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These protocols are based on a 128 slice dual source Siemens CT. Some factors may need to be adjusted for a different CT.

Guideline identity image

CT - Head Standard XCARE

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For all patients 0.75mm Brain and Bone to PACS
Brain - Axial, Coronal and Sagittal MPR

NAI/Trauma Patients
Include 1mm Bone - Axial, Coronal and Sagittal MPR 
For children over 6 years of age consider using the Adult Protocol.

Indication Non Contrast:
- Trauma
- Shunt

- metastases
- abscess
- meningitis
- seizures
- TB
Patient Preparation - For IV contrast, sedation or GA
- 4 Hours Nil by Mouth and IV access as required
Patient Position - head first
- supine
- OML perpendicular
- eyes closed and still
Scan Area Start at  Foramen Magnum
Finish at Vertex of skull
kV/Quality ref mAs/
Time per rotation
Child care kV on
Adult care kV semi
Care dose 4D on
120 300 1.0s
Detector Collimation  0.6mm
Slice Thickness 4 mm Pitch 0.55
IV Contrast As required 1mL/kg 300 concentration Max 50 mL
hand bolus
Scan Delay 3 - 5 minutes
Reconstructions 4mm     J37s Baby Brain / H31s Base Orbita
0.75mm J37s Baby Brain / H31s Base Orbita
0.75mm J70h Bone 
Post Processing  4mm    J37s Baby Brain
Axial, Coronal, Sagittal MPR
4mm    J70h Bone Axial MPR
NAI/Trauma 1mm Axial, Coronal, Sagittal MPR
NAI/Trauma 3D images of head
Shunt           3D images of shunt
Saphire 2 on all reconstructions

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  • Date last published: 05 October 2017
  • Document type: Imaging Protocol
  • Services responsible: Paediatric Radiology

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