INDICATIONS: Renal Mass/Tumor

RENAL MASS

INDICATIONS: Renal mass/tumor

(If reason for exam is CryoAblation, Embolization, Clear Cell Carcinoma, or Living Related Donor use“RENAL WITH ARTERIAL” Protocol)

PATIENT PREP: NPOfor solid foods, water only, for 4 hours prior to scan

IV CONTRAST: 100mL Isovue 370 @ 2-3mL/second

ORAL CONTRAST: 32 oz Water 30 Minutes Prior to Scan, and

12 oz Water Immediately Prior to Scan.

POSITIONING: Feet First Supine

TOPOGRAMS: AP & Lateral

SCAN TYPE: Spiral/Helical

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

NONCONTRAST

Scan
Range / Scan
Direction / Respiration / Scan
Delay
(Seconds) / CARE
DOSE
4D / Quality
Reference
mAs / kV / Collimator(mm)
Slices Per Tube Rotation / Pitch
Table Increment/Speed: (mm/rotation) / Rotation
Time
(Seconds) / SFOV
(cm)
Dome of Diaphragm
ToIliac Crest/
BelowKidneys / Craniocaudal / Suspended
Inspiration / 4
Seconds / On / 120 / 110 / Collimator: 1.2 mm
Slices Per Tube Rotation: 16 / Pitch: 0.8
Table Increment/Speed: 15.36mm/rotation / 0.6
Seconds / 50
cm
Plane / Slice
Thickness / Interval / Kernal / Window
Width/Level / DFOV
(cm)
RECON / Axial / 3.0 mm / 3.0 mm / B30f
Medium Smooth / Abdomen
400/40 / FOV just beyond
patient’s body

NEPHROGRAPHIC PHASE

Scan
Range / Scan
Direction / Respiration / Scan
Delay
(Seconds) / CARE
DOSE
4D / Quality
Reference
mAs / kV / Collimator(mm)
Slices Per Tube Rotation / Pitch
Table Increment/Speed: (mm/rotation) / Rotation
Time
(Seconds) / SFOV
(cm)
Dome of Diaphragm
ToIliac Crest/
Below Kidneys / Craniocaudal / Suspended
Inspiration / 100
Seconds / On / 120 / 110 / Collimator: 1.2 mm
Slices Per Tube Rotation: 16 / Pitch: 0.8
Table Increment/Speed: 15.36mm/rotation / 0.6
Seconds / 50
cm
Plane / Slice
Thickness / Interval / Kernal / Window
Width/Level / DFOV
(cm)
RECON / Axial / 3.0 mm / 3.0 mm / B30f
Medium Smooth / Abdomen
400/40 / FOV just beyond
patient’s body
RECON / Axial / 3.0 mm / 3.0 mm / B70f
Very Sharp / Lung
1500/-700 / FOV just beyond
patient’s body
RECON
Coronals Angled in Plane to Body Part / Coronals Angled in Plane to Body Part
Recon Card 3D Coronal / 3.0 mm / 3.0 mm / B30f
Medium Smooth / Abdomen
400/40 / FOV just beyond
patient’s body
RECON
Sagittals Angled in Plane to Body Part / Sagittals Angled in Plane to Body Part
Recon Card 3D Sagittal / 3.0 mm / 3.0 mm / B30f
Medium Smooth / Abdomen
400/40 / FOV just beyond
patient’s body

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PYELOGRAPHIC PHASE

Scan
Range / Scan
Direction / Respiration / ScanDelay / CARE
DOSE
4D / Quality
Reference
mAs / kV / Collimator(mm)
Slices Per Tube Rotation / Pitch
Table Increment/Speed: (mm/rotation) / Rotation
Time
(Seconds) / SFOV
(cm)
Dome of Diaphragm
ToIliac Crest/
Below Kidneys / Craniocaudal / Suspended
Inspiration / 6 Minutes From
Start of Injection.
(Approximately 250 Seconds From End of Nephrographic) / On / 120 / 110 / Collimator: 1.2 mm
Slices Per Tube Rotation: 16 / Pitch: 0.8
Table Increment/Speed: 15.36mm/rotation / 0.6
Seconds / 50
cm
Plane / Slice
Thickness / Interval / Kernal / Window
Width/Level / DFOV
(cm)
RECON / Axial / 3.0 mm / 3.0 mm / B30f
Medium Smooth / Abdomen
400/40 / FOV just beyond
patient’s body

CHARGES:CABDWWO or CKIDWWO

NETWORK:Exam to PACS

6/2013Page 2 of 2