Revised April 3, 2017

Body CT Protocols
C 1: Chest CT with contrast
C 2: Chest CT without contrast
C 3: Chest CT angiogram (pulmonary embolism protocol)
C 4: Chest CT without contrast (lung nodule follow-up, lung CA screening)
C 5: High-resolution chest CT
C 6: Chest CT angiogram (pulmonary vein mapping protocol)

A 1: Abdomen and pelvis CT with contrast

A 1A: Abdomen CT with contrast
A 1P: Pelvis CT with contrast
A 2: Abdomen and pelvis CT with contrast (trauma protocol)
A 3: Abdomen and pelvis CT without intravenous contrast
A 3A: Abdomen CT without intravenous contrast
A 3P: Pelvis CT without intravenous contrast
A 4: Abdomen and pelvis CT without contrast (hematoma protocol)
A 5: Pre- and post-contrast abdomen CT (liver protocol)
A 6: Pre- and post-contrast abdomen CT (pancreas protocol)
A 7: Abdomen and pelvis CT with contrast (enterography protocol)

GU 1: Abdomen and pelvis CT without contrast (CT-KUB)

GU 2: Pre- and post-contrast abdomen and pelvis CT (CT-IVP)
GU 3: Pre- and post-contrast abdomen CT (adrenal protocol)
GU 4: Pelvis CT with contrast (CT cystogram)
GU 5: Pre- and post-contrast abdomen CT (renal protocol)

Combo 1: Chest, abdomen, and pelvis CT with contrast

Combo 2: Chest and abdomen CT with contrast
Revised April 3, 2017

C 1: Chest CT with contrast

Indications: mediastinal and pleural pathology.

IV: 125mL@ 2.5mL/sec, OR 100mL @ 2.5mL/sec,

with 30mL saline flush
Contrast parameters
Venogram option: 140 mL at 4mL/sec, 10% contrast
solution (100mL total) at 3mL/sec.
Region of scan Lung apex to posterior costophrenic angles

50 seconds
Scan delay
Venogram option: 60-90 seconds

Detector collimation 16 x 0.75 mm, 64 x 0.6 mm, 128 x 0.6 mm

Slice thickness 5 mm axials, 7 mm coronal & sagittal MIP reformats

B30f kernel (axials)

Filming
B70f kernel(axials, coronal MIP)

Comments:
 Optional CT venogram protocol for SVC syndrome or thrombus; best
used with double-barreled power injector.
 Pediatric patients under 10 years of age: reconstructions at 3 mm
axials instead; keep 7 mm coronal MIP.
 Optional CT navigational bronchoscopy images: 1 mm x 0.8 mm axial
slices, B31F kernel, mediastinal window.
Revised April 3, 2017

C 2: Chest CT without contrast

Indications: pulmonary nodules, airspace disease.

Contrast parameters NA

Region of scan Lung apex to posterior costophrenic angles

Scan delay NA

Detector collimation 16 x 0.75 mm, 64 x 0.6 mm, 128 x 0.6 mm

Slice thickness 5 mm axials, 7 mm coronal & sagittal MIP reformats

B30f kernel (axials)

Filming
B70f kernel (axials, coronal MIP)

Comments:
 Pulmonary nodule workup: optional 1.5 mm thick sections through
nodules of interest at radiologist’s discretion.
 Pediatric patients under 10 years of age: reconstructions at 3 mm
axials instead; keep 7 mm coronal MIP.
 Optional CT navigational bronchoscopy images: 1 mm x 0.8 mm axial
slices, B31F kernel, mediastinal window.
Revised April 3, 2017

C 3: Chest CT angiogram (pulmonary embolism protocol)

Indications: suspected pulmonary embolism.

IV: 125 mL@ 4 mL/sec, OR 100 mL @ 4 mL/sec,

Contrast parameters
with 30 mL saline flush
1) Lung apex to posterior costophrenic angles
Region of scan
2) Iliac crests to popliteal fossae (optional)
1) CARE bolus: ROI on main pulmonary artery.
Scan delay Delay of peak + 4 sec.
2) 4 minutes (optional)
1) 16 x 0.75 mm, 64 x 0.6 mm, 128 x 0.6 mm
Detector collimation
2) Non-helical 5 mm at 4 cm intervals (optional)
1) 2 mm axials and 5 mm axials. 7 mm MIP straight
coronal & sagittal reformats through entire thorax. 3
Slice thickness mm oblique coronal reformats through right and left
pulmonary arteries.
2) 5 mm axials at 4 cm intervals (optional)
B31fkernel (2 mm axials and all coronal MIP’s)
Filming
B70f kernel (5 mm axials)

