RAD CT Guide

INDICATIONS(1-5)

General Indications:

• Mesenteric ischemia

• unclear findings on other imaging studies

• abdominal and pelvic trauma suspected haemorrhage/laceration

• ischaemic bowel

• pre and post-transplant evaluation

• congenital abnormalities

• abdominal interventions (e.g. CT-guided biopsy, drainage)

• Gastrointestinal haemorrhage

• Liver disease, chronic, history of HCC, post treatment imaging

• Liver lesion

  • incidental finding on other imaging, chronic liver disease

  • indeterminate on other imaging, history of extrahepatic malignancy

  • incidental finding on other imaging, otherwise normal liver function

• Pancreatic cyst or solid mass, follow up

Liver Multi-Phase Protocol Indications:

• Suspected liver lesions such as hepatocellular carcinoma, focal nodular hyperplasia, adenoma, and haemangioma.

Pancreatic Multi-Phase Protocol Indications:

• detection and characterisation of pancreatic tumours

  • arterial phase useful for hyper vascular lesions e.g. neuroendocrine tumours and vascular lesions

  • late arterial phase useful for assessing hypo enhancing lesions e.g. pancreatic ductal adenocarcinoma

  • portal venous phase useful in assessing hepatic metastases and venous flow thrombosis

• detection of cystic pancreatic lesions

• acute pancreatitis

• chronic pancreatitis

Adrenal Protocol Indications:

• Adrenal nodules such as adrenocortical adenoma , carcinoma and pheochromocytoma depending on density. 

• Incidental adrenal lesions found on other imaging

• Distinguish between lipid rich and lipid poor adrenal adenomas, adrenocortical carcinoma and phaeochromocytoma