OREGON HEALTH & SCIENCE UNIVERSITY DOERNBECHER CHILDREN’S HOSPITAL

We are pleased to share our pediatric CT protocols with you.  Each protocol is designed to optimize pediatric image quality and
our best practices. Please be mindful, there are many variations in scanner models that affect dose, such as the number of
detector rows, available kVp settings, and dose reduction software and image reconstruction alternatives such as iterative
reconstruction algorithms.   Careful attention to vendor specific tools as well as scanner configuration must be considered when
constructing protocols for your scanner and for your patients.

CTDIvol is provided as a guide only, and is not necessarily recommended as a target. CTDIvol will change based on parameters
you set, your scanner model and will vary based on phantom reference size* for each protocol and other factors.  Newer CT
scanners can be equipped with software which enables iterative reconstruction technique which reduces image noise and
substantially improves image quality.  Using iterative reconstruction we have achieved substantial decrease of CTDIvol at OHSU,
for pediatric CT exams. Always consult your radiologist, physicist, and radiation protection officer when implementing any
protocol changes or modifications. We have taken the Image Gently pledge and hope you will too in striving to manage and
optimize pediatric CT protocol radiation dose as low as reasonably achievable (ALARA).

*Phantom reference size

16 cm for all head CT protocols
32 cm for all body CT protocols
Philips Ingenuity 128

PEDIATRIC BRAIN CT
scan mode axial
2.5 mm < 1 year
thickness
5 mm > 1 year
detector collimation 16 x 0.625 mm
rotation time 0.75 seconds
scan FOV 200 mm
tilt up to 30 degrees
4
iterative reconstruction iDose level 2
age mAs / kVp CTDIvol
0 – 18 months 180 / 120 21.4 mGy
18 – 36 months 227 / 120 27.0 mGy
3 – 8 years 273 / 120 32.5 mGy
8 – 18 years 340 / 120 40.5 mGy

infant child teen

OREGON HEALTH & SCIENCE UNIVERSITY DOERNBECHER CHILDREN’S HOSPITAL

We are pleased to share our pediatric CT protocols with you.  Each protocol is designed to optimize pediatric image quality
and our best practices. Please be mindful, there are many variations in scanner models that affect dose, such as the number
of detector rows, available kVp settings, and dose reduction software and image reconstruction alternatives such as iterative
reconstruction algorithms.   Careful attention to vendor specific tools as well as scanner configuration must be considered
when constructing protocols for your scanner and for your patients.

CTDIvol is provided as a guide only, and is not necessarily recommended as a target. CTDIvol will change based on
parameters you set, your scanner model and will vary based on phantom reference size* for each protocol and other factors. 
Newer CT scanners can be equipped with software which enables iterative reconstruction technique which reduces image
noise and substantially improves image quality.  Using iterative reconstruction we have achieved substantial decrease of
CTDIvol at OHSU, for pediatric CT exams. Always consult your radiologist, physicist, and radiation protection officer when
implementing any protocol changes or modifications. We have taken the Image Gently pledge and hope you will too in
striving to manage and optimize pediatric CT protocol radiation dose as low as reasonably achievable (ALARA).

*Phantom reference size

16 cm for all head CT protocols
32 cm for all body CT protocols
Philips Ingenuity 128

PEDIATRIC NECK CT
scan mode helical
thickness 3 mm
detector collimation 64 x 0.625 mm
pitch 1
rotation time 0.5 seconds
scan FOV 250 mm
age mAs / kVp CTDIvol
0 – 1 years 162 / 100 3.2 mGy
1 – 3 years 203 / 100 3.9 mGy
3 – 7 years 264 / 100 5.1 mGy
7+ years 135 / 120 9.8 mGy
4
iteraive reconstruction iDose level 2

child
sagittal & coronal recons

OREGON HEALTH & SCIENCE UNIVERSITY DOERNBECHER CHILDREN’S HOSPITAL

We are pleased to share our pediatric CT protocols with you.  Each protocol is designed to optimize pediatric image quality and
our best practices. Please be mindful, there are many variations in scanner models that affect dose, such as the number of
detector rows, available kVp settings, and dose reduction software and image reconstruction alternatives such as iterative
reconstruction algorithms.   Careful attention to vendor specific tools as well as scanner configuration must be considered when
constructing protocols for your scanner and for your patients.
CTDIvol is provided as a guide only, and is not necessarily recommended as a target. CTDIvol will change based on parameters
you set, your scanner model and will vary based on phantom reference size* for each protocol and other factors.  Newer CT
scanners can be equipped with software which enables iterative reconstruction technique which reduces image noise and
substantially improves image quality.  Using iterative reconstruction we have achieved substantial decrease of CTDIvol at
OHSU, for pediatric CT exams. Always consult your radiologist, physicist, and radiation protection officer when implementing
any protocol changes or modifications. We have taken the Image Gently pledge and hope you will too in striving to manage and
optimize pediatric CT protocol radiation dose as low as reasonably achievable (ALARA).

