CTA CHEST/ABDOMEN/PELVIS DISSECTION C+
(last updated 04/14/2025, last reviewed 04/14/2025)
INDICATION: r/o dissection
SERIES:
- 3mm Axial precontrast
- 3mm Axial CTA
- 1mm Axial lung windows
- 3mm Coronal CTA
- 3mm Sagittal CTA
- 3mm Cor lung windows (chest only)
- 3mm Sag lung windows (chest only)
- Cor MIPS lung windows (chest only)
**Precontrast imaging is required in cases of r/o dissection to evaluate for intramural hematoma
TECHNICAL PARAMETERS
PRECONTRAST
POSITIONING/MODE: supine / helical
SINGLE COLLIMATION WIDTH: 0.625 mm
SLICE THICKNESS: 3 mm
KERNAL: std
SFOV: large
COVERAGE: thoracic inlet -> aortic bifurcation
ACQUISITION: craniocaudal
ORAL CONTRAST: no
IV CONTRAST: none (precontrast)
RESPIRATION: inspiration
POSTCONTRAST
POSITIONING/MODE: supine / helical
SINGLE COLLIMATION WIDTH: 0.625 mm
SLICE THICKNESS: 3 mm / 1 mm
KERNAL: std, lung
SFOV: large
COVERAGE: thoracic inlet -> CFA bifurcation
ACQUISITION: craniocaudal
ORAL CONTRAST: no
IV CONTRAST: 75 to 100 mL Isovue 370
INJECTION RATE: 4 mL/sec
SCAN DELAY: Care bolus @ascend aorta (100HU), 35 sec delay b/w C and A/P
RESPIRATION: inspiration
POSTPROCESSING: 3 mm axial CTA, 1 mm axial lung, 3 mm cor/sag CTA, 3 mm cor/sag lung, cor MIPS lung