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Mosby CT Contrast phases
CH 3 of Mosby text
51
Medical
Advanced
10/12/2021

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Term
Time for hepatic arterial phase
Definition
-25-35 sec
Term
Portal venous phase time
Definition
60-70 sec
Term
Hypovascular hepatic mets would be best visualized in what phase of enhancement?
Definition
Portal venous
Term
Liver equilibrium phase occurs at what time?
Definition
2-3 mins
Term
What phase of liver enhancement would NOT be ideal for tumor eval?
Definition
Equilibrium
Term
The most common malignant hepatic neoplasms are mets, which usually appear how on ct images?
Definition
Hypodense
Term
HCCs may appear ___dense on noncon imaging
Definition
Hypodense
Term
Hemangiomas will typically become ___dense with surrounding parenchyma
Definition
Isodense
Term
Characterized by peripheral globular enhancement during initial post-contrast imaging
Definition
Hemangiomas
Term
Round or oval masses with attenuation close to water (0 - 20 HU); hallmark is lack of enhancement with IV contrast admin
Definition
Hepatic cysts
Term
What neoplasm typically appears hyperdense or hypervascular on arterial phase imaging of liver?
Definition
HCCs Hepatocellular carcinoma
Term
Characterized by intense homogeneous enhancement with CM- generally with a hypodense central scar
Definition
Focal nodular hyperplasia
Term
The appearance of mets on ct imaging
Definition
Nonspecific
Term
During this phase, hypervascular tumors or tumors supplied by the hepatic artery undergo max enhancement
Definition
Arterial phase
Term
At which phase are hypervascular tumors made conspicuous by the unenhanced parynchema around them?
Definition
Arterial phase
Term
Liver phase which shows hypovascular lesions the best
Definition
Portal venous phase
Term
Timing for early arterial phase
Definition
15-20 sec
Term
At this liver phase, the hepatic arterial supply is well opacified with little or no parenchymal enhancement
Definition
Early arterial phase
Term
Optimal liver phase for angiographic applications (ie preop planning)
Definition
Early arterial phase
Term
Delayed phase of hepatic data acquisition is after ___ - ___ mins
Definition
5-20 mins
Term
This hepatic phase demonstrates COMPLETE fill in of hemangiomas- what time?
Definition
Delayed phase; 5-20 mins
Term
What phase shows fatty infiltrates and calcifications on liver images
Definition
Non contrast
Term
Optimal liver phase for hemangiomas and Hepatocellular carcinoma HCCs
Definition
Arterial phase
Term
Prime demonstration of hemangioma fill in and FNH central scar fill in
Definition
Delayed phase (5-20 mins)
Term
CT density of the unenhanced spleen
Definition
40-60 HU (approx 10 less than liver)
Term
Preferred timing for CT acquisitions of the spleen
Definition
Portal venous phase (60-70 sec)
Term
Most pancreatic tumors appear ____dense in comparison with surrounding parenchyma
Definition
Hypodense
Term
The pancreatic phase of parynchemal enhancement is a ___ ____ phase at ___- ___ seconds
Definition
Delayed arterial phase;

35-45 seconds
Term
Pre-contrast phase of the pancreas helps show
Definition
Calcifications
Term
Pancreas: max opacifications of surrounding vasculature for aorta and SMA; how many sec?
Definition
Arterial phase; 20-25 sec
Term
CT number of adrenals
Definition
25-40 HU
Term
What imaging technique is usually needed to fully characterize adrenal pathology
Definition
Both pre- and post-contrast (adrenal washout technique)
Term
Delayed phase of 10-15 mins may be employed for tumor characterization of what anatomy?
Definition
Adrenals
Term
Adrenal hyperplasia is usually associated with a disorder of the ____ function
Definition
Endocrine
Term
Adrenals: ROI mesurements on pre con imaging less than ____ HU indicate a benign process
Definition
10 HU
Term
Adrenals: washout technique for differentiation between mets and adenomas occur at what phase?
Definition
10-15 mins
Term
Hyperdense cysts on GU imaging, have HUs between ___ - ___
Definition
25-90
Term
Characterized by the formation of numerous renal cysts
Definition
PKD (polycystic kidney disease)
Term
ROI measurement of less than ____ HU for a renal mass is characterized as an angiomyolipoma
Definition
10 HU
Term
Most common primary renal malignancy - renal cell carcinoma
corticomedullary phase occurs at ___ - ___ sec -
Definition
30-40 sec
Term
Max differentiation between renal cortex and medulla? how many seconds?
Definition
Corticomedullary; late arterial: 30-40 sec
Term
Renal: what phase occurs after 70-90 secs?
Definition
Nephrographic
Term
Phase in which renal cortex and medulla reach equilibrium. occurs at what time?
Definition
Nephrographic phase; 70-90 sec
Term
Renal: optimal CM phase for parenchymal lesions; at what time?
Definition
Nephrographic; 70-90 sec
Term
Renal: this phase occurs after approx 3 mins
Definition
Excretory phase
Term
At what phase is the CM excreted into the renal calyces, opacifying the renal pelvis, ureters, and bladder?
Definition
Excretory phase (3 mins)
Term
This phase best shows filling defects and the potential lesions involving the urothelium (a unique, highly specialized epithelium lining the lower urinary tract)
Definition
Excretory phase (3 mins)
Term
Arterial phase for kidneys and urinary tract occurs at what time?
Definition
Arterial (20-25s)
Term
At what time is the aorta and renal arteries most enhanced? how many seconds?
Definition
Arterial (20-25s)
Term
This phase demonstrates the potential vascular involvement of a renal mass
Definition
Corticomedullary phase (late arterial, 30-40s)
Term
excretory phase shows KUB with a delay of ____- ____
Definition
3-15 mins
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