UNAFFECTED ARM UP /

AFFECTED ARM NEUTRAL POSITION

LANDMARK GE STERNAL NOTCH

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER SCAN

START SOFT TISSUE ABOVE

SHOULDER

END THROUGH SCAPULA

DFOV 12

PREP GROUP

GE

SIEMENS

INDICATION

ORAL PREP NONE

SCAN NON-CONTRAST THROUGH ENTIRE SHOULDER

RECON • 1.25mm AXIAL RECONS – BONE ALGORITHM

• 0.625mm AXIAL RECONS – BONE ALGORITHM 0.625mm AXIAL RECONS – STANDARD ALGORITHM

REFORMAT o 1mm – CORONAL AND SAGITTAL TO GLENOID FOSSA

3D POST PROCESSING 3D ROTATION OF SHOULDER (DISARTICULATED IF FRACTURED)

SHOULDER

16 SLICE – GE

PARAMETER 0-20LBS 21-60 LBS 61-100 LBS > 100 LBS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 1.25

PITCH 0.938:1

SPEED 9.37

INTERVAL 1.25

GANTRY TILT

SCAN FOV SMALL SMALL SMALL LARGE

kVp 100 100 120 120

mA 80 100 75 AUTO mA TO

200

NOISE INDEX 15.63

DOSE REDUCTION

ASiR/MODE 20% / FULL 20% / FULL 20% / FULL 20% / FULL

RECON 1

ALGORITHM BONE

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS COR/SAG

ASiR/MODE

20% / FULL-E

RECON 3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS

ASiR/MODE

20% / PLUS-E

Estimated CTDI 5.74 7.18 8.36 10.59

Estimated DLP 65.25 81.57 95.06 120.40

SHOULDER

64 SLICE – GE VCT

PARAMETER 0-20LBS 21-60 LBS 61+ LBS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 1.25

PITCH 0.969:1

SPEED 19.37

INTERVAL 1.25

GANTRY TILT

SCAN FOV PEDI BODY PEDI BODY PEDI BODY

kVp 100 100 120

mA 80 100 75

NOISE INDEX

DOSE REDUCTION

ASIR/MODE 20% / FULL-E 20% / FULL-E 20% / FULL-E

RECON 1

ALGORITHM BONE

REFORMATS

RECON

2

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS COR/SAG (TO GLENOID FOSSA)

ASiR/MODE

20% / PLUS-E

RECON

3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS

ASiR/MODE

20% / PLUS-E

Estimated CTDI 4.44 5.58 6.40

Estimated DLP 54.61 82.62 94.83

SHOULDER

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

SOFT TISSUE NECK

SOFT TISSUE NECK REVISED: 10/3/16

IV SIZE

IV CONTRAST ***PER WEIGHT***

INJECTION RATE

PT POSITION SUPINE / HEAD FIRST

LANDMARK GE STERNAL NOTCH

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER SCAN

START JUST BELOW CLAVICLES

END TOP OF EAR

DFOV 16-20

PREP GROUP

GE 45 SEC

SIEMENS

*DUAL INJECTION: Inject approximately ½ of contrast, wait 5 minutes, give remaining contrast at 45 sec delay.

INDICATION NECK TUMOR / LYMPHADENOPAHTY

ORAL PREP

SCAN I+ SCAN AFTER DUAL INECTION OF CONTRAST (5 MIN AND 45 SEC BEFORE SCAN)

RECON

• 2.5mm AXIAL RECONS – DETAIL OR STANDARD ALGORITHM

• 0.625mm OR 1.25mm AXIAL RECONS – DETAIL OR STANDARD ALGORITHM

REFORMAT o 2mm CORONAL AND SAGITTAL

3D POST PROCESSING

SOFT TISSUE NECK

16 SLICE – GE

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG (13-16.4

LBS)

7.5-9.4 KG (16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4 LBS)

