RIH CAROTID AND BRAIN CTA

SIEMENS SOMATOM SENSATION 16 PROTOCOL

Position/Landmark Head first or feet first-Supine
1cm superior to skull vertex
Topogram Direction Craniocaudal

Scan Type Helical

KV / effective mAs / Rotation time (sec) 120kv / 250mAs / . 5sec

Pitch non con 1.5:1 cta.75 : 1
Detector width x Rows = Beam .75mm x 12 = 9mm
Collimation
First Helical Set body thickness/ recon
recon part spacing kernel destination .
Slice Thickness/ Spacing 1 nc neck/ brain 4.5mm x 4.5mm 45 medium pacs
Kernel

Recon Destination
Second Helical Set body thickness/ recon
recon part spacing kernel destination .
Slice Thickness/ Spacing 1 thin neck/brain cta .75mm x .7mm 20 smooth for mpr
Kernel 2 brain cta .75mm x .7mm 20 smooth pacs
3 neck cta 1mm x 1mm 20 smooth pacs
Recon Destination
Scan Start / End Locations Mid Aortic Arch
Vertex of Skull
DFOV nc brain:23 cm cta: 18cm
decrease appropriately
IV Contrast Volume / Type / Rate 80cc omni 350 4cc/sec

Scan Delay 22 seconds

Archiving to MOD Recon 1 needs to be archived to MOD

2D/3D Technique Used 20mm x 3mm mip axial reformats from Recon 1 of the cta.
1mm x 1mm mip sagittal and coronal reformats from Recon 1 of the cta.

Comments: A non-contrast neck and brain is done first. The cta recon is a very thin soft algorithm for reformats.
Axial reformats, 20.0mm thick x 3.0mm, mip mode, and sagittal and coronal 1mm thick x 1mm, mip mode are
routine for this protocol. Recon 2 of the cta is of the brain only; recon 3 of the cta is of the neck only.
Images required in PACS Scouts, 4.5mm x 4.5mm axial nc neck and brain, .7mm x .7mm axial
brain cta, 1mm x 1mm neck cta, 20mm x 3mm axial cta mip, 1mm x 1mm
sagittal cta mip, 1mm x 1mm coronal cta mip