{"id":92170,"date":"2024-08-12T16:25:30","date_gmt":"2024-08-12T21:25:30","guid":{"rendered":"https:\/\/pulmonx.com\/stratx-ct-parameters-2\/"},"modified":"2025-01-27T15:57:51","modified_gmt":"2025-01-27T20:57:51","slug":"stratx-ct-parameters-2","status":"publish","type":"page","link":"https:\/\/pulmonx.com\/uk-en\/stratx-ct-parameters-2\/","title":{"rendered":"StratX CT Parameters"},"content":{"rendered":"

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\n \"Pulmonx-Zephyr-Clinically-Proven\" \n <\/div>\n \n \n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n
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CT Parameters<\/h1>\n

The following CT scan radiographic parameters have been optimised in order to provide appropriate input to generate a StratX\u00ae<\/sup>\u00a0Lung Analysis Report.<\/p> <\/div>\n<\/div>\n

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In order to produce quality output parameters displayed in the StratX Report, it is recommended to adhere as closely as possible to the ideal parameters. If a scan can\u2019t be obtained with the ideal parameters, we have specified acceptable scan parameters on pages 3 and 4. Significant deviation from these parameters may result in reduced accuracy or an inability to analyse the CT scan.<\/p> <\/div>\n<\/div>\n <\/div>\n

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For more specific information related to scan parameters or if your CT scanner manufacturer is not listed below, please contact us directly for support at: stratxEMEAsupport@pulmonx.com<\/a><\/strong><\/p> <\/div>\n<\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n

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General Information<\/h2> <\/div>\n<\/div>\n\n
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  1. \n

    Ensure all files are in standard DICOM format.<\/p>\n<\/li>\n

  2. \n

    Only SUPINE <\/b>position chest CT scans with arms positioned above the head <\/b>are supported. Scans obtained in PRONE position can NOT be analysed.<\/p>\n<\/li>\n

  3. \n

    The CT scans must have a slice thickness of 1.5 mm or less <\/b>(smaller slices provide more information for fissure completeness) in the axial plane. Reconstruction slice thickness must be greater than or equal to acquisition slice thickness.<\/b><\/p>\n<\/li>\n

  4. \n

    <\/b>The input image should NOT be reconstructed with a slice spacing larger than the slice thickness (slice spacing should be less than or equal to slice thickness<\/b>, no gaps in the 3D volume are allowed).<\/p>\n<\/li>\n

  5. \n

    The complete lung <\/b>must be present on the CT scan. If parts of the lung are missing, the output parameters will be compromised.<\/p>\n<\/li>\n

  6. \n

    Only non-contrast TLC (inspiration) scans <\/b>are accepted for analysis.<\/p>\n<\/li>\n

  7. \n

    Technologist should instruct the patient to take a full inspiration breath <\/b>and hold. The scan should start once the patient has reached breath hold and relaxed their body.<\/p>\n<\/li>\n

  8. \n

    Ensure the CT scan is not of poor quality (e.g., movement artifacts, artifacts due to metal, high noise levels due to dose level, etc.)<\/p>\n<\/li>\n

  9. \n

    Please ensure the CT scan does NOT suffer from image artifacts such as streak artifacts from implants<\/p>\n<\/li>\n

  10. \n

    Scans taken from CT scanners with less than 16 detector rows are not recommended.<\/p>\n<\/li>\n

  11. \n

    Any series containing less than 120 images will be automatically removed by the system.<\/p>\n<\/li>\n<\/ol> <\/div>\n<\/div>\n\n

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      \n
    1. \n

      Ensure all files are in standard DICOM format.<\/p>\n<\/li>\n

    2. \n

      Only SUPINE <\/b>position chest CT scans with arms positioned above the head <\/b>are supported. Scans obtained in PRONE position can NOT be analysed.<\/p>\n<\/li>\n

    3. \n

      The CT scans must have a slice thickness of 1.5 mm or less <\/b>(smaller slices provide more information for fissure completeness) in the axial plane. Reconstruction slice thickness must be greater than or equal to acquisition slice thickness.<\/b><\/p>\n<\/li>\n

    4. \n

      <\/b>The input image should NOT be reconstructed with a slice spacing larger than the slice thickness (slice spacing should be less than or equal to slice thickness<\/b>, no gaps in the 3D volume are allowed).<\/p>\n<\/li>\n