11.5-14.4 KG (25.5-31.4 LBS)

14.5-18.4 KG (31.5-40.4 LBS)

18.5-22.4 KG (40.5-49.4 LBS)

22.5-31.4 KG (49.5-69.4 LBS)

31.5-40.4 KG (69.5-88.4 LBS)

40.5-55 KG (88.5-121

LBS)

PEDI > 122 LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 2.5

PITCH 1.375:1

SPEED 13.75

INTERVAL 2.5

GANTRY TILT

SCAN FOV LARGE LARGE LARGE LARGE LARGE LARGE LARGE LARGE LARGE

kVp 100 100 100 100 100 100 100 120 120

mA

AUTO mA TO 100

AUTO mA TO 125

AUTO mA TO 125

AUTO mA TO 130

AUTO mA TO 150

AUTO mA TO 175

AUTO mA TO 175

AUTO mA TO 225

AUTO mA TO 300

NOISE INDEX 10.92 10.92 10.92 10.92 10.92 10.92 10.92 10.92 10.92

DOSE REDUCTION

ASIR/MODE 30% / FULL 30% / FULL 30% / FULL 30% / FULL 30% / FULL 30% / FULL 30% / FULL 30% / FULL 30% / FULL

RECON 1

ALGORITHM DETAIL

REFORMATS

RECON 2

THICK/INCR 1.25 q 0.700

ALGORITHM DETAIL

REFORMATS COR/SAG

ASiR/MODE

30% / FULL

Estimated CTDI 5.32 10.57 10.57 10.57 10.57 10.57 10.57 17.55 17.55

Estimated DLP 91.30 181.40 181.40 181.40 181.40 181.40 181.40 301.26 301.26

SOFT TISSUE NECK

64 SLICE – GE VCT

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG

(13-16.4

LBS)

7.5-9.4 KG

(16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4

LBS)

11.5-14.4

KG (25.5-

31.4 LBS)

14.5-18.4

KG (31.5-

40.4 LBS)

18.5-22.4

KG (40.5-

49.4 LBS)

22.5-31.4

KG (49.5-

69.4 LBS)

31.5-40.4

KG (69.5-

88.4 LBS)

40.5-55 KG

(88.5-121

LBS)

PEDI > 122

LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 2.5

PITCH 0.969:1

SPEED 19.37

INTERVAL 2.5

GANTRY TILT

SCAN FOV

PEDI BODY PEDI BODY PEDI BODY PEDI BODY PEDI BODY SMALL BODY

SMALL BODY

MEDIUM BODY

MEDIUM BODY

LARGE BODY

kVp 80 100 100 100 100 100 100 120 120 120

mA

AUTO mA to 100

AUTO mA to 120

AUTO mA to 120

AUTO mA to 130

AUTO mA to 140

AUTO mA to 175

AUTO mA to 175

AUTO mA to 225

AUTO mA to 300

AUTO mA to 440

NOISE INDEX 10.92 10.92 10.92 10.92 10.92 10.92 10.92 10.92 10.92 10.92

DOSE REDUCTION

ASIR/MODE 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS

RECON 1

ALGORITHM STANDARD

REFORMATS

RECON

2

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE

30% / PLUS-E

Estimated CTDI 9.20 16.82 14.02 14.02 14.02 14.56 7.07 26.94 27.36 26.33

Estimated DLP 165.30 302.24 251.86 251.86 251.86 261.61 127.04 484.64 1380.59 1328.93

