Anatomy of Thorax
Image taken from Britannica
Appearance of Thorax (VERAN Protoco) in Axial CT Image
Right Adrenal Gland
Left Adrenal Gland
Examination Overview
Protocol Structure
00_Thorax_Veran_ENB (Adult)
- Topogram Front
- Topogram Lateral
- Thorax Inspiration
- Thorax Expiration
Patient Orientation Registry in System
- Set the patient orientation in system: Head First – Supine
Special Device!!
- Before starting the procedure, a special device from VERAN need to be paste on the patient’s chest.
- This process will be done by the primary team.
Topogram Front and Lateral
- Position the patient in head first supine position.
- Use head rest with support patient’s head.
- Both patient’s arms raised up above head
- Align the patient in Mid-Sagittal plane of the table.
- Position the transverse laser light beam at the level of patient’s shoulder to start the chest topogram.
Topogram Parameters
- Topogram length: 512 cm
- Slice: 0.6 mm
- Scanning direction: Craniocoudal
- Tube position: Frontal and Lateral
- Stop the topogram scanning when the scanning reach / pass over the diaphragm / liver.
Thorax Inspiration
- Plan the Scan FOV (SFOV) box at topogram image
- Set the top line at the level above apex of lung
- Set the bottom line at the level of arch of below liver.
- Ensure the lateral line to cover patient’s chest wall
- Remind the patient to alert of breathing instruction given during scanning.
- Both patient’s arm remain above head.
Scanning Parameters
- kVp:
- mAs: Tube Current Modulation (TCM)
- Scanning Direction: Craniocaudal
- Scan Delay: 4 s
- Slice:0.6
- Image Comment: Non Contrast
- Pitch: 0.6
Reconstruction of Thorax Inspiration
Thorax Expiration
- Plan the Scan FOV (SFOV) box at topogram image
- Set the top line at the level above apex of lung
- Set the bottom line at the level of arch of below liver.
- Ensure the lateral line to cover patient’s chest wall
- Remind the patient to alert of breathing instruction given during scanning.
- ALERT!! Both patient’s arm need to be at side of body.
Reconstruction of Thorax Expiration
Multiplanar Reconstruction (MPR)
N/A
Series of Images Send to PACS
- Topogram
- Neck 5.0 H31s
- Neck 1.0 B20s
- Neck IV 5.0 H31s
- Neck IV 1.0 B20s
- Patient Protocol
