myRadiologist

CT multiphase pancreas


Strengths
dedicated study to: 1) assess known pancreatitis for complications including abscess, aneurysm, venous occusion; 2) stage pancreatic CA.
Limitations
Use MRCP for eval of choledocolithiasis; Use standard CT abdmen for screening for pancreas involvement (less radiation exposure to patient than multiphase and provides evaluation of other abdominal organs too).
Contraindications
1) Allergy to contrast, but we will premedicate patient as necessary; 2) IV contrast will be dose-adjusted dependent upon creatinine clearance.
CPT Code
74170
Exact format for order to be authorized
CT abdomen with and without IV contrast. No oral contrast.
Patient Preparation
NPO 4 hours, but can take meds with small sip of water.