*Phantom reference size

16 cm for all head CT protocols
32 cm for all body CT protocols
Philips Ingenuity 128

PEDIATRIC CHEST CT
scan mode axial
thickness 3 mm
detector collimation 64x0.625 mm
pitch 0.736 mm
rotation time 0.5
scan FOV 250 – 350
weight mA / kVp CTDI vol
< 9 kg 28 / 100 0.8 mGy
9 – 17 kg 32 / 100 1.3 mGy
18 – 26 kg 38 / 100 1.5 mGy
27 – 35 kg 45 / 100 1.8 mGy
36 – 44 kg 52 / 100 2.0 mGy
45 – 67 kg 77 / 100 3.0 mGy
4
iterative reconstruction iDose level 2 - 4

OREGON HEALTH & SCIENCE UNIVERSITY DOERNBECHER CHILDREN’S HOSPITAL

We are pleased to share our pediatric CT protocols with you.  Each protocol is designed to optimize pediatric image quality and
our best practices. Please be mindful, there are many variations in scanner models that affect dose, such as the number of
detector rows, available kVp settings, and dose reduction software and image reconstruction alternatives such as iterative
reconstruction algorithms.   Careful attention to vendor specific tools as well as scanner configuration must be considered when
constructing protocols for your scanner and for your patients.
CTDIvol is provided as a guide only, and is not necessarily recommended as a target. CTDIvol will change based on parameters
you set, your scanner model and will vary based on phantom reference size* for each protocol and other factors.  Newer CT
scanners can be equipped with software which enables iterative reconstruction technique which reduces image noise and
substantially improves image quality.  Using iterative reconstruction we have achieved substantial decrease of CTDIvol at
OHSU, for pediatric CT exams. Always consult your radiologist, physicist, and radiation protection officer when implementing
any protocol changes or modifications. We have taken the Image Gently pledge and hope you will too in striving to manage and
optimize pediatric CT protocol radiation dose as low as reasonably achievable (ALARA).

*Phantom reference size

16 cm for all head CT protocols
32 cm for all body CT protocols
Philips Ingenuity 128

PEDIATRIC CARDIAC CTA

scan mode / type single or dual surview
axial / step and shoot
thickness scan 0.625 mm
recon 0.625 mm and
detector collimation 64 x 0.625 mm
rotation time 0.42
scan FOV 220 mm
z-axis coverage aortic arch through diaphragm
weight mAs / kVp CTDIvol
< 9 kg 20 / 80 0.8 mGy
9 – 17 kg 25 / 80 1.3 mGy
18 – 26 kg 30 / 100 1.5 mGy
27 – 35 kg 35 / 100 1.8 mGy
4
iterative reconstruction iDose level 4 – 6
non-ECG-gated in most instances - use ECG-gating for coronary artery & functional exams

infant
coronal, sagittal & 3D reconstructions

OREGON HEALTH & SCIENCE UNIVERSITY DOERNBECHER CHILDREN’S HOSPITAL

We are pleased to share our pediatric CT protocols with you.  Each protocol is designed to optimize pediatric image quality and
our best practices. Please be mindful, there are many variations in scanner models that affect dose, such as the number of
detector rows, available kVp settings, and dose reduction software and image reconstruction alternatives such as iterative
reconstruction algorithms.   Careful attention to vendor specific tools as well as scanner configuration must be considered when
constructing protocols for your scanner and for your patients.

CTDIvol is provided as a guide only, and is not necessarily recommended as a target. CTDIvol will change based on parameters
you set, your scanner model and will vary based on phantom reference size* for each protocol and other factors.  Newer CT
scanners can be equipped with software which enables iterative reconstruction technique which reduces image noise and
substantially improves image quality.  Using iterative reconstruction we have achieved substantial decrease of CTDIvol at
OHSU, for pediatric CT exams. Always consult your radiologist, physicist, and radiation protection officer when implementing
any protocol changes or modifications. We have taken the Image Gently pledge and hope you will too in striving to manage and
optimize pediatric CT protocol radiation dose as low as reasonably achievable (ALARA).