SOFT TISSUE NECK

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

TEMPORAL BONES

TEMPORAL BONES REVISED: 10/3/16

IV SIZE

IV CONTRAST

INJECTION RATE

PT POSITION SUPINE / HEAD FIRST/ CHIN TUCKED / IOML

PERPENDICULAR TO THE FLOOR

LANDMARK GE OMBL

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER SCAN

START BELOW MASTOID AIR

CELLS

END ABOVE MASTOID AIR

CELLS

DFOV 16-20

PREP GROUP

GE

SIEMENS

INDICATION HEARING LOSS

ORAL PREP

SCAN NON-CONTRAST

RECON

• 0.625mm AXIAL RECONS – STANDARD ALGORITHM

• 0.625mm AXIAL RECONS – EDGE ALGORITHM – RT IAC

• 0.625mm AXIAL RECONS – EDGE ALGORITHM – LT IAC

REFORMAT o 0.625mm CORONAL AND SAGITTAL (EACH IAC)

3D POST PROCESSING

TEMPORAL BONES

T-BONE REFORMATS:

Right Left

DEHISCENCE REFORMATS:

TEMPORAL BONES

16 SLICE – GE

PARAMETER 0-1 YEARS 1-2 YEARS 2-3 YEARS 3-4 YEARS 4-5 YEARS 6+ YEARS

SCAN TYPE HELICAL FULL

ROTATION TIME 1.0 SEC

THICKNESS 0.625

PITCH 0.562:1

SPEED 5.62

INTERVAL 0.625

GANTRY TILT

SCAN FOV PEDI HEAD PEDI HEAD HEAD HEAD HEAD HEAD

kVp 100 100 120 120 120 120

mA 150 175 145 145 150 160

NOISE INDEX

DOSE REDUCTION

ASIR/MODE 0% / PLUS-E 0% / PLUS-E 0% / PLUS-E 0% / PLUS-E 0% / PLUS-E 0% / PLUS-E

RECON 1

ALGORITHM STANDARD

REFORMATS

RECON 2

0.625 q 0.3

EDGE

COR (RT) 9.6 FOV

0% / PLUS

RECON 3

0.625 q 0.3

EDGE

COR (LT) 9.6 FOV

0% / PLUS

Estimated CTDI 35.88 41.86 53.89 53.89 55.75 59.47

Estimated DLP 79.68 92.96 119.68 119.68 123.81

.

132.07

TEMPORAL BONES

64 SLICE – GE VCT

PARAMETER 0-1 YEARS 1-2 YEARS 2-3 YEARS 3-4 YEARS 4-5 YEARS 6+ YEARS

SCAN TYPE HELICAL FULL

ROTATION TIME 1.0 SEC

THICKNESS 0.625

PITCH 0.531:1

SPEED 10.62

INTERVAL 0.625

GANTRY TILT ANGLE 15* CEPHALIC TO THE INTRAORBITAL MEATAL LINE (IOM)

SCAN FOV PEDI HEAD PEDI HEAD HEAD HEAD HEAD HEAD

kVp 100 100 120 120 120 120

mA 150 175 170 170 175 200

NOISE INDEX

DOSE REDUCTION 20%

ASIR/MODE 0% / PLUS-E 0% / PLUS-E 0% / PLUS-E 0% / PLUS-E 0% / PLUS-E 0% / PLUS-E

RECON 1 ALGORITHM STANDARD

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.3

ALGORITHM EDGE

REFORMATS COR (RT) 9.6 FOV

ASiR/MODE

0% / FULL

RECON 3

THICK/INCR 0.625 q 0.3

ALGORITHM EDGE

REFORMATS COR (LT) 9.6 FOV

ASiR/MODE

0% / FULL

Estimated CTDI 22.69 26.32 43.84 43.84 45.41 48.54

Estimated DLP 69.30 80.38 133.91 133.91 138.69 148.25

TEMPORAL BONES

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

TRAUMA CHEST/ABDOMEN/PELVIS

TRAUMA CHEST/ABDOMEN/PELVIS REVISED: 10/3/16

IV SIZE

IV CONTRAST ***PER WEIGHT***

INJECTION RATE

PT POSITION SUPINE / FEET FIRST (GE) / HEAD FIRST

(SIEMENS)

