Routine Chest
6/12/2018
GE
No need to scan through adrenals anymore 10/7/16
Helical 2.5mm x 2.5mm Standard Algorithm
Recon 2: 2.5mm x 2.5mm Lung Algorithm
Recon 3: 0.625mm spacing x 1.25mm thickness Standard Algorithm
2mm x 2mm Sagittal and Coronal Reformats from Recon 3 in Lung Algorithm.
Send Initial acquisition, Recon 2, and Sag/Cor Reformats to PACS.
Toshiba
No need to scan through adrenals anymore 10/7/16
Helical 2.0mm x 2.0mm Standard Algorithm
Recon 2: 2.0mm x 2.0mm Lung Algorithm
Recon 3: 0.5mm spacing x 1.0mm thickness Standard Algorithm
2mm x 2mm Sagittal and Coronal Reformats from Recon 3 in Lung Algorithm.
Send Initial acquisition, Recon 2, and Sag/Cor Reformats to PACS.
Low Dose Chest
10/23/2019
CTDI SHOULD BE 3.0 OR LOWER PER ACR, PLEASE ADJUST AUTO MA SO THAT THIS IS ACHIEVED
Acquire images at 120 kv 30mA
Helical 5mm x 5mm Standard Algorithm
Recon 2: 2.5mm x 2.5mm Lung Algorithm
Recon 3: 2.5mm x 2.5mm Standard Algorithm
Sag/Cor Reformats from Recon 3
Axial 10mm x 2mmLung MIPs. Aids in detection of lung nodules
Send initial acquisition, recon 2, and reformats to PACS.
IF the patient is under 55 NO INSURANCE will approve. Pt. should do self-pay!
IF the patient has Medicare, four things MUST BE TRUE and stated in the report for us to get reimbursed. If they answer no to any of these questions, we need to get payment from them.(whether they are self-pay or not, the radiologists want this information):
Age range of 55-77
NO SIGNS/SYMPTOMS of LUNG CANCER
Tobacco HISTORY- (how many packs a day, and has to be at least 1 pack a day for 30 years)
That they are a CURRENT smoker or quit in the LAST 15 YEARS
Please be sure to verify that they are in the correct age range and to ask for the specific answers to these questions BEFORE scanning Low Dose CT Chests. There is a tech note for this in PACs where you should add this information.
HRCT High Res Chest
8/31/2017
Helical with Full Inspiration: 2.5mm x 2.5mm Standard Algorithm
Recon 2: 1.25mm x 1.20mm Bone Algorithm
Supine Expiratory Axial: 1.25×1.25 with 20mm gaps Bone Algorithm
Prone Inspiratory Axial: 1.25×1.25 with 20mm gaps Bone Algorithm
Sagittal and Coronal 2mm x 2mm Reformats from Recon 2 in Bone Algorithm.
Send all to PACS
Chest for PE
08/19/2018
Smart Prep at Pulmonary Artery
Injection 4cc per second(Needs 18ga IV in Right AC)
Helical: 1.25mm x 1.25mm Standard algorithm
Recon 2: 2.5mm x 2.5mm Lung Algorithm
Rotation Time 0.5 seconds
Sag and Cor 10mm x 2mm MIPS using initial acquisition
Sag and Cor 2mm x 2mm Reformats in Lung Algorithm
Send all to PACS