SPHP Radiology Protocols

Radiology Protocols

Head C+

CT HEAD WITHOUT AND WITH CONTRAST

(last updated 09/08/2025, last reviewed 09/08/2025)

INDICATION:  r/o metastases, mass.

SERIES

  • Axial Brain precontrast (5 mm)
  • Axial Brain postcontrast (5 mm)
  • Axial Bone (5 mm)
  • Coronal and Sagittal Brain precontrast (2.5 to 3 mm)
  • Coronal and Sagittal Brain postcontrast (2.5 to 3 mm)
TECHNICAL PARAMETERS 
POSITIONING/MODE: supine / axial – sequential (angle with canthomeatal line)

SINGLE COLLIMATION WIDTH: 0.625 mm 

SLICE THICKNESS: 5 mm (axial)

KERNAL: std brain and bone

SFOV: small (<24 cm)

COVERAGE: foramen magnum ->vertex

ACQUISITION: caudocranial

IV CONTRAST: yes

INJECTION RATE: 2 mL/sec

SCAN DELAY: 30 to 60 sec

IV CONTRAST DOSE: 75 to 100 mL

CTDIvol: <75 mGy

POSTPROCESSING: 5 mm axial brain, 5 mm axial bone, 2.5 to 3 mm coronal brain, 2.5 to 3 mm sagittal brain

NOTES:

In order to minimize radiation dose, ensure that the patient is centered in the gantry and that any unnecessary objects have been removed. 


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

canthomeatal

Angle with canthomeatal line

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