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Table 1 Chest trauma protocols for contemporary MDCT devices

From: Multidetector computed tomography of chest trauma: indications, technique and interpretation

 

10–16 rows

40–64 rows

>64 rows

Scanning parameters

 Voltage (kV)a

120

120

120

 Current (eff. mAs)a

80–120

80–120

80–120

 Rotation time (s)

0.5

0.33–0.5

0.27–0.5

 Collimation (mm)

0.75–1.5

0.6–1.2

0.6

 Pitch

1–1.5

0.9–1.5

0.9–1.5

 Scan duration time (s)

5–10

2–5

1–3

 Scan direction

Craniocaudal

Craniocaudal

Craniocaudal

 Scan coverage

Lung apex to L1

Lung apex to L1

Lung apex to L1

Intravenous contrast injection

 Volume (ml)

80

80

80

 Concentration (mgI/ml)

350–400

350–400

350–400

 Flow rate (ml/s)

2.5–3

3–4

3–4

 Iodine flux (mgI/ml)

1,000–1,200

1,200–1,400

1,200–1,600

 Saline flush (ml; ml/s)

50; 2.5–3

50; 3–4

50; 3–4

 Scan delay (s)b

Bolus triggering in ascending aorta (threshold 80 HU) + 15 or 30–40

Bolus triggering in ascending aorta (threshold 100 HU) + 15 or 30–40

Bolus triggering in ascending aorta (threshold 100 HU) + 15 or 30–40

Reconstructed images

 Soft tissue

 - Slice thickness (mm)

3–5

3–5

3–5

 - Increment

3–5

3–5

3–5

 - Recon. algorithm

Smooth

Smooth

Smooth

 - Orientation

Axial, coronal, sagittal

Axial, coronal, sagittal

Axial, coronal, sagittal

 Lungs, bones

 - Slice thickness (mm)

1–1.5

1–1.5

1–1.5

 - Increment

1–1.5

1–1.5

1–1.5

 - Recon. algorithm

High resolution

High resolution

High resolution

 - Orientation

Axial, coronal, sagittal

Axial, coronal, sagittal

Axial, coronal, sagittal

 Secondary raw data

 - Slice thickness (mm)

0.75–1.5

0.6–1.5

0.6–1.5

 - Increment (mm)

0.5–1

0.4–1

0.4–1

 - Recon. algorithm

Smooth, high resolution

Smooth, high resolution

Smooth, high resolution

 - Orientation

Axial

Axial

Axial

  1. Protocols are based on the experience of the authors with Siemens equipment; they are universally applicable in each thoracic trauma
  2. aUsing automatic dose modulation recommended
  3. bUse of bolus triggering preferred