Skip to main content

CTA Chest timing

By

Greetings all, I'm at the end of my rope here about CTA Chest exams and the timing for getting optimal contrast in the pulmonary arteries. With the rise of covid, our small facility, 4 bed ER docs have become obsessed with CTA Chest for PE's and we have been doing more lately (compared to what we usually do as a small facility). We also have been getting, more than we would like, reports back with suboptimal contrast timing. I personally feel like I'm just shooting in the dark on most of mine and I simply don't even know what I'm doing wrong. We have a GE Revolution EVO scanner. Just to get some things out of the way, we have very little control over a lot of things such as protocols due to our manager. We use 125 mL syringes of Optiray 320 as our contrast injected at 4 - 4.5 ml/s for CTA's and we do not use saline with out contrast because of our manager. I've been taught by another tech to do smart prep with the monitor slice set just below the corina and the ellipse ROI in the pulmonary artery and the dynamic transition is set default to go at 100 HU. I've also tried no dynamic transition and waiting for the first sign of flush and manually scanning. Sometimes they are ok, other times it's awful. Just this morning I had one that was completely and utterly non diagnosistic and I have no clue what happened. I had my monitor phase set up very clearly in the pulmonary artery and it went at 100 HU and it was just awful. I'm not the only one getting suboptimal studies for CTA Chests but im just so frustrated because I don't like sending shit, but I haven't got a clue what I'm doing wrong to fix it. I work PRN and usually get 1-2 full days a week right now and a few nights on call a week and don't actually get too terribly many CTA Chests, I've probably done under 20 total by myself and it used to be weeks/months in between but we have been doing more and more. Any and a tips, tricks, or anything I can read and study because I simply am lost and it's stressing me out.

submitted by /u/Popular-Shower-7204
[link] [comments]

source https://www.reddit.com/r/Radiology/comments/qz2rii/cta_chest_timing/
Labels:

Comments

Post a Comment

Popular posts from this blog

Do rad techs/sonographers deal with vomit often?

By
Hi there! I’m currently considering going to school to be a rad tech or sonographer but I’m struggling to find out if you guys deal with vomit a lot. I am emetophobic (phobia of vomit) and, while I think I’d like these jobs a lot, it does worry me to think about having to deal with it often. Thank you for your help! submitted by /u/pootscoot1 [link] [comments] source https://www.reddit.com/r/Radiology/comments/p5y0aa/do_rad_techssonographers_deal_with_vomit_often/
Post a Comment
Read more

I got into the Rad Tech program!

By
I just want to share with you that I finally got into the program at our local community college and i’m starting this summer. For context, I’m already 30yo with a prior BS degree and decided on a career change. During the pandemic until this semester, I took my time to take all the pre-reqs and GEs required while working. I also volunteered at a hospital for over a year. It was optional due to COVID, but I still did it to get the brownie points. I finally applied last March 2023 and received good news last Friday. The program is based on a pointing system, so I think having good grades really mattered. It was my first time applying and the only program I applied to. I didn’t know it was possible to get in on your first try because of all of the stories I’ve been reading, so don’t lose hope because it’s possible! Wishing everyone who’s applying this year good luck. You can do this! If you have questions, I will do my best to answer them 😊 also if you have tips on how to survive this ...
Post a Comment
Read more

Pennsylvania radiology students and professionals, we want to hear from you!!

By
Penn State and the PA Department of Health are conducting a brief survey of all healthcare workers and health care professions within the state of Pennsylvania to collect information about your infection control education and your experiences with COVID-19. Click the link below to complete our brief survey (and be entered for a chance to win a $250 gift card!!) and visit the PA Project FirstLine website ( https://www.health.pa.gov/topics/programs/HAIP-AS/Pages/PA-Project-Firstline.aspx ) for more information bit.ly/firstlinePA submitted by /u/PennStateSurveyHCW [link] [comments] source https://www.reddit.com/r/Radiology/comments/zo63u8/pennsylvania_radiology_students_and_professionals/
Post a Comment
Read more