MDCT PROTOCOLS

GI

Colon: Virtual colonoscopy Printer-ready protocol

Specific Anatomic Region Colon
Application Virtual colonoscopy
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) 1 or 2.5
Slice Thickness (mm) 1.25 or 3
Data Reconstruction Interval (mm) 1 or 3
Table Speed (mm per rotation) / Pitch 6 / 6 or 15 / 6
Oral Contrast N/A (rectal air only)
IV Contrast Volume and Type N/A or IV contrast
Injection Rate N/A or 2-3 cc/sec
Scan Delay (sec) N/A or 30 sec
3D Technique Used MPR and Volume rendering

Comments:

  • The optimal protocols have not yet been defined. A lower dose study can be done using 120 / 110 / .5 with a pitch of 6 (12 mm / sec travel). Low dose will be important if virtual colonoscopy becomes a screening tool.
  • We like to use IV contrast as it makes it easier to detect the presence of polyps.
  • Prone and supine images are needed in all cases.