Version History

Removed print functionality. Print page, print buttons, print stylesheet, and print-related keyboard shortcuts removed. Print disclaimer removed from document notices.

Major expansion. Both CT and MRI now covered across all body regions. All three clinical settings included (ED, Inpatient, Outpatient). New regions: Cardiac, Hepatobiliary, Renal/Urinary, Vascular, Breast. New cross-cutting sections: Paediatric, Pregnancy, Gadolinium Safety. IR(ME)R 2024 amendment incorporated. Governing guidelines expanded from 16 to 65+ references. Protocol count: 12 (v1.0) to 29 (v2.0).

New protocols (16)

• NEWCT Head — Head Injury (children <16)
• NEWMRI Brain — Outpatient
• NEWMRI Cervical Spine [ED/INPATIENT/OUTPATIENT]
• NEWMRI Lumbar Spine — Low Back Pain [OUTPATIENT]
• NEWMRI Lumbar Spine — Cauda Equina Syndrome [ED/INPATIENT]
• NEWCT/MRI Whole Spine — MSCC [INPATIENT]
• NEWCT/MRI Neck
• NEWCT Coronary Angiography
• NEWCMR — Cardiac MRI
• NEWMRI Pelvis & Abdomen
• NEWCT/MRI Hepatobiliary & Pancreas
• NEWCT KUB — Renal Calculus
• NEWCT Urogram — Haematuria
• NEWCT MSK
• NEWCT Breast Staging
• NEWMRI Breast

Updated from v1.0 (13)

• UPD
  CT Head — Head Injury (adults ≥16)

  Anticoagulant-without-LOC criterion changed from mandatory to 'consider' per NG232 Rec 1.5.13. NAI indication added.

• UPD
  CT Head — Stroke Thrombolysis

  ROSIER scoring tool added. ABCD2 deprecation noted. Tenecteplase confirmed as recommended agent.

• UPD
  CT Head — Stroke: Non-Thrombolysis / Thrombectomy

  CG68 correction added. Thrombectomy 24-hour advanced imaging pathway confirmed.

• UPD
  CT Head — Other Acute Indications

  CVST section added. Meningitis LP guidance clarified. NG228 SAH LP criteria confirmed.

• UPD
  CT Cervical Spine [ED]

  Canadian C-Spine Rule confirmed (not NEXUS). Expanded high-risk factor list. Paediatric note added.

• UPD
  CT/MRI Orbits & Sinuses

  MRI orbits and sinuses added. Expanded to cover outpatient indications.

• UPD
  CT Thorax

  Lung cancer pathway (NG122), HRCT ILD, and lung screening sections added.

• UPD
  CTPA — Pulmonary Embolism

  Age-adjusted D-dimer added. PERC rule noted. Pregnancy pathway detailed. V/Q comparison added.

• UPD
  CT Aorta — Acute Aortic Syndrome

  ADD-RS scoring tool added. RCR/RCEM 2024/2025 guidance confirmed.

• UPD
  CT Abdomen and Pelvis

  Expanded to include sepsis, post-op, oncological staging. IVU superseded note. Pregnancy guidance added.

• UPD
  CT Vascular

  Expanded to include AAA pathway, carotid, PAD, mesenteric ischaemia. NG186 correction added.

• UPD
  MRI MSK

  Expanded to comprehensive MRI MSK: scaphoid, hip, knee, sarcoma, osteomyelitis, AVN.

• UPD
  CT Trauma Series (Head to mid-thigh)

  Modality and settings fields added. Paediatric note added.

Initial publication of 12 CT ED imaging protocols, revised against current UK national guidelines. CT only, ED setting only.