Siemens Software version syngo CT 2005C User Manual

Page of 321
Abdomen
111
 
Hints in General
• Topogram: TOP, 512.
• Patient positioning: 
 
Patient lying in supine position, arms positioned 
comfortably above the head in the head-arm rest, 
lower legs supported.
• Patient respiratory instruction: Inspiration.
• Oral administration of contrast medium:
 
For abdominal studies, it is necessary to delineate 
the bowel from other structures such as lymph 
nodes, abdominal masses & abscesses. Various types 
of bowel opacifying agents can be used:
 
- Diluted barium suspension (1% – 2%) e.g., EZCAT
 
- Water soluble agent (2% – 4%) e.g., Gastrografin
 
- Water alone, as a negative contrast agent.
 
Timing of the oral contrast administration is impor-
tant to ensure its even distribution in the bowel.
 
 
Upper abdomen:
 
Minimum 600 ml of contrast divided into 3 cups 
(approximately 200 – 250 ml)
 
1
st 
cup to drink 30 minutes before exam
 
2
nd 
cup to drink 15 minutes before exam
 
3
rd
 cup to drink 5 minutes before exam
 
 
Abdomen – Pelvis:
 
Minimum 1000 ml of contrast divided into 4 cups
 
1
st
 
cup to drink 1hour before exam
 
2
nd
–4
th
 cups every subsequent 15 minutes
 
Start exam 5 minutes after the 4
th
 cup is adminis-
tered.
C2-025.630.01.01.02_APPLICATIONGUIDE_SPIRIT.book  Page 111  Friday, April 8, 2005  9:55 AM