CT THORACIC SPINE

INDICATIONS: Trauma, fracture, back pain

PATIENT PREP: None

IV CONTRAST: Perform as directed by the supervising radiologist

With:100 mL Isovue 370 @ 2.0 mL/second

WithOut:None

ORAL CONTRAST: None

POSITIONING: Feet First Supine

TOPOGRAMS: AP. Range: C6 through L1. 35 mA, 120 kV

Lateral. Range: Topogram should include C6 through S1 for counting purposes. 70 mA, 120 kV.

SCAN TYPE: Spiral/Helical

NOTES: ALARA – Keep radiation dose As Low As Reasonably Achievable.

Label vertebra on Sagittals.

Axial/Coronal reconstructions may be done using the best angle for several vertebrae.

May use multiple angles for curves of the spine. Overlap the sections of different angles.

May need curved reformations.

THORACIC SPINE

Scan
Range / Scan
Direction / Respiration / Scan
Delay
(Seconds) / CARE
DOSE
4D / Quality
Reference
mAs / CARE
kV / Quality
Reference
kV / Detector Configuration
Slices Per Tube Rotation / Pitch
Table Increment/Speed:
(mm/rotation) / Rotation
Time
(Seconds) / SFOV
(cm)
C7 Through L1 / Craniocaudal / Quiet Respiration / WithOut: 2 Sec
With: 90 Sec / ON / 231 / ON / 120 / Detectors: 64 x 0.6 mm
Slices Per Tube Rotation: 32 / Pitch: 0.8
Table Increment/Speed:
15.36 mm/rotation / 1.0
Seconds / 50
cm
Plane / SAFIRE
Strength / Slice
Thickness / Interval / Kernal / Window
Width/Level / DFOV
(cm)
RECON / Axial / ON
2 / 2.0 mm / 2.0 mm / I70h
Very Sharp ASA / Osteo
1500/450 / FOV include vertebal
bodies and processes
RECON / Axial / ON
2 / 2.0 mm / 2.0 mm / I30s
Medium Smooth / Mediastinum
350/50 / FOV include vertebal
bodies and processes
RECON
Coronals Angled in Plane to Body Part / Coronals Angled in Plane to Body Part
Recon Card 3D Coronal MPR / ON
2 / 2.0 mm / 2.0 mm / I70h
Very Sharp ASA / Osteo
1500/450 / FOV include vertebal
bodies and processes
RECON
Sagittals Angled in Plane to Body Part / Sagittals Angled in Plane to Body Part
Recon Card 3D Sagittal MPR / ON
2 / 2.0 mm / 2.0 mm / I70h
Very Sharp ASA / Osteo
1500/450 / FOV include vertebal
bodies and processes

CHARGES:WithOut:CTSP-

With:CTSPW

NETWORK:Exam to PACS

2/2017