CT RENAL 4 PHASE

Author: Nabilah Nawi


Protocol Structure

00_Renal_4Phases (Adult)

  • Topogram
  • Non contrast
  • Contrast
  • Cortico
  • Nephro
  • Excretory 5 Min

Topogram

From above the diaphragm until below of symphysis  pubis


Non Contrast

Vertically: from above the diaphragm until below of symphysis pubis

Horizontal: include bilateral abdominal soft tissue


Reconstruction Non Contrast

[table id=20 /]

Injector Setting

NP Test
Flow rate: 3.0 ml/s
Volume: 15 ml

Renal 4 Phase
Contrast
Flow rate: 3.0 ml/sec
Volume: 100 ml

Nomal Saline
Flow rate: 3.0 ml/sec
Volume: 50 ml


Contrast

Omnipaque 300 mg I/ml Solution for injection/infusion IOHEXOL

Cortico: Cover entire left and right kidney with 30s delay from injection of contrast

Nephro: Include from above the liver until below symphysis pubis (full abdomen), with delay 40s after Cortico finished

Excretory 5 min: Include full abdomen


Reconstruction Contrast

[table id=21 /]

[table id=25 /]

[table id=24 /]

Multi Planar Reconstruction (MPR)

  • Coronal Cortico
  • Coronal Nephro

Series of Images Send to PACS

  1. Topogram 0.6 T20f
  2. Non Contrast 5.0 B30f
  3. Non Contrast 1.0 B20f
  4. Cortico 5.0 B30f
  5. Cortico 1.0 B20f
  6. Nephro 5.0 B30f
  7. Nephro 1.0 B20f
  8. Excretory 5Min 5.0 B30f
  9. Excretory 5Min 1.0 B20f
  10. Patient Protocol
  11. COR Cortico
  12. COR Nephro

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