Saturday, 12 October 2013

Adult Head: Routine (Helical Mode) (Protocol # 1.1)

Billing:
1. CT Head without, or with, or without and with
2. Contrast if used
Setup: 
1. Supine, AP and lateral scouts, no gantry angle 
2. Helical mode should be used routinely for adult head CT scans. Only use axial mode 
when you cannot move the patient’s head into proper position (trauma, cervical 
collar, rigid neck).
3. Patient Positioning: Tilt the patients head so that a line connecting the lateral 
canthus of the eye and the EAC is perpendicular to the CT tabletop (see below). Use 
axial mode and angle the gantry if you cannot place the patient’s head within 15 
degrees of the proper setup angle. 
4. Start scans at the bottom of C1 and scan through the top of the head
DFOV: Preferred 20 cm (Range 18-22)
Contrast: 
1. 150 ml of 240 mg/dl non-ionic contrast @ 0.6 ml/sec (4.2 minutes)
2. Begin scanning as soon as contrast injection is finished


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