Unlike a conventional x-raywhich uses a fixed x-ray tubea CT scanner uses a motorized x-ray source that rotates around the circular opening of a donut-shaped structure called a gantry. During a CT scan, the patient lies on a bed that slowly moves through the gantry while the x-ray tube rotates around the patient, shooting narrow beams of x-rays through the body. Instead of film, CT scanners use special digital x-ray detectors, which are located directly opposite the x-ray source. As the x-rays leave the patient, they are picked up by the detectors and transmitted to a computer.
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Each time the x-ray source completes one full rotation, the CT computer uses sophisticated mathematical techniques to construct a two-dimensional image slice of the patient. The thickness of the tissue represented in each image slice can vary depending on the CT machine used, but usually ranges from 1-10 millimeters. When a full slice is completed, the image is stored and the motorized bed is moved forward incrementally into the gantry. The x-ray scanning process is then repeated to produce another image slice. This process continues until the desired number of slices is collected.
Image slices can either be displayed individually or stacked together by the computer to generate a 3D image of the patient that shows the skeleton, organs, and tissues as well as any abnormalities the physician is trying to identify. This method has many advantages including the ability to rotate the 3D image in space or to view slices in succession, making it easier to find the exact place where a problem may be located.
What You Need to Know
Computed tomography is commonly referred to as a CT scan. A CT scan is a diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce images of the inside of the body. It shows detailed images of any part of the body, including the bones, muscles, fat, organs and blood vessels.
CT scans are more detailed than standard X-rays. In standard X-rays, a beam of energy is aimed at the body part being studied. A plate behind the body part captures the variations of the energy beam after it passes through skin, bone, muscle and other tissue. While much information can be obtained from a regular X-ray, a lot of detail about internal organs and other structures is not available.
In CT, the X-ray beam moves in a circle around the body. This allows many different views of the same organ or structure and provides much greater detail. The X-ray information is sent to a computer that interprets the X-ray data and displays it in two-dimensional form on a monitor. Newer technology and computer software makes three-dimensional images possible.
CT scans may be performed to help diagnose tumors, investigate internal bleeding, or check for other internal injuries or damage. CT can also be used for a tissue or fluid biopsy.
CT scans may be done with or without contrast. Contrast refers to a substance taken by mouth or injected into an IV line that causes the particular organ or tissue under study to be seen more clearly. Contrast examinations may require you to fast for a certain period of time before the procedure. Your doctor will notify you of this prior to the procedure.
You will need to let your doctor know if you have ever had a reaction to any contrast media and/or any kidney problems. A reported seafood allergy is not considered to be a contraindication for iodinated contrast. If you have any medical conditions or recent illnesses, inform your doctor.
If you are having a computed tomography angiography (CTA) or a virtual colonoscopy, you will be given specific instructions when you make your appointment.
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PRECAUTIONS: If you are pregnant or think you may be pregnant, please check with your doctor before scheduling the exam.
CLOTHING: You may be asked to change into a patient gown. If so, a gown will be provided for you. Please remove all piercings and leave all jewelry and valuables at home.
CONTRAST MEDIA: Contrast may be indicated for your exam. The contrast media improves the radiologists ability to find structures that are abnormal and understand normal anatomy better.
ALLERGY: Please inform the access center representative when you schedule your scan if you have had an allergic reaction to any contrast media. IV contrast will not be administered if you have had a severe or anaphylactic reaction to any contrast media in the past. Mild to moderate reactions warrant a plan that includes taking medication prior to the CT examination. These plans will be discussed with you in detail when you schedule your exam. Any known reactions to a contrast media should be discussed with your personal physician.
EAT/DRINK: If your study was ordered without contrast, you can eat, drink and take your prescribed medications prior to your exam.
If your doctor orders a CT scan with contrast, do not eat anything three hours prior to your CT scan. We encourage you to drink clear liquids. You may also take your prescribed medications prior to your exam.
DIABETICS: People with diabetes should eat a light breakfast or lunch three hours prior to the scan time. Depending on your oral medication for diabetes, you may be asked to discontinue use of the medication for 48 hours after the CT examination. Detailed instructions will be given following your examination.
MEDICATION: All patients can take their prescribed medications as usual.
If you are pregnant or think you may be pregnant, you should notify your health care provider.
The amount of radiation dose used in a CT scan is small. You may want to ask your doctor about the amount of radiation used during the CT procedure and the risks related to your particular situation.
If you are claustrophobic or tend to become anxious easily, tell your doctor ahead of time. You may be prescribed a mild sedative to take before the procedure to make you more comfortable.
CT scans may be performed on an outpatient basis or as part of your stay in a hospital. Procedures may vary depending on your condition and your physicians practices. Generally, CT scans follow this process:
Advances in CT technology include:
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