Comments:
 Siemens Embolism042s settings.
 CT venography is optional and is done only when specifically
requested by the referring clinician.
 Optional CT navigational bronchoscopy images: 1 mm x 0.8 mm axial
slices, B31F kernel, mediastinal window.
Revised April 3, 2017

C 4: Chest CT without contrast (lung nodule follow-up, lung

CA screening)

Indications: pulmonary nodule follow-up, minimizing radiation exposure.

Contrast parameters NA

Region of scan Lung apex to posterior costophrenic angles

Scan delay NA

Detector collimation 16 x 0.75 mm, 64 x 0.6 mm, 128 x 0.6 mm

1.25 mm axials, 7 mm coronal & sagittal MIP

Slice thickness
reformats.
B30f kernel (axials)
Filming
B70f kernel (axials, coronal MIP)

Comments:
 Siemens LungLowDose settings.
 Utilize when confirming stability of indeterminate nodules over a 2-
year period.
 For lung screening CT: patients would need initial requisition from
referring provider.
 Optional CT navigational bronchoscopy images: 1 mm x 0.8 mm axial
slices, B31F kernel, mediastinal window.
Revised April 3, 2017

C 5: High-resolution chest CT

Indications: diffuse lung pathology, inhalational exposure, asbestosis.

Contrast parameters NA
1) Supine inspiration contiguous scan (apex to
posterior costophrenic angles)
Region of scan 2) Dynamic supine expiration (see comments)
3) Prone inspiration contiguous scan (carina to
posterior costophrenic angles)
Scan delay NA

Detector collimation 16 x 0.75 mm, 64 x 0.6 mm, 128 x 0.6 mm

1) 1.0 mm and 5 mm axials; 7 mm coronal & sagittal
MIP reformats.
Slice thickness
2) 1.0 mm axials.
3) 1.0 mm axials.
B70f kernel (1.0 mm axials and 7 mm coronals)
Filming
B30f kernel (5 mm axials).

Comments:
 Supine expiration images will detect air trapping. Perform a total of 3
scan series (upper, mid, and lower lungs), with each scan series
encompassing 4-5 slices while the patient is actively breathing out.
 Prone inspiration series will differentiate early fibrosis from posterior
dependent atelectasis.
 Optional CT navigational bronchoscopy images: 1 mm x 0.8 mm axial
slices, B31F kernel, mediastinal window.
Revised April 3, 2017

C 6: Chest CT angiogram (pulmonary vein ablation protocol)

Indications: pre-procedural mapping for pulmonary vein ablation treatment

of atrial fibrillation.

IV: 125 mL @ 4 mL/sec, OR 100 mL @ 4 mL/sec,

Contrast parameters
with 30 mL saline flush
Lung apex to posterior costophrenic angles (scan
Region of scan
from bottom to top)

Scan delay 30 sec

Detector collimation 16 x 0.75 mm, 64 x 0.6 mm, 128 x 0.6 mm

3 mm axials; 3 mm MIP oblique coronal reformats
Slice thickness parallel to right and left pulmonary veins; 7 mm MIP
straight coronal & sagittal reformats.
B31f kernel (axials, oblique coronal reformats)
Filming
B70f kernel (axials, 7 mm MIP reformats).

Comments:
 Siemens Embolism042s settings.
 Optional CT navigational bronchoscopy images: 1 mm x 0.8 mm axial
slices, B31F kernel, mediastinal window.
Revised April 3, 2017

A 1: Abdomen and pelvis CT with contrast

Indications: abdominal pain, tumor staging, acute abdomen, penetrating

abdomen trauma.

Oral: 900 mL (approx 100 mL just before scan)

Contrast parameters IV: 125 mL at 2.5 mL/sec, OR 100 mL at 2.5
mL/sec, with 30 mL saline flush
Region of scan Diaphragm to symphysis
Oral: 45-90 minutes from initial ingestion; 120 min
Scan delay for patients 10 years and younger
IV: 60 seconds
Detector collimation 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128 slice)

Slice thickness 5 mm axials; 5 mm coronal & sagittal reformats.

