CT — HRCT de rutină (MCB)
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MCB Radiology — 4 HRCT Routine
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- 2026-09-27
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Documentul original MCB — HRCT de rutină
Protocol · 4 pagini · consultat la 2026-09-27.
Descarcă PDF-ul integral · Sursa MCB · Catalogul MCB pentru această modalitate
Instrucțiunile, valorile și ilustrațiile din documentul original sunt păstrate în engleză. Titlul și navigarea sunt în română.
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Textul documentului original
Pagina 1 — text în engleză
Updated 08/16/25 CT Chest Routine High-Res Reviewed 05/14/25 The following history/indications trigger a routine HRCT protocol whether or not ordered as HRCT: interstitial lung disease (ILD), pulmonary fibrosis, interstitial pulmonary fibrosis (IPF), usual interstitial pneumonitis (UIP), nonspecific interstitial pneumonitis (NSIP), bronchiectasis, asbestosis, sarcoidosis, hypersensitivity pneumonitis, connective tissue disease, rheumatoid, scleroderma and pneumoconiosis. Use this routine HRCT protocol unless instructed to use the full HRCT protocol. Use CT chest HRCT charges. Do not use regular CT chest charges. GENERAL SCAN NOTES Move the patient's arms over his/her head if possible. Remove any metal from the imaging field of view. Have the patient cough a few times to clear secretions. This reduces incidence of small lung nodules. Topogram - lung apices through diaphragm (obtained during end inspiration). Craniocaudal scan coverage - lung apices through adrenal glands (obtained during end inspiration). Adjust FOV (field of view) on topogram to smallest without cropping anatomy. Scan parameters are the same as routine chest protocol. IV Contrast: 100 mL Omnipaque-300, inject at 2 mL/sec, 30 secs scan delay. For GE scanners, it is essential for the 1st recon thickness on the scanner to match the 1st recon thickness in this protocol book for the prescribed Noise Index to be valid. The 1st recon should generally be the thickest recon in the protocol.
Pagina 2 — text în engleză
CT Chest Routine High-Res SIEMENS PARAMETERS & RECONS Scan
Care
Scan
Mode kV mAs Care
Dose kV & Lvl Pitch Acq Coll Rot Time Time Sensation 16 spiral 120 100 on NA 1.15 16 0.75 0.5 10.9 Go Up 32 spiral 130 51 on on 80 1.50 32 0.7 0.8 7.1 Sensation 64 spiral 120 100 on NA 1.40 64 0.6 0.5 5.6 on 110 Definition 64 spiral 120 on 1.20 64 0.6 0.5 6.5 spiral Go Top 64 120 62 on on 80 1.20 64 0.6 0.33 2.1 Drive 128 spiral 120 66 on on 1.20 128 0.6 0.5 3.3 Force 192 spiral 110 51 on on 1.20 192 0.5 0.5 2.6 IR
Recon
Name of Series Thick Interval Kernel Window Lvl Direction 3.0 AX LUNG 3.0 lung Bl57 / B70f 3 head/feet AX SOFT 3.0 3.0 Br40 / B41f mediastinum 3 head/feet COR SOFT 3.0 3.0 mediastinum 3 Br40 / B41f front/back SAG SOFT 3.0 3.0 Br40 / B41f mediastinum 3 left/right AX HRCT 1.0 5.0 Bl57 / B70f lung 3 head/feet COR HRCT 1.0 5.0 lung 3 Bl57 / B70f front/back AX THINS 1.0 0.8 Br40 / B41f mediastinum 3 head/feet AX MIPS 8.0 3.0 Br40 / B41f lung 3 head/feet Send the above recons on the pre contrast scan (if without only) or on the post contrast scan (if IV given). Send only the following recon on the pre contrast scan (if without and with). AX SOFT PRE 3.0 3.0 Br40 / B41f mediastinum 3 head/feet
Care
Scan
Mode kV mAs Care
Dose kV & Lvl Pitch Acq Coll Rot Time Time Sensation 16 spiral 120 100 on NA 1.15 16 0.75 0.5 10.9 Go Up 32 spiral 130 51 on on 80 1.50 32 0.7 0.8 7.1 Sensation 64 spiral 120 100 on NA 1.40 64 0.6 0.5 5.6 on 110 Definition 64 spiral 120 on 1.20 64 0.6 0.5 6.5 spiral Go Top 64 120 62 on on 80 1.20 64 0.6 0.33 2.1 Drive 128 spiral 120 66 on on 1.20 128 0.6 0.5 3.3 Force 192 spiral 110 51 on on 1.20 192 0.5 0.5 2.6 IR
Recon
Name of Series Thick Interval Kernel Window Lvl Direction 3.0 AX LUNG 3.0 lung Bl57 / B70f 3 head/feet AX SOFT 3.0 3.0 Br40 / B41f mediastinum 3 head/feet COR SOFT 3.0 3.0 mediastinum 3 Br40 / B41f front/back SAG SOFT 3.0 3.0 Br40 / B41f mediastinum 3 left/right AX HRCT 1.0 5.0 Bl57 / B70f lung 3 head/feet COR HRCT 1.0 5.0 lung 3 Bl57 / B70f front/back AX THINS 1.0 0.8 Br40 / B41f mediastinum 3 head/feet AX MIPS 8.0 3.0 Br40 / B41f lung 3 head/feet Send the above recons on the pre contrast scan (if without only) or on the post contrast scan (if IV given). Send only the following recon on the pre contrast scan (if without and with). AX SOFT PRE 3.0 3.0 Br40 / B41f mediastinum 3 head/feet
