MDCT PROTOCOLS

Bladder

TCC Staging Printer-ready protocol

Specific Anatomic Region Bladder
Application TCC Staging
Author Fishman EK
Reference Source Personal Communication
Scanner Used Siemens Plus4 Volume Zoom
KV / mAs / Time per Rotation (sec) 120 / 165 / .5
Detector Collimation (mm) 2.5
Slice Thickness (mm) 3
Data Reconstruction Interval (mm) 3 or 5
Table Speed (mm per rotation) / Pitch 12.5 / 5
Oral Contrast N/A
IV Contrast Volume and Type 120 ml of Omnipaque-350  
  Injection Rate 2-3 ml
  Scan Delay (sec) 50-60 sec.
3D Technique Used Virtual imaging

Comments:

  • If the patient is larger, then choose the pelvis specific protocol, which has a higher mAs (200) as well as a special filter to reduce artifact related to bony structures.
  • Distention of the bladder with contrast is valuable in determining the presence of a bladder lesion. Use a CT cytography protocol.