MDCT PROTOCOLS

GI

Stomach: Staging or follow-up of gastric cancer Printer-ready protocol

Specific Anatomic Region Stomach
Application Staging or follow-up of gastric cancer
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
Table Speed (mm per rotation) / Pitch 12.5 / 5
Oral Contrast 750-1000 of water 15-30 minutes prior to study
IV Contrast Volume and Type 120 cc of Omnipaque 350
Injection Rate 2-3 cc / sec
Scan Delay (sec) 40-50 sec
3D Technique Used Virtual endoscopy in select cases
Comment: -Water is an ideal oral contrast agent for gastric studies. It allows detection of smaller lesions and tumor spread. I have tried arterial phase imaging in the stomach, but it has no additional value. Oral contrast: 750 cc of flavored water 30 minutes prior to the study, and 250 cc at the time of the study.