University of Rochester Medical Center
SearchDirectoryNewsEventsStrong HealthURMC Home

Radsidebar

Radiology Home
Department Overview
Faculty
Residency
Fellowships
Neuroradiology
 

Neuroradiology Division

Contrast Orders for Neuroradiology

STUDY
OPTIRAY
DOSE
Head or Neck, Head/Neck combined (64 slice)
350 mg/ml
75 ml
Head and Neck combined (16 slice)
350 mg/ml
125 ml
Brain Perfusion
350 mg/ml
50 ml w/40 ml
normal saline flush
Head & Neck Angiography
350 mg/ml
75 ml w/50 ml
normal saline flush
Head/Brain, Orbits, Sinuses, IAC, Facial Bones
350 mg/ml
75 ml
Soft Tissue Neck 350 mg/ml 75 ml w/50 ml
normal saline flush
Perfusion Scan with Head/Neck Angiogram 350 mg/ml 50 ml w/40 ml
normal saline flush
Pediatric Patients (>50 kg) use adult dosing
                             (<50 kg) 2ml/kg (max=80ml) 240mg/ml
                                                          1/13/10 PL Westesson – Chief of Neuroradiology

All acute stroke patients coming from the trauma bay will have CT Angiography of the Head and Neck as per protocol with neurology and neurosurgery. For these patients we will give the contrast without knowing Creatinine or GFR values as long as they do not have renal insufficiencies or contrast allergy.

For all other patients we will use IV contrast when medically needed as long as they do not have risk factors for nephrotoxicity. Creatinine levels are not necessary unless the patient has risk factors for nephrotoxicity such as Diabetes, nephrectomy, and other renal diseases.

If Creatinine is 1.6 or higher Mucomyst, Visipaque or alternative studies such as MRI should be considered.

Also see ACR Manual on Contrast Media.

--------

©Copyright University of Rochester Medical Center, 1999-2006. Disclaimer. For questions or suggestions concerning the content of these pages, contact the URMC Webmaster.