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. 2023 Apr 25;24(5):406–423. doi: 10.3348/kjr.2022.0998

Table 1. Abdominopelvic Trauma CT Protocols at Faculty of Medicine Siriraj Hospital, Mahidol University.

Details*
Contrast media Intravenous nonionic iodinated contrast medium; volume 1.5–2.0 mL/kg, injection rate 2–3 mL/s
Enteric contrast administration is optional, performed on a case-by-case basis
Scan phases
Unenhanced Optional (performed if single-energy technique is selected for the portovenous phase)
120 kVp, 250–300 mA (fixed), 0.5 s rotation time, 0.992:1 pitch
Arterial Fixed scan delay at 30–35 s
120 kVp, 250–300 mA, 0.5 s rotation time, 0.992:1 pitch, noise index = 10
Portovenous Fixed scan delay at 70–80 s
Single-energy technique: 120 kVp, 250–300 mA, 0.5 s rotation time, 0.992:1 pitch, noise index = 10
Dual-energy technique: 80 and 140 kVp, 275 mA, 0.8 s rotation time, 0.992:1 pitch, noise index = 10
Delayed (5–10 min) Optional (performed at the discretion of a radiologist at the CT console)
Images sent to PACS 1.25-mm slice thickness in axial plane, which is adjustable to thicker slices according to radiologists’ preference
Additional postprocessed images If dual-energy technique is selected: Monoenergetic images at 50 keV, iodine images, and iodine overlay maps

*Scan protocols are based on a 256-slice multidetector computed tomography (CT) scanner with capability for rapid-kVp-switching dual energy technique. The decision to choose dual-energy over single-energy technique is on individual radiologist’s preference, These techniques are useful for maximizing soft tissue contrast for improved detection of contrast enhancement. PACS = Picture Archiving and Communication System