LANDMARK GE STERNAL NOTCH

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER CHEST A/P

START ABOVE APICES ABOVE DIAPHRAGM

END THROUGH BASES SYMPHYSIS PUBIS

DFOV <TO PATIENT> <TO PATIENT>

PREP GROUP

GE 20 SEC 70 SEC

SIEMENS

INDICATION TRAUMA

ORAL PREP NONE

SCAN 1. ART PHASE CHEST ~35 SEC 2. PV PHASE ABDOMEN/PELVIS ~70 SEC

RECON

• 2.5mm AXIAL RECONS – STANDARD ALGORITHM (CHEST)

• 5mm AXIAL RECONS – STANDARD ALGORITHM (A/P)

• 5.0mm AXIAL RECONS CHEST – LUNG ALGORITHM

• 0.625mm OR 1.25mm AXIAL RECONS – BONE ALGORITHM (T-SPINE)

• 0.625mm OR 1.25mm AXIAL RECONS – BONE ALGORITHM (L-SPINE)

• 0.625mm 1.25mm AXIAL RECONS – STANDARD ALGORITHM (C/A/P)

REFORMAT o 3mm CORONAL AND SAGITTAL CHEST ABDOMEN

AND PELVIS o 2mm CORONAL AND SAGITTAL T-SPINE AND L-SPINE

3D POST PROCESSING

TRAUMA CHEST/ABDOMEN/PELVIS

16 SLICE – GE

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG (13-16.4

LBS)

7.5-9.4 KG (16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4 LBS)

11.5-14.4 KG (25.5-31.4 LBS)

14.5-18.4 KG (31.5-40.4 LBS)

18.5-22.4 KG (40.5-49.4 LBS)

22.5-31.4 KG (49.5-69.4 LBS)

31.5-40.4 KG (69.5-88.4 LBS)

40.5-55 KG (88.5-121

LBS)

PEDI > 122 LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 2.5 (CHEST) / 5.0 (A/P)

PITCH 0.938:1

SPEED 18.75

INTERVAL 2.5 (CHEST) / 5.0 (A/P)

GANTRY TILT

SCAN FOV SMALL SMALL LARGE LARGE LARGE LARGE LARGE LARGE LARGE LARGE

kVp 80 100 100 100 100 100 100 100 100 100

mA AUTO mA TO 125

AUTO mA TO 100

AUTO mA TO 125

AUTO mA TO 130

AUTO mA TO 140

AUTO mA TO 175

AUTO mA TO 175

AUTO mA TO 225 W/ SMART mA

AUTO mA TO 300 W/ SMART mA

AUTO mA TO 420 W/ SMART mA

NOISE INDEX

19.03 / 14.40

19.03 / 14.40

19.03 / 14.40

19.03 / 14.40

19.03 / 14.40

19.03 / 14.40

19.03 / 14.40

19.03 / 14.40

19.02 / 16.29

19.03 / 16.29

DOSE REDUCTION

ASIR/MODE 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS

RECON 1

ALGORITHM SOFT STANDARD

REFORMATS

RECON 2

THICK/INCR 5.0 q 5.0

ALGORITHM LUNG

REFORMATS

ASiR/MODE

30% / FULL

RECON 3

THICK/INCR 1.25 q 0.700

ALGORITHM BONE

REFORMATS COR/SAG (T-SPINE)

ASiR/MODE

0% / FULL

THICK/INCR 1.25 q 0.700

TRAUMA CHEST/ABDOMEN/PELVIS

RECON 4

ALGORITHM BONE

REFORMATS COR/SAG (L-SPINE)

ASiR/MODE

0% / FULL

RECON 5

THICK/INCR 1.25 q 0.700

ALGORITHM STANDARD

REFORMATS COR/SAG (C/A/P)

