CT Sinus
Last Updated: 2026-01-01 Author:
-
1. Clinical Summary
Series Phase Coverage Coronal Sinus Non-contrast Frontal sinus to Maxillary sinus Axial reformat Contrast (From coronal delay) Frontal to Maxillary - Sinusitis
- Sinus disease
- Pre-operative sinus surgery
- Nasal obstruction
-
2. Patient Prep
- Position: Supine head-first
- NPO Status: N/A
-
3. IV Contrast & Injection
No Intravenous Contrast
This protocol does not require IV contrast administration.
-
4. Special Notes
- Coronal acquisition skull base through maxillary sinuses. Submillimeter for anatomy. Bone and soft tissue windows
- Additional Recons: Document anatomic variants (Haller cells concha bullosa). OMC assessment
- No IV. Remove dentures and metal
Safety First
- Renal Function: N/A
- Allergy: N/A
- Assess all sinuses. Ostiomeatal complex. Anatomic variants. Mucosal thickening. Polyps. Bony anatomy
- Direct coronal preferred. Submillimeter for anatomy
| Series Name | Start Location | End Location | Delay | Slice Thickness | Notes |
|---|---|---|---|---|---|
| Scout | Frontal sinus | Maxillary sinus | N/A | N/A | Lateral |
| Coronal Sinus | Frontal sinus | Maxillary sinus | N/A | 0.625 mm | Direct coronal if possible |
| Axial reformat | Frontal | Maxillary | From coronal | 0.625 mm | Reformatted from coronal |
| Plane | Acquisition | FOV | Thickness/Increment | Kernel | IR Strength | Notes |
|---|---|---|---|---|---|---|
| Coronal | Sinus | Sinuses | 1.25 mm/0.75 mm | Bone | N/A | Bone window |
| Coronal | Sinus | Sinuses | 3 mm/2 mm | Standard | 3 | Soft tissue |
| Axial | Sinus | Sinuses | 2 mm/2 mm | Bone | N/A | Axial bone |
| Sagittal | Sinus | Sinuses | 2 mm/2 mm | Bone | N/A | Midline and lateral |