PANCREAS CT C+ (last updated 07/28/2013, last reviewed 02/07/2022)
INDICATION: Pancreatic mass, Neuroendocrine tumor, Islet cell tumor, Chronic pancreatitis, Pancreatic cyst
SERIES
- 3mm Axial (Panc, Portal)
- 3mm Coronal (Panc, Portal)
- 3mm Sagittal (Panc, Portal)
| PANCREATIC PHASE | PORTAL VENOUS PHASE |
POSITIONING/MODE
|
supine/helical |
supine/helical |
kV/mA/rot time
|
per scanner protocol CareDose/iDose/ASIR Care kV 120 to 140 kVp </= 1 sec |
per scanner protocol CareDose/iDose/ASIR Care kV 120 to 140 kVp </= 1 sec |
SLICE THICKNESS
|
3mm |
3mm |
PITCH
|
1.0 |
1.0 |
KERNAL
|
std |
std |
SFOV
|
300 mm |
300 mm |
COVERAGE
|
diaphragm -> below panc & liver |
diaphragm -> pubic symphysis |
ACQUISITION
|
craniocaudal |
craniocaudal |
ORAL CONTRAST
|
water |
water |
IV CONTRAST
|
125 mL Isovue 300 30 mL saline |
yes |
INJECTION RATE
|
4 mL/sec |
--- |
SCAN DELAY
|
Bolus Tracking Late Arterial (generally about 35 to 45 sec after initiation) |
25 sec after arterial ~70sec after injection |
RESPIRATION
|
Inspiration |
Inspiration |
POSTPROCESSING
|
3mm Cor and Sag |
3mm Cor and Sag |
NOTES: Give water (not oral contrast) 1-2 cups just prior to scanning the patient in order to distend the stomach.