MDCT PROTOCOLS

Liver

Suspected hepatoma (dual phase study) Printer-ready protocol

Specific Anatomic Region Liver
Application Suspected hepatoma (dual phase study)
Author Fishman EK
Reference Source Personal Communication
Scanner Used Siemens Plus4 Volume Zoom
KV / mAs / Time per Rotation (sec) 120 / 165 / .5 (both phases)
Detector Collimation (mm) 2.5 or 1
Slice Thickness (mm) 3-5 or 1.25
Data Reconstruction Interval (mm) 3-5 or 1
Table Speed (mm per rotation) / Pitch 12.5 / 5 or 6 / 6
Oral Contrast 750 cc of water
IV Contrast Volume and Type 120 cc of Omnipaque 350
Injection Rate 3 cc / sec
Scan Delay (sec) 30 sec / 60 sec
3D Technique Used Volume rendering / MIP (if needed)

Comments:

  • This is a dual phase study, and requires both arterial and portal phase studies. Some will recommend a non-contrast phase as well. Also, some will suggest that the portal/delayed phase be at 80-100 seconds. In this protocol, 3D imaging is optional, and is usually used if a tumor is detected and surgical planning is needed.
  • When 3D imaging is requested we use 1 mm detectors with 1.25 collimation and reconstruction at 1 mm intervals.