    5. \n

      The complete lung <\/b>must be present on the CT scan. If parts of the lung are missing, the output parameters will be compromised.<\/p>\n<\/li>\n

    6. \n

      Only non-contrast TLC (inspiration) scans <\/b>are accepted for analysis.<\/p>\n<\/li>\n

    7. \n

      Technologist should instruct the patient to take a full inspiration breath <\/b>and hold. The scan should start once the patient has reached breath hold and relaxed their body.<\/p>\n<\/li>\n

    8. \n

      Ensure the CT scan is not of poor quality (e.g., movement artifacts, artifacts due to metal, high noise levels due to dose level, etc.).<\/p>\n<\/li>\n

    9. \n

      Please ensure the CT scan does NOT suffer from image artifacts such as streak artifacts from implants.<\/p>\n<\/li>\n

    10. \n

      Scans taken from CT scanners with less than 16 detector rows are not recommended.<\/p>\n<\/li>\n

    11. \n

      Any series containing less than 120 images will be automatically removed by the system.<\/p>\n<\/li>\n<\/ol> <\/div>\n<\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n

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      Ideal Scan Parameters<\/strong><\/h2>\n

      Following these parameters will achieve the highest quality report possible<\/strong><\/p> <\/div>\n<\/div>\n\n

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      \n \n\n\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
      Highest Quality Report Parameters<\/td>\n<\/tr>\n
      PARAMETERS<\/td>SIEMENS<\/td>PHILIPS<\/td>TOSHIBA<\/td>GE<\/td>\n<\/tr>\n
      Kernel Standard<\/td>B30<\/td>B<\/td>FC08<\/td>Standard<\/td>\n<\/tr>\n
      Tube Current<\/td>Regular Patient (<30 BMI): 80 mAs
      \nLarge Patient (>30 BMI): 100 mAs
      \n*No tube current modulation<\/strong><\/td>\n<\/tr>\n
      KV<\/td>120<\/td>\n<\/tr>\n
      Slice Thickness<\/td>0.625 mm<\/td>\n<\/tr>\n
      Reconstruction Interval
      \n(Slice Spacing)<\/td>      		\u22640.625 mm<\/td>\n<\/tr>\n
      Pitch<\/td>Range: 0.5\u20131.2<\/td>Range: 0.5\u20131.2<\/td>Range: 0.5\u20131.0<\/td>Range: 0.5\u20131.375<\/td>\n<\/tr>\n
      Rotation or Gantry Speed (sec)<\/td>\u22640.5<\/td>\n<\/tr>\n
      Iterative Reconstruction<\/td>None<\/td>\n<\/tr>\n
      Contrast<\/td>None<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/div>\n<\/div>\n\n
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      \n \"Highest \n <\/div>\n \n \n <\/div>\n <\/div>\n <\/div>\n <\/div>\n
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      Acceptable Scan Parameters<\/strong><\/h2>\n

