Specific Anatomic RegionPancreas
ApplicationHx , R/O pancreatic mass, stage pancreatic tumor
AuthorElliot K. Fishman, MD
Reference SourceJHU protocol
Scanner UsedSiemens Somatom Sensation 16
KV / Effective mAs / Rotation time (sec)ARTERIAL 120 / 200/ 0.5VENOUS 120 / 200 / 0.5
Detector Collimation (mm)0.750.75
Slice Thickness (mm)0.750.75
Feed / Rotation (mm)12.012.0
Increment (mm)0.5-0.750.5-0.75
Image Ordercr-ca
Oral Contrast1000 cc water over 20 minutes
IV Contrast Volume and Type100-120 cc of Omnipaque 350
Injection Rate3-4 cc/sec
Scan Delay (sec)25 sec arterial / 50-60 sec venous
3D Technique UsedVRT / MIP using InSpace only
Key is optimal detection and staging of disease in pancreas. This is an ideal 3D angiographic protocol as well. With CT angioplasty we will use VRT supplemented by MIP. MPR especially in sagittal plane may be useful.

Filming: Recon- Both phases 5x5 for filming.
Recon lung and liver 5x5 for filming.