*Phantom reference size

16 cm for all head CT protocols
32 cm for all body CT protocols
Philips Ingenuity 128

PEDIATRIC CHEST, ABDOMEN & PELVIS CT

scan mode helical
thickness 3 mm
detector collimation 64x0.625 mm
pitch 1.4 – 1.0
rotation time 0.5 seconds
scan FOV 180
weight mA / kVp CTDIvol
< 9 kg 56 / 100 2.2 mGy
9 – 17 kg 58 / 100 2.3 mGy
18 – 26 kg 60 / 100 2.4 mGy
27 – 35 kg 64 / 100 2.5 mGy
36 – 44 kg 77 / 100 3.0 mGy
45 – 67 kg 96 / 100 6.3 mGy
68 – 83 kg 120 / 120 7.9 mGy
iterative reconstruction iDose4 level 2-4

teen coronal & sagittal reconstruction

OREGON HEALTH & SCIENCE UNIVERSITY DOERNBECHER CHILDREN’S HOSPITAL

We are pleased to share our pediatric CT protocols with you.  Each protocol is designed to optimize pediatric image quality and
our best practices. Please be mindful, there are many variations in scanner models that affect dose, such as the number of
detector rows, available kVp settings, and dose reduction software and image reconstruction alternatives such as iterative
reconstruction algorithms.   Careful attention to vendor specific tools as well as scanner configuration must be considered when
constructing protocols for your scanner and for your patients.

CTDIvol is provided as a guide only, and is not necessarily recommended as a target. CTDIvol will change based on parameters
you set, your scanner model and will vary based on phantom reference size* for each protocol and other factors.  Newer CT
scanners can be equipped with software which enables iterative reconstruction technique which reduces image noise and
substantially improves image quality.  Using iterative reconstruction we have achieved substantial decrease of CTDIvol at
OHSU, for pediatric CT exams. Always consult your radiologist, physicist, and radiation protection officer when implementing
any protocol changes or modifications. We have taken the Image Gently pledge and hope you will too in striving to manage and
optimize pediatric CT protocol radiation dose as low as reasonably achievable (ALARA).

*Phantom reference size

16 cm for all head CT protocols
32 cm for all body CT protocols
Philips Ingenuity 128

PEDIATRIC BRAIN CT
scan mode helcal
2.5 mm < 1 year
thickness
5 mm > 1 year
detector collimation 64 x 0.625 mm
pitch 0.5
rotation time 0.75 seconds
scan FOV 200 mm
tilt 0 degrees
age mAs / kVp CTDIvol
0 – 18 months 180 / 120 21.4mGy
18 – 36 months 227 / 120 27.0 mGy
3 – 8 years 273 / 120 32.5 mGy
8 – 18 years 340 / 120 40.5 mGy
iterative reconstruction iDose4 level 2

The scan is performed without gantry tilt. An axial

reconstruction is made in order to correct to the standard
axial planes.

teen axial, coronal & sagittal reconstruction

OREGON HEALTH & SCIENCE UNIVERSITY DOERNBECHER CHILDREN’S HOSPITAL

We are pleased to share our pediatric CT protocols with you.  Each protocol is designed to optimize pediatric image quality and
our best practices. Please be mindful, there are many variations in scanner models that affect dose, such as the number of
detector rows, available kVp settings, and dose reduction software and image reconstruction alternatives such as iterative
reconstruction algorithms.   Careful attention to vendor specific tools as well as scanner configuration must be considered when
constructing protocols for your scanner and for your patients.

CTDIvol is provided as a guide only, and is not necessarily recommended as a target. CTDIvol will change based on parameters
you set, your scanner model and will vary based on phantom reference size* for each protocol and other factors.  Newer CT
scanners can be equipped with software which enables iterative reconstruction technique which reduces image noise and
substantially improves image quality.  Using iterative reconstruction we have achieved substantial decrease of CTDIvol at
OHSU, for pediatric CT exams. Always consult your radiologist, physicist, and radiation protection officer when implementing
any protocol changes or modifications. We have taken the Image Gently pledge and hope you will too in striving to manage and
optimize pediatric CT protocol radiation dose as low as reasonably achievable (ALARA).

*Phantom reference size

16 cm for all head CT protocols
32 cm for all body CT protocols