SPHP Radiology Protocols

Radiology Protocols

CTA Runoff

CTA RUNOFF

(last updated 04/14/2025 last reviewed 01/15/2026)

INDICATION:  Claudication.  

SERIES

  • 3mm Axial CTA above knee
  • 2mm Axial CTA below knee
  • **2nd run (if necessary – have a low threshold for repeat) mid thighs -> feet if CT scanner outruns contrast bolus
  • 3mm Coronal
  • 3mm Sagittal
  • 3D Volume Rendered and MIPS

TECHNICAL PARAMETERS – ARTERIAL (CTA)

POSITIONING/MODE: supine / helical

SINGLE COLLIMATION WIDTH: 0.625 mm 

SLICE THICKNESS: 3 mm / 2 mm

KERNAL: std

SFOV: large

COVERAGE: diaphragm -> below ankle

ACQUISITION: craniocaudal

ORAL CONTRAST: no

IV CONTRAST: 75 to 125 mL Isovue 370

INJECTION RATE: 4 mL/sec

SCAN DELAY: Care bolus mid abdominal aorta (100HU) ~20 to 30 sec

RESPIRATION: inspiration

POSTPROCESSING: 3 mm cor/sag CTA, volume rendered 3D



NOTES:   Tape ankles together and place head cushion between ankles.  Use table extender  

Ensure at least 2 cm overlap above knee / below knee


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