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Cardiac Main Page

Protocols: Coronary CTA

Specific anatomic region

Coronary

Application

Coronary CTA

Author

Elliot K Fishman, MD

Reference Source

JHU Protocol

Scanner Used

Siemens Sensation 64

KV/Effective mAs/ Rotation time (sec)

Calcium scoring: 120 / 209 / 1.5 sec cycle time
Test bolus 120 / 40 / 2.0 sec cycle time
CTA 120 / 850 / 0.33 sec

Detector Collimation (mm)

0.6

Slice thickness (mm)

0.75mm (thin)
3.0mm (thick)

Pitch

Calc score 18.0 feed
Test bolus 0.0mm feed
CTA 0.2mm

Kernel

B25f smooth ++ mediastinum (calcium score)
B20f smooth mediastinum (test bolus)
B10f very smooth cardiac (thin)
B25f smooth ++ cardiac (thick)
B20f smooth cardiac (multi)

Reconstruction interval

0.5mm (thin)
3.0mm (thick)
0.6mm (multi)

Image order (acquisition)

Cr-ca

Oral contrast

N/A

IV contrast volume and type

100 cc of Visipaque 320
20 cc for test bolus
80 cc CTA

Injection rate

4 cc/ sec

Scan delay (sec)

10 sec test bolus
CTA depends on outcome of test bolus usually 25-30 sec

3D technique used

VRT, MIP, & MPR

Comment: Also have protocol using 0.37 rotation time for patient with heart rates under 50 bpm.

 



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