SPHP Radiology Protocols

Radiology Protocols

CAP C+ Trauma

CT CHEST/ABDOMEN/PELVIS TRAUMA PROTOCOL C+

(last updated 6/20/2016, last reviewed 02/02/2026) 

INDICATION:  Trauma

SERIES

  • 3mm Axial Chest Soft Tissue
  • 1mm Axial Lung
  • 3mm Axial A/P
  • 3mm Coronal chest only (Lung windows)
  • 3mm Sagittal chest only (Lung windows)
  • 3mm Coronal A/P only 
  • 3mm Sagittal A/P only
TECHNICAL PARAMETERS 
POSITIONING/MODE: supine / helical
kV/mA/rotation time: per scanner protocol, CareDose/iDose/ASIR, Care kV; <1 sec
PITCH: </=1.5

SINGLE COLLIMATION WIDTH: 0.625 mm 

SLICE THICKNESS: 3 mm 

KERNAL:  std soft tissue

SFOV: large

COVERAGE:  CHEST apices -> diaphragm 

                               A/P diaphragm -> pubic symphysis / ischial tuberosities

ACQUISITION: craniocaudal

IV CONTRAST: yes

INJECTION RATE: 2 mL/sec

SCAN DELAY: CHEST ~15 to 30 sec, A/P ~30 to 35 sec after chest 

IV CONTRAST DOSE: 75 to 100 mL

RESPIRATION: Inspiration

ORAL CONTRAST: Per department protocol (according to indication, exam order)

POSTPROCESSING:  3 mm coronal, 3 mm sagittal, coronal lung  MIPs




NOTES:

 

Check to make sure that the spleen is homogeneously enhancing.  If the spleen is not homogeneously enhancing and still has a heterogeneous “wavy” enhancement, please immediately repeat a scan thru the spleen and liver.

***For pediatric patients (<18 yo) follow ALARA principle and use pediatric specific technical parameters per respective CT scanner***

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