CT CTDIvol ALLOWED DOSE RANGES

BEACON HILL

SIEMENS DEFINITION AS 64

CT ABDOMEN / 3 mGy – 50 mGy
CT ABDOMEN/PELVIS / 3 mGy – 50 mGy
CT ABDOMINAL ANGIOGRAPHY / 3 mGy – 50 mGy
CT ADRENAL / 3 mGy – 50 mGy
CT ANKLE / 1 mGy – 20 mGy for 32 cm CTDI phantom
2 mGy – 40 mGy for 16 cm CTDI phantom
CT AORTA - ABDOMINAL / 3 mGy – 50 mGy
CT AORTA – POST ENDOGRAFT / 3 mGy – 50 mGy
CT AORTA – CHEST (Aneurysm/Dissection) / 1 mGy – 50 mGy
CT CAROTIDS / 1 mGy – 60 mGy
CT CERVICAL SPINE / 5 mGy – 60 mGy, 32 cm CTDI phantom
CT CHEST / 1 mGy – 50 mGy
CT CHEST ANGIO – Pulmonary Embolism / 1 mGy – 50 mGy
CT CHEST ANGIOGRAPHY / 1 mGy – 50 mGy
CT CHEST HIGH RESOLUTION / Low Dose Chest: 0.5 mGy – 50 mGy
Routine Chest: 1 mGy – 50 mGy
Expiration & Prone Chests: 0.25 mGy – 50 mGy
CT CHEST LOW DOSE - Lung Cancer Screening / 0.25 mGy – 8 mGy
CT CHEST LOW DOSE – Pulmonary Nodules / 0.5 mGy – 50 mGy
CT CHEST - Tracheomalacia / 1 mGy – 50 mGy
CT CHEST/ABDOMEN / 3 mGy – 50 mGy
CT CHEST/ABDOMEN/PELVIS / 3 mGy – 50 mGy
CT CYSTOGRAM – LOW DOSE / 2 mGy – 50 mGy
CT ELBOW / 1 mGy – 20 mGy for 32 cm CTDI phantom
2 mGy – 40 mGy for 16 cm CTDI phantom
CT ELBOW ARTHROGRAM / 1 mGy – 20 mGy for 32 cm CTDI phantom
2 mGy – 40 mGy for 16 cm CTDI phantom
CT ENTEROGRAPHY / 3 mGy – 50 mGy
CT EXTREMITY - LOWER / 1 mGy – 20 mGy for 32 cm CTDI phantom
2 mGy – 40 mGy for 16 cm CTDI phantom
CT EXTREMITY - UPPER / 1 mGy – 20 mGy for 32 cm CTDI phantom
2 mGy – 40 mGy for 16 cm CTDI phantom
CT FACIAL / 4 mGy – 60 mGy
CT FOOT / 1 mGy – 20 mGy for 32 cm CTDI phantom
2 mGy – 40 mGy for 16 cm CTDI phantom
CT GUIDED JOINT INJECTION PROCEDURES / Shoulder, Hip, SI Joint Inj: 0.5 mGy – 50 mGy
Knee, Elbow Inj: 0.5 mGy – 20 mGy
CT GUIDED SPINAL INJECTION PROCEDURE / ESI, NBLK, Facet: 0.5 mGy – 60 mGy
CT HAND / 1 mGy – 20 mGy for 32 cm CTDI phantom
2 mGy – 40 mGy for 16 cm CTDI phantom
CT HEAD - SEQUENTIAL / 25 mGy – 80 mGy
CT HEAD - SPIRAL / 25 mGy – 80 mGy
CT HEAD ANGIOGRAPHY / NonContrast Head: 25 mGy – 80 mGy
Arterial Head: 1 mGy – 80 mGy
CT HIP / 3 mGy – 50 mGy
CT HIP ARTHROGRAM / 3 mGy – 50 mGy
CT IVU/IVP/UROGRAPHY / Low Dose KUB: 2 mGy – 50 mGy
IVP: 3 mGy – 50 mGy

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CT KNEE / 1 mGy – 20 mGy for 32 cm CTDI phantom
2 mGy – 40 mGy for 16 cm CTDI phantom
CT KNEE ARTHROGRAM / 1 mGy – 20 mGy for 32 cm CTDI phantom
2 mGy – 40 mGy for 16 cm CTDI phantom
CT KUB / 3 mGy – 50 mGy
CT KUB LOW DOSE – BEACON HILL / 2 mGy – 50 mGy
CT LIVER / 3 mGy – 50 mGy
CT LUMBAR SPINE / 5 mGy – 60 mGy
CT NECK SOFT TISSUE / 4 mGy – 60 mGy, 32 cm CTDI phantom
CT NECK SOFT TISSUE - PARATHYROID / 4 mGy – 60 mGy, 32 cm CTDI phantom
CT NECK/CHEST / NECK: 4 mGy – 60 mGy, 32 cm CTDI phantom
CHEST: 1 mGy – 50 mGy
CT NECK/CHEST/ABDOMEN / NECK: 4 mGy – 60 mGy, 32 cm CTDI phantom
CHEST/ABD: 3 mGy – 50 mGy
CT NECK/CHEST/ABDOMEN/PELVIS / NECK: 4 mGy – 60 mGy, 32 cm CTDI phantom
CHEST/ABD/PEL: 3 mGy – 50 mGy
CT ORBITS / 4 mGy – 60 mGy
CT PANCREAS / 3 mGy – 50 mGy
CT PATELLAR TRACKING KNEE / 1 mGy – 20 mGy
CT PELVIS BONY / 3 mGy – 50 mGy
CT PELVIS SOFT TISSUE / 3 mGy – 50 mGy
CT RENAL MASS / 3 mGy – 50 mGy
CT RENAL WITH ARTERIAL / 3 mGy – 50 mGy
CT RUNOFF ANGIOGRAPHY / 3 mGy – 50 mGy
CT SHOULDER / 3 mGy – 50 mGy
CT SHOULDER ARTHROGRAM / 3 mGy – 50 mGy
CT SINUS BRAINLAB / 4 mGy – 60 mGy
CT SINUS FUSION / 4 mGy – 60 mGy
CT SINUS ROUTINE / 4 mGy – 60 mGy
CT SINUS STEALTH / 4 mGy – 60 mGy
CT TEMPORAL BONES / 4 mGy – 60 mGy
CT THORACIC SPINE / 5 mGy – 60 mGy
CT TMJ / 2 mGy – 60 mGy
CT WRIST / 1 mGy – 20 mGy for 32 cm CTDI phantom
2 mGy – 40 mGy for 16 cm CTDI phantom

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