ut southwestern department of radiology...jan 25, 2019  · protocol name: hip ct protocol epic...

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UT Southwestern Department of Radiology Protocol Name: Hip CT Protocol Epic Button: Hip Orderable Name: CT LOWER EXTREMITY LEFT WO IV CONTRAST CT LOWER EXTREMITY RIGHT WO IV CONTRAST # Acquisitions: 1 Indications: Trauma, Degenerative arthropathy, intra-articular bodies CTDIvol < 60 mGy Adult or Pediatric Active Protocol Oral Contrast: UTSW H2O Variant: Oral Effervescent Granules on Table? UTSW: Airway: Volume(mL): Other Contrast: Rate (mL/sec): Volume (mL): Last Change: 1/25/2019 Regime: Notes: IV Access: Notes: Route: Notes: FOV: Whole hip Coverage: See illustration - Acetabular roof thru lesser trochanter Series Name: Noncontrast Phase Timing: Noncontrast N/A Same Same Do not repeat CT scan, recon soft tissue from 1st acquisition, send soft tissue kernal volume to TeraRecon Use 4mm cor/sag if large patient or metal in FOV. Special Instructions: Use 4mm cor/sag if large patient or metal in FOV. Primary Axial Recon: 3 mm Other Recons: 3 mm coronal and sagittal 3 mm, Volume 3 mm coronal and sagittal Algorithm: Bone Soft Tissue MIP Recons: General Statements Positioning Reference Acquisition Protocol: Links: Other Notes: *Place a marker at the site of most concern. Dual energy scanner preferred (send base acquired data to PACS) Child: keep kVp < 80-100, shield gonads. Use Right/Left orderable based on protocol or side indicated in reason for exam. Metal (FOV):140 KVp,align beam along metal. 1 N/A IV Contrast: Last Review: 1/18/2019 *Dual Energy Siemens: *Dual Energy Philips: * If dual energy or spectral CT is available

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Page 1: UT Southwestern Department of Radiology...Jan 25, 2019  · Protocol Name: Hip CT Protocol Epic Button:Hip. Orderable Name:CT LOWER EXTREMITY LEFT WO IV CONTRAST CT LOWER EXTREMITY

UT Southwestern Department of RadiologyProtocol Name: Hip CT

Protocol Epic Button: HipOrderable Name: CT LOWER EXTREMITY LEFT WO IV CONTRAST

CT LOWER EXTREMITY RIGHT WO IV CONTRAST

# Acquisitions: 1

Indications: Trauma, Degenerative arthropathy, intra-articular bodiesCTDIvol < 60 mGy

Adult or Pediatric

Active Protocol

Oral Contrast:

UTSW H2O Variant:

Oral Effervescent Granules on Table?

UTSW:

Airway:

Volume(mL):

Other Contrast:

Rate (mL/sec): Volume (mL):

Last Change: 1/25/2019

Regime: Notes:

IV Access:

Notes:

Route:

Notes:

FOV: Whole hip

Coverage: See illustration - Acetabular roof thru lesser trochanter

Series Name: Noncontrast

Phase Timing:

Noncontrast

N/A

Same

Same

Do not repeat CT scan, recon soft tissue from 1st acquisition, send soft tissue kernal volume to TeraReconUse 4mm cor/sag if large patient or metal in FOV.

SpecialInstructions:

Use 4mm cor/sag if large patient or metal in FOV.

Primary Axial Recon: 3 mm

Other Recons: 3 mm coronal and sagittal

3 mm, Volume

3 mm coronal and sagittal

Algorithm: Bone Soft Tissue

MIP Recons:

General Statements Positioning Reference

Acquisition Protocol:

Links:

Other Notes:*Place a marker at the site of most concern.Dual energy scanner preferred (send base acquired data to PACS)Child: keep kVp < 80-100, shield gonads.Use Right/Left orderable based on protocol or side indicated in reason for exam.Metal (FOV):140 KVp,align beam along metal.

1 N/A

IV Contrast:

Last Review: 1/18/2019

*Dual EnergySiemens:

*Dual EnergyPhilips:

* If dual energy or spectral CT is available