B30f kernel
Filming
B70f kernel for lung bases.

Comments:
 Siemens AbdomenVol settings.
 Use 5% Gastrografin solution when there is possible bowel
perforation, impending surgery, or suspected bowel obstruction.
 Oral contrast delay can be shortened to 45-60 minutes if using
Omnipaque.
 Pediatric patients under 10 years of age: 3 mm axials and 3 mm
coronals instead.
 Inguinal/ventral hernia evaluation: patients should perform Valsalva
maneuver at end-inspiration to accentuate any hernias.
Revised April 3, 2017

A 1A: Abdomen CT with contrast

Indications: upper abdominal pain, tumor staging.

Oral: 450mL(approx 100 mL just before scan)

Contrast parameters IV: 125 mL@ 2.5 mL/sec, OR 100 mL @ 2.5
mL/sec, with 30 mL saline flush
Region of scan Diaphragm to iliac crests

Oral: 45-60 minutes from initial ingestion

Scan delay
IV: 60 seconds

Detector collimation 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128 slice)

Slice thickness 5 mm axials; 5 mm coronal & sagittal reformats

B30f kernel
Filming
B70f kernel for lung bases.

Comments:
 Siemens AbdomenVol settings.
 Use 5% Gastrografin solution when there is possible bowel
perforation, impending surgery, or suspected bowel obstruction.
 Pediatric patients under 10 years of age: 3 mm axials and 3 mm
coronals instead.
Revised April 3, 2017

A 1P: Pelvis CT with contrast

Indications: lower abdominal pain, inguinal hernias.

Oral: 900 mL
Contrast parameters IV: 125 mL at 2.5 mL/sec, OR 100 mL @ 2.5
mL/sec, with 30 mL saline flush
Region of scan Iliac crests to symphysis
Oral: 45-90 minutes from initial ingestion; 120
Scan delay minutes for patients 10 years and younger
IV: 60 seconds
Detector collimation 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128 slice)

Slice thickness 5 mm axials; 5 mm coronal & sagittal reformats

Filming B30f kernel

Comments:
 Siemens AbdomenVol settings.
 Use 5% Gastrografin solution when there is possible bowel
perforation, impending surgery, or suspected bowel obstruction.
 Oral contrast delay can be shortened to 45-60 minutes if using
Omnipaque.
 Pediatric patients under 10 years of age: 3 mm axials and 3 mm
coronals instead.
Revised April 3, 2017

A 2: Abdomen and pelvis CT with contrast (trauma protocol)

Indications: blunt abdomen injury.

Oral: none
Contrast parameters IV: 125 mL at 2.5 mL/sec, OR 100 mL @ 2.5
mL/sec, with 30 mL saline flush
1) Diaphragm to symphysis
Region of scan
2) Opt: kidneys to symphysis after 10-minute delay
Oral: NA
Scan delay
IV: 60 seconds, optional 10-minute delay

Detector collimation 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128 slice)

Slice thickness 5 mm axials; 5 mm coronal & sagittal reformats.

B30f kernel
Filming
B70f kernel for lung bases and sagittal reformats.

Comments:
 Siemens AbdomenVol settings.
 Perform optional 10-minute delayed imaging through the GU system
if gross hematuria or if renal trauma is seen.
 For stable patients with penetrating abdomen injuries, protocol A1 is
preferred. Unstable patients should not be imaged.
 Pediatric patients under 10 years of age: 3 mm axials and 3 mm
coronals instead.
Revised April 3, 2017

A 3: Abdomen and pelvis CT without intravenous contrast

Indications: abdominal pain; estimated GFR too low for IV contrast.

Oral: 900 mL(approx 100 mL just before scan)

Contrast parameters
IV: none

Region of scan Diaphragm to symphysis

Oral: 45-90 minutes; 120 minutes for patients 10

Scan delay
years old or younger

Detector collimation 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128 slice)

Slice thickness 5 mm axials; 5 mm coronal & sagittal reformats

B30f kernel
Filming
B70f kernel for lung bases

Comments:
 Siemens AbdomenVol settings.
 Oral contrast delay can be shortened to 45-60 minutes if using
Omnipaque.
 Pediatric patients under 10 years of age: 3 mm axials and 3 mm
coronals instead.
Revised April 3, 2017

A 3A: Abdomen CT without intravenous contrast

Indications: upper abdomen pain; estimated GFR too low for IV contrast.

