These protocols are based on a 128 slice dual source Siemens CT. Some factors may need to be adjusted for a different CT.
CT - Chest Abdomen and Pelvis (CAP) XCARE
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If query Renal trauma:
Hand injection of 1/3rd contrast 10-15 minutes prior to CT
then remaining 2/3rd contrast for scan
|Indication||- for older children who are able to hold their
- congenital anomaly
- ? collection
|Patient Preparation||- nil by mouth 4 hours prior
- oral contrast loscan for inpatients as per oral contrast protocol.
- 20 or 22 gauge cannula in anticubital fossa where possible.
|Patient Position||- feet first
- arms raised above head and placed on a pillow
|Scan Area||- Start at the apices of the lungs
- Finish at the symphysis pubis
- In the case of trauma include the whole ischial spine
Care kV on
Care Dose 4D on
|IV Contrast||2mL/kg 300 concentration. Maximum 100 mL dose. 2-3mL/sec Medrad|
|Scan Delay||Child 45s (Adult 56s)|
|Reconstructions||Child 3mm I30f Mediastinum (Adult 3mm I40f
Child 3mm B70f Baby Lung (Adult 3mm B70 Lung)
Child 0.75mm I30f Mediastinum (Adult 3mm I40f Abdomen)
Child 0.75mm B70f Baby Lung (Adult 0.75 I40f Mediastinum)
Child 3mm B70f Bone (in case of trauma)
|Post Processing||3x3mm I30f Mediastinum Coronal (Adult
3x3mm B70f Baby Lung Coronal (Adult lung)
3x3mm I30f Mediastinum Sagittal if required (Child)
3x3mm B70f Lung Sagittal (Adult)
Saphire2 on all Mediastinum reconstructions
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- Date last published: 09 January 2018
- Document type: Imaging Protocol
- Services responsible: Paediatric Radiology
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