guidelines for the management of urological cancer - Merseyside ...

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Film Identification Scanogram • Axial images to give reference levels • Callipers/Measurement scale on axial images • Optimum FOV for scanning and display Name and DOB As large as possible Numbered axials posted on scout Comment • Upper abdomen often scanned on Quadrature coil • If patients are suitable for radical treatment MRI is preferred technique • If locally advanced or metastatic disease is suspected CT preferred • 64 slice CT does provide high resolution images of the bladder in all three planes • MRI superior due to its ability to show muscle wall invasion/penetration and invasion of adjacent organs • Dynamic contrast-enhanced T1w fat saturated sequences demonstrate tumour, invasion and multifocality • Bladder MRI protocol under review at CCO • CT is the primary modality for follow up scans • Empty bladder should be avoided Page 42 of 44
Specific Anatomic Region Application Author Venflon Oral Contrast Volume & Type Rectal Contrast Volume & Type IV Contrast Volume & Type Area scanned Injection rate Abdomen and Pelvis CT BLADDER CCO Staging bladder tumours or treatment response or relapse Dr C S Romaniuk, CCO. Sited in appropriate vein 800 mls Gastrografin 2% over 45 minutes 100ml Optiray 300 Just above liver to symphysis pubis 3ml/s 64 Slice Helical Scanning Slice Recon Post inj phase (mm) (mm) delay 1. 0.625 65s 2. Reformats 2.5mm axial, coronal and sagittal reformats CD Imaging Hard-copy Imaging Format • DVD preferred due to large volume of data acquired but not suitable for transferring to all hospitals. • Image format to allow successful image transfer • All base images to be recorded • Maximum: 20 images per film • Each different sequence imaged on separate film • Axial images to give reference levels • Callipers/Measurement scale on axial images • Optimum FOV for scanning and display Page 43 of 44
Page 1 and 2: GUIDELINES FOR THE MANAGEMENT OF UR
Page 3 and 4: Appendix 1 - SMDT contacts Appendix
Page 5 and 6: 1.2 Definition of Terms Carcinoma i
Page 7 and 8: Patients with haematuria may have a
Page 9 and 10: 4. ASSESSMENT OF IDENTIFIED BLADDER
Page 11 and 12: 5.1 Referral to the SMDT 1. It is t
Page 13 and 14: For patients referred from the loca
Page 15 and 16: 6.1 Page 15 of 44
Page 17 and 18: 6.1 Page 17 of 44
Page 19 and 20: 6.2 Recurrent Non-muscle Invasive T
Page 21 and 22: 6.52 Radiotherapy Radical RT Fit p
Page 23 and 24: All patients will be offered clear
Page 25 and 26: References 1. Tolley DA, Parmar MK,
Page 27 and 28: 28. Madersbacher S, Hochreiter W, B
Page 29 and 30: Appendix 2 - Referral Form Referrin
Page 31 and 32: Non-urgent referral • Refer non-u
Page 33 and 34: ‘Unexplained’ as used in the re
Page 35 and 36: Appendix 3 - TNM Classification of
Page 37 and 38: Appendix 5 - TCC Algorithm: New Non
Page 39 and 40: Appendix 7 - TCC Algorithm: Muscle
Page 41: Appendix 9 - Radiology Guidelines M

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