SPHP

Radiology Protocols

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  • WELCOME
  • BODY MR
    • Liver
    • Hemochromatosis
    • Pancreas
    • Cholangio / PSC
    • MRCP
    • Panc-cyst F/U
    • Secretin MRCP
    • Liver/Panc/MRCP
    • Renal mass
    • Urogram
    • Adrenal mass
    • Female pelvis C+
    • Female pelvis C-
    • Cervical CA
    • Abd/pel GYN
    • Prostate MR
    • Urethral tic
    • Bladder
    • Scrotum/Testis
    • Penis
    • Enterography
    • Defecogram
    • Perianal fistula
    • Mediastinal mass
    • Body wall mass
    • Sternum
    • Appendicitis
    • Rectal Ca Staging
    • XRT Planning Pelvis
  • BODY CT
    • CT Abd/Pel C+
    • CT Abd/Pel C-
    • PEDS CT A/P
    • Stone CT C-
    • Liver CT C+
    • Pancreas CT C+
    • Adrenal initial C+
    • Adrenal F/U C-
    • Renal Mass CT C+
    • CT Urogram C+
    • CT Cystogram
    • Stone Compos.
    • CT Entero C+
    • GI Bleed CT C+
    • CT Abd C+
    • CT Abd C-
    • CT Pelvis C+
    • CT Pelvis C-
  • CHEST CT
    • CT Chest C+
    • CT Chest C-
    • CT PE
    • HRCT C-
    • HRCT C+
    • Tracheobronchomalacia
    • Lung Ca Screen
    • Esophagography
  • CTA
    • CA Dissection
    • CAP Dissection
    • Dissctn-Trauma
    • Endograft
    • Pulm Vein Mapping
    • Mesenteric CTA
    • Renal CTA
    • CTA Runoff
    • Aneurysm Chest
    • Aneurysm CA
    • Aneurysm AP
    • CT Venogram
    • Chst-Aneur C- F/U
    • A/P Aneur C- F/U
    • TAVR
    • Gated chest C-
    • CTA Arm C+
    • CTA Thoracic Inlet
  • COMBINED CT
    • CT CAP C+
    • CT CAP C-
    • CT Ch/Abd C+
    • CT Ch/Abd C-
    • CAP C+ Trauma
  • MSK MR LOWER-EXT
    • Bony Pelvis
    • Pelvis Osteo C+
    • Sacrum
    • Sacrum C+
    • SI Joints
    • Unilateral Hip
    • Bilateral Hip
    • Hip AVN
    • Hip Arthro
    • Hip Labrum
    • Athletic Pubalgia
    • Long Bone
    • Long Bone C+
    • Knee
    • Knee C+
    • Knee Arthro
    • Ankle/Hindfoot
    • Ankle/Hind C+
    • Ankle Arthro
    • Forefoot/Midfoot
    • Fore/Midfoot C+
    • Toe Tendon/Lig
    • Toe Mass C+
    • Ch/Ab Wall Mass
  • MSK MR UPPER-EXT
    • Sternum
    • Scapula
    • Pectoralis
    • Shoulder
    • Shoulder C+
    • Shoulder Arthro
    • Long Bone
    • Long Bone C+
    • Elbow
    • Elbow C+
    • Elbow Arthro
    • Wrist
    • Wrist C+
    • Wrist Arthro
    • Finger Ligament
    • Finger Mass C+
    • Hand MR C+
    • Thumb
  • MSK CT
  • VASCULAR MR
    • Thoracic Aorta
    • Noncontrast Aorta
    • Subclavian Arteries
    • UE/Brachial Artery
    • Renal Arteries
    • Renal Arteries C-
    • Abdominal Aorta
    • Mesenteric Arteries
    • Pelvic Arteries
    • Pelvic Veins
    • Run-off
    • Pelvic Congestion
    • Pulmonary MRA
  • NEURO MR
    • Routine Brain
    • Brain C-
    • Brain/IAC C+
    • Brain/IAC C-
    • Pituitary
    • MRA Brain
    • MR Venogram
    • Carotids
    • Brain&Orbits C+
    • Orbits Only C+
    • Brain Seizure
    • Brain Trauma
    • Cervical-Spine C-
    • Cervical-Spine C+
    • TMJs
    • Lumbar-Spine C-
    • Lumbar-Spine C+
    • Lumbar Plexus
    • Thoracic-Spine C-
    • Thorac-Spine-C+
    • Soft Tissue Neck
    • Skull Base
    • Brachial Plexus
  • NEURO CT
    • Head C-
    • Head C+
    • PEDS CT HEAD
    • Cervical Spine
    • Cervical Spine C+
    • Thoracic Spine
    • Thoracic Spine C+
    • Lumbar Spine
    • Lumbar Spine C+
    • Neck C+
    • Neck C-
    • Maxillofacial
    • Maxillofacial C+
    • IACs C+
    • Temporal Bones
    • Orbits
    • Orbits C+
    • Sinus
    • Sinus C+
    • Sella/Cav Sinus
    • Brainlab Sinus
    • CTA Carotids
    • CTA COW
    • CT venogram
  • ULTRASOUND