ASiR/MODE

30% / PLUS

Estimated CTDI 6.43 13.71 5.55 6.45 5.70 6.45 6.45 8.40 6.60 15.95

Estimated DLP 94.92 221.51 93.15 104.26 95.00 105.38 104.26 149.68 149.68 453.43

TRAUMA CHEST/ABDOMEN/PELVIS

64 SLICE – GE VCT

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG

(13-16.4

LBS)

7.5-9.4 KG

(16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4

LBS)

11.5-14.4

KG (25.5-

31.4 LBS)

14.5-18.4

KG (31.5-

40.4 LBS)

18.5-22.4

KG (40.5-

49.4 LBS)

22.5-31.4

KG (49.5-

69.4 LBS)

31.5-40.4

KG (69.5-

88.4 LBS)

40.5-55 KG

(88.5-121

LBS)

PEDI > 122

LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 2.5 (GROUP 1) / 5.0 (GROUP 2)

PITCH 0.969:1

SPEED 19.37

INTERVAL 2.5 (GROUP 1) / 5.0 (GROUP 2)

GANTRY TILT

SCAN FOV PEDI BODY PEDI BODY PEDI BODY PEDI BODY PEDI BODY SMALL BODY

SMALL BODY

MEDIUM BODY

LARGE BODY

LARGE BODY

kVp 80 100 100 100 100 100 100 100 100 120

mA

AUTO mA TO 100

AUTO mA TO 100

AUTO mA TO 120

AUTO mA TO 130

AUTO mA TO 140

AUTO mA TO 175

AUTO mA TO 175 W/ SMART mA

AUTO mA TO 225 W/

SMART mA

AUTO mA TO 300 W/ SMART mA

AUTO mA TO 450 /

W/ SMART mA

NOISE INDEX 19.03 / 13.88

19.03 / 14.40

19.03 / 14.40

19.03 / 14.40

19.03 / 14.40

19.03 / 14.40

19.03 / 14.40

19.03 / 14.40

19.03 / 16.29

19.03 / 16.29

DOSE REDUCTION

ASIR/MODE 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS

RECON 1

ALGORITHM STANDARD

REFORMATS

RECON

2

THICK/INCR 5.0 q 5.0

ALGORITHM LUNG

REFORMATS

ASiR/MODE

30% / FULL

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

TRAUMA CHEST/ABDOMEN/PELVIS

RECON

3

REFORMATS COR/SAG (T-SPINE)

ASiR/MODE

0% / PLUS –E

RECON

4

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS COR/SAG (L-SPINE)

ASiR/MODE

0% / PLUS-E

RECON

5

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS COR/SAG

ASiR/MODE

30% / PLUS-E

Estimated CTDI 24.03 27.97 27.97 30.74 25.09 21.52 21.52 34.37 24.50 38.69

Estimated DLP 453.86 528.85 528.85 561.99 416.75 354.98 354.53 649.16 404.47

.1023

1023.34

TRAUMA CHEST/ABDOMEN/PELVIS

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

TRAUMA ABDOMEN/PELVIS

TRAUMA ABDOMEN/PELVIS REVISED: 10/3/16

IV SIZE

IV CONTRAST ***PER WEIGHT***

INJECTION RATE

PT POSITION SUPINE / FEET FIRST (GE) / HEAD FIRST

(SIEMENS)

LANDMARK GE STERNAL NOTCH

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER A/P

START ABOVE DIAPHRAGM

END SYMPHYSIS PUBIS

DFOV <TO PATIENT>

PREP GROUP

GE 70 SEC

SIEMENS

INDICATION TRAUMA

ORAL PREP NONE

SCAN 1. PV PHASE: ~70 SEC

RECON

• 5mm AXIAL RECONS – STANDARD ALGORITHM

• 0.625mm OR 1.25mm AXIAL RECONS – STANDARD ALGORITHM

• 0.625mm OR 1.25mm AXIAL RECONS – BONE ALGORITHM (L-SPINE)

