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{ | ||
"hash": "c07a8d1446a02e51fa4730b7527b1813", | ||
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"markdown": "---\ntitle: \"DesignCTER (User Guide)\"\n---\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n---\n\n**App Link:** <https://design-cter.netlify.app>\n\n**GitHub Repo:** <https://github.com/Lightbridge-KS/designCTER>\n\n---\n\n## Body CT\n\n### CTWA\n\n\n\n\n\n::: {.cell}\n::: {.cell-output-display}\n\\begingroup\n\\fontsize{12.0pt}{14.4pt}\\selectfont\n\\begin{longtable}{lll}\n\\toprule\nProtocol & Phase Design & Contrast \\\\ \n\\midrule\\addlinespace[2.5pt]\nRoutine WA & \\begin{itemize}\n\\item Venous (whole)\n\n\\item Delay (liver)\n\n\\end{itemize} & Oral (limited water), Rectal (water) \\\\ \n— & \\begin{itemize}\n\\item Plain (whole)\n\n\\item Late A (upper)\n\n\\item Venous (whole)\n\n\\item Delay (liver)\n\n\\end{itemize} & Oral (?), Rectal (?) \\\\ \nSolid Organ Rupture & \\begin{itemize}\n\\item Plain (whole)\n\n\\item Late A (upper)\n\n\\item Venous (whole)\n\n\\item Delay (upper)\n\n\\end{itemize} & No oral, No rectal \\\\ \nFree Air & \\begin{itemize}\n\\item Plain\n\n\\item Venous (may be)\n\n\\end{itemize} & Oral (positive), Rectal (positive) {[}If not stable -\\textgreater{} no oral, no rectal{]} \\\\ \nGI Perforation & \\begin{itemize}\n\\item Venous\n\n\\item Delay (liver)\n\n\\end{itemize} & Oral (limited positive), Rectal (positive) \\\\ \nGut Obstruction & \\begin{itemize}\n\\item Venous (whole)\n\n\\item Delay 3 min (liver)\n\n\\end{itemize} & No oral, No rectal \\\\ \nHBP mass/abscess (CTWA) & \\begin{itemize}\n\\item Plain (upper)\n\n\\item Late A (upper)\n\n\\item Venous (whole)\n\n\\item Delay (upper)\n\n\\end{itemize} & Oral (limited water), No rectal \\\\ \nKidney mass/abscess & \\begin{itemize}\n\\item Plain (KUB)\n\n\\item Late A (upper)\n\n\\item Venous (100 sec)\n\n\\item Delay (KUB)\n\n\\end{itemize} & Oral (limited water), No rectal \\\\ \nGI Mass & \\begin{itemize}\n\\item Venous (whole)\n\n\\item Delay (liver)\n\n\\end{itemize} & Oral (full positive), Rectal (water) \\\\ \nDiverticulitis & \\begin{itemize}\n\\item Venous (whole)\n\n\\item Delay (liver)\n\n\\end{itemize} & Oral (limited water), Rectal (1 L, positive CM) \\\\ \nPancreatitis & \\begin{itemize}\n\\item Plain (upper)\n\n\\item Late A (upper)\n\n\\item Venous (whole)\n\n\\item Delay (upper)\n\n\\end{itemize} & Oral (limited water), No rectal \\\\ \nIntra-abdominal infection & \\begin{itemize}\n\\item Plain (whole)\n\n\\item Late A (upper)\n\n\\item Venous (whole)\n\n\\item Delay (upper)\n\n\\end{itemize} & Oral (limited water), Rectal (water) \\\\ \nLeak-Fistula-Collection & \\begin{itemize}\n\\item Venous (whole)\n\n\\item Delay (liver)\n\n\\end{itemize} & Oral (if Hx bowel resect -\\textgreater{} full positive; If not -\\textgreater{} limited positive), Rectal (positive) ? \\\\ \nCT Second look Abd (trauma) & \\begin{itemize}\n\\item Venous (whole)\n\n\\end{itemize} & IV contrast, Oral (full positive), Rectal (positive) \\\\ \n\\bottomrule\n\\end{longtable}\n\\endgroup\n\n:::\n:::\n\n\n\n\n\n### CTA Whole Abdomen\n\n\n\n\n\n::: {.cell}\n::: {.cell-output-display}\n\\begingroup\n\\fontsize{12.0pt}{14.4pt}\\selectfont\n\\begin{longtable}{lll}\n\\toprule\nProtocol & Phase Design & Contrast \\\\ \n\\midrule\\addlinespace[2.5pt]\nGI Bleed & \\begin{itemize}\n\\item Plain (whole)\n\n\\item CTA (whole)\n\n\\item Venous (whole)\n\n\\item Delay (whole)\n\n\\end{itemize} & No oral, No rectal \\\\ \nMesenteric Ischemia & \\begin{itemize}\n\\item Plain (whole)\n\n\\item CTA (whole)\n\n\\item Venous (whole)\n\n\\item Delay (whole)\n\n\\end{itemize} & Oral (limited water), Rectal (water) \\\\ \nAAA Rupture & \\begin{itemize}\n\\item Plain (whole)\n\n\\item CTA (maybe ถ้ามีเวลา คนไข้ stable)\n\n\\item Venous (maybe ถ้ามีเวลา คนไข้ stable)\n\n\\end{itemize} & No oral, No rectal \\\\ \nCTA Blunt Abdomen (trauma) & \\begin{itemize}\n\\item CTA (whole)\n\n\\item Venous (whole)\n\n\\item may be Delay (in injury site)\n\n\\end{itemize} & IV contrast, No oral, No rectal \\\\ \nCTA Penetrating Abd (trauma) & \\begin{itemize}\n\\item CTA (whole)\n\n\\item Venous (whole)\n\n\\item may be Delay (in injury site)\n*** วาง marker ตําแหน่งแผลด้วย\n\n\\end{itemize} & IV contrast, Oral \\& Rectal full positive (ถ้ามีเวลา) \\\\ \n\\bottomrule\n\\end{longtable}\n\\endgroup\n\n:::\n:::\n\n\n\n\n\n### CT Upper Abdomen\n\n\n\n\n\n::: {.cell}\n::: {.cell-output-display}\n\\begingroup\n\\fontsize{12.0pt}{14.4pt}\\selectfont\n\\begin{longtable}{lll}\n\\toprule\nProtocol & Phase Design & Contrast \\\\ \n\\midrule\\addlinespace[2.5pt]\nRoutine Upper Abd & \\begin{itemize}\n\\item Venous (upper)\n\n\\item Delay (upper)\n\n\\end{itemize} & Oral (limited water), No rectal \\\\ \nHBP mass/abscess (Upper) & \\begin{itemize}\n\\item Plain (upper)\n\n\\item Late A (upper)\n\n\\item Venous (upper)\n\n\\item Delay (upper)\n\n\\end{itemize} & Oral (limited water), No rectal \\\\ \nBiliary Stone & \\begin{itemize}\n\\item Plain (upper)\n\n\\item Late A (upper)\n\n\\item Venous (upper)\n\n\\item Delay (liver)\n\n\\end{itemize} & Oral (limited water), No rectal \\\\ \nAdrenal mass/abscess & \\begin{itemize}\n\\item Plain (upper)\n\n\\item Late A (upper)\n\n\\item Venous (upper)\n\n\\item Delay 3 min (upper)\n*** Check ภาพ +/- Delay 15 min (adrenal)\n\n\\end{itemize} & Oral (limited water), No rectal \\\\ \n\\bottomrule\n\\end{longtable}\n\\endgroup\n\n:::\n:::\n\n\n\n\n\n### CT Lower Abdomen\n\n\n\n\n\n::: {.cell}\n::: {.cell-output-display}\n\\begingroup\n\\fontsize{12.0pt}{14.4pt}\\selectfont\n\\begin{longtable}{lll}\n\\toprule\nProtocol & Phase Design & Contrast \\\\ \n\\midrule\\addlinespace[2.5pt]\nAppendicitis & \\begin{itemize}\n\\item Venous 120 sec (L3 to pubic symphysis)\n\n\\end{itemize} & Rectal (Positive 1 L สวนถึง cecum), No oral \\\\ \n\\bottomrule\n\\end{longtable}\n\\endgroup\n\n:::\n:::\n\n\n\n\n\n### CT KUB\n\n\n\n\n\n\n::: {.cell}\n::: {.cell-output-display}\n\\begingroup\n\\fontsize{12.0pt}{14.4pt}\\selectfont\n\\begin{longtable}{lll}\n\\toprule\nProtocol & Phase Design & Contrast \\\\ \n\\midrule\\addlinespace[2.5pt]\nHematuria & \\begin{itemize}\n\\item Plain (KUB)\n\n\\item Late A (Kidney)\n\n\\item Venous (KUB)\n\n\\item Delay (KUB)\n*** Check ภาพก่อนเลิก\n\n\\end{itemize} & Oral (limited water), No Rectal \\\\ \nKidney mass/Abscess & *** If suspect renal mass → consider CTWA for staging\n\n\\begin{itemize}\n\\item Plain (KUB)\n\n\\item Late A (Upper)\n\n\\item Venous (100 sec)\n\n\\item Delay (KUB)\n*** Check ภาพก่อนเลิก\n\n\\end{itemize} & Oral (limited water), No Rectal \\\\ \n\\bottomrule\n\\end{longtable}\n\\endgroup\n\n:::\n:::\n\n\n\n\n\n### CTA for PE\n\n\n\n\n\n::: {.cell}\n::: {.cell-output-display}\n\\begingroup\n\\fontsize{12.0pt}{14.4pt}\\selectfont\n\\begin{longtable}{lll}\n\\toprule\nProtocol & Phase Design & Contrast \\\\ \n\\midrule\\addlinespace[2.5pt]\nCTA for PE (ไม่ลากขา) & \\begin{itemize}\n\\item CTPA (chest)\n\n\\item Venous (chest)\n\n\\end{itemize} & IV contrast \\\\ \nCTA for PE with DVT & \\begin{itemize}\n\\item CTPA (chest)\n\n\\item Venous (chest, legs)\n\n\\end{itemize} & IV contrast \\\\ \n\\bottomrule\n\\end{longtable}\n\\endgroup\n\n:::\n:::\n\n\n\n\n\n\n### CT Chest\n\n\n\n\n\n::: {.cell}\n::: {.cell-output-display}\n\\begingroup\n\\fontsize{12.0pt}{14.4pt}\\selectfont\n\\begin{longtable}{lll}\n\\toprule\nProtocol & Phase Design & Contrast \\\\ \n\\midrule\\addlinespace[2.5pt]\nRoutine CT Chest & \\begin{itemize}\n\\item \\textbf{maybe} plain (chest)\n\n\\item Late A (chest)\n\n\\end{itemize} & IV contrast \\\\ \nNodule/mass characterization & \\begin{itemize}\n\\item Plain (chest)\n\n\\item Late A (chest)\n\n\\end{itemize} & IV contrast \\\\ \nTracheobronchomalacia & \\begin{itemize}\n\\item Plain (chest, dynamic expiration)\n\n\\end{itemize} & No IV contrast \\\\ \nDysphagia & \\begin{itemize}\n\\item Plain (chest)\n\n\\item Venous (chest)\n\n\\end{itemize} & IV contrast, Oral (limited water) \\\\ \nCT esophagogram & \\begin{itemize}\n\\item