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UT Southwestern Department of Radiology Protocol Name: Low Dose Chest CT Protocol Epic Button: Low Dose Chest Without Orderable Name: CT CHEST LUNG CANCER SCREEN WO CONTRAST CT CHEST WO IV CONTRAST # Acquisitions: 1 Indications: Screening for lung cancer, nodule follow-up, CF with nontuberculuous mycobacterium CTDIvol < 15 mGy; DLP < 500 mGycm Adult only Active Protocol Oral Contrast: UTSW H2O Variant: Oral Effervescent Granules on Table? UTSW: Airway: Acquire on inspiration. Volume(mL): Other Contrast: Rate (mL/sec): Volume (mL): Last Change: 1/25/2019 Regime: Notes: IV Access: Notes: Route: Notes: FOV: Match prior study FOV, if available Coverage: Base of neck through L1 Series Name: Noncontrast Phase Timing: Noncontrast N/A Same Same Do not repeat CT scan, recon lung from 1st acquisition Special Instructions: Primary Axial Recon: 3/3 and 1/1 mm Other Recons: 2/2mm sagittal, 2/2mm coronal 3/3 mm Algorithm: Soft Tissue Lung MIP Recons: 7/2mm axial General Statements kVp Body Chart Acquisition Protocol: Chest Low Dose Recon Only Links: Other Notes: Consult body habitus kVp selection chart. If ordered as the "SCREEN" orderable and not performed in last 12 months, use the "SCREEN" orderable. Otherwise, use the CT CHEST WO orderable. 1 N/A IV Contrast: Last Review: 1/18/2019 *Dual Energy Siemens: *Dual Energy Philips: * If dual energy or spectral CT is available

UT Southwestern Department of Radiology...*Dual Energy Siemens: *Dual Energy Philips: * If dual energy or spectral CT is available. Created Date: 12/12/2019 1:24:05 PM

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UT Southwestern Department of RadiologyProtocol Name: Low Dose Chest CT

Protocol Epic Button: Low Dose Chest WithoutOrderable Name: CT CHEST LUNG CANCER SCREEN WO CONTRAST

CT CHEST WO IV CONTRAST

# Acquisitions: 1

Indications: Screening for lung cancer, nodule follow-up, CF with nontuberculuous mycobacterium

CTDIvol < 15 mGy; DLP < 500 mGycm

Adult only

Active Protocol

Oral Contrast:

UTSW H2O Variant:

Oral Effervescent Granules on Table?

UTSW:

Airway:

Acquire on inspiration.

Volume(mL):

Other Contrast:

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

Last Change: 1/25/2019

Regime: Notes:

IV Access:

Notes:

Route:

Notes:

FOV: Match prior study FOV, if available

Coverage: Base of neck through L1

Series Name: Noncontrast

Phase Timing:

Noncontrast

N/A

Same

Same

Do not repeat CT scan, recon lung from 1st acquisition

SpecialInstructions:

Primary Axial Recon: 3/3 and 1/1 mm

Other Recons: 2/2mm sagittal, 2/2mm coronal

3/3 mm

Algorithm: Soft Tissue Lung

MIP Recons: 7/2mm axial

General StatementskVp Body Chart

Acquisition Protocol: Chest Low Dose Recon Only

Links:

Other Notes:Consult body habitus kVp selection chart.If ordered as the "SCREEN" orderable and not performed in last 12 months, use the "SCREEN" orderable. Otherwise, use the CT CHEST WO orderable.

1 N/A

IV Contrast:

Last Review: 1/18/2019

*Dual EnergySiemens:

*Dual EnergyPhilips:

* If dual energy or spectral CT is available