SPHP Radiology Protocols

Radiology Protocols

CAP Dissection

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)
Images of the thoracic aorta should be ECG gated (prospectively when possible)


**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

 










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