Topogram Axial/AP topogram (include entire region abdomen-pelvic) AP 120 kV 20 mA Lateral 120 kV 40 mA kVp/Reference 120 kV/Auto mA (300-700 mA) mass Rotation time/pitch 0.5/0.984:1 Detector 64x0.625 Configuration Table 39.37 Speed/Increment Dose reduction Noise Index 15.86 Allowed CTDI 7mGy-50mGy ranges* (*recommended by AAPM) Helical Set #1 Recon Body Part Thickness Spacing Algorithm Recon destination Non contrast 1 Abdomen 2.5 mm x 2.5 mm Standard PACS Helical Set #2 Recon Body Part Thickness Spacing Algorithm Recon destination Arterial phase 1 Abdomen 2.5 mm x 2.5 mm Standard PACS 2 Sagittal abdomen 2 mm x 2 mm Standard PACS 3 Coronal abdomen 2 mm x 2 mm Standard PACS Helical Set #2 Recon Body Part Thickness Spacing Algorithm Recon destination Portal venous phase 1 Abdomen 2.5 mm x 2.5 mm Standard PACS 2 Sagittal abdomen 2 mm x 2 mm Standard PACS 3 Coronal abdomen 2 mm x 2 mm Standard PACS Helical Set #2 Recon Body Part Thickness Spacing Algorithm Recon destination Delay phase 1 Abdomen 2.5 mm x 2.5 mm Standard PACS 2 Sagittal abdomen 2 mm x 2 mm Standard PACS 3 Coronal abdomen 2 mm x 2 mm Standard PACS Scan start/end 1 cm superior to the crest/Symphysis pubic location IV contrast 370 concentration IV contrast volume < 200 lbs = 75 ml 200-250 lbs = 100 ml >250 lbs = 125 ml IV contrast flow 3-4 ml/s rate Approximate Values Size Weight (kg) Weight (lbs) CTDIvol (mGy) for CTDIvol Patient Small 50-70 110-155 10-17 Average 70-90 155-200 15-25 Large 90-120 200-265 22-35 Source : www.tranow.com Scan range Non contrast Arterial phase Portal venous Delay phase phase Start Top of higher Top of higher hemidiaphragm Top of higher Top of higher hemidiaphragm hemidiaphragm hemidiaphragm End Below Below ischium Below ischium Below ischium symphysis Time* - EAP LAP 70-80 6-10 minutes 15-20 35-40 seconds after contrast seconds seconds after injection or after after contrast after bolus contrast contrast injection tracking injection injection 50-60 Immediately 15-20 seconds after bolus seconds after bolus tracking after tracking bolus tracking *) http://radiologyassistant.nl/