CT Protocols: (Brain, ENT, Spine, Vascular) - Department of Radiology
CT Protocols: (Brain, ENT, Spine, Vascular) - Department of Radiology CT Protocols: (Brain, ENT, Spine, Vascular) - Department of Radiology
Table of Contents: 2 Revised 7/22/09 (Gentry/Ranallo) Page # Protocol Exam 5 1.1 Adult Head – Routine Helical 8 1.2 Adult Head – Helical Scan with Angled Axial Reformations 11 1.3 Adult Head – Axial 13 11.1 & 11.2 Pediatric Head – Routine Helical 17 11.3 & 11.4 Pediatric Head – Helical Scan with Angled Axial Reformations 21 11.5 & 11.6 Pediatric Head – Axial 24 11.7 & 11.8 Pediatric Head – Trauma 27 2.1 Orbit – Routine 33 2.2 Orbit – With and Without Valsalva 34 2.3 Orbit – Vascular Mass or Carotid-Cavernous Fistula 36 2.4 Orbit – Dynamic – EOM Movements 27 12.1 &12.2 Pediatric Orbit – Routine 33 12.3 & 12.4 Pediatric Orbit – With and Without Valsalva 34 12.5 & 12.6 Pediatric Orbit – Vascular Mass or Carotid-Cavernous Fistula 36 12.7 & 12.8 Pediatric Orbit – Dynamic – EOM Movements 37 2.5a Maxillofacial Trauma – Routine 43 2.5b Maxillofacial Trauma – Routine plus 3D 37 12.9 & 12.10 Pediatric Maxillofacial Trauma – Routine 43 12.9 & 12.10 Pediatric Maxillofacial Trauma – Routine plus 3D 44 1.5 3D CT – Craniosynostosis, Congenital Facial Anomaly 44 11.9 & 11.10 Pediatric 3D CT – Craniosynostosis, Congenital Facial Anomaly 48 2.6 Pituitary Gland and Cavernous Sinus 48 12.11 & 12.12 Pediatric Pituitary Gland and Cavernous Sinus 52 1.10 Stealth – Stereotactic Head (Whole Brain Treatment Planning) 52 11.11 & 11.12 Pediatric Stealth – Stereotactic Head (Whole Brain Treatment Planning) 53 2.7 Sinuses – Diagnostic 53 12.13 & 12.14 Pediatric Sinuses – Diagnostic 59 2.8 Sinuses – Follow-up Adult ENT Sinus 61 2.9 Sinuses – Conbined Diagnostic and Landmark 61 12.16 & 12.17 Pediatric Sinuses – Conbined Diagnostic and Landmark 62 2.10 Temporal Bone and Posterior Fossa (W/O Contrast) 62 12.18 & 12.19 Pediatric Temporal Bone and Posterior Fossa (W/O Contrast) 66 2.11 Temporal Bone and Posterior Fossa (W/O and W Contrast) 66 12.20 & 12.21 Pediatric Temporal Bone and Posterior Fossa (W/O and W Contrast) 70 2.12 Temporal Bone – Vascular Mass 70 12.22 & 12.23 Pediatric Temporal Bone – Vascular Mass 75 3.1 Neck – Routine 75 3.2 Neck – Feet First 81 3.1 Neck – Salivary Gland 82 3.3 Neck – Vascular Mass
Table of Contents (continued): 3 Revised 7/22/09 (Gentry/Ranallo) Page # Protocol Exam 84 3.5 Neck – Add on Options 86 3.4 Neck – Parathyroid Adenoma 75 13.1 Pediatric Neck – Routine 75 13.2 Pediatric Neck – Feet First 81 13.1 Pediatric Neck – Salivary Gland 82 13.3 Pediatric Neck – Vascular Mass 86 3.4 Pediatric Neck – Parathyroid Adenoma 84 13.5 Pediatric Neck – Add on Options 90 3.1 Brachial Plexus – Adult 90 13.1 Brachial Plexus –Pediatric 91 3.5 Cervical Spine – Adult 93 7.5 Thoracic Spine – Feet First – Adult 94 7.6 Thoracic Spine – Head First – Adult 95 7.1 Lumbar Spine – Feet First – Adult 97 13.5 Cervical Spine – Pediatric 100 17.5 Thoracic Spine – Pediatric 103 17.1 Lumbar Spine – Pediatric 106 7.2 Stealth (Stereotactic) Spine 107 1.6 & 3.7 Vascular Imaging: Stroke Deluxe (Acute Stroke Workup) 111 1.6a Vascular Imaging: Total Cerebrovascular 112 1.7 Vascular Imaging: CTA Head Only (Stenosis, Unknown Bleed) 116 1.8 Vascular Imaging: Aneurysm (Hi-Res COW) (Non-traumatic SAH, Known Aneurysm) 120 3.8 Vascular Imaging: CTA Neck Only (Cerebrovascular Disease) 124 1.9 & 3.9 Vascular Imaging: CT Venography 107 11.16 & 11.17 Pediatric Vascular Imaging: Stroke Deluxe (Acute Stroke Workup) 111 11.16 & 11.17 Pediatric Vascular Imaging: Total Cerebrovascular 112 11.18 & 11.19 Pediatric Vascular Imaging: CTA Head Only (Stenosis, Unknown Bleed) 116 11.20 & 11.21 Pediatric Vascular Imaging: Aneurysm(Hi-Res COW)(Non-trauma SAH, Known Aneurysm) 120 11.22 & 11.23 Pediatric Vascular Imaging: CTA Neck Only (Cerebrovascular Disease) 124 11.24 & 11.25 Pediatric Vascular Imaging: CT Venography 128 Appendix #1 CTA Head: 2D Thin and Thick Slab Reformations 129 Appendix #2: CTA Neck: 2D-Reformations 130 Appendix #3: CT Perfusion Protocol 131 Appendix #4: CT Perfusion Coverage 132 Appendix #5: CT Perfusion Analysis Instructions 138 Appendix #6: Neck CT Contrast Timing for Routine Neck CT 139 Appendix #7: 64 Slice Scanner Prioity 140 Appendix #8: CT Scanner Type 141 Appendix #9: CT Scanner Limits 142 Appendix #10: Direction and Naming of 2D-Reformations 143 Appendix: #11 Combined Neuro and Body Contrast Studies
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Table <strong>of</strong> Contents (continued):<br />
3 Revised 7/22/09 (Gentry/Ranallo)<br />
Page # Protocol Exam<br />
84 3.5 Neck – Add on Options<br />
86 3.4 Neck – Parathyroid Adenoma<br />
75 13.1 Pediatric Neck – Routine<br />
75 13.2 Pediatric Neck – Feet First<br />
81 13.1 Pediatric Neck – Salivary Gland<br />
82 13.3 Pediatric Neck – <strong>Vascular</strong> Mass<br />
86 3.4 Pediatric Neck – Parathyroid Adenoma<br />
84 13.5 Pediatric Neck – Add on Options<br />
90 3.1 Brachial Plexus – Adult<br />
90 13.1 Brachial Plexus –Pediatric<br />
91 3.5 Cervical <strong>Spine</strong> – Adult<br />
93 7.5 Thoracic <strong>Spine</strong> – Feet First – Adult<br />
94 7.6 Thoracic <strong>Spine</strong> – Head First – Adult<br />
95 7.1 Lumbar <strong>Spine</strong> – Feet First – Adult<br />
97 13.5 Cervical <strong>Spine</strong> – Pediatric<br />
100 17.5 Thoracic <strong>Spine</strong> – Pediatric<br />
103 17.1 Lumbar <strong>Spine</strong> – Pediatric<br />
106 7.2 Stealth (Stereotactic) <strong>Spine</strong><br />
107 1.6 & 3.7 <strong>Vascular</strong> Imaging: Stroke Deluxe (Acute Stroke Workup)<br />
111 1.6a <strong>Vascular</strong> Imaging: Total Cerebrovascular<br />
112 1.7 <strong>Vascular</strong> Imaging: <strong>CT</strong>A Head Only (Stenosis, Unknown Bleed)<br />
116 1.8 <strong>Vascular</strong> Imaging: Aneurysm (Hi-Res COW) (Non-traumatic SAH, Known Aneurysm)<br />
120 3.8 <strong>Vascular</strong> Imaging: <strong>CT</strong>A Neck Only (Cerebrovascular Disease)<br />
124 1.9 & 3.9 <strong>Vascular</strong> Imaging: <strong>CT</strong> Venography<br />
107 11.16 & 11.17 Pediatric <strong>Vascular</strong> Imaging: Stroke Deluxe (Acute Stroke Workup)<br />
111 11.16 & 11.17 Pediatric <strong>Vascular</strong> Imaging: Total Cerebrovascular<br />
112 11.18 & 11.19 Pediatric <strong>Vascular</strong> Imaging: <strong>CT</strong>A Head Only (Stenosis, Unknown Bleed)<br />
116 11.20 & 11.21 Pediatric <strong>Vascular</strong> Imaging: Aneurysm(Hi-Res COW)(Non-trauma SAH, Known Aneurysm)<br />
120 11.22 & 11.23 Pediatric <strong>Vascular</strong> Imaging: <strong>CT</strong>A Neck Only (Cerebrovascular Disease)<br />
124 11.24 & 11.25 Pediatric <strong>Vascular</strong> Imaging: <strong>CT</strong> Venography<br />
128 Appendix #1 <strong>CT</strong>A Head: 2D Thin and Thick Slab Reformations<br />
129 Appendix #2: <strong>CT</strong>A Neck: 2D-Reformations<br />
130 Appendix #3: <strong>CT</strong> Perfusion Protocol<br />
131 Appendix #4: <strong>CT</strong> Perfusion Coverage<br />
132 Appendix #5: <strong>CT</strong> Perfusion Analysis Instructions<br />
138 Appendix #6: Neck <strong>CT</strong> Contrast Timing for Routine Neck <strong>CT</strong><br />
139 Appendix #7: 64 Slice Scanner Prioity<br />
140 Appendix #8: <strong>CT</strong> Scanner Type<br />
141 Appendix #9: <strong>CT</strong> Scanner Limits<br />
142 Appendix #10: Direction and Naming <strong>of</strong> 2D-Reformations<br />
143 Appendix: #11 Combined Neuro and Body Contrast Studies
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