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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 - Thorax XCARE

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Notes:

For small babies/children consider 80kV and Flash Thorax protocol
CCAM, CPAM and sequestration require IV contrast and imaging should include the liver to look for an anomalous artery

Terminology:

CCAM - congenital cystic adenomatoid malformation
CPAM - congenital pulmonary airways malformation

Indication Mainly to be used for girls over 5 years of age to protect breast tissue
- trauma
- chest wall disorders
- pulmonary mass
- pleural disease
- mediastinum studies
- ?TB
- CCAM
- sequestration
Patient Preparation 4 hours nil by mouth if IV contrast required
Patient Position - feet first
- supine
- arms raised above head
Scan Area Apices to the base of the lungs
kV/Quality Ref mAs/
Time per Rotation
Care kV on
Care Dose 4D on
100
120
100
100
0.28s
0.33s
Detector Collimation 0.6
Slice Thickness  3mm Pitch 0.6
IV Contrast 2mL/kg 300 concentration as required by Radiologist maximum 70 mL 1.5-3 mL/sec medrad
Care Bolus Nil
Scan Delay 20s if IV contrast required
Reconstructions 3mm      I30f Mediastinum
3mm      B70f Baby Lung (B70f Lung Adult)
0.75mm I30f Mediastinum
0.75mm B70f Baby Lung (B70f Lung Adult)
Post Processing 

3mm      I30f Mediastinum  Coronal MPR
3mm      B70f Baby Lung     Coronal MPR (B70f Lung Adult)
3mm      I30f Mediastinum  Sagittal MPR
3mm      B70f Baby Lung     Sagittal MPR (B70f Lung Adult)
Saphire 2 on Mediastinum reconstructions

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  • Date last published: 10 July 2017
  • Document type: Imaging Protocol
  • Services responsible: Paediatric Radiology

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