CT GI Bleed Protocol — Dictation, Appropriateness, and Dose for Residents
Triple-phase CT (non-contrast + arterial + portal venous, sometimes + delayed) to localize and characterize active gastrointestinal bleeding. Detects…
Triple-phase CT (non-contrast + arterial + portal venous, sometimes + delayed) to localize and characterize active gastrointestinal bleeding. Detects…
Contrast-enhanced CT abdomen/pelvis for left lower quadrant pain — diagnostic for acute diverticulitis and its complications (abscess, perforation,…
Contrast-enhanced CT abdomen/pelvis (with IV contrast; oral variable by institution) — the most common emergency abdominal CT, evaluating for appendicitis…
Three-phase CT (non-contrast + 60-second portal venous + 15-minute delayed) for adrenal mass characterization. Calculates absolute and relative percentage…
Triple-phase CT (non-contrast + nephrographic + excretory) optimized for evaluation of hematuria — covers renal parenchyma, the entire urothelium from…
Arterial-phase CT angiography of the abdominal aorta and iliac/femoral runoff. First-line for AAA surveillance, dissection, mesenteric ischemia, GI bleed…
Low-dose, dual-position (supine + prone or decubitus) non-contrast CT of the gas-distended colon for colorectal cancer screening, polyp surveillance, or…
IV-contrast CT of the abdomen and pelvis with large-volume neutral oral contrast (Volumen) to distend the small bowel for evaluation of mucosal disease…
Multiphase contrast-enhanced CT of the pancreas with pancreatic parenchymal phase (40 sec) and portal venous phase (70 sec). Used for pancreatic mass…
Multiphase contrast-enhanced CT of the liver designed to characterize hepatocellular carcinoma using LI-RADS criteria. Captures arterial, portal venous,…