Oral: 450 mL(approx 100 mL just before scan)

Contrast parameters
IV: none

Region of scan Diaphragm to iliac crests

Scan delay Oral: 45-60 minutes

Detector collimation 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128 slice)

Slice thickness 5 mm axials; 5 mm coronal & sagittal reformats

B30f kernel
Filming
B70f kernel for lung bases

Comments:
 Siemens AbdomenVol settings.
 Pediatric patients under 10 years of age: 3 mm axials and 3 mm
coronals instead.
Revised April 3, 2017

A 3P: Pelvis CT without intravenous contrast

Indications: lower abdomen pain; estimated GFR too low for IV contrast.

Oral: 900 mL(approx 100 mL just before scan)

Contrast parameters
IV: none

Region of scan Iliac crests to symphysis

Oral: 45-90 minutes; 120 minutes for patients 10

Scan delay
years old or younger

Detector collimation 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128 slice)

Slice thickness 5 mm axials; 5 mm coronal & sagittal reformats

Filming B30f kernel

Comments:
 Siemens AbdomenVol settings.
 Oral contrast delay can be shortened to 45-60 minutes if using
Omnipaque.
 Pediatric patients under 10 years of age: 3 mm axials and 3 mm
coronals instead.
Revised April 3, 2017

A 4: Abdomen and pelvis CT without contrast (hematoma

protocol)

Indications: ruptured AAA, post-catheterization groin hematomas.

Oral: none
Contrast parameters
IV: none

Region of scan Diaphragm to symphysis

Scan delay NA

Detector collimation 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128 slice)

Slice thickness 5 mm axials; 5 mm coronal & sagittal reformats

B30f kernel
Filming
B70f kernel for lung bases

Comments:
 Siemens AbdomenVol settings.
 Pediatric patients under 10 years of age: 3 mm axials and 3 mm
coronals instead.
Revised April 3, 2017

A 5: Pre- and post-contrast abdomen CT (liver protocol)

Indications: liver lesion characterization; HCC screening in cirrhosis.

Oral: none
Contrast parameters IV: 125 mL at 4cc/sec, OR 100 mL @ 4 mL/sec,
with 30 mL saline flush
Region of scan Diaphragm to iliac crests
1) Non-contrast
2) Arterial phase: 25 sec after IV contrast
Scan delay
3) Portal venous phase: 70 sec after IV contrast
4) Delayed phase: 5 min after IV contrast
1) 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128
slice)
2) 16 x 0.75 mm, 64 x 0.6 mm, 128 x 0.6 mm
Detector collimation 3) 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128
slice)
4) 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128
slice)
5 mm axials; 5 mm coronal & sagittal reformats
Slice thickness
(portal venous phase only)
B30f kernel
Filming
B70f kernel for lung bases

Comments:
 Siemens AbdMultiPhase settings.
Revised April 3, 2017

A 6: Pre- and post-contrast abdomen CT (pancreas protocol)

Indications: pancreatic mass; NOT for initial pancreatitis workup.

Oral: 400 mL water

Contrast parameters IV: 125 mL at 4 mL/sec, OR 100 mL @ 4 mL/sec,
with 30 mL saline flush
1) T12 to L2 vertebral bodies
Region of scan 2) T12 to L2 vertebral bodies
3) Diaphragm to iliac crests
1) Non-contrast: 15 minutes after water
Scan delay 2) Pancreatic phase: 45 sec after IV contrast
3) Portal venous phase: 70 sec after IV contrast
1) 16 x 0.75 mm, 64 x 0.6 mm, 128 x 0.6 mm
2) 16 x 0.75 mm, 64 x 0.6 mm, 128 x 0.6 mm
Detector collimation
3) 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128
slice)
1) 3 mm axials
Slice thickness 2) 3 mm axials; 3 mm coronal & sagittal reformats
3) 5 mm axials
B30f kernel
Filming
B70f kernel for lung bases

Comments:
 Siemens AbdMultiPhase settings.
 For pancreatitis, perform protocol A1 instead.
Revised April 3, 2017

A 7: Abdomen and pelvis CT with contrast (enterography

protocol)

Indications: Crohn’s disease, ischemic bowel, small bowel tumors.

