Specific Anatomic Region	Liver
Application	R/O liver mass, stage liver mass, evaluate cirrhosis or Hep B/C.
Author	Elliot K. Fishman, MD
Reference Source	JHU protocol
Scanner Used	Siemens Somatom Sensation 16
KV / Effective mAs / Rotation time (sec)	ARTERIAL 120 / 200/ 0.5	VENOUS 120 / 200 / 0.5
Detector Collimation (mm)	0.75	0.75
Slice Thickness (mm)	0.75	0.75
Feed / Rotation (mm)	12.0	12.0
Kernel	B30f	B30
Increment (mm)	0.5-0.75	0.5-0.75
Image Order	cr-ca
Oral Contrast	1000 cc water over 20 minutes
IV Contrast Volume and Type	100-120 cc of Omnipaque 350
Injection Rate	3-4 cc/sec
Scan Delay (sec)	25 sec arterial / 50-60 sec venous
3D Technique Used	VRT / MIP using InSpace only
Comment: Key is optimal detection and staging of disease in liver. This protocol provides excellent 3D imaging or volume visualization. Delayed scans at 3-4 minutes will be useful if cholangiocarcinoma is suspected. We then can use a similar scan protocol or use 1.5 mm detector, 2mm slice thickness and 1-2 min scan interval. Filming: Recon- Both phases 5x5 for filming. Recon lung and liver 5x5 for filming.