      CT Scan Parameters WITHOUT Iterative Reconstruction<\/strong><\/p>\n

      *No iterative reconstruction preferred<\/p>\n <\/div>\n<\/div>\n\n

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      \n \n\n\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
      3\u20134mSv Dose<\/td>\n<\/tr>\n
      PARAMETERS<\/td>SIEMENS<\/td>PHILIPS<\/td>TOSHIBA<\/td>GE<\/td>\n<\/tr>\n
      Tube Current<\/td>0 mA\u2013900 mA
      \n*No tube current
      \nmodulation preferred<\/strong><\/td>      		20 mA\u2013450 mA
      \n*No tube current
      \nmodulation preferred<\/strong><\/td>      		20 mA\u2013600 mA
      \n*No tube current
      \nmodulation preferred<\/strong><\/td>      		30 mA\u2013770 mA
      \n*No tube current
      \nmodulation preferred<\/strong><\/td>\n<\/tr>\n
      KV<\/td>120<\/td>\n<\/tr>\n
      Dose Modulation<\/td>CareDose ON
      \nCarekV OFF<\/td>      		Z-Dom ON<\/td>SURE Exposure ON<\/td>Smart mA ON<\/td>\n<\/tr>\n
      Pitch<\/td>Range: 0.5\u20131.2<\/td>Range: 0.5\u20131.2<\/td>Range: 0.5\u20131.0<\/td>Range: 0.5\u20131.375<\/td>\n<\/tr>\n
      Rotation or Gantry Speed (sec)<\/td>\u22640.5<\/td>\n<\/tr>\n
      Kernel Standard<\/td>\u2264B45f<\/td>B, C<\/td>\u2264FC45<\/td>Bone, Standard<\/td>\n<\/tr>\n
      Slice Thickness<\/td>\u22641.5 mm
      \n*Thinnest slice possible preferred<\/strong><\/td>\n<\/tr>\n
      Slice Spacing<\/td>\u2264slice thickness<\/td>\n<\/tr>\n
      Average mSv<\/td><4.0<\/td>\n<\/tr>\n
      Contrast<\/td>None<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/div>\n<\/div>\n\n
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      \n \"3\u20134mSv \n <\/div>\n \n \n <\/div>\n <\/div>\n <\/div>\n <\/div>\n
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      Acceptable Scan Parameters<\/strong><\/h2>\n

      CT Scan Parameters WITH Iterative Reconstruction<\/strong><\/p>\n

      *No iterative reconstruction preferred<\/p> <\/div>\n<\/div>\n\n

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      \n \n\n\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
      1\u20132mSv Dose<\/td>\n<\/tr>\n
      PARAMETERS<\/td>SIEMENS<\/td>PHILIPS<\/td>TOSHIBA<\/td>GE<\/td>\n<\/tr>\n
      Tube Current<\/td>0 mA\u2013900 mA
      \n*No tube current
      \nmodulation preferred<\/strong><\/td>      		20 mA\u2013450 mA
      \n*No tube current
      \nmodulation preferred<\/strong><\/td>      		20 mA\u2013600 mA
      \n*No tube current
      \nmodulation preferred<\/strong><\/td>      		30 mA\u2013770 mA
      \n*No tube current
      \nmodulation preferred<\/strong><\/td>\n<\/tr>\n
      KV<\/td>120<\/td>\n<\/tr>\n
      Dose Modulation<\/td>CareDose ON
      \nCarekV OFF<\/td>      		V-Dom ON<\/td>SURE Exposure ON<\/td>Smart mA ON<\/td>\n<\/tr>\n
      Pitch<\/td>Range: 0.5\u20131.2<\/td>Range: 0.5\u20131.2<\/td>Range: 0.5\u20131.0<\/td>Range: 0.5\u20131.375<\/td>\n<\/tr>\n
      Rotation or Gantry Speed (sec)<\/td>\u22640.5<\/td>\n<\/tr>\n
      Iterative Reconstruction<\/td>Use SAFIRE, ADMIRE<\/td>Use IMR<\/td>Use ADIR 3D standard<\/td>Use VEO, ASiR<\/td>\n<\/tr>\n
      Iterative Strength<\/td>3<\/td>Routine 2<\/td>Standard<\/td>30\u201350<\/td>\n<\/tr>\n
      Kernel Standard<\/td>\u2264B45f<\/td>B, C<\/td>\u2264FC45<\/td>Bone, Standard<\/td>\n<\/tr>\n
      Slice Thickness<\/td>\u22641.5 mm
      \n*Thinnest slice possible preferred<\/strong><\/td>\n<\/tr>\n
      Slice Spacing<\/td>\u2264slice thickness<\/td>\n<\/tr>\n
      Average mSv<\/td><2.0<\/td>\n<\/tr>\n
      Contrast<\/td>None<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n <\/div>\n<\/div>\n\n
      \n
      \n \"1\u20132mSv \n <\/div>\n \n \n <\/div>\n <\/div>\n <\/div>\n <\/div>\n
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      How StratX<\/b>\u00ae<\/sup><\/b><\/span>\u00a0Report Results Are Determined<\/b><\/h2>\n

      The data presented in the StratX Report is based on Hounsfield units to measure fissure completeness, destruction scores, and lobar volumes. The quality of the uploaded CT images directly influences the Hounsfield unit of measurement. Below are examples of reasons why images will be rejected:<\/span><\/p> <\/div>\n<\/div>\n\n

