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