Neck and Spine CT Protocols

NAMEINDICATIONDESCRIPTION
Trauma
C-Spine CT
Trauma Spiral with 3 mm collimation (2 mm collimation for young child) through cervical spine.  Reconstruct top acquisition at 1.5 mm and lower two acquisitions at 3.0 mm.  Sagittal and coronal 2D reconstructions.  Film soft tissue and bone windows.  No IV contrast.
Soft Tissue Neck CT Abscess Power inject 50 cc Oxilan 300 @ 2 cc/sec, then 50 cc Oxilan 300 at 1 cc/sec.  Begin scanning after 25 sec delay.  Spiral 4 mm x 4 mm axials through cervical spine.  Film soft tissue and bone windows.
Trauma
T-Spine CT
Trauma Spiral 3 mm x 3 mm axials from at least one vertebral body above to at least one vertebral body below area of pathology.  Film soft tissue and bone windows.   Sagittal and coronal 2D reconstructions.  No IV contrast.
Trauma
L-Spine CT
Trauma Spiral 3 mm x 3 mm axials from at least one vertebral body above to at least one vertebral body below area of pathology.  Film soft tissue and bone windows.   Sagittal and coronal 2D reconstructions.  No IV contrast.
Temporal Bone CT Cholesteatoma
Petrous fx
Congenital abn
1.5 mm high resolution axials using bone algorithm, coronal if possible.   Film right/left magnified views (3500W/500L).