CT CHEST / ABDO / PELVIS CONTRAST

ANATOMY INCLUDED

INDICATIONS

INDICATIONS (1-5)

From ACR Criteria:

Large vessel vasculitis suspected, initial imaging

Solid and hollow organ malignancy
A combination of suspected pathologies that are indicated by both the chest with contrast and abdomen with contrast RIS codes

Pathology Demonstrated

PATHOLOGY DEMONSTRATED (1-5)

See chest and abdomen pathology demonstrated

Patient Preparation

PATIENT PREPARATION

Patient able to lie still for ten minutes
Not claustrophobic (sedation may be given)
Cognitively capable of following basic instructions
Metal artefacts removed from the region of interest, including bras and necklaces
No respiratory distress when lying supine
Not allergic to Iodine based Contrast
No known kidney disease (eGFR below 30 as per RANZCR), however, acute setting consultant may sign to continue with poor renal function
No untreated hyperthyroidism, may induce thyroid storm
Patient to have 20G cannula in anterior cubital fossa.
Preferably patient fasted for 4 hours

ANATOMY INCLUDED

Example below is a General Chest/Abdo/Pelvis with contrast. Bony & Lung reconstructions are available depending on clinical question and differential diagnosis

Chest Arterial (Axial)

Portal Venous Abdomen (Axial)

Chest Arterial (Coronal)

Portal Venous Abdomen (Coronal)

Chest Arterial (Sagittal)

Portal Venous Abdomen (Sagittal)

REFERENCES

1. American College of Radiology (ACR). Appropriateness Criteria. [Internet]. 2022 [Updated 2021, cited 10 Aug 2022]. Available from https://www.acr.org/Clinical-Resources/ACR-Appropriateness-Criteria

2. Radiopaedia. CT Chest (Summary) [Internet]. 2008 [updated 7 April 2022, cited 23 Aug 2022]. Available from https://radiopaedia.org/articles/ct-chest-summary?lang=gb

3. Radiopaedia. CT Abdomen-Pelvis (Protocol) [Internet]. 2008 [updated 7 April 2022, cited 23 Aug 2022]. Available from https://radiopaedia.org/articles/ct-abdomen-pelvis-protocol-1?lang=us

4. Radiopaedia. CT Triple-Phase Liver (Protocol). [Internet]. 2008 [updated 7 April 2022, cited 23 Aug 2022]. Available from https://radiopaedia.org/articles/ct-triple-phase-liver-protocol?lang=us#:~:text=portal%20venous%20phases.-,Indications,hyperplasia%2C%20adenoma%2C%20and%20hemangioma.

5. Radiopaedia. CT Chest Abdomen-pelvis (protocol). [Internet]. 2008 [updated 7 April 2022, cited 23 Aug 2022]. Available from https://radiopaedia.org/articles/ct-chest-abdomen-pelvis-protocol-2?lang=gb