Pagina 3 — text în engleză
CT Chest Routine High-Res GE PARAMETERS & RECONS Scan
mA
Smart
Slice
Beam
Rot
Dose
Scan
Pitch Speed Type SFOV kV Range Noise
Index mA Thick Coll Time Red ASIR Time LS 16 helical large 120 100-440 16.36 5.5 on 2.5 20 1.375 27.50 0.5 NA NA Opt 540 helical large 120 100-440 16.36 on 2.5 20 1.375 27.50 0.5 NA NA 5.5 LS VCT 64 helical large body 55.00 120 100-650 18.38 on 2.5 40 1.375 0.4 50 50 2.2 Disc VCT 64 helical large body 120 100-650 18.38 on 2.5 40 1.375 55.00 0.4 NA NA 2.2 Window
Recon
Name of Series Thickness Interval Recon
Algorithm Width/Level Direction AX LUNG 2.5 2.5 lung 1600/-600 head/feet Must be first recon. AX SOFT 2.5 2.5 std full 400/40 head/feet COR SOFT 2.5 2.5 std full 400/40 front/back SAG SOFT 2.5 2.5 std full 400/40 left/right AX HRCT 1.25 5.0 bone plus plus 1600/-600 head/feet COR HRCT 1.25 5.0 bone plus plus 1600/-600 front/back AX THINS 1.25 1.0 std full 400/40 head/feet AX MIPS 8.0 3.0 std full 1600/-600 head/feet Send the above recons on the pre contrast scan (if without only) or on the post contrast scan (if IV given). Send only the following recon on the pre contrast scan (if without and with). AX SOFT PRE 2.5 2.5 std full 400/40 head/feet
mA
Smart
Slice
Beam
Rot
Dose
Scan
Pitch Speed Type SFOV kV Range Noise
Index mA Thick Coll Time Red ASIR Time LS 16 helical large 120 100-440 16.36 5.5 on 2.5 20 1.375 27.50 0.5 NA NA Opt 540 helical large 120 100-440 16.36 on 2.5 20 1.375 27.50 0.5 NA NA 5.5 LS VCT 64 helical large body 55.00 120 100-650 18.38 on 2.5 40 1.375 0.4 50 50 2.2 Disc VCT 64 helical large body 120 100-650 18.38 on 2.5 40 1.375 55.00 0.4 NA NA 2.2 Window
Recon
Name of Series Thickness Interval Recon
Algorithm Width/Level Direction AX LUNG 2.5 2.5 lung 1600/-600 head/feet Must be first recon. AX SOFT 2.5 2.5 std full 400/40 head/feet COR SOFT 2.5 2.5 std full 400/40 front/back SAG SOFT 2.5 2.5 std full 400/40 left/right AX HRCT 1.25 5.0 bone plus plus 1600/-600 head/feet COR HRCT 1.25 5.0 bone plus plus 1600/-600 front/back AX THINS 1.25 1.0 std full 400/40 head/feet AX MIPS 8.0 3.0 std full 1600/-600 head/feet Send the above recons on the pre contrast scan (if without only) or on the post contrast scan (if IV given). Send only the following recon on the pre contrast scan (if without and with). AX SOFT PRE 2.5 2.5 std full 400/40 head/feet
Pagina 4 — text în engleză
CT Chest Routine High-Res PHILIPS PARAMETERS & RECONS Scan
Dose
3D
Rot Scan
Pitch Detect Colli Mode kV Avg
mAs Index Dose Time Time Incisive 128 helical 120 92 19 on 1.00 64 0.625 0.75 5.6 Recon
Name of Series Thick Interval Filter Window iDose Direction AX LUNG 3.0 3.0 YA lung 3 head/feet AX SOFT 3.0 3.0 B mediastinum 3 head/feet COR SOFT 3.0 3.0 B mediastinum 3 front/back SAG SOFT 3.0 3.0 B mediastinum 3 left/right AX HRCT 1.0 5.0 YA lung 3 head/feet COR HRCT 1.0 5.0 YA lung 3 front/back AX THINS 1.0 0.75 B mediastinum 3 head/feet AX MIPS 8.0 2.0 B lung 3 head/feet Send the above recons on the pre contrast scan (if without only) or on the post contrast scan (if IV given). Send only the following recon on the pre contrast scan (if without and with). AX SOFT PRE 3.0 3.0 B mediastinum 3 head/feet
Dose
3D
Rot Scan
Pitch Detect Colli Mode kV Avg
mAs Index Dose Time Time Incisive 128 helical 120 92 19 on 1.00 64 0.625 0.75 5.6 Recon
Name of Series Thick Interval Filter Window iDose Direction AX LUNG 3.0 3.0 YA lung 3 head/feet AX SOFT 3.0 3.0 B mediastinum 3 head/feet COR SOFT 3.0 3.0 B mediastinum 3 front/back SAG SOFT 3.0 3.0 B mediastinum 3 left/right AX HRCT 1.0 5.0 YA lung 3 head/feet COR HRCT 1.0 5.0 YA lung 3 front/back AX THINS 1.0 0.75 B mediastinum 3 head/feet AX MIPS 8.0 2.0 B lung 3 head/feet Send the above recons on the pre contrast scan (if without only) or on the post contrast scan (if IV given). Send only the following recon on the pre contrast scan (if without and with). AX SOFT PRE 3.0 3.0 B mediastinum 3 head/feet