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      Motion Artifact Scan Rejection<\/b><\/h3>\n

      Motion Artifact Image Distortion<\/b><\/h4>\n

      Taking a CT scan while a patient is moving distorts the image quality, making it appear blurry or fuzzy. The image distortion directly impacts the accuracy of destruction, fissure, and volume scoring. A StratX Report will not be provided if a motion artifact is detected.<\/p> <\/div>\n<\/div>\n

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      \n \"Motion \n <\/div>\n \n \n <\/div>\n <\/div>\n
      \n \n
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      \n \"Motion \n <\/div>\n \n \n <\/div>\n <\/div>\n
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      \n \"Motion \n <\/div>\n \n \n <\/div>\n <\/div>\n <\/div>\n \n
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      Inadequate Breath-Hold Scan Rejection<\/b><\/h2>\n

      Expiratory Scans<\/b><\/h4>\n

      Expiratory scans are noted by the raised diaphragm and lobar compression. Expiratory scans will lead to artificially low destruction scores and inaccurate lobar volumes. A StratX Report will not be provided if an expiratory scan is detected.<\/p>\n

      Raised Diaphragm<\/b><\/h4> <\/div>\n<\/div>\n\n
      \n
      \n \"Raised \n <\/div>\n \n \n <\/div>\n\n
      \n
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      Contrast Scan Rejection<\/b><\/h3>\n

      Scans with Contrast<\/b><\/h4>\n

      If an image is taken with contrast, the vasculature will appear bright and will permeate into lung tissue resulting in
      artificially low destruction scores. A StratX\u00ae<\/sup>\u00a0Report will not be provided if a scan with contrast is detected.<\/p> <\/div>\n<\/div>\n

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      \n \n
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      \n \"Contrast \n <\/div>\n \n \n <\/div>\n <\/div>\n
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      \n \"Contrast \n <\/div>\n \n \n <\/div>\n <\/div>\n <\/div>\n \n
      \n
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      Incorrect Kernel<\/b><\/h3>\n

      Images reconstructed with an incorrect kernel may result in inaccurate destruction scores. In the example below, an incorrect kernel has added noise to the image, resulting in an artificially low destruction score. If an incorrect kernel is detected, a StratX Report will be provided with a warning that the report may be inaccurate.<\/p> <\/div>\n<\/div>\n <\/div>\n <\/div>\n <\/div>\n

      \n
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      \n \n
      \n
      \n \n Download StratX Report CT Parameters PDF <\/a>\n <\/div>\n <\/div>\n\n <\/div>\n <\/div>\n <\/div>\n
      \n
      \n
      \n \n
      \n
      \n
      EMEA-EN-2325-v1<\/h6> <\/div>\n<\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n","protected":false},"excerpt":{"rendered":"

       <\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-92170","page","type-page","status-publish","hentry","has-post-title","has-post-date","has-post-category","has-post-tag","has-post-comment","has-post-author",""],"acf":[],"yoast_head":"\nStratX CT Parameters - Pulmonx<\/title>\n<meta name=\"description\" content=\"Visit the StratX CT Parameters page of the Pulmonx UK site to see CT scan radiographic parameters for StratX.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pulmonx.com\/uk-en\/stratx-ct-parameters-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"StratX CT Parameters - Pulmonx\" \/>\n<meta property=\"og:description\" content=\"Visit the StratX CT Parameters page of the Pulmonx UK site to see CT scan radiographic parameters for StratX.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pulmonx.com\/uk-en\/stratx-ct-parameters-2\/\" \/>\n<meta property=\"og:site_name\" content=\"Pulmonx\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Mylungsmylife\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-27T20:57:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/06\/Valve-open-and-closed-22-1080x1080-px.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:image\" content=\"https:\/\/pulmonx.com\/wp-content\/uploads\/2022\/06\/Valve-open-and-closed-22-1080x1080-px.jpg\" \/>\n<meta name=\"twitter:site\" content=\"@my_lungs\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/pulmonx.com\\\/uk-en\\\/stratx-ct-parameters-2\\\/\",\"url\":\"https:\\\/\\\/pulmonx.com\\\/uk-en\\\/stratx-ct-parameters-2\\\/\",\"name\":\"StratX CT Parameters - 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