What is Computed
Axial Tomography ("CT" or "CAT" scan)?
Computed Axial Tomography ("CT" or "CAT" scan) is a way of
looking inside your body using a special camera. The images (or
pictures) produced are cross - sectional, like the slices in a
loaf of bread. During a CT exam the scanner takes multiple
cross-sectional pictures of you. These pictures are created with
the help of a computer and are capable of depicting various
internal body parts in much greater detail than standard X-ray
films. This greatly enhances the doctor's ability to diagnose a
medical condition.
Common uses of
this procedure.
In cancer detection, computed tomography is used to scan for
abnormal masses which might be malignant tumors (cancers). CT
scans can show the size and shape of a tumor, its precise
location in the body and whether it's solid or hollow. Although
a CT scan sometimes is able to tell the difference between a
benign (noncancerous) or malignant (cancerous) tumor, the final
diagnosis is made by a biopsy or other test. When a needle
biopsy is performed for cancer diagnosis, CT scanning also can
be used to guide the insertion of the biopsy needle into
precisely the right location for sampling a tumor.
In addition to cancer detection, CT scans have many other uses,
including the detection of abscesses, strokes, head injuries and
bleeding inside the skull.
In obese patients, CT scanning may be more useful than
ultrasound, since large amounts of body fat can interfere with
ultrasound waves.
How does it
work?
The CT scanner contains a large donut-shaped ring that your body
slowly passes through on a moveable table. As you pass through
the ring, the scanner takes a complete 360- degree picture of
you that is sent to its computer. Then the mechanical table
moves a small distance - less than half-an-inch - positioning
you for the next picture. These pictures can then be
reconstructed by the computer to form a complete image of your
internal anatomy.
To make a clearer picture of certain parts of your body, some CT
scans require the use of contrast materials, which are
substances showing up as pure white on the X-ray. Two types of
contrast materials used are barium, which you usually drink, and
iodine, which is usually injected by means of an
I.V.(intravenous line).
Benefits vs
Risks of CT
|
Benefits |
Risks |
| Viewing a CT
scan, an experienced radiologist can diagnose many
causes of abdominal pain with nearly 100 percent
accuracy, enabling faster treatment and often
eliminating the need for additional, more invasive
diagnostic procedures. |
CT does involve exposure
to radiation in the form of x-ray , but the benefit of
an accurate diagnosis far outweighs the risk. The
typical radiation dose from a CT exam is equivalent to
the amount of natural background radiation received over
a year's time. Among all radiological procedures,
radiation exposure from CT of the body is intermediate. |
Unlike other imaging methods, CT scanning offers
detailed views of many types of tissue, including the
lung, bones, soft tissues and blood vessels. |
Special care is taken during x-ray examinations to
ensure maximum safety for the patient by shielding the
abdomen and pelvis with a lead apron, with the exception
of those examinations in which the abdomen and pelvis
are being imaged. Women should always inform their
doctor or x-ray technologist if there is any possibility
that they are pregnant. |
CT scanning can identify both normal and abnormal
structures, making it a useful tool to guide
radiotherapy, needle biopsies and other minimally
invasive procedures. |
Nursing mothers should wait for 24 hours after contrast
material injection before resuming breast feeding. |
CT scanning is painless, noninvasive and accurate. |
The risk of serious allergic reaction to
iodine-containing contrast material is rare, and
radiology departments are well-equipped to deal with
them. |
The exam shows changes in bone better than any other
imaging method. |
If a large amount of x-ray contrast leaks out under the
skin where the IV is placed, skin damage can result. If
you feel any pain in this area during contrast
injection, you should immediately inform the
technologist. |
CT Angiography can be used to examine blood vessels in
many key areas of the body including the brain, kidneys,
pelvis, and the arteries serving the lungs. The
procedure is able to detect narrowing of arteries in
time for corrective surgery to be done. |
CT Angiography should be avoided in patients with kidney
disease or severe diabetes because x-ray contrast
material can further harm kidney function. |
|