MDCT PROTOCOLS

Chest

Solitary pulmonary nodule eval. Printer-ready protocol

Specific Anatomic Region Chest
Application Solitary pulmonary nodule evaluation
Author Fishman EK
Reference Source Personal Communication
Scanner Used Siemens Plus4 Volume Zoom
KV / mAs / Time per Rotation (sec) 140 / 100 / .5
Detector Collimation (mm) 4 x 1
Slice Thickness (mm) 1 or 1.25
Data Reconstruction Interval (mm) 1 or 2
Table Speed (mm per rotation) / Pitch 6 / 6
Oral Contrast N/A
IV Contrast Volume and Type N/A
Injection Rate N/A
Scan Delay (sec) N/A
3D Technique Used Volume rendering & MIP may yield important information in selected cases.

Comments:

  • The 1 mm collimation gives the most accurate slice profile of lesion densitometry. This is therefore chosen to evaluate an SPN. Recent work suggests that degree of enhancement with IV contrast may be helpful, and will be the subject of a pending protocol.
  • 3D lung images are ideal for volume displays of the lung.