    • REPORTING
    • Abdomen
    • RUQ
    • Liver
    • Spleen
    • Female Pelvis
    • Male Pelvis
    • Bladder
    • Kidneys/Aorta
    • Kidneys/Bladder
    • Aorta
    • Kidneys
    • Penis
    • Appendix
    • First Tri OB
    • 2/3 Tri OB
    • Emergency Ltd OB
    • OB BPP
    • Carotids
    • Thyroid
    • Scrotum
    • LE DVT
    • UE DVT
    • Infant Cranial
    • Infant Spine
    • Pyloric Stenosis
    • Mesenteric stenosis
    • Renal Stenosis
    • Renal Veins
    • LE Pre-CABG Map
    • Pseudoaneurysm
    • Portal Vein Doppler
    • TIPS Doppler
    • In situ Venous Map
    • Arm Mapping
    • IJ Vein Mapping
    • Graft
    • PreCABG Radial Artery
    • Radial Art Pseudo
    • Transplant
    • Soft Tissue
    • Caval Index
  • CARDIAC MR
    • INDICATIONS
    • Routine w/ T2
    • Aortic valve
    • ASD
    • Pericardial Dis.
    • Cardiac mass
    • Noncompaction
    • HCM
    • Pulm Vein Ablation
    • Amyloid
    • ARVC
    • Mitral Valve
    • LV aneurysm
    • Pulmonic Sten.
    • Hemochromatosis
    • CA anomaly
    • LV function only
    • FE quant only
    • Real-time
  • BREAST IMAGING
    • Screening Mammo
    • Callback Mammo
    • Symptom Mammo
    • Follow-up Mammo
    • Breast US
    • Breast MRI
  • IR
    • Recovery Times
  • NUCLEAR MEDICINE
    • Bone Scan
    • HIDA with EF
  • RADIOGRAPHY
    • Upper Extremity
    • Lower Extremity
    • Thoracic/Chest
    • Spine
    • Abdomen
    • Skull/Head
    • Skeletal Survey
  • DEXA
    • Adult
    • Pediatric
  • MISC
    • Sitzmarks
  • Reference
    • Incidental Findings
      • Panc Cyst
      • Adrenal Nodule
      • Liver Lesion
      • Renal Lesion
      • Adnexal Cyst
      • Spleen
      • Gallbladder/Biliary
      • Thyroid
      • Thyroid nodule
      • Lymph Node
      • Vascular
    • Cardiac MR
      • Order form
      • Normal values
      • Normal values 2
      • Normal values 3
      • Iron Quant
      • 17 segment model
      • CA territories
      • Mitral regurg
      • ARVC criteria
      • Left Atrium
      • CMR Guides
  • MR Tips
    • Cardiac
      • Routine heart
      • Aortic valve
      • Right heart / PA
      • Pericard dynamic
      • TWIST angio
      • Iron quant
      • Gating
      • 3D trueFISP
    • Body MR
      • Breath holding
      • FOV
  • Contrast Guidelines
    • CT Contrast
    • MR Contrast

Liver (single organ) limited US (last edited 10/19/2017)
(last reviewed 10/19/2017)

Guideline to a sequence of scanning
  1. trans lt lobe liver
  2. trans rt lobe liver including IVC and hepatic veins
  3. trans rt lobe of the liver including portal veins (x1)
  4. trans dome of right lobe of liver (x2)
  5. sag lt lobe liver with prox abdominal aorta (label Aorta)
  6. sag rt lobe of liver with IVC (label IVC)
  7. sag rt lobe of liver (x2)
  8. sag liver/right kidney interface
  9. sag gb (x3), one of which is a decubitus view
  10. trans gb (x3) one of which is a decubitus view
  11. trans gb wall measurement
  12. CBD with and without measurements and color Doppler (x3)

Notes:

-show all abnormalities in sag and trans. Measure abnormalities in three dimensions- (length and AP direction on sagittal view and width on transverse view)

-if multiple lesions, then number and measure an appropriate number of lesions that can be followed on subsequent studies

-label specific location of the abnormality if not obvious on the static image (ie upper pole, right lobe)



Liver:

Sagittal and transverse views of the right and left lobes of the liver. Transverse views of the liver should include a transverse picture with the hepatic veins and IVC and a transverse picture with the portal vein.