REFORMAT o 3mm CORONAL AND SAGITTAL CHEST ABDOMEN

AND PELVIS o 2mm CORONAL AND SAGITTAL T-SPINE AND L-SPINE

3D POST PROCESSING

TRAUMA ABDOMEN/PELVIS

16 SLICE – GE

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG (13-16.4

LBS)

7.5-9.4 KG (16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4 LBS)

11.5-14.4 KG (25.5-31.4 LBS)

14.5-18.4 KG (31.5-40.4 LBS)

18.5-22.4 KG (40.5-49.4 LBS)

22.5-31.4 KG (49.5-69.4 LBS)

31.5-40.4 KG (69.5-88.4 LBS)

40.5-55 KG (88.5-121

LBS)

PEDI > 122 LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 5.0

PITCH 0.938:1

SPEED 18.75

INTERVAL 5.0

GANTRY TILT

SCAN FOV SMALL SMALL LARGE LARGE LARGE LARGE LARGE LARGE LARGE LARGE

kVp 80 100 100 100 100 100 100 100 100 100

mA AUTO mA TO 100

AUTO mA TO 100

AUTO mA TO 125

AUTO mA TO 150

AUTO mA TO 175

AUTO mA TO 175

AUTO mA TO 175 W/ SMART mA

AUTO mA TO 225 W/ SMART mA

AUTO mA TO 300 W/ SMART mA

AUTO mA TO 420 W/ SMART mA

NOISE INDEX 14.40 14.40 14.40 14.40 14.40 14.40 14.40 14.40 16.29 16.29

DOSE REDUCTION

ASIR/MODE 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS

RECON 1

ALGORITHM SOFT STANDARD

REFORMATS

RECON 2

1.25 q 0.700

BONE

COR/SAG (L-SPINE)

30% / PLUS

RECON 3

1.25 q 0.700

STANDARD

COR/SAG (A/P)

30% / PLUS

TRAUMA ABDOMEN/PELVIS

Estimated CTDI 2.68 4.78 2.25 2.25 2.25 2.25 2.25 2.25 2.25 10.55

Estimated DLP 67.70 111.36 74.92 74.92 74.92 74.92 74.92 74.92 74.92 456.59

TRAUMA ABDOMEN/PELVIS

64 SLICE – GE VCT

PINK RED PURPLE YELLOW WHITE BLUE ORANGE GREEN BLACK BLACK +

6-7.4 KG

(13-16.4

LBS)

7.5-9.4 KG

(16.5-20.4

LBS)

9.5-11.4 KG

(20.5-25.4

LBS)

11.5-14.4

KG (25.5-

31.4 LBS)

14.5-18.4

KG (31.5-

40.4 LBS)

18.5-22.4

KG (40.5-

49.4 LBS)

22.5-31.4

KG (49.5-

69.4 LBS)

31.5-40.4

KG (69.5-

88.4 LBS)

40.5-55 KG

(88.5-121

LBS)

PEDI > 122

LBS

PARAMETER

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 5.0

PITCH 0.969:1

SPEED 19.37

INTERVAL 5.0

GANTRY TILT

SCAN FOV

PEDI BODY PEDI BODY PEDI BODY PEDI BODY PEDI BODY SMALL BODY

SMALL BODY

MEDIUM BODY

LARGE BODY

LARGE BODY

kVp 80 100 100 100 100 100 100 100 100 120

mA AUTO mA TO 100

AUTO mA TO 100

AUTO mA TO 120

AUTO mA TO 130

AUTO mA TO 140

AUTO mA TO 175

AUTO mA TO 175 W/ SMART mA

AUTO mA TO 225 W/ SMART mA

AUTO mA TO 300 W/ SMART mA

AUTO mA TO 440 W/ SMART mA

NOISE INDEX 14.40 14.40 14.40 14.40 14.40 14.40 14.40 14.40 16.29 16.29

DOSE REDUCTION

ASIR/MODE 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS 30% / PLUS

RECON 1

ALGORITHM SOFT STANDARD

REFORMATS

RECON

2

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS COR/SAG (A/P)

