Angiogram Head and Neck (CT) PRINT

Last Updated: 4/7/2021.
What’s New: Key tips section added


 
History: Stroke, vasospasm, transient ischemic attack, cerebrovascular accident
 

ANGIOGRAM HEAD AND NECK
LocalizerFrontal and Lateral
PhaseArterial
InstructionsDo not swallow
Contrast agent350-370
Contrast Volume/ rate80-100 mL @ 4-5 mL / sec
Contrast DelayBolus track just above shoulders to carotid / verts.
CoverageAortic arch to vertex
AngulationNone
Scan typeHelical
kVp110-130
Target CTDIvol (mGy)< 15
Max CTDIvol (mGy)20
Max scan time (sec)25
Pitch0.9-1.5:1
DFOV22-25
SEND TO PACS
Ax 0.5-0.625 mm Overlapped Standard
MIP Sag Head 5 x 1 mm: Midline alignment
MIP Ax Head 5 x 1 mm: foramen magnum to vertex, supraorbitomeatal alignment
MIP Sag & Cor Neck 2 x 2 mm: Skin to Skin, align to spine
MIP Cor Head 5 x 1 mm: Basilar artery / clivus alignment
3D VRT: COW with top and side of skull cut away
3D VRT: Neck with Jaw and face removed


Key Tips
  • Acquire a routine head CT before the angiogram phase of the study, unless a head CT has been acquired within the last 2 hours.
  • Please send the head CT with the angiogram phases both to PACS