History:

Gross hematuria, urothelial tumor, transitional cell cancer (TCC)

Surview:

 Above diaphragm to lesser trochanters

 

Oral Contrast:

Water  1000mL 20 minutes prior

IV Hydration:

 

IV Contrast:

100mL Omnipaque 350  -  4mL/sec + 50mL saline flush

Scan

 

Non-Contrast:

Scan diaphragm to ischial tuberosities

Delay:  80 seconds

Scan diaphragm to ischial tuberosities

NOTE:

If practical, have patient roll or sit up to mix bladder contrast

At 8 minutes, repeat scout, check for excretion

Have images checked by radiologist, may have to repeat in prone position

 

BREATHING INSTRUCTIONS:

 Suspended Inspiration

 

Parameter Type : 

DRY

80 SECOND DELAY

8 MINUTE DELAY

Thick/Incr.

 4 @ 3

  4 @ 3

4 @ 3

Kvp

 120

120

120

mAs (ref)

ACS (125)

ACS (300)

ACS (200)

Dose Right

ON

ON

ON

Z-Dom

ON

ON

ON

Collimation

 128 x 0.628

 128 x 0.628

128 x 0.628

Pitch

 0.993

0.993

0.993

Rotation Time

 0.5

0.5

0.5

Scan FOV

 400

400

400

Filter

 B

B

B

iDose

iD3

iD3

iD3

Scan Delay

 NA

90 Seconds

8 Minutes

Thin Section Reconstructions

0.9 @ 0.45

 0.9 @ 0.45

0.9 @ 0.45

 Post Processing

3D Reformats

 Archiving

Non-Contrast

 4 @ 3

PACS

Delays

 4 @ 3

PACS

All Thin Sections Reconstructions

 

Thin Client

 

Courtesy of the University of Maryland