Oral: 1350 mLVolumen (see comments)

Contrast parameters IV: 125 mL at 2.5 mL/sec, OR 100 mL @ 2.5
mL/sec, with 30 mL saline flush
Region of scan Diaphragm to symphysis

Oral: 60 minutes from contrast ingestion

Scan delay
IV: 45 seconds

Detector collimation 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128 slice)

3 mm axials; 3 mm coronal & sagittal reformats (at 2

Slice thickness
mm intervals)
B30f kernel
Filming
B70f kernel for lung bases

Comments:
 Siemens AbdomenVol settings.
 Volumen timing: drink 450 mL 60 minutes before scan, another 450
mL 40 minutes before scan, 225 mL at 20 minutes before scan, and
last 225 mL at 10 minutes before scan.
 Warn patients about watery bowel movements (but not diarrhea)
afterwards; Volumen is not absorbed by the intestinal lining.
Revised April 3, 2017

GU 1: Abdomen and pelvis CT without contrast (CT-KUB)

Indications: flank pain and hematuria; suspected renal colic.

Oral: none
Contrast parameters
IV: none

Region of scan Diaphragm to symphysis

Scan delay NA

Detector collimation 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128 slice)

Slice thickness 5 mm axials; 5 mm coronal & sagittal reformats

B30f kernel
Filming
B70f kernel for lung bases

Comments:
 Siemens AbdomenVol settings
 Obtain plain film KUB either before or after CT scan.
 Pediatric patients under 10 years of age: 3 mm axials and coronals
instead.
 Low-dose CT-KUB option: 120 kV and 30 mAs. To be used only in
the setting of known kidney stones detected on a prior study (CT or
US), and must be ordered specifically as a low-dose study by urology.
NOT recommended for patients with BMI >25.
Revised April 3, 2017

GU 2: Pre- and post-contrast abdomen and pelvis CT (CT-

IVP)

Indications: painless hematuria, renal mass or transitional cell CA evaluation

Oral: 1000 mL water for hydration 15-20 min before.

Contrast parameters IV: 80 mL at 2.5 mL/sec, wait 8 minutes. 60 mL at
2.5 mL/sec, wait 2 minutes.
1) Diaphragm to symphysis pubis (optional)
Region of scan
2) Diaphragm to symphysis pubis
1) Non-contrast (CT-KUB): (optional)
Scan delay 2) Nephrographic/urographic phase: 10 min after IV
contrast
1) 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128
Detector collimation slice)
2) 16 x 0.75 mm, 64 x 0.6 mm, 128 x 0.6 mm
1) 5 mm axials
Slice thickness 2) 5 mm axials, 2 mm thick coronal MPR, 5 mm
thick sagittal reformats.
B30f kernel
Filming
B70f kernel for lung bases

Comments:
 Siemens AbdMultiPhase settings.
 Low-dose CT-KUB option: 120 kV and 30 mAs. Use if pt has
already had CT-KUB in last 2 months (but not recommended if
patient BMI >25).
Revised April 3, 2017

GU 3: Pre- and post-contrast abdomen CT (adrenal protocol)

Indications: distinguish between adenoma and metastasis.

Oral: none
Contrast parameters IV: 125 mL at 2.5 mL/sec, OR 100 mL @ 2.5
mL/sec, with 30 mL saline flush
1) Diaphragm to iliac crests
Region of scan 2) Diaphragm to iliac crests
3) Adrenals and kidneys
1) Non-contrast: NA
Scan delay 2) Venous phase: 75 sec after IV contrast
3) Delayed phase: 10 min after IV contrast
1) 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128
slice)
2) 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128
Detector collimation
slice)
3) 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128
slice)
1) 3 mm axials
2) 3 mm axials; 5 mm coronals and sagittal
Slice thickness
reformats.
3) 3 mm axials
B30f kernel
Filming
B70f kernel for lung bases

Comments:
 Siemens AbdMultiPhase settings.
 Pre-contrast attenuation < 0 HU supercedes the washout profile in
adenoma characterization. Non-hemorrhagic, non-calcified masses >
43 HU are suspicious for malignancy. Absolute percentage washout
of 52% distinguishes benign from malignant lesions. Radiology 2006;
238: 578-585.
Revised April 3, 2017

GU 4: Pelvis CT with contrast (CT cystogram)

Indications: assess for intra- or extraperitoneal bladder rupture.

