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

ARTERIAL

Scan
Range / Scan
Direction / Respiration / Scan
Delay
(Seconds) / CARE
DOSE
4D / Quality
Reference
mAs / kV / Collimator(mm)
Slices Per Tube Rotation / Pitch
Table Increment/Speed: (mm/rotation) / Rotation
Time
(Seconds) / SFOV
(cm)
Dome of Diaphragm to
Iliac Crest/Through
All Abdominal Organs / Craniocaudal / Suspended
Inspiration / CARE Bolus Tracking
(Trigger 150 HU)
Plus 20 Second Delay / On / 120 / 110 / Collimator: 1.2 mm
Slices Per Tube Rotation: 16 / Pitch: 0.8
Table Increment/Speed: 15.36mm/rotation / 0.6
seconds / 50
cm
Plane / Slice
Thickness / Interval / Kernal / Window
Width/Level / DFOV
(cm)
RECON / Axial / 3.0 mm / 3.0 mm / B30f
Medium Smooth / Abdomen
400/40 / FOV just beyond
patient’s body
RECON
Coronals Angled in Plane to Body Part / Coronals Angled in Plane to Body Part
Recon Card 3D Coronal / 3.0 mm / 3.0 mm / B30f
Medium Smooth / Abdomen
400/40 / FOV just beyond
patient’s body
RECON
Sagittals Angled in Plane to Body Part / Sagittals Angled in Plane to Body Part
Recon Card 3D Sagittal / 3.0 mm / 3.0 mm / B30f
Medium Smooth / Abdomen
400/40 / FOV just beyond
patient’s body
CARE Bolus
Location / Monitor
Delay / Arterial
Delay / mAs / kV / InterScan Delay
(Cycle Time) / Threshold
Abdominal Aorta
Superior-most level / 15 seconds / 20 seconds / 40 / 110 / 1.25 seconds / 150 HU

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VENOUS

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

CHARGES:WITH ONLY:CABDW

WITH&WITHOUT:CABDWWO

NETWORK:Exam to PACS

6/2013Page 2 of 2