INDICATIONS: Pancreatic Carcinoma, Necrosis, Suspected Gastrinoma Or Islet Cell Tumor

PANCREAS

INDICATIONS: Pancreatic carcinoma, necrosis, suspected gastrinoma or Islet Cell tumor, pancreatic mass PATIENT PREP: NPO for solid foods, water only, for 4 hours prior to scan IV CONTRAST: 125mL Isovue 370 @ 4-5 mL/second ORAL CONTRAST: 32 oz Water 30 Minutes Prior to Scan, and 12 oz Water Immediately Prior to Scan. POSITIONING: Feet First Supine TOPOGRAMS: AP & Lateral SCAN TYPE: Spiral/Helical NOTES: NonContrast scan usually not needed. Check with radiologist. ALARA – Keep radiation dose As Low As Reasonably Achievable.

NONCONTRAST Scan Scan Respiration Scan CARE Quality kV Collimator (mm) Pitch Rotation SFOV Range Direction Delay DOSE Reference Time (cm) (Seconds) 4D mAs Slices Per Tube Rotation Table Increment/Speed: (mm/rotation) (Seconds) Dome of Diaphragm to Craniocaudal Suspended 5 On 120 110 Collimator: 1.2 mm Pitch: 0.8 0.6 sec 50 Iliac Crest/Through Inspiration Seconds cm All Abdominal Organs Slices Per Tube Rotation: 16 Table Increment/Speed: 15.36mm/rotation Plane Slice Thickness Interval Kernal Window DFOV Width/Level (cm) RECON Axial 3.0 mm 3.0 mm B30f Abdomen FOV just beyond Medium Smooth 400/40 patient’s body

ARTERIAL Scan Scan Respiration Scan CARE Quality kV Collimator (mm) Pitch Rotation SFOV Range Direction Delay DOSE Reference Time (cm) (Seconds) 4D mAs Slices Per Tube Rotation Table Increment/Speed: (mm/rotation) (Seconds) Dome of Diaphragm to Craniocaudal Suspended CARE Bolus Tracking On 120 110 Collimator: 1.2 mm Pitch: 0.8 0.6 50 Iliac Crest/Through Inspiration (Trigger 150 HU) seconds cm All Abdominal Organs Plus 20 Second Delay Slices Per Tube Rotation: 16 Table Increment/Speed: 15.36mm/rotation Plane Slice Interval Kernal Window DFOV Thickness Width/Level (cm) RECON Axial 3.0 mm 3.0 mm B30f Abdomen FOV just beyond Medium Smooth 400/40 patient’s body RECON Coronals Angled in Plane to Body Part 3.0 mm 3.0 mm B30f Abdomen FOV just beyond Coronals Angled in Plane to Body Part Recon Card 3D Coronal Medium Smooth 400/40 patient’s body RECON Sagittals Angled in Plane to Body Part 3.0 mm 3.0 mm B30f Abdomen FOV just beyond Sagittals Angled in Plane to Body Part Recon Card 3D Sagittal Medium Smooth 400/40 patient’s body

CARE Bolus Monitor Arterial InterScan Delay mAs kV Threshold Location Delay Delay (Cycle Time) Abdominal Aorta 15 seconds 20 seconds 40 110 1.25 seconds 150 HU Superior-most level

of 2 VENOUS Scan Scan Respiration Scan CARE Quality kV Collimator (mm) Pitch Rotation SFOV Range Direction Delay DOSE Reference Time (cm) (Seconds) 4D mAs Slices Per Tube Rotation Table Increment/Speed: (mm/rotation) (Seconds) Dome of Diaphragm to Craniocaudal Suspended 70 sec. From Start of On 120 110 Collimator: 1.2 mm Pitch: 0.8 0.6 50 Iliac Crest/Through Inspiration Injection. seconds cm All Abdominal Organs (Approximately 20 sec Slices Per Tube Rotation: 16 Table Increment/Speed: 15.36mm/rotation From End of Arterial) Plane Slice Interval Kernal Window DFOV Thickness Width/Level (cm) RECON Axial 3.0 mm 3.0 mm B30f Abdomen FOV just beyond Medium Smooth 400/40 patient’s body RECON Axial 3.0 mm 3.0 mm B70f Lung FOV just beyond Very Sharp 1500/-700 patient’s body RECON Coronals Angled in Plane to Body Part 3.0 mm 3.0 mm B30f Abdomen FOV just beyond Coronals Angled in Plane to Body Part Recon Card 3D Coronal Medium Smooth 400/40 patient’s body RECON Sagittals Angled in Plane to Body Part 3.0 mm 3.0 mm B30f Abdomen FOV just beyond Sagittals Angled in Plane to Body Part Recon Card 3D Sagittal Medium Smooth 400/40 patient’s body

CHARGES: WITH ONLY: CABDW WITH&WITHOUT: CABDWWO

NETWORK: Exam to PACS

6/2013 Page 2 of 2