300 mL diluted contrast instilled by gravity through

Contrast parameters existing Foley catheter (or as much as patient can
tolerate)
1) Iliac crests or bladder dome to symphysis
Region of scan
2) Iliac crests or bladder dome to symphysis
1) Non-contrast
Scan delay
2) No delay after instillation of contrast
1) 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128
slice)
Detector collimation
2) 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128
slice)
1) 5 mm axials
Slice thickness
2) 5 mm axials; 5 mm coronal & sagittal reformats

Filming B30f kernel

Comments:
 Siemens AbdVol settings.
 Foley catheter should be inserted by Emergency Dept or Urology
prior to arriving in CT.
 Dilute 50 mLcontrast in 500 mL normal saline before instilling.
 Pediatric patients under 10 years of age: 3 mm axials and coronals
instead.
Revised April 3, 2017

GU 5: Pre- and post-contrast abdomen CT (renal protocol)

Indications: renal mass evaluation or followup.

Oral: 1000 mL water for hydration 15-20 min before.

Contrast parameters IV: 80 mL at 2.5 mL/sec, wait 8 minutes. 60 mL at
2.5 mL/sec, wait 2 minutes.
1) Diaphragm to iliac crests (optional)
Region of scan 2) Diaphragm to iliac crests
3) Diaphragm to iliac crests
1) Non-contrast (may omit for follow-up scans)
Scan delay 2) Arterial phase: 30 seconds
2) Nephrographic/urographic phase: 10 minutes
1) 16 x 0.75 mm, 64 x 0.6 mm, 128 x 0.6 mm
Detector collimation 2) 16 x 0.75 mm, 64 x 0.6 mm, 128 x 0.6 mm
3) 16 x 0.75 mm, 64 x 0.6 mm, 128 x 0.6 mm
1) 5 mm axials
Slice thickness 2) 5 mm axials; 5 mm thick coronal reformats
3) 2 mm coronal & sagittal reformats.
B30f kernel
Filming
B70f kernel for lung bases

Comments:
 Siemens AbdMultiPhase settings.
 Pre-contrast component is optional; omit if scan is done for follow-up
of known lesion, OR if urology deems it not necessary.
Revised April 3, 2017

Combo 1: Chest, abdomen, and pelvis CT with contrast

Indications: tumor staging.

Oral: 900 mL (approx 100 mL just before scan)

Contrast parameters IV: 125 mL at 2.5 mL/sec, OR 100 mL @ 2.5
mL/sec, with 30 mL saline flush
Region of scan Lung apices to symphysis
Oral: 45-90 minutes from initial ingestion; 120 min
Scan delay for patients 10 years and younger
IV: 60 seconds
Detector collimation 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128 slice)

5 mm axials; 5 mm coronal & sagittal reformats

Slice thickness
7 mm coronal MIP through the lungs.
B30f kernel
Filming
B70f kernel for lungs (including MIP reformats).

Comments:
 Siemens AbdomenVol settings.
 For trauma scans: omit oral contrast. Perform sagittal reformats in
B70f kernel, to include the anterior chest wall.
 Oral contrast delay can be shortened to 45-60 minutes if using
Omnipaque.
 Pediatric patients under 10 years of age: 3 mm axials and coronals
instead. Keep 7 mm coronal MIP’s.
 Optional CT navigational bronchoscopy images: 1 mm x 0.8 mm axial
slices, B31F kernel, mediastinal window.
Revised April 3, 2017

Combo 2: Chest and abdomen CT with contrast

Indications: tumor staging.

Oral: 900 mL(approx 100 mL just before scan)

Contrast parameters IV: 125 mL at 2.5 mL/sec, OR 100 mL @ 2.5
mL/sec, with 30 mL saline flush
Region of scan Lung apices to iliac crests

Oral: 45-60 minutes from initial ingestion

Scan delay
IV: 60 seconds

Detector collimation 16 x 1.5 mm, 64 x 1.2 mm, 32 x 1.2 mm (128 slice)

5 mm axials; 5 mm coronal & sagittal reformats

Slice thickness
7 mm coronal MIP through the lungs.
B30f kernel
Filming
B70f kernel for lungs (including MIP reformats).

Comments:
 Siemens AbdomenVol settings.
 Pediatric patients under 10 years of age: 3 mm axials and coronals
instead.Keep 7 mm coronal MIP’s.
 Optional CT navigational bronchoscopy images: 1 mm x 0.8 mm axial
slices, B31F kernel, mediastinal window.