SPHP Radiology Protocols

Radiology Protocols

Liver CT C+

LIVER CT C+

(last updated 09/15/2025, last reviewed 09/15/2025)

INDICATION:  Hepatic mass, hemangioma, cirrhosis, hepatitis B/C, Primary Sclerosing Cholangitis (PSC), Cholangiocarcinoma

SERIES

  • 3mm Axial (Pre, Art, Portal, Equil)
  • 3mm Coronal (Art, Portal)
  • 3mm Sagittal (Art, Portal)
TECHNICAL PARAMETERS 
POSITIONING/MODE: supine / axial 
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:  Precontrast – liver

                        Arterial phase – liver 

                        Portal venous phase – diaphragm -> pubic symphysis / ischial tuberosities

                        Equilibrium phase – liver

ACQUISITION: craniocaudal

IV CONTRAST: yes

INJECTION RATE: 4 mL/sec

SCAN DELAY: arterial – bolus tracking

                         PV – 30 sec after arterial/~65 sec post injection

                         equilibrium 3 to 5 min post injection

IV CONTRAST DOSE: 75 to 100 mL

ORAL CONTRAST: water

POSTPROCESSING:  3 mm coronal, 3 mm sagittal for arterial and portal venous phases


NOTES: Give water (not oral contrast) 1-2 cups just prior to scanning the patient in order to distend the stomach.




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