UT Southwestern Department of Radiology · 2019-06-05 · UT Southwestern Department of Radiology Protocol Name: Adrenal Protocol Protocol Epic Button: Adrenal 1 Orderable Name: CT

UT Southwestern Department of RadiologyProtocol Name: Adrenal Protocol

Protocol Epic Button: Adrenal 1Orderable Name: CT ABDOMEN W AND WO IV CONTRAST

CT ABDOMEN WO IV CONTRAST

# Acquisitions: 1 or 3

Indications: Adrenal mass (Non-pheo)CTDIvol < 60 mGy; DLP < 10000 mGycm

Adult or Pediatric

Active Protocol

Oral Contrast: None

UTSW H2O Variant:

Oral Effervescent Granules on Table?

UTSW:

Airway:

Full inspiration

Volume(mL):

Other Contrast:

Rate (mL/sec): 3 Volume (mL): 150

Last Change: 6/5/2019

Regime: Notes:

IV Access:

Power injection: 20g or larger strongly prefered (if 22g use reduce rate to 2.5 mL/sec)

Notes:

MD to review noncontrast phase to determine if contrast needed.Weight based dosing for volume and injection rate (MedRad P3T where applicable).

Route:

Notes:

FOV: ROI on adrenals

Coverage: Diaphragm thru adrenals

Series Name: Noncontrast

Phase Timing:

Portal Venous 15 Min Delayed

Bolus tracking

ROI on adrenals

Adrenals

ROI on adrenals

Adrenals

15 Min Delayed

Only if MD OK's after noncontrastPerform on same scanner as the noncontrast exam.

Only if MD OK's after noncontrastPerform on same scanner as the noncontrast exam.

SpecialInstructions:

MD to check after noncontrast to see if IV contrast needed

Primary Axial Recon: 3 mm

Other Recons: 2 mm coronal and sagittal

3 mm

2 mm coronal and sagittal

3 mm

2 mm coronal and sagittal

Algorithm: Soft Tissue Soft Tissue Soft Tissue

MIP Recons:

General StatementskVp Body Chart

Acquisition Protocol: Abdominal Standard 3mm Abdominal Standard 3mm Abdominal Standard 3mm

Links:

Other Notes:Consult body habitus kVp selection chart.Need for IV contrast will not be known until after the noncontrast phase is done. Schedule as W & WO, but may be changed to just WO based on noncontrast appearance.

1 2 3

IV Contrast: Link to Contrast Information

Last Review: 1/22/2019

*Dual EnergySiemens:

*Dual EnergyPhilips:

* If dual energy or spectral CT is available