SPHP Radiology Protocols

Radiology Protocols

Thallium

Thallium Redistribution

  1. Preparation
    1. NPO for 4 hours prior to exam
    2. Clear liquids only after injection until test is complete
  2. Isotope administration
    1. Patient will receive a 4mci Tl201
  3. Camera Parameters SPECT
    1. LEHR collimators used for imaging
    2. Matrix: 128X128
    3. Zoom: 1
    4. Time: 40 sec per stop
    5. Views: 32
    6. Rotation: counter clockwise
    7. Start angle: 0
    8. Degree rotation: 90
    9. Detector configuration : 45
    10. Orbit NCO preset
    11. Mode step/shoot
    12. Patient position: supine
    13. Orientation: head out
  4. Scanning protocol
    1. Patient will be scanned at 15 minutes and 6 hours post injection, with the possibility of a 24 hour post injection scan.
    2. Patient will empty bladder immediately before being scanned
    3. All metal objects removed from chest area prior to placing patient of scanning table
    4. Patient will be scanned supine position with arms above the head and scanned over the area of interest
    5. 1 bed SPECT imaging will be preformed
      1. Men will have a SPECT/CT and CT imaging is used for attenuation correction.
    6. SPECT/CT Reconstruction
      1. Nuclear Medicine Parameters
        1. Filtered backprojection
        2. Butterworth cutoff of .45 and order of 5
  • Chang’s Attenuation Coefficient 0.15
  1. Automatic contours
  2. Projection angel is 2
  3. Edge strength of .5
  • Background threshold of 5
  • Kernel 3X3
  1. CT Parameters
    1. Abd Window
    2. Body 5.0 B30s Med Smooth
  • 5 mm Slice
  1. Post processing/Display/Achieve
    1. Images will be checked for motion and motion correction will be applied when needed
    2. Automatic orientation and position processing will be applied
    3. Contours will be checked and adjusted to include all myocardial tissue
    4. Cedars QPS protocol will be applied
    5. Image intensity will be adjusted for optimal viewing
    6. Images will be sent to the PAC’s system and Syngo Via for archiving/physician review
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