Plain (Chest, reduced dose) ก่อนกิน CM\n\n\\item จากนั้น กิน CM 1 cup (250 ml) ที่เตียง\n\n\\item Venous (Chest) หลังกิน CM\n\n\\end{itemize} & Oral (Positive CM) \\\\ \nSVC Obstruction & \\begin{itemize}\n\\item Plain (Chest, reduced dose)\n\n\\item Late A (Chest)\n\n\\item Immediate delay (Chest)\n\n\\end{itemize} & IV contrast \\\\ \n\\bottomrule\n\\end{longtable}\n\\endgroup\n\n:::\n:::\n\n\n\n\n\n\n### CT Chest + WA\n\n\n\n\n\n::: {.cell}\n::: {.cell-output-display}\n\\begingroup\n\\fontsize{12.0pt}{14.4pt}\\selectfont\n\\begin{longtable}{lll}\n\\toprule\nProtocol & Phase Design & Contrast \\\\ \n\\midrule\\addlinespace[2.5pt]\n— & \\begin{itemize}\n\\item Plain (Chest + Whole abd)\n\n\\item Late A (Chest + Upper abd)\n\n\\item Venous (Whole abd)\n\n\\item Delay (liver)\n\n\\end{itemize} & Oral (?), Rectal (?) \\\\ \n\\bottomrule\n\\end{longtable}\n\\endgroup\n\n:::\n:::\n\n\n\n\n\n\n### CTA Chest \n\n\n\n\n\n::: {.cell}\n::: {.cell-output-display}\n\\begingroup\n\\fontsize{12.0pt}{14.4pt}\\selectfont\n\\begin{longtable}{lll}\n\\toprule\nProtocol & Phase Design & Contrast \\\\ \n\\midrule\\addlinespace[2.5pt]\nHemoptysis & \\begin{itemize}\n\\item Plain (Chest)\n\n\\item CTA (Apex to L2) → Systemic arterial phase\n\n\\item Immediate delay (Chest)\n\n\\end{itemize}\n\n\\begin{itemize}\n\\item Note: L2 (Celiac Axis) ให้เห็น renal artery origin\n\n\\end{itemize} & IV contrast \\\\ \nCTA Chest (trauma) & \\begin{itemize}\n\\item CTA (Chest)\n\n\\item Venous (Chest)\n\n\\end{itemize} & IV contrast, No Oral, No Rectal \\\\ \n\\bottomrule\n\\end{longtable}\n\\endgroup\n\n:::\n:::\n\n\n\n\n\n### CTA Whole Aorta\n\n\n\n\n\n::: {.cell}\n::: {.cell-output-display}\n\\begingroup\n\\fontsize{12.0pt}{14.4pt}\\selectfont\n\\begin{longtable}{lll}\n\\toprule\nProtocol & Phase Design & Contrast \\\\ \n\\midrule\\addlinespace[2.5pt]\nAorta first time & \\begin{itemize}\n\\item Plain (whole aorta)\n\n\\item CTA (whole aorta)\n\n\\item Immediate delay (whole aorta)\n\n\\end{itemize} & IV contrast \\\\ \nAortic Dissection & \\begin{itemize}\n\\item Plain (whole aorta)\n\n\\item CTA (whole aorta)\n\n\\item Immediate delay (whole aorta)\n\n\\end{itemize} & IV contrast \\\\ \nAAA Post-op & \\begin{itemize}\n\\item Plain (whole aorta)\n\n\\item CTA (whole aorta)\n\n\\item Immediate delay (whole aorta)\n\n\\end{itemize} & IV contrast \\\\ \n\\bottomrule\n\\end{longtable}\n\\endgroup\n\n:::\n:::\n\n\n\n\n\n### CTA Runoff\n\n\n\n\n\n::: {.cell}\n::: {.cell-output-display}\n\\begingroup\n\\fontsize{12.0pt}{14.4pt}\\selectfont\n\\begin{longtable}{lll}\n\\toprule\nProtocol & Phase Design & Contrast \\\\ \n\\midrule\\addlinespace[2.5pt]\nCTA Runoff & ขา → Aortic