Code: 3CLP31
Title: CT ABDOMEN PROTOCOLS
Category: Appropriateness
ORAL CONTRAST
“General” abdo-pelvic CT
Gastroview 3%.
Routine: 1000 ml in 250 ml aliquots starting 2 hours prior to scan.
NB: Patients with suspected or known Crohn's disease (excluding those with acute obstruction
– see below): 1000 – 1500 ml water starting 1 hour prior to scan
No oral contrast
No oral contrast
As for “General” CT
Renal Colic
No oral contrast
Responsibility References
Protocol Owner: CT Supervising MIT
Endorsed By: EQuIP 1.3 Appropriate care and services are provided to
First Compiled: consumers/patients
Last Amended: February 2008
Review Date: February 2009 33397524.doc
Division of Imaging Services CT Protocol Page 1 of 10
Division of Imaging Services CT Protocol
Code: 3CLP31
Title: CT ABDOMEN PROTOCOLS
Category: Appropriateness
CT cholangiography
Pancreas protocol
Adrenal CT
CT Urography
No oral contrast
Responsibility References
Protocol Owner: CT Supervising MIT
Endorsed By: EQuIP 1.3 Appropriate care and services are provided to
First Compiled: consumers/patients
Last Amended: February 2008
Review Date: February 2009 33397524.doc
Division of Imaging Services CT Protocol Page 2 of 10
Division of Imaging Services CT Protocol
Code: 3CLP31
Title: CT ABDOMEN PROTOCOLS
Category: Appropriateness
RECTAL CONTRAST
Rarely needed.
Dilute Gastroview (2-3%) via rectal tube on CT table if leak suspected from rectal anastomosis.
Rectal water (or air) may be required for rectal cancer staging.
IV CONTRAST
Please note that the injection rates indicated in the following protocols are for guidance only.
Individual patients (based on age, nature of venous access, etc) may require lesser rates.
Responsibility References
Protocol Owner: CT Supervising MIT
Endorsed By: EQuIP 1.3 Appropriate care and services are provided to
First Compiled: consumers/patients
Last Amended: February 2008
Review Date: February 2009 33397524.doc
Division of Imaging Services CT Protocol Page 3 of 10
Division of Imaging Services CT Protocol
Code: 3CLP31
Title: CT ABDOMEN PROTOCOLS
Category: Appropriateness
Oral contrast:
Gastroview 3%.
Routine: 1000 ml in 250 ml aliquots starting 2 hours prior to scan.
IV Contrast: Approx 4ml / sec.
NB: if the scan is a Chest + Abdomen, reduce rate of injection (say to 3 ml/sec)
Scans: PV phase
Responsibility References
Protocol Owner: CT Supervising MIT
Endorsed By: EQuIP 1.3 Appropriate care and services are provided to
First Compiled: consumers/patients
Last Amended: February 2008
Review Date: February 2009 33397524.doc
Division of Imaging Services CT Protocol Page 4 of 10
Division of Imaging Services CT Protocol
Code: 3CLP31
Title: CT ABDOMEN PROTOCOLS
Category: Appropriateness
LIVER CT
Metastasis Screen
Oral Contrast:
Gastroview 3%.
Routine: 1000 ml in 250 ml aliquots starting 2 hours prior to scan.
IV contrast: 4 –5 ml / sec
PV Phase
Oral Contrast:
500 ml water starting 20 minutes prior to scan
Responsibility References
Protocol Owner: CT Supervising MIT
Endorsed By: EQuIP 1.3 Appropriate care and services are provided to
First Compiled: consumers/patients
Last Amended: February 2008
Review Date: February 2009 33397524.doc
Division of Imaging Services CT Protocol Page 5 of 10
Division of Imaging Services CT Protocol
Code: 3CLP31
Title: CT ABDOMEN PROTOCOLS
Category: Appropriateness
Oral Contrast:
500 ml water starting 20 minutes prior to scan
Scan:
Supine
Post-contrast PV phase
Responsibility References
Protocol Owner: CT Supervising MIT
Endorsed By: EQuIP 1.3 Appropriate care and services are provided to
First Compiled: consumers/patients
Last Amended: February 2008
Review Date: February 2009 33397524.doc
Division of Imaging Services CT Protocol Page 6 of 10
Division of Imaging Services CT Protocol
Code: 3CLP31
Title: CT ABDOMEN PROTOCOLS
Category: Appropriateness
Scans:
60-70 secs post-contrast
Post-contrast
Patient supine, then review images:
If ? transition point:
If no transition point:
Responsibility References
Protocol Owner: CT Supervising MIT
Endorsed By: EQuIP 1.3 Appropriate care and services are provided to
First Compiled: consumers/patients
Last Amended: February 2008
Review Date: February 2009 33397524.doc
Division of Imaging Services CT Protocol Page 7 of 10
Division of Imaging Services CT Protocol
Code: 3CLP31
Title: CT ABDOMEN PROTOCOLS
Category: Appropriateness
PANCREAS PROTOCOL
Oral contrast:
Scans:
Non-contrast: Upper abdo only
Post-contrast:
Parenchymal phase: approx 35 sec. Upper abdo only
PV phase: Whole abdo (first scan) or upper abdo only (follow-up of benign disease, other
selected patients)
NB. Follow-up patients for benign disease: Usually single scan late arterial / early PV phase.
Scans:
PV phase.
Responsibility References
Protocol Owner: CT Supervising MIT
Endorsed By: EQuIP 1.3 Appropriate care and services are provided to
First Compiled: consumers/patients
Last Amended: February 2008
Review Date: February 2009 33397524.doc
Division of Imaging Services CT Protocol Page 8 of 10
Division of Imaging Services CT Protocol
Code: 3CLP31
Title: CT ABDOMEN PROTOCOLS
Category: Appropriateness
Oral Contrast:
Gastroview 3%.
Routine: 1000 ml in 250 ml aliquots starting 2 hours prior to scan.
Scans:
RENAL COLIC
IV Contrast: None
Scans:
Responsibility References
Protocol Owner: CT Supervising MIT
Endorsed By: EQuIP 1.3 Appropriate care and services are provided to
First Compiled: consumers/patients
Last Amended: February 2008
Review Date: February 2009 33397524.doc
Division of Imaging Services CT Protocol Page 9 of 10
Division of Imaging Services CT Protocol
Code: 3CLP31
Title: CT ABDOMEN PROTOCOLS
Category: Appropriateness
RENAL MASS
Oral contrast:
Gastroview 3%.
Routine: 1000 ml in 250 ml aliquots starting 2 hours prior to scan.
Scans:
NB: For staging renal cell cancer, CT of Chest may also be required
Scans:
Patient supine
Non-contrast: low-dose renal tract
Nephrographic phase (80 sec post contrast): Kidneys only
Pyelographic phase: (10-15 min delay) – whole renal tract
NB: Delayed CT Urogram:(whole renal tract, delayed 10-15mins, normal dose)
Responsibility References
Protocol Owner: CT Supervising MIT
Endorsed By: EQuIP 1.3 Appropriate care and services are provided to
First Compiled: consumers/patients
Last Amended: February 2008
Review Date: February 2009 33397524.doc
Division of Imaging Services CT Protocol Page 10 of 10