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UT Southwestern Department of Radiology Protocol Name: CT Urography Protocol Epic Button: CTU W&WO Orderable Name: CT UROGRAM ABDOMEN AND PELVIS W AND WO IV CONTRAST # Acquisitions: 3 Indications: Hematuria, bladder mass, transitional cell carcinoma or urothelial carcinoma of the bladder, ureter, or kidney (NOT RCC) CTDIvol < 60 mGy; DLP < 12500 mGycm Adult or Pediatric Active Protocol Oral Contrast: Water UTSW H2O Variant: Oral Effervescent Granules on Table? UTSW: Airway: Full inspiration Volume(mL): Other Contrast: Rate (mL/sec): 3 Volume (mL): Last Change: 2/14/2019 Regime: 12 oz given 30 min prior to exam 12 oz given on the table Notes: IV Access: Power injection: 20g or larger strongly prefered (if 22g use reduce rate to 2.5 mL/sec) Notes: At least 170 cc saline chaser after contrast injection. Weight based dosing for volume and injection rate (MedRad P3T where applicable) Route: Notes: FOV: Whole body Coverage: Top of kidneys thru symphysis Series Name: Noncontrast Phase Timing: Nephrogram 10 Min Delayed 100 Sec Delayed Whole body Diaphragm thru symph Whole body Top of kidneys thru symphysis 10 Min Delayed Send volume to TeraRecon. Roll pt 360 degrees before next series (rescout). Use dual energy (if using the dual energy scanner), send axial virtual noncontrast to PACS. Send volume to TeraRecon. Consider prone position if ureters not seen Special Instructions: Send volume to TeraRecon Primary Axial Recon: 3 mm Other Recons: 2 mm coronal and sagittal 3 mm 2 mm coronal and sagittal 3 mm 2 mm coronal and sagittal Algorithm: Soft Tissue Soft Tissue Soft Tissue MIP Recons: General Statements kVp Body Chart Acquisition Protocol: Abdominal Quality 3mm Abdominal Quality 3mm Abdominal Quality 3mm Links: Other Notes: Consult body habitus kVp selection chart. If the patient has a Foley catheter or PCN tube, clamp before beginning the study (unclamp after completed). If the patient is on dialysis, call radiologist prior to exam. 1 2 3 IV Contrast: Link to Contrast Information Last Review: 1/22/2019 *Dual Energy Siemens: *Dual Energy Philips: * If dual energy or spectral CT is available