bifurcation to feet\nแขน → mid-heart to hands\n\n\\begin{itemize}\n\\item Plain\n\n\\item CTA\n\n\\item Immediate delay\n\n\\end{itemize} & IV contrast \\\\ \nCTA Runoff (\\textless{} 60 yr) & ขา → Aortic bifurcation to feet\nแขน → mid-heart to hands\n\n\\begin{itemize}\n\\item CTA\n\n\\item Immediate delay\n\n\\end{itemize} & IV contrast \\\\ \n\\bottomrule\n\\end{longtable}\n\\endgroup\n\n:::\n:::\n\n\n\n\n\n\n## Neuro CT\n\n\n\n\n\n::: {.cell}\n::: {.cell-output-display}\n\\begingroup\n\\fontsize{12.0pt}{14.4pt}\\selectfont\n\\begin{longtable}{llll}\n\\toprule\nExam & Protocol & Phase Design & Contrast \\\\ \n\\midrule\\addlinespace[2.5pt]\nCT Brain (non-contrast) & — & — & No IV contrast \\\\ \nCTA Brain & Intracranial aneurysm & \\begin{itemize}\n\\item Plain, CTA, post-contrast (Brain)\n\n\\end{itemize} & IV contrast \\\\ \nCTV Brain & Venous Sinus Thrombosis & \\begin{itemize}\n\\item Plain, CTV, post-contrast (Brain)\n\n\\end{itemize} & IV contrast \\\\ \nCT Brain with Contrast & — & \\begin{itemize}\n\\item Plain, post-contrast (Brain)\n\n\\end{itemize} & IV contrast \\\\ \n\\bottomrule\n\\end{longtable}\n\\endgroup\n\n:::\n:::\n\n\n\n\n\n## Trauma CT\n\n\n\n\n\n::: {.cell}\n::: {.cell-output-display}\n\\begingroup\n\\fontsize{12.0pt}{14.4pt}\\selectfont\n\\begin{longtable}{llll}\n\\toprule\nExam & Protocol & Phase Design & Contrast \\\\ \n\\midrule\\addlinespace[2.5pt]\nCTA Chest & CTA Chest (trauma) & \\begin{itemize}\n\\item CTA (Chest)\n\n\\item Venous (Chest)\n\n\\end{itemize} & IV contrast, No Oral, No Rectal \\\\ \nCTA Neck & CTA Neck (trauma) & \\begin{itemize}\n\\item CTA (brain, neck) COW to arch\n\n\\item Post-contrast (brain)\n\n\\end{itemize} & IV contrast \\\\ \nCT Facial Bone (non-contrast) & CT Facial Bone (trauma) & \\begin{itemize}\n\\item CT Facial Bones (plain) with 3D reformats\n\n\\end{itemize} & No IV contrast \\\\ \nCT Orbit (non-contrast) & CT Orbit (trauma) & — & No IV contrast \\\\ \nCTA Whole Abd & CTA Blunt Abdomen (trauma) & \\begin{itemize}\n\\item CTA (whole)\n\n\\item Venous (whole)\n\n\\item may be Delay (in injury site)\n\n\\end{itemize} & IV contrast, No oral, No rectal \\\\ \nCTA Whole Abd & CTA Penetrating Abd (trauma) & \\begin{itemize}\n\\item CTA (whole)\n\n\\item Venous (whole)\n\n\\item may be Delay (in injury site)\n*** วาง marker ตําแหน่งแผลด้วย\n\n\\end{itemize} & IV contrast, Oral \\& Rectal full positive (ถ้ามีเวลา) \\\\ \nCTWA & CT Second look Abd (trauma) & \\begin{itemize}\n\\item Venous (whole)\n\n\\end{itemize} & IV contrast, Oral (full positive), Rectal (positive) \\\\ \n\\bottomrule\n\\end{longtable}\n\\endgroup\n\n:::\n:::\n", | ||
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