ASiR/MODE

30% / PLUS-E

RECON

3

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS COR/SAG (L-SPINE)

ASiR/MODE

0% / PLUS-E

TRAUMA ABDOMEN/PELVIS

Estimated CTDI 1.89 14.18 6.81 5.10 7.94 7.15 7.15 8.46 8.14 12.75

Estimated DLP 64.76 485.15 232.87 174.65 271.68 244.71 244.71 289.33 278.65 436.23

TRAUMA ABDOMEN/PELVIS

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

WRIST OR ELBOW

WRIST OR ELBOW REVISED: 10/3/16

IV SIZE

IV CONTRAST

INJECTION RATE

PT POSITION PRONE / HEAD FIRST / AFFECTED ARM UP /

ELBOW BENT AT 70*

LANDMARK GE MID WRIST / MID ELBOW

SIEMENS

BREATHING

SCOUTS AP AND LATERAL

PARAMETER SCAN

START METACARPALS (WRIST) / ABOVE

ELBOW (ELBOW)

END THROUGH WRIST JOINT (WRIST) /

BELOW ELBOW (ELBOW)

DFOV 12

PREP GROUP

GE

SIEMENS

INDICATION

ORAL PREP

SCAN N0N-CONTRAST THROUGH WRIST OR ELBOW

RECON • 1.25mm AXIAL RECONS – BONE ALGORITHM

• 0.625mm AXIAL RECONS – STANDARD ALGORITHM

• 0.625mm AXIAL RECONS – BONE ALGORITHM

REFORMAT o 1mm CORONAL, SAGITTAL AND TRUE AXIAL

3D POST PROCESSING 3D ROTATION OF WRIST OR ELBOW

(DISARTICULATED IF FRACTURED)

WRIST OR ELBOW

16 SLICE – GE

PARAMETER 0-20LBS 21-60 LBS 61-100 LBS > 100 LBS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 1.25

PITCH 0.938:1

SPEED 9.37

INTERVAL 1.25

GANTRY TILT

SCAN FOV SMALL SMALL SMALL LARGE

kVp 100 100 120 120

mA 65 85 75 75

NOISE INDEX

DOSE REDUCTION

ASIR/MODE 20% / FULL 20% / FULL 20% / FULL 20% / FULL

RECON 1

ALGORITHM BONE

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS AX/COR/SAG

ASiR/MODE

20% / FULL-E

RECON 3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS

ASiR/MODE

20% / PLUS-E

Estimated CTDI 4.66 6.10 8.36 4.18

Estimated DLP 53.02 69.33 95.06 47.53

WRIST OR ELBOW

64 SLICE – GE VCT

PARAMETER 0-20LBS 21-60 LBS 61+ LBS

SCAN TYPE HELICAL FULL

ROTATION TIME 0.5 SEC

THICKNESS 1.25

PITCH 0.969:1

SPEED 19.37

INTERVAL 1.25

GANTRY TILT

SCAN FOV PEDI BODY PEDI BODY

kVp 100 100

mA 65 85

NOISE INDEX

DOSE REDUCTION

ASIR/MODE 20% / FULL-E 20% / FULL-E

RECON 1

ALGORITHM BONE

REFORMATS

RECON 2

THICK/INCR 0.625 q 0.625

ALGORITHM BONE

REFORMATS COR/SAG

ASiR/MODE

20% / PLUS-E

RECON 3

THICK/INCR 0.625 q 0.625

ALGORITHM STANDARD

REFORMATS

ASiR/MODE

20% / PLUS-E

Estimated CTDI 3.60 4.63

Estimated DLP 44.37 38.50

WRIST OR ELBOW

196(2) – SIEMENS FORCE

PROTOCOL COMING SOON!!

Estimated CTDI

Estimated DLP

3D HEAD