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UT Southwestern Department of RadiologyProtocol Name: CT Urography
Protocol Epic Button: CTU W&WOOrderable Name: CT UROGRAM ABDOMEN AND PELVIS W AND WO IV CONTRAST
# Acquisitions: 3
Indications: Hematuria, bladder mass, transitional cell carcinoma or urothelial carcinoma of the bladder, ureter, or kidney (NOT RCC)
CTDIvol < 60 mGy; DLP < 12500 mGycm
Adult or Pediatric
Active Protocol
Oral Contrast: Water
UTSW H2O Variant:
Oral Effervescent Granules on Table?
UTSW:
Airway:
Full inspiration
Volume(mL):
Other Contrast:
Rate (mL/sec): 3 Volume (mL):
Last Change: 2/14/2019
Regime:
12 oz given 30 min prior to exam12 oz given on the table
Notes:
IV Access:
Power injection: 20g or larger strongly prefered (if 22g use reduce rate to 2.5 mL/sec)
Notes:
At least 170 cc saline chaser after contrast injection.Weight based dosing for volume and injection rate (MedRad P3T where applicable)
Route:
Notes:
FOV: Whole body
Coverage: Top of kidneys thru symphysis
Series Name: Noncontrast
Phase Timing:
Nephrogram 10 Min Delayed
100 Sec Delayed
Whole body
Diaphragm thru symph
Whole body
Top of kidneys thru symphysis
10 Min Delayed
Send volume to TeraRecon. Roll pt 360 degrees before next series (rescout). Use dual energy (if using the dual energy scanner), send axial virtual noncontrast to PACS.
Send volume to TeraRecon. Consider prone position if ureters not seen
SpecialInstructions:
Send volume to TeraRecon
Primary Axial Recon: 3 mm
Other Recons: 2 mm coronal and sagittal
3 mm
2 mm coronal and sagittal
3 mm
2 mm coronal and sagittal
Algorithm: Soft Tissue Soft Tissue Soft Tissue
MIP Recons:
General StatementskVp Body Chart
Acquisition Protocol: Abdominal Quality 3mm Abdominal Quality 3mm Abdominal Quality 3mm
Links:
Other Notes:Consult body habitus kVp selection chart.If the patient has a Foley catheter or PCN tube, clamp before beginning the study (unclamp after completed).If the patient is on dialysis, call radiologist prior to exam.
1 2 3
IV Contrast: Link to Contrast Information
Last Review: 1/22/2019
*Dual EnergySiemens:
*Dual EnergyPhilips:
* If dual energy or spectral CT is available