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HD(Hemodialysis ) 案例之 Abdomen 做法

HD(Hemodialysis ) 案例之 Abdomen 做法. CAPD 之病患 , 懷疑有 Leakage 時 , 由腎臟科醫師執行 打入 60ml Contrast Agent (Ominipaque 350mgI/ml) 加 1500ml Dialysate( 滲透液 ) 經過 30 分鐘再掃描 Abdomen Survey. Hip DDH. Topogram: Laser Line 對準 Iliac Crest Supine Position, 通常不需加造影劑 Note:

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HD(Hemodialysis ) 案例之 Abdomen 做法

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  1. HD(Hemodialysis )案例之Abdomen做法 CAPD之病患,懷疑有Leakage時,由腎臟科醫師執行 打入60ml Contrast Agent (Ominipaque 350mgI/ml)加1500ml Dialysate(滲透液) 經過30分鐘再掃描Abdomen Survey

  2. Hip DDH • Topogram: Laser Line對準Iliac CrestSupine Position,通常不需加造影劑 • Note: • 1.運用Thin Slice 2/1.4作MPR O-coronal2/2和O-sagittal2/2及Axial 2/2 與SSD • 2.DDH(Developmental Dysplasia of Hip)髖骨發育不良開刀的幼兒, • 切記!只需要Scan Hip Only.(dose!!)

  3. Cholangiography • 20G Jelco Elbow • 喝水Distension • Buscopan IV 1Amp • Dicubitus Right Side 5-10min

  4. Post Angiogram • 梁主任case • Catheter直達Liver • Scan Liver Only • 0.5ml/s 打15sec 共7.5ml • Scan Start Delay:10sec

  5. CTV • 130ml Contrast Agent • 2.5ml/s • Scan Start Delay:3min • Range: DiaphragmPubic Symphysis (視臨床要看那一個部位,主要是Abdomen) Indication:1.Vetebral Plasy2.IVC Lesion 3.Low Limb DVT(Deep Vein Thrombosis)

  6. Subclavian Artery Occlusion • 利用Aorta Chest做法 • 由Neck切至Diaphragm • 20 jelco要on腳上 • Trigger ROI at Aorta Lumen • Threshold:100HU • 雙手擺身體兩旁 • 使用0.75mm Collimator • 組5/5,1/0.7各一組影像.

  7. T-M joint Routine Pre-CM: AXL 2/2(Bilateral) Post-CM:AXL 2/2(Bilateral)Close&Open Month,兩邊分開作MPR,SSD

  8. Shoulder下之Soft Tissue mass(R/O hemangioma)之做法: • 1.ShoulderSpiral Protocol2.ROI at Descending Aorta3.分為3Phase: • a.Artery Phase b.Capillary Phase c.Venous Phase* .Capillary Phase 是為了避免A-Phase太早,產生CM未達mass內之Images

  9. CTA,Low Limb • 20’Jelco,On Elbow • 100-120ml Contrast Agent,Rate:3-3.5ml/s • ROI at L5 Level Aorta • Threshold:100-120H.U

  10. ROI at L5 Aorta

  11. 右側的動脈比左 側的動脈相對明顯

  12. Coronal View

  13. 3D Display 比較清楚發現左側小腿有明顯Occlusion

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