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CAT
scan; Computed Axial
Tomography (CAT)
Scan Computed
Tomography (CT) a
method of body imaging
in which a thin x-ray
beam rotates around
the patient. Small
detectors measure the
amount of x-rays that
make it through the
patient or particular
area of interest.
A computer analyzes
the data to construct
a cross-sectional
image. These images
can be stored, viewed
on a monitor, or
printed on film. In
addition,
three-dimensional
models of organs can
be created by stacking
the individual images,
or "slices."
How the test is
performed:
You will be asked to
lie on a narrow table
that slides into the
center of the scanner.
Depending on the study
being performed, you
may need to lie on
your stomach, back, or
side. If contrast dye
is to be administered,
an IV will be placed
in a small vein of a
hand or arm.
Much like standard
photographic cameras,
any motion you make
causes blurred images
in CT. Therefore, the
operator will give you
instructions through
an intercom on when to
hold your breath and
not move.
As the exam takes
place, the table will
advance small
intervals through the
scanner. Modern
"spiral"
scanners can perform
the exam in one
continuous motion.
Generally, complete
scans will only take a
few minutes. However,
additional
contrast-enhanced or
higher-resolution
scans will add to the
scan time. The newest
multidetector scanners
can image your entire
body, head to toe, in
less than 30 seconds.
How to prepare for
the test:
You may be asked to
drink contrast
immediately prior to
the CT scan, or 4 to 6
hours beforehand. The
contrast may be
non-reactive,
chalky-tasting barium
sulfate, which will
eventually pass in the
stools, or absorbable
clear Gastrografin
solution. You may also
be asked to fast (no
solids or liquids) for
4 to 6 hours if
contrast dye is to be
used.
Since x-rays have
difficulty passing
through metal, the
patient will be asked
to remove jewelry and
wear a hospital gown
during the study.
Why the test is
performed:
CT provides rapid,
detailed
cross-sectional
imaging of the patient
which can then be
reconstructed into
three-dimensional
models, as needed.
Intravenous contrast
enhanced scans allow
for evaluation of
vascular structures
and further evaluation
of masses and tumors.
CT is often utilized
in the trauma setting
to evaluate the brain,
chest, and abdomen. As
well, CT can be used
to guide
interventional
procedures, such as
biopsies and placement
of drainage tubes.
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