CTA LOWER LIMB

Author: Aqil Jauhar


Protocol Structure

00_LLAngioRunOff (Adult)

  • Topogram
  • Non contrast
  • Pre-Monitoring
  • Contrast
  • Monitoring
  • Body Angio

Topogram

From above iliac crest to below palm of the foot


Non Contrast

Vertically: from upper part of L3 to the palm of foot

Horizontal: include bilateral lower limb soft tissue


Reconstruction Non Contrast

[table id=54 /]

Injector Setting

NP Test
Flow rate: 5.0 ml/s
Volume: 15 ml

Contrast
Flow rate: 5.0 ml/sec
Volume: 100 ml


Monitoring

Contrast: Omnipaque 350 mg I/ml Solution for injection/infusion IOHEXOL


Put the circle marker in the middle of aorta at level three slices above bifurcation.
This marker determined the trigger point to start the scan.
Set at ‘Trigger’ with HU 100
Avoid placing the marker at calcified area

Body Angio

Using Omnipaque 350 mg I/ml Solution for injection/infusion IOHEXOL
AngioRunOff : Scan cover from entire L3 upper border to palm of foot
Knee to Foot : Midshaft of femur to palm of foot


Reconstruction Post Contrast

AngioRunOff

Knee to Foot

[table id=55 /]

[table id=56 /]

Multi Planar Reconstruction (MPR)

N/A

Siemens SyngoVia 3D Render

Open with ‘CT Vascular’
Rotate and punch
Select ‘Edit Bones’
Locate and mark the area that was cut along the vessels
Radial ranges

Series of Images Send to PACS

  1. Topogram 0.6 T20f
  2. LL NC 5.0 B30f
  3. LL NC 1.0 B30f
  4. AngioRunOff 5.0 B30f
  5. AngioRunOff 1.0 B26f
  6. Knee to Foot 5.0 B30f
  7. Knee to Foot 1.0 B26f
  8. Patient Protocol
  9. VRT Range

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