Guidelines for Philips Healthcare

Scanner Detector Rows Retrospective Gating Recommended mA

Brilliance 64

64 Retrospective-gated helical BMI < 25: 120kVp, 600-800 mAs (eff) 25 > BMI < 30: 120kVp, 800-1000 mAs (eff) 30 > BMI < 35: 120 kVp, 1000 1500 mAs (or alternatively 140 kVp, 1000 mAs (eff))

Step & Shoot Cardiac BMI < 25: 120 kVp, 150-160 mAs 25 > BMI < 30: 120 kVp, 160-190 mAs 30 > BMI < 32 : 120 kVp, 200210 mAs Step and Shoot not recommended for BMI > 32 140 msec buffer provided 80, 120, 140 64 x 0.625 mm

ECG-pulsing Adaptive pitch Available kV Collimation Pitch Rotation time Default kernel Recommended kV 80, 120, 140 64 x 0.625 mm 0.2 0.4 CB/XCB BMI < 25: 120 25 > BMI < 30: 120 30 > BMI < 35: 120/140

Prospective gating Padding Other notes Automatic exposure control Other techniques Manufacturer's expected dose Other info Vendor-specific mAs Definition

0.4 CB/XCB BMI < 25: 120 25 > BMI < 30: 120 30 > BMI < 35: 120 HR < 65 140 msec buffer provided

iDose (iterative may be available for purchase in late 2010) Step and Shoot Cardiac: 2.4-2.6 mSv; Retrospective-gated helical 10-12 mSv (120 mm coverage; no pulsing used) http://netforum.medical.philips.com/Defa ult.aspx Helical scans: mAs (eff) = mAs normalized to pitch, i.e., mAs(eff) = (mA x rotation time) /pitch factor Step & Shoot Cardiac: mAs = mA x x-ray ON time.

iDose (iterative may be available for purchase in late 2010)

RESCUE Diagnostic Testing Protocol Recommendations Appendix A: Vendor Specific Dose Reduction Guidelines for CT Philips Healthcare Version 2.0 Page 1 of 3
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Scanner Detector Rows Retrospective Gating Recommended mA

Brilliance iCT

128 rows, 256 slice scanner Retrospective-gated helical BMI < 25: 100kVp, 600-800 mAs (eff); 120kVp, 600-800 mAs (eff) 25 > BMI < 30: 120kVp, 8001000 mAs (eff) 30 > BMI < 35: 120kVp, 10001500 mAs (eff); 140kVp, 1000 mAs (eff); alternatively 0.33s rotation time Step & Shoot Cardiac BMI < 25: 100 kVp, 180-200 mAs; 120kVp, 150-160 mAs 25 > BMI < 30: 120 kVp, 160190 mAs 30 > BMI < 35 : 120 kVp, 200210 mAs; alternatively 0.33s rotation time

ECG-pulsing Adaptive pitch Available kV Collimation Pitch Rotation time Default kernel Recommended kV

80, 100, 120, 140 128 x 0.625 mm 0.16 0.27 CB/XCB BMI < 25: 100/120 25 > BMI < 30: 120 30 > BMI < 35: 120/140

80, 100, 120, 140 128 x 0.625 mm 0.27 CB/XCB BMI < 25: 100/120 25 > BMI < 30: 120 30 > BMI < 35: 120 HR < 75 3% &5% phase tolerance provided

Prospective gating Padding Other notes Automatic exposure control Other techniques

Manufacturer's expected dose

Dynamic helical collimation (Eclipse DoseRight Collimator) available and enabled on all helical scans Step & Shoot Cardiac: 1.4 1.6 mSv (100 kV); 2.4 2.6 mSv (120 kV); Retrospective-gated helical: 6.5 8.5 mSv (100 kV); 10 12 mSv (120 kV) (120 mm coverage no pulsing) Helical scans: mAs (eff) = mAs normalized to pitch, i.e., mAs(eff) = (mA x rotation time) /pitch factor Step & Shoot Cardiac: mAs = mA x xray ON time.

Other info Vendor-specific mAs Definition

RESCUE Diagnostic Testing Protocol Recommendations Appendix A: Vendor Specific Dose Reduction Guidelines for CT Philips Healthcare Version 2.0 Page 2 of 3
This document cannot be replicated, presented, or published without the specific agreement and consent of the MGH CVIC.

Scanner Detector Rows Retrospective Gating Recommended mA

Brilliance iCT-SP

64 rows, 128-slice scanner Retrospective-gated helical BMI < 25: 100kVp, 600-800 mAs (eff); 120kVp, 600-800 mAs (eff) 25 > BMI < 30: 120kVp, 8001000 mAs (eff) 30 > BMI < 35: 120kVp, 10001500 mAs (eff); 140kVp, 1000 mAs (eff); alternatively 0.33s rotation time Step & Shoot Cardiac BMI < 25: 100 kVp, 180-200 mAs ; 120 kVp, 150-160 mAs) 25 > BMI < 30: 120 kVp, 160190 mAs 30 > BMI < 35: 120 kVp, 200 210 mAs.; alternatively 0.33 s rotation time

ECG-pulsing Adaptive pitch Available kV Collimation Pitch Rotation time Default kernel Recommended kV

64 x 0.625 mm 0.16 0.3 (0.27 optional) CB/XCB BMI < 25: 100/120 25 > BMI < 30: 120 30 > BMI < 35: 120/140

64 x 0.625 mm 0.3 (0.27 optional) CB/XCB BMI < 25: 100/120 25 > BMI < 30: 120 30 > BMI < 35: 120 HR < 75 3% &5% phase tolerance provided

Prospective gating Padding Other notes Automatic exposure control Other techniques Manufacturer's expected dose Approximately the same as in Brilliance iCT

Other info Vendor-specific mAs Definition

Helical scans: mAs (eff) = mAs normalized to pitch, i.e., mAs(eff) = (mA x rotation time) /pitch factor Step & Shoot Cardiac: mAs = mA x xray ON time.

RESCUE Diagnostic Testing Protocol Recommendations Appendix A: Vendor Specific Dose Reduction Guidelines for CT Philips Healthcare Version 2.0 Page 3 of 3
This document cannot be replicated, presented, or published without the specific agreement and consent of the MGH CVIC.